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Main Authors: Nalela, Polycarp, Rao, Deepthi, Rao, Praveen
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2504.06306
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author Nalela, Polycarp
Rao, Deepthi
Rao, Praveen
author_facet Nalela, Polycarp
Rao, Deepthi
Rao, Praveen
contents Cancer remains a leading global health challenge and a major cause of mortality. This study leverages machine learning (ML) to predict the survivability of cancer patients with metastatic patterns using the comprehensive MSK-MET dataset, which includes genomic and clinical data from 25,775 patients across 27 cancer types. We evaluated five ML models-XGBoost, Naïve Bayes, Decision Tree, Logistic Regression, and Random Fores using hyperparameter tuning and grid search. XGBoost emerged as the best performer with an area under the curve (AUC) of 0.82. To enhance model interpretability, SHapley Additive exPlanations (SHAP) were applied, revealing key predictors such as metastatic site count, tumor mutation burden, fraction of genome altered, and organ-specific metastases. Further survival analysis using Kaplan-Meier curves, Cox Proportional Hazards models, and XGBoost Survival Analysis identified significant predictors of patient outcomes, offering actionable insights for clinicians. These findings could aid in personalized prognosis and treatment planning, ultimately improving patient care.
format Preprint
id arxiv_https___arxiv_org_abs_2504_06306
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Predicting Survivability of Cancer Patients with Metastatic Patterns Using Explainable AI
Nalela, Polycarp
Rao, Deepthi
Rao, Praveen
Quantitative Methods
Artificial Intelligence
Cancer remains a leading global health challenge and a major cause of mortality. This study leverages machine learning (ML) to predict the survivability of cancer patients with metastatic patterns using the comprehensive MSK-MET dataset, which includes genomic and clinical data from 25,775 patients across 27 cancer types. We evaluated five ML models-XGBoost, Naïve Bayes, Decision Tree, Logistic Regression, and Random Fores using hyperparameter tuning and grid search. XGBoost emerged as the best performer with an area under the curve (AUC) of 0.82. To enhance model interpretability, SHapley Additive exPlanations (SHAP) were applied, revealing key predictors such as metastatic site count, tumor mutation burden, fraction of genome altered, and organ-specific metastases. Further survival analysis using Kaplan-Meier curves, Cox Proportional Hazards models, and XGBoost Survival Analysis identified significant predictors of patient outcomes, offering actionable insights for clinicians. These findings could aid in personalized prognosis and treatment planning, ultimately improving patient care.
title Predicting Survivability of Cancer Patients with Metastatic Patterns Using Explainable AI
topic Quantitative Methods
Artificial Intelligence
url https://arxiv.org/abs/2504.06306