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Survival Analysis
覓語 覈
Glioma Treatment
螻 B, 42pt




觜 願
伎 豕ろ
                    . れ蠍
1 What is Glioma?

2 Glioma data analysis

3 Conclusion
What is

Glioma?
01   Glioma(蟆所譬)


     1   Glioma 

          襯 蟲燕 譟一




          Glioma




          譬 蟲覿




                        4
01   Glioma(蟆所譬)




                    5
01   Glioma(蟆所譬)


     2   Glioma 轟

          讌覲 
                      豺

           襦  蟇壱 蟆 る (覦 豺襭,  豺襭 覲)



          覦覲 

                           10襷覈   2覈 覦




                                                     6
01   Glioma(蟆所譬)


     3   Glioma  轟

          朱 讀




           

            蟆所譬   1/3 豐蠍 讀

          蟲 讀




                                    7
01   Glioma(蟆所譬)


     4   Glioma 讌




                      8
01   Glioma(蟆所譬)
                       CT                   MRI




        蟆 る 螳螻          蟆蟆 る 螳螻

       殊 覿覿 蟆 覿覿         殊 覿覿  覿覿
          (譬 企Μ)             (譬 企Μ)

               MRI 讌  蟆 覦蟆

                                                  9
01   Glioma(蟆所譬)


     5   Glioma 覿襯 (WHO 蠍一)



           Low-grade Glioma




           High-grade Glioma
            Grade III / GBM( Grade IV) (豺襭  譟願鍵螳 50譯 危)




                                                            10
01                Glioma(蟆所譬)




     low-grade glioma /GBM       GBM patient MRI scanning




                                                            11
01   Glioma(蟆所譬)


     6 Glioma 豺襭
       Grade II Glioma覿磯 譯朱  譟一 豺覯 (襦襷 豺 覿螳)




                        
                         豺襭




                        RIT
                      (覦豺襭)
                                   Radioimmunotherapy


                                                        12
01   Glioma(蟆所譬)




              覦 豺襭  觜蟲
                             13
Glioma data
    Analysis
02   Glioma data Analysis


     1. >glioma




                            15
02   Glioma data Analysis


     2. >?glioma
        る
         Yttrium-90-biotin 渚 覦 覦 覃伎豺襭襯 覦
          glioma   ろ讌  朱 郁規 (2002)

        一危 襷
         れ 7螳讌 覲  37覈  蟯谿郁

             no,         覯
             age          
             sex          焔 (M- / F-)
             histology     磯ジ glioma 炎
                           (GBM-grade IV / Grade 3-grade III)
             time        ろ-譬蟆 螳
             event       一危 蟇碁企 蟲
                           (False-豺,譟 / True-襷)
             group       RIT(覦ル伎豺襭) / Control(譟郁貴)




                                                                16
02   Glioma data Analysis


     3. 一危 覿


       Survival fit plot 蠏碁Μ蠍




       Logrank test ろ
        暑手骸 豺襭螳 襤一, 蟯蟯螻 覿




                                17
Glioma data Analysis
02
     > layout(matrix(1:2, ncol = 2))
     > g3 <- subset(glioma, histology == "Grade3")
     > plot(survfit(Surv(time, event) ~ group, data = g3),main = "Grade III Glioma", lty = c(2,1))
     > legend("bottomleft", legend=c("Control","Treated"),lty=c(2,1))
     > surv_test(Surv(time, event) ~ group, data = g3,distribution = "exact")

         Exact Logrank Test

     data: Surv(time, event) by group (Control, RIT)
     Z = 2.1711, p-value = 0.02877
     alternative hypothesis: two.sided

     > gbm <- subset(glioma, histology == "GBM")
     > plot(survfit(Surv(time, event) ~ group, data = gbm),main = "Grade IV Glioma", lty = c(2,1))
     > legend("topright", legend=c("Control","Treated"),lty=c(2,1))
     > surv_test(Surv(time, event) ~ group, data = gbm,distribution = "exact")

