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Prediction Model of Pancreatic Neoplasms in CP Patients With Focal Pancreatic Lesions

Interpretable Prediction of Pancreatic Neoplasms in Chronic Pancreatitis Patients With Focal Pancreatic Lesions Based on XGBoost Machine Learning and SHAP

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07045181
Enrollment
113
Registered
2025-07-01
Start date
2025-07-01
Completion date
2025-08-05
Last updated
2025-09-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Pancreatitis, Machine Learning, Pancreatic Neoplasm

Keywords

Pancreatic neoplasm, chronic pancreatitis, machine learning, SHAP

Brief summary

This study aims to develop XGBoost machine learning model to predict pancreatic neoplasms in CP patients with focal pancreatic lesions.

Detailed description

Pancreatic neoplasms include various types, with pancreatic cancer being the most common and having a poor prognosis. Chronic pancreatitis (CP) can progress to pancreatic cancer, and detecting neoplasms in CP patients is challenging due to similar imaging and clinical presentations. Current diagnostic methods like CT and tumor markers have limitations, and endoscopic ultrasound-guided tissue acquisition has moderate sensitivity. Machine learning (ML) shows promise in medical fields, but its black box nature limits its application. SHapley additive exPlanations (SHAP) can provide intuitive explanations for ML models. This study aims to develop an ML model to predict pancreatic neoplasms in CP patients with focal pancreatic lesions and use SHAP to explain the model, aiding future research.

Interventions

DIAGNOSTIC_TESTXGBoost machine learning

XGBoost is a powerful machine learning algorithm known for its efficiency and performance. It is an optimized gradient boosting library designed to be highly efficient, flexible, and portable. XGBoost works by combining multiple weak prediction models, typically decision trees, to produce a strong predictive model. It supports various objective functions and evaluation metrics, making it suitable for a wide range of tasks, including classification and regression. XGBoost also includes features like regularization to prevent overfitting and can handle missing data effectively.

Sponsors

Changhai Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Diagnosis of chronic pancreatitis * Patients has indeterminate focal pancreatic lesions discovered through contrast-enhanced CT scans

Exclusion criteria

* Patients had incomplete clinical data * Patients had no surgical pathology results for the focal pancreatic lesions and loss to follow-up, indicating that a final diagnosis of the focal pancreatic lesions could not been established

Design outcomes

Primary

MeasureTime frameDescription
Diagnostic yield10 yearsThe diagnostic yield of XGBoost machine learning, including AUC、Sensitivity、Specificity

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026