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Machine Learning Predictions of Overall and Progression-Free Survival in Advanced Breast Cancer.
In: (Artificial Intelligence in Medicine). Berlin [u.a.]: Springer, 2025. 267-271 (Lect. Notes Comput. Sc. ; 15735 LNAI)
Breast cancer remains one of the leading causes of cancer deaths, requiring advanced methods to assess treatment efficacy and improve survival predictions. This study aims to predict overall survival (OS) and progression-free survival (PFS) between 6 and 36 months in patients with advanced breast cancer receiving ribociclib therapy. Survival analysis was performed using two datasets, RIBECCA and RIBANNA, which were derived from German Phase III clinical and non-interventional studies, to assess the survival outcomes in patients with advanced breast cancer under ribociclib therapy. The best OS results were obtained at month 12 with the Cox Proportional Hazards model, achieving a concordance index (C-index) of 0.720. The best PFS predictions were achieved at month 6 with the GBSA model, with a C-index of 0.728. In addition, Shapley Additive Explanation (SHAP) values were used to identify the most influential features and explain model predictions. Key predictors included liver metastases, treatment regimen, prior treatment, and quality of life scores. This study highlights the potential of survival machine learning models, offering valuable insights towards data-driven improvements in clinical decision-making.
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Publication type
Article: Conference contribution
Keywords
Advanced Breast Cancer ; Machine Learning ; Overall Survival ; Progression-free Survival ; Survival Analysis
Language
english
Publication Year
2025
HGF-reported in Year
2025
ISSN (print) / ISBN
0302-9743
e-ISSN
1611-3349
Conference Title
Artificial Intelligence in Medicine
Quellenangaben
Volume: 15735 LNAI,
Pages: 267-271
Publisher
Springer
Publishing Place
Berlin [u.a.]
Institute(s)
Human-Centered AI (HCA)
POF-Topic(s)
30205 - Bioengineering and Digital Health
Research field(s)
Enabling and Novel Technologies
PSP Element(s)
G-540008-001
Grants
Novartis GmbH
WOS ID
001553213900048
Scopus ID
105009828751
Erfassungsdatum
2025-07-14