scholarly journals Machine learning models in breast cancer survival prediction

2016 ◽  
Vol 24 (1) ◽  
pp. 31-42 ◽  
Author(s):  
Mitra Montazeri ◽  
Mohadeseh Montazeri ◽  
Mahdieh Montazeri ◽  
Amin Beigzadeh
Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1492
Author(s):  
Mogana Darshini Ganggayah ◽  
Sarinder Kaur Dhillon ◽  
Tania Islam ◽  
Foad Kalhor ◽  
Teh Chean Chiang ◽  
...  

Automated artificial intelligence (AI) systems enable the integration of different types of data from various sources for clinical decision-making. The aim of this study is to propose a pipeline to develop a fully automated clinician-friendly AI-enabled database platform for breast cancer survival prediction. A case study of breast cancer survival cohort from the University Malaya Medical Centre was used to develop and evaluate the pipeline. A relational database and a fully automated system were developed by integrating the database with analytical modules (machine learning, automated scoring for quality of life, and interactive visualization). The developed pipeline, iSurvive has helped in enhancing data management as well as to visualize important prognostic variables and survival rates. The embedded automated scoring module demonstrated quality of life of patients whereas the interactive visualizations could be used by clinicians to facilitate communication with patients. The pipeline proposed in this study is a one-stop center to manage data, to automate analytics using machine learning, to automate scoring and to produce explainable interactive visuals to enhance clinician-patient communication along the survivorship period to modify behaviours that relate to prognosis. The pipeline proposed can be modelled on any disease not limited to breast cancer.


Author(s):  
Hilary I. Okagbue ◽  
Patience I. Adamu ◽  
Pelumi E. Oguntunde ◽  
Emmanuela C. M. Obasi ◽  
Oluwole A. Odetunmibi

Cancers ◽  
2021 ◽  
Vol 13 (23) ◽  
pp. 6013
Author(s):  
Hyun-Soo Park ◽  
Kwang-sig Lee ◽  
Bo-Kyoung Seo ◽  
Eun-Sil Kim ◽  
Kyu-Ran Cho ◽  
...  

This prospective study enrolled 147 women with invasive breast cancer who underwent low-dose breast CT (80 kVp, 25 mAs, 1.01–1.38 mSv) before treatment. From each tumor, we extracted eight perfusion parameters using the maximum slope algorithm and 36 texture parameters using the filtered histogram technique. Relationships between CT parameters and histological factors were analyzed using five machine learning algorithms. Performance was compared using the area under the receiver-operating characteristic curve (AUC) with the DeLong test. The AUCs of the machine learning models increased when using both features instead of the perfusion or texture features alone. The random forest model that integrated texture and perfusion features was the best model for prediction (AUC = 0.76). In the integrated random forest model, the AUCs for predicting human epidermal growth factor receptor 2 positivity, estrogen receptor positivity, progesterone receptor positivity, ki67 positivity, high tumor grade, and molecular subtype were 0.86, 0.76, 0.69, 0.65, 0.75, and 0.79, respectively. Entropy of pre- and postcontrast images and perfusion, time to peak, and peak enhancement intensity of hot spots are the five most important CT parameters for prediction. In conclusion, machine learning using texture and perfusion characteristics of breast cancer with low-dose CT has potential value for predicting prognostic factors and risk stratification in breast cancer patients.


2021 ◽  
Vol 11 ◽  
Author(s):  
Yadi Zhu ◽  
Ling Yang ◽  
Hailin Shen

PurposeTo explore the value of machine learning model based on CE-MRI radiomic features in preoperative prediction of sentinel lymph node (SLN) metastasis of breast cancer.MethodsThe clinical, pathological and MRI data of 177 patients with pathologically confirmed breast cancer (81 with SLN positive and 96 with SLN negative) and underwent conventional DCE-MRI before surgery in the First Affiliated Hospital of Soochow University from January 2015 to May 2021 were analyzed retrospectively. The samples were randomly divided into the training set (n=123) and validation set (n= 54) according to the ratio of 7:3. The radiomic features were derived from DCE-MRI phase 2 images, and 1,316 original eigenvectors are normalized by maximum and minimum normalization. The optimal feature filter and selection operator (LASSO) algorithm were used to obtain the optimal features. Five machine learning models of Support Vector Machine, Random Forest, Logistic Regression, Gradient Boosting Decision Tree, and Decision Tree were constructed based on the selected features. Radiomics signature and independent risk factors were incorporated to build a combined model. The receiver operating characteristic curve and area under the curve were used to evaluate the performance of the above models, and the accuracy, sensitivity, and specificity were calculated.ResultsThere is no significant difference between all clinical and histopathological variables in breast cancer patients with and without SLN metastasis (P >0.05), except tumor size and BI-RADS classification (P< 0.01). Thirteen features were obtained as optimal features for machine learning model construction. In the validation set, the AUC (0.86) of SVM was the highest among the five machine learning models. Meanwhile, the combined model showed better performance in sentinel lymph node metastasis (SLNM) prediction and achieved a higher AUC (0.88) in the validation set.ConclusionsWe revealed the clinical value of machine learning models established based on CE-MRI radiomic features, providing a highly accurate, non-invasive, and convenient method for preoperative prediction of SLNM in breast cancer patients.


2021 ◽  
Author(s):  
Scott Kulm ◽  
Lior Kofman ◽  
Jason Mezey ◽  
Olivier Elemento

ABSTRACTA patient’s risk for cancer is usually estimated through simple linear models that sum effect sizes of proven risk factors. In theory, more advanced machine learning models can be used for the same task. Using data from the UK Biobank, a large prospective health study, we have developed linear and machine learning models for the prediction of 12 different cancers diagnoses within a 10 year time span. We find that the top machine learning algorithm, XGBoost (XGB), trained on 707 features generated an average area under the receiver operator curve of 0.736 (with a range of 0.65-0.85). Linear models trained with only 10 features were found to be statistically indifferent from the machine learning performance. The linear models were significantly more accurate than the prominent QCancer models (p = 0.0019), which are trained on 45 million patient records and available to over 4,000 United Kingdom general practices. The increase in accuracy may be caused by the consideration of often omitted feature types, including survey answers, census records, and genetic information. This approach led to the discovery of significant novel risk features, including self-reported happiness with own health (relevant to 12 cancers), measured testosterone (relevant to 8 cancers), and ICD codes for rehabilitation procedures (relevant to 3 cancers). These ten feature models can be easily implemented within the clinic, allowing for personalized screening schedules that may increase the cancer survival within a population.


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