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      A new model for predicting the occurrence of polycystic ovary syndrome: Based on data of tongue and pulse

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          Abstract

          Background and objective

          Polycystic ovary syndrome is one of the most common types of endocrine and metabolic diseases in women of reproductive age that needs to be screened early and assessed non-invasively. The objective of the current study was to develop prediction models for polycystic ovary syndrome based on data of tongue and pulse using machine learning techniques.

          Methods

          A dataset of 285 polycystic ovary syndrome patients and 201 healthy women were investigated to identify the significant tongue and pulse parameters for predicting polycystic ovary syndrome. In this study, feature selection was performed using least absolute shrinkage and selection operator regression. Several machine learning algorithms (multilayer perceptron classifier, eXtreme gradient boosting classifier, and support vector machine) were used to construct the classification models to predict the presence of polycystic ovary syndrome.

          Results

          TB-L, TB-a, TB-b, TC-L, TC-a, h 3, and h 4/h 1 in tongue and pulse parameters were statistically associated with polycystic ovary syndrome presence. Among the several machine learning techniques, the support vector machine model was optimal for the comprehensive evaluation of this dataset and deduced the area under the receiver operating characteristic curve, DeLong test, calibration curve, and decision curve analysis.

          Conclusion

          The machine learning model with tongue and pulse factors can predict the existence of polycystic ovary syndrome precisely.

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          Most cited references42

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          Regression Shrinkage and Selection Via the Lasso

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            Comparing the Areas under Two or More Correlated Receiver Operating Characteristic Curves: A Nonparametric Approach

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              Decision curve analysis: a novel method for evaluating prediction models.

              Diagnostic and prognostic models are typically evaluated with measures of accuracy that do not address clinical consequences. Decision-analytic techniques allow assessment of clinical outcomes but often require collection of additional information and may be cumbersome to apply to models that yield a continuous result. The authors sought a method for evaluating and comparing prediction models that incorporates clinical consequences,requires only the data set on which the models are tested,and can be applied to models that have either continuous or dichotomous results. The authors describe decision curve analysis, a simple, novel method of evaluating predictive models. They start by assuming that the threshold probability of a disease or event at which a patient would opt for treatment is informative of how the patient weighs the relative harms of a false-positive and a false-negative prediction. This theoretical relationship is then used to derive the net benefit of the model across different threshold probabilities. Plotting net benefit against threshold probability yields the "decision curve." The authors apply the method to models for the prediction of seminal vesicle invasion in prostate cancer patients. Decision curve analysis identified the range of threshold probabilities in which a model was of value, the magnitude of benefit, and which of several models was optimal. Decision curve analysis is a suitable method for evaluating alternative diagnostic and prognostic strategies that has advantages over other commonly used measures and techniques.
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                Author and article information

                Journal
                Digit Health
                Digit Health
                DHJ
                spdhj
                Digital Health
                SAGE Publications (Sage UK: London, England )
                2055-2076
                28 February 2023
                Jan-Dec 2023
                : 9
                : 20552076231160323
                Affiliations
                [1 ]Department of Gynecology and Obstetrics, Shuguang Hospital Affiliated to Shanghai University of Chinese Medicine, Shanghai, P.R. China
                [2 ]Basic Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China
                Author notes
                [*]

                These authors contributed equally to this work.

                [*]Xiuqi Yin, Department of Gynecology and Obstetrics, Shuguang Hospital Affiliated to Shanghai University of Chinese Medicine, Shanghai 201203, P.R. China. Email: yxq0402@ 123456shutcm.edu.cn
                [*]Jiatuo Xu, Basic Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, P.R. China. Email: xjt@ 123456fudan.edu.cn
                Author information
                https://orcid.org/0000-0002-2422-8195
                Article
                10.1177_20552076231160323
                10.1177/20552076231160323
                10281487
                79ab106c-bf4a-4096-aced-8e7082c57589
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License ( https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 8 August 2022
                : 12 February 2023
                Funding
                Funded by: National Natural Science Foundation of China, FundRef https://doi.org/10.13039/501100001809;
                Award ID: no. 82004398
                Categories
                Original Research
                Custom metadata
                ts19
                January-December 2023

                polycystic ovarian syndrome,tongue diagnosis,pulse diagnosis,machine learning

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