Endocrine oncology

Developing a Predictive Model for Metastatic Potential in Pancreatic Neuroendocrine Tumor

J Clin Endocrinol MetabPublished Diagnostic accuracy study

Authors' conclusion

We identified and validated an 8-gene panel predictive of the metastatic phenotype in PNETs, which can be detected using the clinically available NanoString nCounter® system. This panel should be studied prospectively to determine its utility in guiding operative vs nonoperative management.

Study context

Population
Surgically resected primary pancreatic neuroendocrine tumors (PNETs) (localized vs metastatic), international cohort; validation on independent formalin-fixed, paraffin-embedded samples29 validation samples
Participants
95 participants
Outcome
Classification of metastatic status
Methodological detailsmachine learning, international cohort, independent validation cohort
  • Machine learning
  • International cohort
  • Independent validation cohort

Performance

As reported in the abstract

Test or modelSensitivitySpecificity
8-gene panel87.5-93.8%78.1-96.9%

8-gene panel

Sensitivity87.5-93.8%
Specificity78.1-96.9%

Further findings

OutcomeValues
Validation with NanoString nCounter® on independent cohort8-gene panel median AUC 0.886

Original publication

Developing a Predictive Model for Metastatic Potential in Pancreatic Neuroendocrine Tumor. J Clin Endocrinol Metab. Published 31 May 2024. doi:10.1210/clinem/dgae380

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