Machine learning models in breast cancer survival prediction
Mitra Montazeri1,2, Mohadeseh Montazeri3,4, Mahdieh Montazeri5
1Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Accurate breast cancer survival prediction is crucial for improving patient outcomes. The Trees Random Forest (TRF) model, a rule-based machine learning approach, demonstrated superior accuracy in predicting survival rates, offering a valuable tool for medical decision-making.
Area of Science:
- Oncology
- Biomedical Informatics
- Machine Learning in Healthcare
Background:
- Breast cancer poses a significant global health challenge with high mortality rates.
- Early diagnosis dramatically improves survival rates, increasing them from 56% to over 86%.
- Accurate predictive models are essential for timely and effective breast cancer management.
Purpose of the Study:
- To develop and evaluate a hybrid rule-based and machine learning model for predicting breast cancer survival.
- To compare the performance of various machine learning algorithms in breast cancer survival prediction.
Main Methods:
- Utilized a dataset comprising 900 patient records (97.3% female) with eight attributes.
- Applied and compared seven machine learning techniques: Naive Bayes (NB), Trees Random Forest (TRF), 1-Nearest Neighbor (1NN), AdaBoost (AD), Support Vector Machine (SVM), RBF Network (RBFN), and Multilayer Perceptron (MLP).
- Employed a 10-cross fold validation technique and evaluated performance using accuracy, precision, sensitivity, specificity, and area under the ROC curve.
Main Results:
- Trees Random Forest (TRF) outperformed other models, achieving 96% accuracy, 96% sensitivity, and 0.93 area under the ROC curve.
- Naive Bayes (NB), 1-Nearest Neighbor (1NN), AdaBoost (AD), Support Vector Machine (SVM), RBF Network (RBFN), and Multilayer Perceptron (MLP) showed varying performance levels.
- 1NN exhibited the poorest performance with 91% accuracy, 91% sensitivity, and 0.78 area under the ROC curve.
Conclusions:
- The rule-based Trees Random Forest (TRF) model is highly accurate for breast cancer survival prediction.
- TRF is recommended as a reliable tool to aid medical decision-making in oncology.
- Machine learning models can significantly assist clinicians in reducing diagnostic errors and improving patient care.
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