articleNature CancerJan 30, 2025HYBRID OA

Decoding pan-cancer treatment outcomes using multimodal real-world data and explainable artificial intelligence

Essen University Hospital · Berlin Institute for the Foundations of Learning and Data · +14 more institutions

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Abstract

Despite advances in precision oncology, clinical decision-making still relies on limited variables and expert knowledge. To address this limitation, we combined multimodal real-world data and explainable artificial intelligence (xAI) to introduce AI-derived (AID) markers for clinical decision support. We used xAI to decode the outcome of 15,726 patients across 38 solid cancer entities based on 350 markers, including clinical records, image-derived body compositions, and mutational tumor profiles. xAI determined the prognostic contribution of each clinical marker at the patient level and identified 114 key markers that accounted for 90% of the neural network's decision process. Moreover, xAI enabled us to…

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