The Use of Artificial Intelligence in Predicting Chemotherapy-Induced Toxicities in Metastatic Colorectal Cancer: A Data-Driven Approach for Personalized Oncology
Eliza-Maria Froicu,
Oriana-Maria Oniciuc,
Vlad-Adrian Afrăsânie,
Mihai-Vasile Marinca,
Silvia Riondino,
Elena Adriana Dumitrescu,
Teodora Alexa-Stratulat,
Iulian Radu,
Lucian Miron,
Gema Bacoanu,
Vladimir Poroch,
Bogdan Gafton
Affiliations
Eliza-Maria Froicu
Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania
Oriana-Maria Oniciuc
Faculty of Computer Science, “Alexandru Ioan Cuza” University, 700506 Iasi, Romania
Vlad-Adrian Afrăsânie
Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania
Mihai-Vasile Marinca
Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania
Silvia Riondino
Department of Systems Medicine, Medical Oncology, Tor Vergata Clinical Center, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy
Elena Adriana Dumitrescu
Department of Oncology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
Teodora Alexa-Stratulat
Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania
Iulian Radu
First Surgical Oncology Unit, Department of Surgery, Regional Institute of Oncology, 700483 Iasi, Romania
Lucian Miron
Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania
Gema Bacoanu
2nd Internal Medicine Department, Faculty of Medicine, “Grigore T. Popa“ University of Medicine and Pharmacy, 700115 Iasi, Romania
Vladimir Poroch
2nd Internal Medicine Department, Faculty of Medicine, “Grigore T. Popa“ University of Medicine and Pharmacy, 700115 Iasi, Romania
Bogdan Gafton
Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania
Background: Machine learning models learn about general behavior from data by finding the relationships between features. Our purpose was to develop a predictive model to identify and predict which subset of colorectal cancer patients are more likely to experience chemotherapy-induced toxicity and to determine the specific attributes that influence the presence of treatment-related side effects. Methods: The predictor was general toxicity, and for the construction of our data training, we selected 95 characteristics that represent the health state of 74 patients prior to their first round of chemotherapy. After the data were processed, Random Forest models were trained to offer an optimal balance between accuracy and interpretability. Results: We constructed a machine learning predictor with an emphasis on assessing the importance of numerical and categorical variables in relation to toxicity. Conclusions: The incorporation of artificial intelligence in personalizing colorectal cancer management by anticipating and overseeing toxicities more effectively illustrates a pivotal shift towards more personalized and precise medical care.