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In Photodiagnosis and photodynamic therapy

BACKGROUND : Breast cancer screening is time consuming, requires expensive equipment, and has demanding requirements for doctors. Hence, a large number of breast cancer patients miss early treatment, which greatly threatens the health around the world. Unfortunately, there is no research on classification of stage I breast cancer patients by infrared spectroscopy. Therefore, Fourier transform infrared (FT-IR) spectroscopy of serum was firstly combined with traditional machine learning algorithms to achieve an auxiliary diagnosis that can quickly and accurately distinguish patients with different stages of breast cancer from non-cancer control subjects.

MATERIALS AND METHODS : FT-IR spectroscopy were performed on the serum of 114 non-cancer control subjects, 35 patients with stage I, 43 patients with stage II, and 29 patients with stage III & IV breast cancer. Due to the experimental sample imbalance, we used the oversampling to process the four classes of sample. The oversampling selected Synthetic Minority Oversampling Technique (SMOTE). Subsequently, we used the random discarding method in undersampling to do experiments as well. The average FT-IR spectroscopy results for the four groups showed differences in phospholipids, nucleic acids, lipids, and proteins between non-cancer control subjects and breast cancer patients at different stages. Based on these differences, four classification models were used to classify stage I, II, III & IV breast cancer patients and non-cancer control subjects. First, standard normal variate transformation (SNV) was used to preprocess the original data, and then partial least squares (PLS) was used for feature extraction. Finally, the five models were established including extreme learning machine (ELM), k-nearest neighbor (KNN), genetic algorithms based on support vector machine (GA-SVM), particle swarm optimization-support vector machine (PSO-SVM) and grid search-support vector machine (GS-SVM).

CONCLUSION : In oversampling experiment, the GS-SVM classifier obtained the highest average classification accuracy of 95.45%; the diagnostic accuracy of non-cancer control subjects was 100%; breast cancer stage I was 90%; breast cancer stage II was 84.62%; and breast cancer stage III & IV was 100%. In undersampling experiment, the GA-SVM model obtained the highest average classification accuracy of 100%; the diagnostic accuracy of non-cancer control subjects was 100%; breast cancer stage I was 100%; breast cancer stage II was 100%; and breast cancer stage III & IV was 100%. The results show that FT-IR spectroscopy combined with powerful classification algorithms has great potential in distinguishing patients with different stages of breast cancer from non-cancer control subjects. In addition, this research provides a reference for future multiclassification studies of cervical cancer, ovarian cancer and other female high-incidence cancers through serum FT-IR spectroscopy.

Yang Bo, Chen Chen, Cheng Chen, Cheng Hong, Yan Ziwei, Chen Fangfang, Zhu Zhimin, Zhang Huiting, Yue Feilong, Lv Xiaoyi

2021-Jan-27

FT-IR spectroscopy, breast cancer, different stages, multiclassification, oversampling, undersampling