Journal Article

Machine learning-based models for the prediction of breast cancer recurrence risk

Liu, Yahui, Jin, Yu, Yang, Lexin, Zuo, Duo, Qi, Huan, Ren, Li

2023

Overview

Breast cancer is the most common malignancy diagnosed in women worldwide. The prevalence and incidence of breast cancer is increasing every year; therefore, early diagnosis along with suitable relapse detection is an important strategy for prognosis improvement. This study aimed to compare different machine algorithms to select the best model for predicting breast cancer recurrence. The prediction model was developed by using eleven different machine learning (ML) algorithms, including logistic regression (LR), random forest (RF), support vector classification (SVC), extreme gradient boosting (XGBoost), gradient boosting decision tree (GBDT), decision tree, multilayer perceptron (MLP), linear discriminant analysis (LDA), adaptive boosting (AdaBoost), Gaussian naive Bayes (GaussianNB), and light gradient boosting machine (LightGBM), to predict breast cancer recurrence. The area under the curve (AUC), accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and F1 score were used to evaluate the performance of the prognostic model. Based on performance, the optimal ML was selected, and feature importance was ranked by Shapley Additive Explanation (SHAP) values. Compared to the other 10 algorithms, the results showed that the AdaBoost algorithm had the best prediction performance for successfully predicting breast cancer recurrence and was adopted in the establishment of the prediction model. Moreover, CA125, CEA, Fbg, and tumor diameter were found to be the most important features in our dataset to predict breast cancer recurrence. More importantly, our study is the first to use the SHAP method to improve the interpretability of clinicians to predict the recurrence model of breast cancer based on the AdaBoost algorithm. The AdaBoost algorithm offers a clinical decision support model and successfully identifies the recurrence of breast cancer.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Accuracy / Algorithms / Artificial intelligence / Bayes Theorem / Breast / Breast cancer / Breast Neoplasms - diagnosis / Cancer / Cancer therapies / Decision analysis / Decision making / Decision support systems / Decision trees / Discriminant analysis / Disease / Disease recurrence / Electronic health records / Female / Health Informatics / Health risks / Humans / Information Systems and Communication Service / Kinases / Laboratories / Learning algorithms / Literature reviews / Lung cancer / Lymphatic system / Machine Learning / Malignancy / Mammography / Management of Computing and Information Systems / Medical prognosis / Medical records / Medical research / Medicine / Medicine & Public Health / Multilayer perceptrons / Patients / Performance evaluation / Performance prediction / Prediction model / Prediction models / Relapse / Risk factors / Statistical methods / Tumors / Womens health