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Molecular Systems Biology
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netdx interpretable patient classification using integrated patient similarity networks

Authors: Gary D. Bader; Shirley Hui; Hussam Kaka; Ruth Isserlin; Shraddha Pai; Shraddha Pai; Muhammad A Shah;

netdx interpretable patient classification using integrated patient similarity networks

Abstract

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.

Keywords

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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    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
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    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
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    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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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).
BIP!Citations provided by BIP!
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.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
73
Top 1%
Top 10%
Average
Green
gold
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Cancer Research