Mortality Prediction in Patients With Breast Cancer by Artificial Neural Network Model and Elastic Net Regression.

Background: Breast cancer (BC) is the most common cancer in women, and it is important to identify models that can accurately predict mortality in patients with this cancer. The aim of the present study was to use the elastic net regression and artificial neural network (ANN) models in diagnosing an...

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Publicado en:Journal of Research in Health Sciences Vol. 25; no. 1; pp. 1 - 8
Autores principales: Esmaeili, Anis, Karamoozian, Ali, Bahrampour, Abbas
Formato: equations & formulas research tables/charts Journal Article
Publicado: Hamadan University of Medical Sciences, School of Public Health Winter2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Winter2025
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        atl: Mortality Prediction in Patients With Breast Cancer by Artificial Neural Network Model and Elastic Net Regression.
      aug:
        au:
          Esmaeili, Anis
          Karamoozian, Ali
          Bahrampour, Abbas
        affil: Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
      sug:
        subj:
          Breast Neoplasms Mortality
          Mortality Risk Factors
          Risk Assessment
          Neural Networks (Computer)
          Prediction Models
          Human
          Adult
          Middle Age
          Aged
          Iran
          Cross Sectional Studies
          Sensitivity and Specificity
          Prediction Algorithms
          Descriptive Statistics
          Comparative Studies
          Regression
          ROC Curve
          Cancer Patients
          Female
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Background: Breast cancer (BC) is the most common cancer in women, and it is important to identify models that can accurately predict mortality in patients with this cancer. The aim of the present study was to use the elastic net regression and artificial neural network (ANN) models in diagnosing and predicting factors affecting BC mortality. Study Design: A cross-sectional study. Methods: The data of 2,836 people with BC during 2014-2018 were analyzed in this study. Information was registered in the cancer registration system of Kerman University of Medical Sciences. Death status was considered the dependent variable, while age, morphology, tumor differentiation, residence status, and residence place were regarded as independent variables. Sensitivity, specificity, accuracy, area under the receiver operating characteristic curve (AUC), precision, and F1-score were used to compare the models. Results: Based on the test set, the elastic net regression determined factors affecting BC mortality (with sensitivity of 0.631, specificity of 0.814, AUC of 0.629, accuracy of 0.792, precision of 0.318, and F1-score of 0.42) and ANN did so (with sensitivity of 0.66, specificity of 0.748, AUC of 0.704, accuracy of 0.738, precision of 0.265, and F1-score of 0.37). Conclusion: The sensitivity and AUC of the ANN model were higher than those of the elastic net regression, but the specificity, accuracy, precision, and F1-score of the elastic net were higher than those of the ANN. According to the purpose of the study, two models can be used simultaneously. Based on the results of models, morphology, tumor differentiation, and age had a greater effect on death.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
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        Journal Article
      ougenre: Article
    language: English
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