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Table 1.

Patients characteristics.

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Table 1 Expand

Table 2.

Phase 1 main performance of models in classification of positive vs. negative appendectomy, with corresponding confidence interval. Abbreviations: SVM = Support Vector Machine; KNN = K-Nearest Neighbors; MLP = Multi-Layer Perceptron; ROC AUC = Receiver Operating Characteristic Area Under the Curve; CI = Confidence Interval.

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Table 3.

Phase 1 additional performance metrics. Abbreviations: SVM = Support Vector Machine; KNN = K-Nearest Neighbors; MLP = Multi-Layer Perceptron; PR AUC = Precision–Recall Area Under the Curve; MCC = Matthews Correlation Coefficient; G-Mean = Geometric Mean; SVM = Support Vector Machine; KNN = K-Nearest Neighbors; MLP = Multi-Layer Perceptron.

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Table 3 Expand

Fig 1.

SVC Receiver Operating Characteristic (ROC) Curves for phase 1: With and Without 5-Fold Cross-Validation.

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Fig 1 Expand

Fig 2.

Comparison of Model Performance Metrics: F1 Score, Accuracy, AUC, Precision, and Recall.

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Fig 2 Expand

Fig 3.

SHAP Value Plots: Individual Impact and Mean Impact on Model Output.

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Fig 3 Expand

Fig 4.

SVC Receiver Operating Characteristic (ROC) Curves for phase 2.

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Fig 5.

Calibration Curves for Phase I Appendicitis Detection Model.

Calibration plot comparing uncalibrated and isotonic-calibrated probability estimates. The x-axis represents predicted probabilities, and the y-axis reflects observed outcome frequencies. The calibrated model demonstrates improved alignment with the diagonal reference line, indicating enhanced probability reliability and reduced Expected Calibration Error (ECE).

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Fig 6.

Operating Threshold Performance Across Probability Cutoffs.

Threshold analysis showing sensitivity, specificity, precision, F1-score, and accuracy across probability thresholds ranging from 0.10 to 0.90 (step = 0.05). The optimal clinical operating point (threshold = 0.35) satisfies both predefined criteria: maximum F1-score and minimum sensitivity ≥90%, achieving a balanced trade-off between case detection and false-positive rate.

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Fig 6 Expand