Developing hybrid mechanistic and data-driven personalized prediction models for platelet dynamics

Fuente: arXiv
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Auteurs principaux: Steinacker, Marie, Kheifetz, Yuri, Scholz, Markus
Format: Preprint
Publié: 2025
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author Steinacker, Marie
Kheifetz, Yuri
Scholz, Markus
author_facet Steinacker, Marie
Kheifetz, Yuri
Scholz, Markus
contents Hematotoxicity, drug-induced damage to the blood-forming system, is a frequent side effect of cytotoxic chemotherapy and poses a significant challenge in clinical practice due to its high inter-patient variability and limited predictability. Current mechanistic models often struggle to accurately forecast outcomes for patients with irregular or atypical trajectories. In this study, we develop and compare hybrid mechanistic and data-driven approaches for individualized time series modeling of platelet counts during chemotherapy. We consider hybrid models that combine mechanistic models with neural networks, known as universal differential equations. As a purely data-driven alternative, we utilize a nonlinear autoregressive exogenous model using gated recurrent units as the underlying architecture. These models are evaluated across a range of real patient scenarios, varying in data availability and sparsity, to assess predictive performance. Our findings demonstrate that data-driven methods, when provided with sufficient data, significantly improve prediction accuracy, particularly for high-risk patients with irregular platelet dynamics. This highlights the potential of data-driven approaches in enhancing clinical decision-making. In contrast, hybrid and mechanistic models are superior in scenarios with limited or sparse data. The proposed modeling and comparison framework is generalizable and could be extended to predict other treatment-related toxicities, offering broad applicability in personalized medicine.
format Preprint
id arxiv_https___arxiv_org_abs_2505_21204
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Developing hybrid mechanistic and data-driven personalized prediction models for platelet dynamics
Steinacker, Marie
Kheifetz, Yuri
Scholz, Markus
Machine Learning
Quantitative Methods
I.6.5; J.3
Hematotoxicity, drug-induced damage to the blood-forming system, is a frequent side effect of cytotoxic chemotherapy and poses a significant challenge in clinical practice due to its high inter-patient variability and limited predictability. Current mechanistic models often struggle to accurately forecast outcomes for patients with irregular or atypical trajectories. In this study, we develop and compare hybrid mechanistic and data-driven approaches for individualized time series modeling of platelet counts during chemotherapy. We consider hybrid models that combine mechanistic models with neural networks, known as universal differential equations. As a purely data-driven alternative, we utilize a nonlinear autoregressive exogenous model using gated recurrent units as the underlying architecture. These models are evaluated across a range of real patient scenarios, varying in data availability and sparsity, to assess predictive performance. Our findings demonstrate that data-driven methods, when provided with sufficient data, significantly improve prediction accuracy, particularly for high-risk patients with irregular platelet dynamics. This highlights the potential of data-driven approaches in enhancing clinical decision-making. In contrast, hybrid and mechanistic models are superior in scenarios with limited or sparse data. The proposed modeling and comparison framework is generalizable and could be extended to predict other treatment-related toxicities, offering broad applicability in personalized medicine.
title Developing hybrid mechanistic and data-driven personalized prediction models for platelet dynamics
topic Machine Learning
Quantitative Methods
I.6.5; J.3
url https://arxiv.org/abs/2505.21204