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AbstractPatient classification has widespread biomedical and clinical applications, including diagnosis, prognosis and treatment response prediction. A clinically useful prediction algorithm should be accurate, generalizable, be able to integrate diverse data types, and handle sparse data. A clinical predictor based on genomic data needs to be easily interpretable to drive hypothesis-driven research into new treatments. We describe netDx, a novel supervised patient classification framework based on patient similarity networks. netDx meets the above criteria and particularly excels at data integration and model interpretability. As a machine learning method, netDx demonstrates consistently excellent performance in a cancer survival benchmark across four cancer types by integrating up to six genomic and clinical data types. In these tests, netDx has significantly higher average performance than most other machine-learning approaches across most cancer types and its best model outperforms all other methods for two cancer types. In comparison to traditional machine learning-based patient classifiers, netDx results are more interpretable, visualizing the decision boundary in the context of patient similarity space. When patient similarity is defined by pathway-level gene expression, netDx identifies biological pathways important for outcome prediction, as demonstrated in diverse data sets of breast cancer and asthma. Thus, netDx can serve both as a patient classifier and as a tool for discovery of biological features characteristic of disease. We provide a software complete implementation of netDx along with sample files and automation workflows in R.
Medicine (General), QH301-705.5, precision medicine, Breast Neoplasms, Workflow, patient similarity networks, Machine Learning, R5-920, multi‐omics, multimodal data integration, Humans, supervised machine learning, Biology (General), Articles, Genomics, Prognosis, Survival Analysis, Asthma, Benchmarking, Female, Algorithms, Software
Medicine (General), QH301-705.5, precision medicine, Breast Neoplasms, Workflow, patient similarity networks, Machine Learning, R5-920, multi‐omics, multimodal data integration, Humans, supervised machine learning, Biology (General), Articles, Genomics, Prognosis, Survival Analysis, Asthma, Benchmarking, Female, Algorithms, Software
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citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 73 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 1% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |