Abstract

The canine lymphoma blood test detects the levels of two biomarkers, the acute phase proteins (C-Reactive Protein and Haptoglobin). This test can be used for diagnostics, for screening, and for remission monitoring as well. We analyze clinical data, test various machine learning methods and select the best approach to these oblems. Three families of methods, decision trees, kNN (including advanced and adaptive kNN) and probability density evaluation with radial basis functions, are used for classification and risk estimation. Several pre-processing approaches were implemented and compared. The best of them are used to create the diagnostic system. For the differential diagnosis the best solution gives the sensitivity and specificity of 83.5% and 77%, respectively (using three input features, CRP, Haptoglobin and standard clinical symptom). For the screening task, the decision tree method provides the best result, with sensitivity and specificity of 81.4% and >99%, respectively (using the same input features). If the clinical symptoms (Lymphadenopathy) are considered as unknown then a decision tree with CRP and Hapt only provides sensitivity 69% and specificity 83.5%. The lymphoma risk evaluation problem is formulated and solved. The best models are selected as the system for computational lymphoma diagnosis and evaluation of the risk of lymphoma as well. These methods are implemented into a special web-accessed software and are applied to the problem of monitoring dogs with lymphoma after treatment. It detects recurrence of lymphoma up to two months prior to the appearance of clinical signs. The risk map visualization provides a friendly tool for exploratory data analysis.

Highlights

  • In our research we evaluate the role of two biomarkers, C-Reactive Protein (CRP) and Hapt, for screening and detection of lymphoma, for differential diagnosis of lymphoma and for monitoring of lymphoma return after treatment

  • We introduce the methods used in our work for the analysis of canine lymphoma

  • We present the case study for both problems: for the diagnostics problem we have tested 25,600,000 variants of the K nearest neighbors method (KNN) method, 5,184,400 variants of decision tree algorithms and 3,480 variants of the Probability density function estimation (PDFE) method; for the screening task we have tested 51,200 variants of KNN and advanced KNN parameters, 10,368 variants of decision trees and 3,480 variants of PDFE

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Summary

Introduction

20% of all canine tumours are lymphoma [78]. The biggest problem with cancer treatment in dogs or humans is the earlier diagnostics. Routine screening can improve cancer care by helping pick up tumours that might otherwise be missed. It is necessary to monitor the late effects of treatment, to identify or explain trends and to watch the lymphoma return. In the discovery of cancer biomarkers the veterinary medicine follows human oncology with some delay. The controversies, potentials biases, and other concern related to the clinical application of biomarker assays for cancer screening are discussed in [29]. There is increasing interest in the study of prognostic and diagnostic biomarker proteins for canine lymphoma [55]

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