         Exact Logrank Test

     data: Surv(time, event) by group (Control, RIT)
     Z = 3.2215, p-value = 0.0001588
     alternative hypothesis: two.sided

     > surv_test(Surv(time, event) ~ group | histology, data = glioma,distribution = approximate(B =
     10000))

         Approximative Logrank Test

     data: Surv(time, event) by
           group (Control, RIT)
           stratified by histology
     Z = 3.6704, p-value < 2.2e-16
     alternative hypothesis: two.sided


                                                                                                       18
Glioma data Analysis
02
     > g3 <- subset(glioma, histology == "Grade3")

     > plot(survfit(Surv(time, event) ~ group, data = g3),main = "Grade III Glioma", lty = c(2,1))

     > legend("bottomleft", legend=c("Control","Treated"),lty=c(2,1))

     > surv_test(Surv(time, event) ~ group, data = g3,distribution = "exact")

         Exact Logrank Test

     data: Surv(time, event) by group (Control, RIT)
     Z = 2.1711, p-value = 0.02877
     alternative hypothesis: two.sided




                                                                                 g3

        g3 data  RIT ろ覿(group) 磯ジ ろ蠍郁(time)螻 譟伎覿(event)
                  蟯 survival fit plot 蠏碁 (legend れ)

        Survival test (logrank test)

           p-value = 0.02877 < 0.05
                    (糾朱 RIT螳 Glioma grade 3 豺襭 螻手  )



                                                                                                     19
Glioma data Analysis
02
     > gbm <- subset(glioma, histology == "GBM")

     > plot(survfit(Surv(time, event) ~ group, data = gbm),main = "Grade IV Glioma", lty = c(2,1))

     > legend("topright", legend=c("Control","Treated"),lty=c(2,1))

     > surv_test(Surv(time, event) ~ group, data = gbm,distribution = "exact")

         Exact Logrank Test

     data: Surv(time, event) by group (Control, RIT)
     Z = 3.2215, p-value = 0.0001588
     alternative hypothesis: two.sided




                                                                         gbm

        gbm data  RIT ろ覿(group) 磯ジ ろ蠍郁(time)螻 譟伎覿(event)
                 蟯 survival fit plot 蠏碁 (legend れ)

        Survival test (logrank test)

           p-value = 0.0001588 < 0.05
                    (糾朱 RIT螳 Glioma GBM 豺襭 螻手  )



                                                                                                     20
Glioma data Analysis
02
     > surv_test(Surv(time, event) ~ group | histology, data = glioma,distribution = approximate(B =
     10000))

         Approximative Logrank Test

     data: Surv(time, event) by
           group (Control, RIT)
           stratified by histology
     Z = 3.6704, p-value < 2.2e-16
     alternative hypothesis: two.sided




            糾 TEST襯 ろ蠍一 覓  覲語

        10000覯 覲旧豢豢  logrank test ろ
        p-value < 2.2e-16 < 0.05
                   (糾朱 RIT螳 Glioma 豺襭 螻手  )




                                                                                                       21
02   Glioma data Analysis

     4. 蠏碁 覿




                               襷 覦 螳 (螻覈)
                               豺 : 讌朱 蠏語 襷

                            (X豢) ろ 覿一 蟆所骸 螳

                            (殊 蠏碁)
                              Grade III れ survival plot
                              ろ蟲 (1.00.8) / 譟郁貴(1.0  0.3)

                            (るジ讓 蠏碁)
                              Grade IV れ survival plot
                              譬襭 譟企 Grade III覲企 
                              ろ蟲 (1.0 60螳 0.4)
                              譟郁軌(1.0 30螳 企 覈 襷)




                                                                22
Conclusion
03   Conclusion




       Glioma        / 轟 / 覿襯
                    讌 / 豺襭
          ?

