Predicting overall survival in glioblastoma patients using machine learning: an analysis of treatment efficacy and patient prognosis
- Razvan Onciul 1,2, Felix-Mircea Brehar 1,3, Adrian Vasile Dumitru 1,4, Carla Crivoi 5, Razvan-Adrian Covache-Busuioc 1,6, Matei Serban 1,6, Petrinel Mugurel Radoi 1,6, Corneliu Toader 1,6
- Razvan Onciul 1,2, Felix-Mircea Brehar 1,3, Adrian Vasile Dumitru 1,4
- 1Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
- 2Neurosurgery Department, Emergency University Hospital, Bucharest, Romania.
- 3Department of Neurosurgery, Clinical Emergency Hospital "Bagdasar-Arseni", Bucharest, Romania.
- 4Department of Pathology, University Emergency Hospital Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
- 5Department of Computer Science, Faculty of Mathematics and Computer Science, University of Bucharest, Bucharest, Romania.
- 6Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, Bucharest, Romania.
- 0Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
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View abstract on PubMed
Summary
This summary is machine-generated.Machine learning accurately predicts glioblastoma (GBM) patient survival using clinical and molecular data. XGBoost model identified MGMT promoter methylation and Karnofsky Performance Status (KPS) as key survival predictors.
Area Of Science
- Neuro-oncology
- Computational biology
- Biostatistics
Background
- Glioblastoma (GBM) is an aggressive brain tumor with challenging survival prediction due to heterogeneity.
- Accurate survival prediction is crucial for optimizing GBM treatment and improving patient outcomes.
Purpose Of The Study
- To develop and evaluate machine learning (ML) models for predicting glioblastoma patient survival.
- To identify key prognostic markers influencing GBM patient survival.
Main Methods
- Utilized metadata from 135 GBM patients, including demographic, clinical (Karnofsky Performance Status - KPS), and molecular (MGMT promoter methylation, EGFR amplification) variables.
- Employed six ML models (XGBoost, Random Forests, SVM, ANN, Extra Trees, KNN) for survival classification, with data preprocessing and hyperparameter optimization.
- Assessed model performance using ROC-AUC and accuracy metrics.
Main Results
- The XGBoost model achieved the highest predictive accuracy (ROC-AUC 0.90, accuracy 0.78).
- Ensemble models demonstrated superior performance compared to simpler classifiers.
- MGMT promoter methylation and KPS were identified as significant prognostic markers.
Conclusions
- Machine learning applied to GBM metadata provides a robust approach for survival prediction.
- ML models can enhance clinical decision-making and personalized treatment strategies for GBM patients.
- The study emphasizes the potential of ML for accurate, reliable, and interpretable GBM survival forecasting.
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