โก Quick Summary
This study developed a novel AI-driven prognostic tool for older adult patients with breast cancer, utilizing a combination of clinical and biological features to enhance treatment guidance. The tool demonstrated high predictive efficacy for 5-year mortality with area under the curve scores of 0.81 for Random Forest Classification.
๐ Key Details
- ๐ Dataset: 793 women aged 70+ with HER2-negative early-stage breast cancer
- ๐งฉ Features used: Age, BMI, comorbidities, hemoglobin levels, lymphocyte counts, hormone receptor status, Scarff-Bloom-Richardson grade, tumor size, lymph node involvement
- โ๏ธ Technology: Machine learning algorithms including Random Forest and Support Vector Classifier
- ๐ Performance: AUC scores of 0.81 (Random Forest) and 0.76 (Support Vector Classifier)
๐ Key Takeaways
- ๐ AI integration allows for a comprehensive biomedical profile of older breast cancer patients.
- ๐ก The tool categorizes patients into prognostic clusters for better treatment outcome estimation.
- ๐ฉโ๐ฌ Data refinement led to the inclusion of 793 patients from an initial 1229.
- ๐ฅ This approach emphasizes personalized oncology care for geriatric patients.
- ๐ Conducted at the French Lรฉon Bรฉrard Cancer Center from 1997 to 2016.
- ๐ The study highlights the need for tailored therapeutic strategies in older adults.
- ๐ค Advanced machine learning techniques were pivotal in uncovering complex data relationships.
- ๐ The model enhances understanding of disease dynamics and therapeutic strategies.
๐ Background
Older adult patients with breast cancer often face unique challenges in treatment due to a lack of tailored clinical research and decision-making tools. This population is frequently overlooked, leading to suboptimal therapeutic strategies. The integration of artificial intelligence (AI) into oncology presents an opportunity to address these gaps and improve patient outcomes.
๐๏ธ Study
The study conducted a retrospective analysis of data from women aged 70 and older with HER2-negative early-stage breast cancer. By applying manifold learning and machine learning algorithms, researchers aimed to uncover complex relationships within the data and develop predictive models that could guide treatment decisions.
๐ Results
The analysis revealed that the selected predictors had high predictive efficacy for 5-year mortality, with mean area under the curve scores of 0.81 for Random Forest Classification and 0.76 for Support Vector Classifier. The AI-driven tool successfully categorized patients into prognostic clusters, enabling better estimation of treatment outcomes, including the benefits of chemotherapy.
๐ Impact and Implications
This study’s findings could significantly enhance treatment guidance for older adult patients with breast cancer. By leveraging advanced machine learning techniques, healthcare providers can now offer a more nuanced understanding of disease dynamics and therapeutic strategies. This approach emphasizes the importance of personalized oncology care, ensuring that older patients receive the attention and tailored treatment they deserve.
๐ฎ Conclusion
The introduction of this AI-driven prognostic tool marks a significant advancement in the field of geriatric oncology. By integrating multiple clinical and biological features, the model enhances treatment guidance and fosters a more personalized approach to cancer care. Continued research in this area is essential to further refine these tools and improve outcomes for older adult patients.
๐ฌ Your comments
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Leveraging Digital Twins for Stratification of Patients with Breast Cancer and Treatment Optimization in Geriatric Oncology: Multivariate Clustering Analysis.
Abstract
BACKGROUND: Defining optimal adjuvant therapeutic strategies for older adult patients with breast cancer remains a challenge, given that this population is often overlooked and underserved in clinical research and decision-making tools.
OBJECTIVES: This study aimed to develop a prognostic and treatment guidance tool tailored to older adult patients using artificial intelligence (AI) and a combination of clinical and biological features.
METHODS: A retrospective analysis was conducted on data from women aged 70+ years with HER2-negative early-stage breast cancer treated at the French Lรฉon Bรฉrard Cancer Center between 1997 and 2016. Manifold learning and machine learning algorithms were applied to uncover complex data relationships and develop predictive models. Predictors included age, BMI, comorbidities, hemoglobin levels, lymphocyte counts, hormone receptor status, Scarff-Bloom-Richardson grade, tumor size, and lymph node involvement. The dimension reduction technique PaCMAP was used to map patient profiles into a 3D space, allowing comparison with similar cases to estimate prognoses and potential treatment benefits.
RESULTS: Out of 1229 initial patients, 793 were included after data refinement. The selected predictors demonstrated high predictive efficacy for 5-year mortality, with mean area under the curve scores of 0.81 for Random Forest Classification and 0.76 for Support Vector Classifier. The tool categorized patients into prognostic clusters and enabled the estimation of treatment outcomes, such as chemotherapy benefits. Unlike traditional models that focus on isolated factors, this AI-based approach integrates multiple clinical and biological features to generate a comprehensive biomedical profile.
CONCLUSIONS: This study introduces a novel AI-driven prognostic tool for older adult patients with breast cancer, enhancing treatment guidance by leveraging advanced machine learning techniques. The model provides a more nuanced understanding of disease dynamics and therapeutic strategies, emphasizing the importance of personalized oncology care.
Author: [‘Heudel P’, ‘Ahmed M’, ‘Renard F’, ‘Attye A’]
Journal: JMIR Cancer
Citation: Heudel P, et al. Leveraging Digital Twins for Stratification of Patients with Breast Cancer and Treatment Optimization in Geriatric Oncology: Multivariate Clustering Analysis. Leveraging Digital Twins for Stratification of Patients with Breast Cancer and Treatment Optimization in Geriatric Oncology: Multivariate Clustering Analysis. 2025; 11:e64000. doi: 10.2196/64000