Ovarian cancer screening based on mixture change-point model
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  • 作者:Chenchen Zou (1)
    Xiangzhong Fang (1)
    Guanghe Zhai (1)

    1. School of Mathematics
    ; Peking University ; Beijing ; 100871 ; China
  • 关键词:Change ; point mixture model ; longitudinal data analysis ; maximum likelihood estimation ; ovarian caner screening
  • 刊名:Journal of Systems Science and Complexity
  • 出版年:2015
  • 出版时间:April 2015
  • 年:2015
  • 卷:28
  • 期:2
  • 页码:471-488
  • 全文大小:279 KB
  • 参考文献:1. Havrilesk, L J, Whitehead, C M, Rubatt, C M, Cheek, R L, Groelke, J, He, Q, Malinowski, D P, Fischer, T J, Berchuck, A (2008) Evaluation of biomarker panels for early stage ovarian cancer detection and monitoring for disease recurrence. Gynecologic Oncology 110: pp. 374-382 CrossRef
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  • 刊物类别:Mathematics and Statistics
  • 刊物主题:Systems Theory and Control
    Applied Mathematics and Computational Methods of Engineering
    Operations Research/Decision Theory
    Probability Theory and Stochastic Processes
  • 出版者:Academy of Mathematics and Systems Science, Chinese Academy of Sciences, co-published with Springer
  • ISSN:1559-7067
文摘
Ovarian cancer is one of the most deadly female genital malignant tumors in many regions while an effective early screening strategy can save numerous lives. CA125 and HE4 are tumor markers validated efficacious as well as most commonly used in recent screening research of ovarian cancer. In this paper, the authors construct a change-point and mixture model on the basis of longitudinal CA125 and HE4 levels and estimated parameters using maximum likelihood method with the preclinical duration assumed right-censored, which is more adaptive and yields comparable results in comparison to the Bayesian approach raised by Skates. Consistency of estimators is proved. The authors also run a 5-year simulation of sequential screening by calculating the risk of cancer and hypothesis testing the true incidence time respectively. Results show that diagnosis based on hypothesis test performs better in early detection.

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