Research Article

Risk Assessment of Liver Metastasis in Pancreatic Cancer Patients Using Multiple Models Based on Machine Learning: A Large Population-Based Study

Table 1

Demographic and tumor characteristics of pancreatic cancer patients.

CharacteristicAll patientsTraining setTest set
None ()Liver metastasis ()None ()Liver metastasis ()None ()Liver metastasis ()

Age at PC diagnosis, no. (%) (years)
 20-492175 (6.8)1143 (7.2)1701 (6.7)945 (7.4)474 (7.3)198 (6.4)
 50-6915,834 (49.5)8721 (54.8)12,606 (49.4)7064 (55.1)3228 (49.8)1657 (53.5)
 ≥7014,001 (43.7)6045 (38.0)11,218 (43.9)4802 (37.5)2783 (42.9)1243 (40.1)
Gender, no. (%)
 Female15,996 (49.9)7128 (44.8)12,734 (49.9)5728 (44.7)3262 (50.3)1400 (45.2)
 Male16,014 (50.1)8781 (55.2)12,791 (50.1)7083 (55.3)3223 (49.7)1698 (54.8)
Year of PC diagnosis, no. (%)
 2010-201312,797 (40.0)6086 (38.3)10,207 (40.0)4912 (38.3)2590 (39.9)1174 (37.9)
 2014-201819,213 (60.0)9823 (61.7)15,318 (60.0)7899 (61.7)3895 (60.1)1924 (62.1)
Race, no. (%)
 White25,194 (78.7)12,460 (78.3)20,079 (78.7)10,052 (78.5)5115 (78.9)2408 (77.7)
 Black3823 (11.9)2204 (13.9)3063 (12.0)1765 (13.8)760 (11.7)439 (14.2)
 Other2993 (9.4)1245 (7.8)2383 (9.3)994 (7.8)610 (9.4)251 (8.1)
Primary tumor site, no. (%)
 Head of the pancreas20,040 (62.6)6205 (39.0)15,925 (62.4)4951 (38.6)4115 (63.5)1254 (40.5)
 Body of the pancreas4177 (13.0)2859 (18.0)3399 (13.3)2341 (18.3)778 (12.0)518 (16.7)
 Tail of the pancreas3546 (11.1)3834 (24.1)2805 (11.0)3115 (24.3)741 (11.4)719 (23.2)
 Overlapping lesion of the pancreas, no. (%)4247 (13.3)3011 (18.9)3396 (13.3)2404 (18.8)851 (13.1)607 (19.6)
AJCC T stage
 T1/T210,010 (31.3)7507 (45.3)8001 (31.3)5771 (45.0)2009 (31.0)1436 (46.4)
 T3/T422,000 (68.7)8702 (54.7)17,524 (68.7)7040 (55.0)4476 (69.0)1662 (53.6)
AJCC N stage, no. (%)
 N018,803 (58.7)9803 (61.6)15,010 (58.8)7901 (61.7)3793 (58.5)1902 (61.4)
 N1/N213,207 (41.3)6106 (38.4)10,515 (41.2)4910 (38.3)2692 (41.5)1196 (38.6)
Tumor histology, no. (%)
 Adenocarcinomas22,944 (71.7)13,542 (85.1)18,342 (71.9)10,874 (84.9)4602 (71.0)2668 (86.1)
 Other9066 (28.3)2367 (14.9)7183 (28.1)1937 (15.1)1883 (29.0)430 (13.9)
Tumor size, no. (%) (cm)
 0-23956 (12.4)839 (5.3)3177 (12.4)665 (5.2)779 (12.0)174 (5.6)
 2-517,325 (54.1)6789 (42.7)13,779 (54.0)5475 (42.7)3546 (54.7)1314 (42.4)
 >510,729 (33.5)8281 (52.1)8569 (33.6)6671 (52.1)2160 (33.3)1610 (52.0)
Number of nodes examined, no. (%)
 None17,918 (56.0)14,865 (93.4)14,332 (56.1)11,945 (93.2)3586 (55.3)2920 (94.3)
 One or more14,092 (44.0)1044 (6.6)11,193 (43.9)866 (6.8)2899 (44.7)178 (5.7)
Surgery, no. (%)
 No18,580 (58.0)15,339 (96.4)14,821 (58.1)12,336 (96.3)3759 (58.0)3002 (96.9)
 Yes13,430 (42.0)571 (3.6)10,704 (41.9)475 (3.7)2726 (42.0)96 (3.1)
Chemotherapy, no. (%)
 No12,164 (38.0)6576 (41.3)9744 (38.2)5272 (41.2)2420 (37.3)1302 (42.1)
 Yes19,846 (62.0)9333 (58.7)15,781 (61.8)7539 (58.8)4065 (62.7)1794 (57.9)
Radiation, no. (%)
 No24,096 (75.3)15,174 (95.4)19,233 (75.3)12,201 (95.2)4863 (75.0)2973 (96.0)
 Yes7914 (24.7)735 (4.6)6292 (24.7)610 (4.8)1622 (25.0)125 (4.0)

Note: all of the patients included in this study were randomly divided into independent training and independent testing sets in a ratio of 8 : 2. Abbreviations: AJCC: American Joint Committee on Cancer; PC: pancreatic cancer.