Machine Learning-Enabled Non-Invasive Screening of Tumor-Associated Circulating Transcripts for Early Detection of Colorectal Cancer.

Journal: International journal of molecular sciences
Published Date:

Abstract

Colorectal cancer (CRC) is a major cause of cancer-related mortality, highlighting the need for accurate and non-invasive diagnostics. This study assessed the utility of tumor-associated circulating transcripts (TACTs) as biomarkers for CRC detection and integrated these markers into machine learning models to enhance diagnostic performance. We evaluated five models-Generalized Linear Model, Random Forest, Gradient Boosting Machine, Deep Neural Network (DNN), and AutoML-and identified the DNN model as optimal owing to its high sensitivity (85.7%) and specificity (90.9%) for CRC detection, particularly in early-stage cases. Our findings suggest that combining TACT markers with AI-based analysis provides a scalable and precise approach for CRC screening, offering significant advancements in non-invasive cancer diagnostics to improve early detection and patient outcomes.

Authors

  • Jin Han
    Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
  • Sunyoung Park
    Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Li Ah Kim
    Department of Biomedical Laboratory Science, College of Software and Digital Healthcare Convergence, Yonsei University Mirae Campus, Wonju 26493, Republic of Korea.
  • Sung Hee Chung
    INOGENIX Inc., Chuncheon 24232, Republic of Korea.
  • Tae Il Kim
    Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. taeilkim@yuhs.ac.
  • Jae Myun Lee
    Department of Family Medicine, Wonju College of Medicine, Yonsei University, Wonju 26426, Republic of Korea.
  • Jong Koo Kim
    Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
  • Jae Jun Park
    Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
  • Hyeyoung Lee
    Department of Biomedical Laboratory Science, College of Software and Digital Healthcare Convergence, Yonsei University Mirae Campus, Wonju 26493, Republic of Korea.