PMID- 38279817 OWN - NLM STAT- Publisher LR - 20240127 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) DP - 2024 Jan 27 TI - Interpretable machine learning model for prediction of overall survival in laryngeal cancer. PG - 1-7 LID - 10.1080/00016489.2023.2301648 [doi] AB - Background: The mortality rates of laryngeal squamous cell carcinoma cancer (LSCC) have not significantly decreased in the last decades.Objectives: We primarily aimed to compare the predictive performance of DeepTables with the state-of-the-art machine learning (ML) algorithms (Voting ensemble, Stack ensemble, and XGBoost) to stratify patients with LSCC into chance of overall survival (OS). In addition, we complemented the developed model by providing interpretability using both global and local model-agnostic techniques.Methods: A total of 2792 patients in the Surveillance, Epidemiology, and End Results (SEER) database diagnosed with LSCC were reviewed. The global model-agnostic interpretability was examined using SHapley Additive exPlanations (SHAP) technique. Likewise, individual interpretation of the prediction was made using Local Interpretable Model Agnostic Explanations (LIME).Results: The state-of-the-art ML ensemble algorithms outperformed DeepTables. Specifically, the examined ensemble algorithms showed comparable weighted area under receiving curve of 76.9, 76.8, and 76.1 with an accuracy of 71.2%, 70.2%, and 71.8%, respectively. The global methods of interpretability (SHAP) demonstrated that the age of the patient at diagnosis, N-stage, T-stage, tumor grade, and marital status are among the prominent parameters.Conclusions: A ML model for OS prediction may serve as an ancillary tool for treatment planning of LSCC patients. FAU - Alabi, Rasheed Omobolaji AU - Alabi RO AUID- ORCID: 0000-0001-7655-5924 AD - Research Program in Systems Oncology, University of Helsinki, Helsinki, Finland. AD - Department of Industrial Digitalization, School of Technology and Innovations, University of Vaasa, Vaasa, Finland. FAU - Almangush, Alhadi AU - Almangush A AUID- ORCID: 0000-0003-4106-314X AD - Research Program in Systems Oncology, University of Helsinki, Helsinki, Finland. AD - Department of Pathology, University of Helsinki, Helsinki, Finland. AD - Institute of Biomedicine, University of Turku, Pathology, Finland. FAU - Elmusrati, Mohammed AU - Elmusrati M AUID- ORCID: 0000-0001-9304-6590 AD - Department of Industrial Digitalization, School of Technology and Innovations, University of Vaasa, Vaasa, Finland. FAU - Leivo, Ilmo AU - Leivo I AUID- ORCID: 0000-0002-9609-1597 AD - Institute of Biomedicine, University of Turku, Pathology, Finland. FAU - Makitie, Antti A AU - Makitie AA AUID- ORCID: 0000-0002-0451-2404 AD - Research Program in Systems Oncology, University of Helsinki, Helsinki, Finland. AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. AD - Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden. LA - eng PT - Journal Article DEP - 20240127 PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 SB - IM OTO - NOTNLM OT - DeepTables OT - Machine learning OT - XGBoost OT - deep learning OT - laryngeal cancer OT - laryngeal squamous cell carcinoma OT - overall survival OT - sEER OT - stacked ensemble OT - voting ensemble EDAT- 2024/01/28 07:42 MHDA- 2024/01/28 07:42 CRDT- 2024/01/27 07:57 PHST- 2024/01/28 07:42 [medline] PHST- 2024/01/28 07:42 [pubmed] PHST- 2024/01/27 07:57 [entrez] AID - 10.1080/00016489.2023.2301648 [doi] PST - aheadofprint SO - Acta Otolaryngol. 2024 Jan 27:1-7. doi: 10.1080/00016489.2023.2301648.