A Clinical Decision Support System for Breast Cancer Patients
Abstract
This paper proposes a Web clinical decision support
system for clinical oncologists and for breast cancer patients making
prognostic assessments, using the particular characteristics of the
individual patient. This system comprises three different prognostic
modelling methodologies: the clinically widely used Nottingham
prognostic index (NPI); the Cox regression modelling and a partial
logistic artificial neural network with automatic relevance
determination (PLANN-ARD). All three models yield a different prognostic
index that can be analysed together in order to obtain a more accurate
prognostic assessment of the patient. Missing data is incorporated in
the mentioned models, a common issue in medical data that was overcome
using multiple imputation techniques. Risk group assignments are also
provided through a methodology based on regression trees, where Boolean
rules can be obtained expressed with patient characteristics.
Domains
Digital Libraries [cs.DL]Origin | Files produced by the author(s) |
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