Copyright: ©Author(s) 2026.
World J Gastrointest Surg. May 27, 2026; 18(5): 115903
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.115903
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.115903
Table 11 Performance of different models in the differential diagnosis of severe and moderately severe acute necrotizing pancreatitis in the test cohort, median (interquartile rage)
| Model | AUC | 95%CI | Accuracy, % | Sensitivity, % | Specificity, % | F1-score | Brier score | |
| Pancreatic parenchyma | SVM | 0.829 | 0.706-0.932 | 75.0 (62.5-85.7) | 85.0 (66.7-100) | 69.4 (52.7-83.3) | 0.708 (0.540-0.836) | 0.164 (0.117-0.214) |
| RF | 0.840 | 0.719-0.936 | 78.6 (67.8-89.3) | 75.0 (52.9-93.7) | 80.6 (67.7-93.5) | 0.714 (0.524-0.851) | 0.159 (0.116-0.209) | |
| KNN | 0.814 | 0.690-0.918 | 75.0 (64.3-85.7) | 65.0 (43.4-86.4) | 80.6 (66.7-91.9) | 0.650 (0.452-0.810) | 0.175 (0.139-0.215) | |
| GBDT | 0.814 | 0.682-0.940 | 73.2 (62.5-83.9) | 85.0 (66.7-100) | 66.7 (51.4-81.3) | 0.694 (0.524-0.821) | 0.172 (0.119-0.233) | |
| XGBoost | 0.828 | 0.694-0.933 | 78.6 (67.8-89.3) | 75.0 (55.6-93.7) | 80.6 (66.7-923) | 0.714 (0.542-0.850) | 0.161 (0.109-0.211) | |
| Peripancreatic necrotic collections | SVM | 0.857 | 0.744-0.942 | 75.0 (62.5-85.7) | 65.0 (43.7-86.4) | 80.5 (65.8-92.7) | 0.650 (0.462-0.809) | 0.147 (0.096-0.199) |
| RF | 0.868 | 0.756-0.960 | 82.1 (71.4-91.1) | 65.0 (43.7-86.4) | 91.7 (81.1-99.8) | 0.722 (0.522-0.872) | 0.146 (0.089-0.206) | |
| KNN | 0.825 | 0.695-0.923 | 75.0 (64.3-85.7) | 60.0 (36.8-81.8) | 83.3 (70.3-94.3) | 0.632 (0.424-0.784) | 0.159 (0.112-0.211) | |
| GBDT | 0.817 | 0.686-0.922 | 75.0 (67.9-89.3) | 70.0 (50.0-59.5) | 83.3 (70.6-94.6) | 0.700 (0.513-0.850) | 0.168 (0.104-0.238) | |
| XGBoost | 0.847 | 0.733-0.947 | 80.4 (69.6-0.911) | 70.0 (47.6-88.9) | 86.1 (74.2-95.1) | 0.718 (0.526-0.857) | 0.147 (0.102-0.195) | |
| Combined pancreatic parenchyma and peripancreatic necrotic collections | SVM | 0.879 | 0.780-0.959 | 80.4 (69.6-91.1) | 70.0 (50.0-90.0) | 86.1 (74.4-96.9) | 0.718 (0.540-0.864) | 0.142 (0.094-0.189) |
| RF | 0.896 | 0.778-0.977 | 83.9 (74.9-92.9) | 65.0 (42.9-0.857) | 94.4 (86.1-100) | 0.743 (0.600-0.889) | 0.134 (0.097-0.173) | |
| KNN | 0.849 | 0.735-0.945 | 82.1 (71.4-928) | 60.0 (38.1-82.6) | 94.4 (85.4-100) | 0.706 (0.500-0.875) | 0.156 (0.113-0.199) | |
| GBDT | 0.854 | 0.744-0.947 | 78.6 (67.9-89.3) | 70.0 (50.0-88.9) | 83.3 (71.1-94.7) | 0.700 (0.533-0.840) | 0.166 (0.085-0.247) | |
| XGBoost | 0.853 | 0.744-0.949 | 78.6 (67.8-87.5) | 70.0 (50.0-88.2) | 83.3 (70.3-94.3) | 0.700 (0.519-0.833) | 0.149 (0.086-0.221) |
- Citation: Feng Y, Hu XH, Xiao B. Machine learning and radiomics for differentiating severe from moderately severe acute necrotizing pancreatitis on contrast-enhanced computed tomography. World J Gastrointest Surg 2026; 18(5): 115903
- URL: https://www.wjgnet.com/1948-9366/full/v18/i5/115903.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v18.i5.115903