IEEE Transactions on Fuzzy Systems · 2020 · 44 citations · 41 references
MedicineBiostatisticsOncologyMolecular OncologyPrecision MedicineSurvival AnalysisCancer GenomicsCancer MortalityCancer RiskCancer Survival AnalysisRisk PredictionSurvival PredictionCancer Mortality ModelingCancer Mortality PredictionCancer Prognostic ModelingCancer Risk EstimationCancer Risk Prediction ModelsClinical Risk Prediction ToolsGenetic Risk VariantsRisk Prediction Scores
In the era of advanced precision medicine, next-generation genomic data are crucial to achieve breakthroughs in cancer medicine. Effective cancer mortality risk estimation for genomic data associated with cancer remains a vital challenge. The combination of machine learning algorithms and conventional survival analysis can advance the detection of high-risk missense mutation variants and candidate genes associated with cancer mortality in next-generation genomic data. In this article, a fuzzy logic system combined with machine learning algorithms and conventional survival analysis named FuzzyDeepCoxPH was proposed to identify high-risk missense mutation variants and candidate genes highly associated with cancer mortality. DL-derived abstracted weights and Cox proportional hazards (CoxPH) ratios were used to develop four model-based risk scores to consider the factor importance associated with risk stratification, time-varying effects, and individual and interaction effects among features. Fuzzy rules based on a fuzzy logic system were designed to integrate these considerations by merging four model-based risk scores to develop advanced risk estimation. The clinical features and next-generation sequencing of deoxyribonucleic acid and ribonucleic acid genomic data were used to evaluate FuzzyDeepCoxPH performance. The results indicated that FuzzyDeepCoxPH can effectively distinguish high-risk variants and candidate genes related to cancer mortality. In FuzzyDeepCoxPH, the fuzzy logic system was applied to combine DL-based and CoxPH-based models to provide a comprehensive cancer mortality risk estimation for cancer medicine.
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L. A. Zadeh · Information and Control · 1965 · 66.1K citations
A New Initiative on Precision Medicine
Francis S. Collins, Harold Varmus · New England Journal of Medicine · 2015 · 5.2K citations · Full text