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  1. Home
  2. Unsupervised Machine Learning Identifies Distinct Phenotypes In Cardiac Complications Of Pediatric Patients Treated With Anthracyclines.
  1. Home
  2. Unsupervised Machine Learning Identifies Distinct Phenotypes In Cardiac Complications Of Pediatric Patients Treated With Anthracyclines.

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Unsupervised machine learning identifies distinct phenotypes in cardiac complications of pediatric patients treated

Xander Jacquemyn1,2, Bhargava K Chinni1, Benjamin T Barnes1

  • 1Department of Pediatrics, The Blalock-Taussig-Thomas Pediatric and Congenital Heart Center, Johns Hopkins School of Medicine, Johns Hopkins University, Johns Hopkins Hospital, 600 N. Wolfe Street, 1389 Blalock, Baltimore, MD, 21287, USA.

Cardio-Oncology (London, England)
|October 29, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Machine learning identified distinct patient groups in pediatric cancer treatment, revealing varied risks for heart dysfunction and high blood pressure during anthracycline chemotherapy for personalized care.

Keywords:
AnthracyclineCancer therapy–related cardiac dysfunctionCardiotoxicityEchocardiographyMachine learning

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Area of Science:

  • Cardio-oncology
  • Pediatric oncology
  • Machine learning in medicine

Background:

  • Anthracyclines are vital for pediatric cancer treatment but pose risks of cancer therapy-related cardiac dysfunction (CTRCD).
  • Standardized definitions by the International Cardio-Oncology Society (IC-OS) aim to improve CTRCD risk assessment precision.

Purpose of the Study:

  • To categorize distinct phenotypes in pediatric patients receiving anthracycline chemotherapy using unsupervised machine learning.
  • To identify patient subgroups with varying risks of CTRCD and hypertensive response.

Main Methods:

  • Retrospective analysis of pediatric cancer patients undergoing anthracycline chemotherapy.
  • Utilized unsupervised machine learning (principal component analysis, K-means clustering) to identify phenotypic clusters.
  • Analyzed phenogroups for associations with CTRCD and hypertensive response based on IC-OS definitions.
  • Main Results:

    • Four distinct phenogroups were identified among 187 pediatric patients.
    • Cluster 0 exhibited a significantly higher risk of moderate CTRCD (HR: 3.10).
    • Cluster 3 showed a protective effect against hypertensive response (HR: 0.30).
    • Longitudinal data revealed differences in global longitudinal strain and blood pressure among phenogroups.

    Conclusions:

    • Unsupervised machine learning successfully identified distinct phenogroups in pediatric cancer patients treated with anthracyclines.
    • These phenogroups offer potential for personalized risk assessment and management of cardiotoxicity.