       Glioma Data Survival fit plot
        Analysis Logrank test


                                        24
03   Conclusion




                  25
03   Conclusion




                  26
03   Conclusion




                  27
03   Conclusion



                   
                    豺襭




       譬 覿豺覲?
                    RIT
                  (覦豺襭)




                            28
螳矧
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Survival Analysis : Glioma Treatment

  • 1. Survival Analysis 覓語 覈 Glioma Treatment 螻 B, 42pt 觜 願 伎 豕ろ . れ蠍
  • 2. 1 What is Glioma? 2 Glioma data analysis 3 Conclusion
  • 4. 01 Glioma(蟆所譬) 1 Glioma 襯 蟲燕 譟一 Glioma 譬 蟲覿 4
  • 5. 01 Glioma(蟆所譬) 5
  • 6. 01 Glioma(蟆所譬) 2 Glioma 轟 讌覲 豺 襦 蟇壱 蟆 る (覦 豺襭, 豺襭 覲) 覦覲 10襷覈 2覈 覦 6
  • 7. 01 Glioma(蟆所譬) 3 Glioma 轟 朱 讀 蟆所譬 1/3 豐蠍 讀 蟲 讀 7
  • 8. 01 Glioma(蟆所譬) 4 Glioma 讌 8
  • 9. 01 Glioma(蟆所譬) CT MRI 蟆 る 螳螻 蟆蟆 る 螳螻 殊 覿覿 蟆 覿覿 殊 覿覿 覿覿 (譬 企Μ) (譬 企Μ) MRI 讌 蟆 覦蟆 9
  • 10. 01 Glioma(蟆所譬) 5 Glioma 覿襯 (WHO 蠍一) Low-grade Glioma High-grade Glioma Grade III / GBM( Grade IV) (豺襭 譟願鍵螳 50譯 危) 10
  • 11. 01 Glioma(蟆所譬) low-grade glioma /GBM GBM patient MRI scanning 11
  • 12. 01 Glioma(蟆所譬) 6 Glioma 豺襭 Grade II Glioma覿磯 譯朱 譟一 豺覯 (襦襷 豺 覿螳) 豺襭 RIT (覦豺襭) Radioimmunotherapy 12
  • 13. 01 Glioma(蟆所譬) 覦 豺襭 觜蟲 13
  • 14. Glioma data Analysis
  • 15. 02 Glioma data Analysis 1. >glioma 15
  • 16. 02 Glioma data Analysis 2. >?glioma る Yttrium-90-biotin 渚 覦 覦 覃伎豺襭襯 覦 glioma ろ讌 朱 郁規 (2002) 一危 襷 れ 7螳讌 覲 37覈 蟯谿郁 no, 覯 age sex 焔 (M- / F-) histology 磯ジ glioma 炎 (GBM-grade IV / Grade 3-grade III) time ろ-譬蟆 螳 event 一危 蟇碁企 蟲 (False-豺,譟 / True-襷) group RIT(覦ル伎豺襭) / Control(譟郁貴) 16
  • 17. 02 Glioma data Analysis 3. 一危 覿 Survival fit plot 蠏碁Μ蠍 Logrank test ろ 暑手骸 豺襭螳 襤一, 蟯蟯螻 覿 17
  • 18. Glioma data Analysis 02 > layout(matrix(1:2, ncol = 2)) > g3 <- subset(glioma, histology == "Grade3") > plot(survfit(Surv(time, event) ~ group, data = g3),main = "Grade III Glioma", lty = c(2,1)) > legend("bottomleft", legend=c("Control","Treated"),lty=c(2,1)) > surv_test(Surv(time, event) ~ group, data = g3,distribution = "exact") Exact Logrank Test data: Surv(time, event) by group (Control, RIT) Z = 2.1711, p-value = 0.02877 alternative hypothesis: two.sided > gbm <- subset(glioma, histology == "GBM") > plot(survfit(Surv(time, event) ~ group, data = gbm),main = "Grade IV Glioma", lty = c(2,1)) > legend("topright", legend=c("Control","Treated"),lty=c(2,1)) > surv_test(Surv(time, event) ~ group, data = gbm,distribution = "exact") Exact Logrank Test data: Surv(time, event) by group (Control, RIT) Z = 3.2215, p-value = 0.0001588 alternative hypothesis: two.sided > surv_test(Surv(time, event) ~ group | histology, data = glioma,distribution = approximate(B = 10000)) Approximative Logrank Test data: Surv(time, event) by group (Control, RIT) stratified by histology Z = 3.6704, p-value < 2.2e-16 alternative hypothesis: two.sided 18
  • 19. Glioma data Analysis 02 > g3 <- subset(glioma, histology == "Grade3") > plot(survfit(Surv(time, event) ~ group, data = g3),main = "Grade III Glioma", lty = c(2,1)) > legend("bottomleft", legend=c("Control","Treated"),lty=c(2,1)) > surv_test(Surv(time, event) ~ group, data = g3,distribution = "exact") Exact Logrank Test data: Surv(time, event) by group (Control, RIT) Z = 2.1711, p-value = 0.02877 alternative hypothesis: two.sided g3 g3 data RIT ろ覿(group) 磯ジ ろ蠍郁(time)螻 譟伎覿(event) 蟯 survival fit plot 蠏碁 (legend れ) Survival test (logrank test) p-value = 0.02877 < 0.05 (糾朱 RIT螳 Glioma grade 3 豺襭 螻手 ) 19
  • 20. Glioma data Analysis 02 > gbm <- subset(glioma, histology == "GBM") > plot(survfit(Surv(time, event) ~ group, data = gbm),main = "Grade IV Glioma", lty = c(2,1)) > legend("topright", legend=c("Control","Treated"),lty=c(2,1)) > surv_test(Surv(time, event) ~ group, data = gbm,distribution = "exact") Exact Logrank Test data: Surv(time, event) by group (Control, RIT) Z = 3.2215, p-value = 0.0001588 alternative hypothesis: two.sided gbm gbm data RIT ろ覿(group) 磯ジ ろ蠍郁(time)螻 譟伎覿(event) 蟯 survival fit plot 蠏碁 (legend れ) Survival test (logrank test) p-value = 0.0001588 < 0.05 (糾朱 RIT螳 Glioma GBM 豺襭 螻手 ) 20
  • 21. Glioma data Analysis 02 > surv_test(Surv(time, event) ~ group | histology, data = glioma,distribution = approximate(B = 10000)) Approximative Logrank Test data: Surv(time, event) by group (Control, RIT) stratified by histology Z = 3.6704, p-value < 2.2e-16 alternative hypothesis: two.sided 糾 TEST襯 ろ蠍一 覓 覲語 10000覯 覲旧豢豢 logrank test ろ p-value < 2.2e-16 < 0.05 (糾朱 RIT螳 Glioma 豺襭 螻手 ) 21
  • 22. 02 Glioma data Analysis 4. 蠏碁 覿 襷 覦 螳 (螻覈) 豺 : 讌朱 蠏語 襷 (X豢) ろ 覿一 蟆所骸 螳 (殊 蠏碁) Grade III れ survival plot ろ蟲 (1.00.8) / 譟郁貴(1.0 0.3) (るジ讓 蠏碁) Grade IV れ survival plot 譬襭 譟企 Grade III覲企 ろ蟲 (1.0 60螳 0.4) 譟郁軌(1.0 30螳 企 覈 襷) 22
  • 24. 03 Conclusion Glioma / 轟 / 覿襯 讌 / 豺襭 ? Glioma Data Survival fit plot Analysis Logrank test 24
  • 25. 03 Conclusion 25
  • 26. 03 Conclusion 26
  • 27. 03 Conclusion 27
  • 28. 03 Conclusion 豺襭 譬 覿豺覲? RIT (覦豺襭) 28