# Patient classification and attribute assessment based on machine learning techniques in the qualification process for surgical treatment of adrenal tumours

## TL;DR

This study explores how machine learning can help doctors decide which patients with adrenal tumors need surgery, finding that certain algorithms perform well and tumor imaging features are key.

## Contribution

The study introduces a machine learning approach to improve patient qualification for adrenal tumor surgery and identifies critical attributes for accurate classification.

## Key findings

- Supported Vector Machines (linear) achieved 91% accuracy in classifying patients for adrenalectomy.
- Imaging features of the tumor were identified as the most crucial attributes for classification accuracy.

## Abstract

Adrenal gland incidentaloma is frequently identified through computed tomography and poses a common clinical challenge. Only selected cases require surgical intervention. The primary aim of this study was to compare the effectiveness of selected machine learning (ML) techniques in proper qualifying patients for adrenalectomy and to identify the most accurate algorithm, providing a valuable tool for doctors to simplify their therapeutic decisions. The secondary aim was to assess the significance of attributes for classification accuracy. In total, clinical data were collected from 33 patients who underwent adrenalectomy. Histopathological assessments confirmed the proper selection of 21 patients for surgical intervention according to the guidelines, with accuracy reaching 64%. Statistical analysis showed that Supported Vector Machines (linear) were significantly better than the baseline (p < 0.05), with accuracy reaching 91%, and imaging features of the tumour were found to be the most crucial attributes. In summarise, ML methods may be helpful in qualifying patients for adrenalectomy.