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Deep learning with limited data: a transfer learning approach for transcriptomic survival prediction.

G Sabbatini1, A M Lombardi2, S Bianco1

  • 1aizoOn Technology & Consulting, Strada del Lionetto, 6, 10146, Torino, TO, Italy.

Computers in Biology and Medicine
|March 11, 2026
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Summary
This summary is machine-generated.

Transfer learning significantly enhances cancer survival prediction using transcriptomic data, especially for small patient cohorts. This approach leverages shared molecular patterns across cancers for more robust disease-free survival modeling.

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Deep neural networksSurvival analysisTime-to-event analysisTransfer learning

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Area of Science:

  • Oncology
  • Bioinformatics
  • Machine Learning

Background:

  • Deep neural networks (DNNs) show promise for analyzing complex cancer transcriptomic data.
  • Data scarcity and heterogeneity limit DNNs in cancer research.
  • Transfer learning (TL) is underutilized for cancer survival prediction despite its success in other areas.

Purpose of the Study:

  • To evaluate transfer learning for disease-free survival prediction using The Cancer Genome Atlas (TCGA) RNA-seq data.
  • To compare TL models against tumor-specific baseline models.
  • To assess the biological relevance of TL models in cancer research.

Main Methods:

  • Utilized RNA-seq data from 7509 patients across 27 tumor types.
  • Trained a pan-cancer DNN and compared TL models (pre-trained and fine-tuned) with independent tumor-specific models.
  • Assessed performance using concordance index and biological relevance via LIME-like interpretability and gene-set enrichment analysis.

Main Results:

  • Transfer learning outperformed tumor-specific models in 24 out of 27 tumor types.
  • Performance gains were most significant in smaller patient cohorts.
  • Fine-tuning adapted general cancer patterns to specific tumor data, confirmed by enrichment analysis.

Conclusions:

  • Transfer learning is a powerful strategy for improving cancer survival prediction from transcriptomic data, particularly for data-limited scenarios.
  • TL effectively exploits shared molecular patterns across diverse cancer types.
  • This work supports TL as a robust method for survival modeling and advances the development of foundation models in molecular oncology.