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Machine Learning Algorithms to Predict Breast Cancer Recurrence Using Structured and Unstructured Sources from

Lorena González-Castro1, Marcela Chávez2, Patrick Duflot2

  • 1School of Telecommunication Engineering, University of Vigo, 36310 Vigo, Spain.

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PubMed
Summary
This summary is machine-generated.

Machine learning models can predict 5-year breast cancer recurrence. Structured clinical data, when used with XGBoost, provided the best prediction accuracy, outperforming combined data sources.

Keywords:
breast cancermachine learningpatient stratificationrecurrence predictionsecondary usestructured dataunstructured data

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Area of Science:

  • Oncology
  • Medical Informatics
  • Machine Learning

Background:

  • Breast cancer (BC) recurrence significantly impacts patient mortality.
  • Machine learning (ML) offers potential for improved patient risk stratification using healthcare data.
  • Combining structured and unstructured data sources is explored for enhanced BC recurrence prediction.

Purpose of the Study:

  • To evaluate the effectiveness of ML algorithms in predicting 5-year breast cancer recurrence.
  • To compare prediction performance using structured data, unstructured (free text) data, and a combination of both.
  • To identify the optimal data source and ML model for breast cancer recurrence risk stratification.

Main Methods:

  • Collected and preprocessed clinical data from 823 breast cancer patients.
  • Derived features from structured clinical information and unstructured free-text clinical notes.
  • Evaluated five ML algorithms, including XGBoost, for predicting 5-year recurrence.
  • Assessed model performance using precision, recall, F1-score, and AUROC.

Main Results:

  • The XGBoost model demonstrated the highest performance (AUROC = 0.807).
  • Structured data yielded the best prediction results, followed by unstructured data.
  • The combined dataset (structured and unstructured) performed the poorest.

Conclusions:

  • ML algorithms are valuable for breast cancer recurrence risk stratification and patient monitoring.
  • Structured clinical data provides superior performance for ML-based recurrence prediction.
  • Natural language processing approaches offer comparable results to structured data with potentially less preprocessing effort.