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KMID : 0361020230660040241
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 4 p.241 ~ p.247
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Machine Learning Algorithms for Predicting Treatment Outcomes of Oropharyngeal Cancer After Surgery
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Kim Da-Chan
Kim Se-Heon
Choi Eun-Chang
Lim Jae-Yol
Koh Yoon-Woo
Park Young-Min
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Abstract
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Background and Objectives This study analyzed data from patients who were diagnosedwith human papilloma virus (HPV)-associated oropharyngeal (OPC) and treated surgically toconstruct a machine learning survival prediction model.
Subjects and Method We retrospectively analyzed the clinico-pathological data of 203 pa-tients with HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) from 2007 to 2015.
Results In the Cox proportional hazard (CPH) model, the c-index values for the training setand the test set were 0.81 and 0.59, respectively. The univariate analysis showed that contralat-eral lymph nodes (LNs) metastasis, lymphovascular invasion, pN, stage, surgical margin sta-tus, histologic grade, pT, and the number of metastatic LNs had significant correlations withsurvival. Contrastively, the multivariate analysis showed pT and histologic grade to have sig-nificant correlation with survival. In the random survival forest model, the c-index values forthe training set and the test set were 0.83 and 0.87, respectively. In the DeepSurv model, the c-index values for the training set and the test set were 0.75 and 0.83. Among the three modelsmentioned above, Random Survival Forest and DeepSurv showed the best performance forpredicting the survival of HPV-associated OPSCC patients.
Conclusion We confirmed that a survival prediction model using machine learning anddeep learning algorithms showed reasonable survival estimates for HPV-associated OPSCC patients.
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KEYWORD
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Deep learning, Human papilloma virus, Machine learning, Survival analysis
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