Review Article

Comparison of Diagnosis Accuracy between a Backpropagation Artificial Neural Network Model and Linear Regression in Digestive Disease Patients: an Empirical Research

Table 1

Characteristics of enrolled studies.

First authorCountryPatient no.Output markerInput markersAlgorithmResults or conclusions

Reibnegger, 1991 [54]Austria42Different liver disease (, , and )Neopterin, AST, ALT, and AST/ALT ratioComparison with linear discriminant analysis and with CART and BP-ANNCompared with the other two techniques, BP-ANN showed a unique ability to detect features hidden in the input data.
Gao, 2004 [55]China3222DM (, )Pulse, family history, nephropathy, waist-to-hip ratio, hypertension, exercise, and ageBP-ANN vs. logistic regressionBP-ANN could assimilate more complicated relationships and is better than logistic regression.
Kim, 2005 [56]Korea94US images of donor liver with respect to macrosteatosis (moderate or severe , normal or mild )ALP, GPT, GOT, γ-GGT, hepatorenal ratio of echogenicity, tail area ratio, and tail length of portal vein wall echogenicityBP-ANN vs. ordinal logistic regressionThe area under ROC curve of ANN was significantly greater than that of radiologists ().
Liew, 2007 [57]China (Taiwan)117Gallbladder disease (with , no )Gender, age, BMI, waist circumference, hip circumference, SBP, DBP, sugar, CHO, TG, UA, AST, ALT, Alb, WBC, haemoglobin, MCV, insulin, hsCRP, total protein, HDL-C, HbA1C, HOMA, acute inflammation, chronic inflammation, eosinophil, cholesterolosis, cholesterol polyp, and gastric metaplasiaBP-ANN vs. logistic regressionThe average correct classification rate of ANNs was higher than that of logistic regression (97.14% vs. 88.2%)
Chuang, 2011 [58]China (Taiwan)166Liver disease (, )HBsAg, HBeAg, anti-HBs, anti-HBe, anti-HBc, anti-HCV, AST, ALT, TBil, ALB, ALP, r-GT, AFP, gender, marriage, blood type, age, education, occupation, tattoo, smoking, chewing betel nut, alcohol, fatigue, sleep, nap, exercise, breakfast, vegetables, fruits, food date mark, food composition, low salt, healthy status, weight, physical discomfort, healthy examination, acupuncture, and blood donationA comparison of BP-ANN, CART, logistic regression, and DABP-ANN was the best model for liver disease with the accuracy of 95%. The accuracy rates of CART, logistic regression, and DA were 91%, 86%, and 84%, respectively.
Zhang, 2016 [59]China120Pathology diagnosis results of colorectal disease (colorectal , )CEA, CA50, HSP60, CYFRA21-1, TPA, AFP, CA199, CA242, CA724, CA125, CA153, and UGT1A8BP-ANN vs. forward logistic stepwise regression vs. SVMThe AUROC of combined detection was 0.988, in logistic regression. The detection rate was 75% in the BP-ANN model.
Fei, 2017 [60]China79PSMVT (positive or negative)Age, sex, Hct, PT, FBG, D-dimer, Ca, TG, AMY, APACHEII score, and Ranson scoreOne-layer BP-ANN vs. logistic regressionThe ANN model was more accurate than logistic regression in predicting the occurrence of PSMVT.
Ma, 2017 [61]China575BMI (, )Weight, height, age, fs-TG, fs-TC, and fs-GLUBP-ANN vs. multiple linear regressionThe BP-ANN models achieved higher prediction accuracy than linear regression.
Shao, 2017 [62]China288Inoperable HCASex, age, stage, diameter, liver metastasis, ascites, prior abdominal surgery, comorbidity, and bismuth stageBP-ANN vs. logistic regression modelThe AUC of the BP-ANN had larger AUC than the multivariate logistic regression model ().