Research Article

Machine Learning of Dose-Volume Histogram Parameters Predicting Overall Survival in Patients with Cervical Cancer Treated with Definitive Radiotherapy

Table 2

Summarization and univariate Cox-pH analysis of DVH parameters for overall survival.

FeaturesGradesMedian (1st – 3rd) or Num (%)HR (95% CI) value

GTV_P dmean (Gy)47.1 (46.6 – 49.21)1.26e + 04 (1.3e – 03 – 1.22e + 11)0.25
GTV_P dmax (Gy)53.2 (48.6 – 57.8)5.93e + 03 (0.19 – 1.86e + 08)0.1
GTV_P volume (cm3)75 (52.18 – 122.58)9.8 (2.67 – 35.91)5.77e– 04
PTV_4500 dmean (Gy)47.62 (46.84 – 50.05)6.68e + 03 (8.8e – 03 – 5.07e + 09)0.2
PTV_4500 dmax (Gy)58.5 (56.98 – 59.2)9.2e + 03 (0.02 – 4.07e + 09)0.17
PTV_4500 volume (cm3)1.38e + 03 (1.25e + 03 – 1.54e + 03)181.2 (1.98 – 1.66e + 04)0.02
GTV_N dmean (Gy)None51 (39.84%)Reference
Low39 (30.47%)2.69 (1.06 – 6.8)0.04
High38 (29.69%)1.12 (0.39 – 3.24)0.83
GTV_N dmax (Gy)None51 (39.84%)Reference
Low42 (32.81%)2 (0.76 – 5.27)0.16
High35 (27.34%)1.59 (0.59 – 4.24)0.36
PTV_5500 dmean (Gy)None56 (43.75%)Reference
Low36 (28.12%)1.81 (0.67 – 4.89)0.24
High36 (28.12%)1.37 (0.54 – 3.51)0.51
PTV_5500 dmax (Gy)None56 (43.75%)Reference
Low37 (28.91%)1.79 (0.66 – 4.84)0.25
High35 (27.34%)1.38 (0.54 – 3.53)0.5
Body dmean (Gy)12.11 (10.67 – 13.9)544.54 (7.9 – 3.75e + 04)3.53e – 03
Body dmax (Gy)58.5 (56.98 – 59.23)2.89e + 04 (0.05 – 1.54e + 10)0.13
Body (%)45.32 (42.21 – 49.51)991 (8.97 – 1.1e + 05)4.06e – 03
Body (%)6.77 (5.37 – 9.47)11.34 (1.13 – 114.19)0.04
Body volume (cm3)2.45e+04 (2.11e + 04 – 2.84e + 04)0.02 (1.5e–04 – 2.4)0.11
Bones dmean (Gy)29.22 (27.84 – 31.88)74.13 (0.15 – 3.58e + 04)0.17
Bones dmax (Gy)58.1 (53.88 – 58.8)3.35e + 03 (0.01 – 1.04e + 09)0.21
Bones V5 (%)96.79 (95.69 – 98.5)1.62e + 13 (1.29e-09 – 2.04e + 35)0.24
Bones V45 (%)13.77 (10.73 – 20.26)3.12 (0.66 – 14.75)0.15
Bones volume (cm3)1.17e + 03 (1.07e + 03 – 1.28e + 03)123.26 (0.12 – 1.23e + 05)>0.17

dmax = maximum dose; dmean = mean dose; GTV_P or GTV_N = gross tumor volume of primary tumor or regionally metastatic lymph nodes, respectively; HR = hazard ratio; CI = confidence interval; PTV_4500 or PTV_5500 = planning target volume receiving prescription dose of 45 Gy or 55 Gy, respectively; or  = the relative volumes (in percentage) covered by dose levels of ≥5 Gy or 45 Gy, respectively.