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Robust Logistic Regression-based Diagnosis Method of Prostate Cancer Using Optimized Feature Selection on Race

David Agustriawan1, Vincent Kurniawan1, Marlinda Vasty Overbeek1

  • 1Faculty of Engineering and Informatics, Universitas Multimedia Nusantara, Tangerang, Indonesia.

Cancer Diagnosis & Prognosis
|November 3, 2025
PubMed
Summary
This summary is machine-generated.

This study developed a race-aware prostate cancer (PCa) detection model using a 9-gene signature, achieving high accuracy in both White and Black populations. The race-specific approach enhances diagnostic fairness and accuracy for prostate cancer.

Keywords:
Prostate cancerbioinformaticsfeature selectiongene expressionlogistic regressionmachine learning

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Area of Science:

  • Genomics
  • Computational Biology
  • Oncology

Background:

  • Prostate cancer (PCa) incidence disproportionately affects Black men.
  • Current diagnostic methods like prostate-specific antigen (PSA) testing lack specificity.
  • Machine learning models often overlook racial variations in gene expression, impacting diagnostic fairness.

Purpose of the Study:

  • To develop a race-aware PCa detection framework.
  • To improve diagnostic accuracy and fairness using optimized feature selection.
  • To identify race-specific biomarkers for enhanced PCa diagnosis.

Main Methods:

  • Analysis of RNAseq-Count-STAR and clinical data from TCGA (554 patients).
  • Feature selection pipeline integrating Differential Gene Expression, ROC analysis, and Gene-Set Enrichment Analysis.
  • Development of a 9-gene logistic regression model, trained on White data and validated on Black data.

Main Results:

  • The 9-gene model achieved 95% accuracy in White and 96.8% accuracy in Black populations.
  • Fairness analysis showed minimal disparity between racial groups (4% difference in demographic parity, p=0.518).
  • Biologically informed feature selection enhanced model accuracy and interpretability.

Conclusions:

  • A race-specific PCa detection framework utilizing targeted biomarkers improves diagnostic accuracy.
  • The framework addresses misclassification risks inherent in race-agnostic models.
  • Emphasizes the importance of race-aware gene expression in machine learning diagnostics for precision medicine in PCa care.