Public Health

Comprehensive Summary

The study decided to use machine learning models for predicting** hematologic toxicity (HT), one of the most severe side effects of chemoradiotherapy in the advanced stages of cervical cancer** patients. Two imaging data types were taken into consideration: **radiomics** (features from CT images) and **dosiomics** (features from radiation dose distributions). The study conducted a data analysis of 205 patients. After extracting hundreds of features and performing feature selection, three models were built **white** being radiomics-only, dosiomics-only, and a hybrid model combining both. XGBoost was used for all models, and each one was evaluated in terms of sensitivity, specificity, and AUC. The **hybrid model was the most successful**, reaching **AUC=0.83**, and outdoing the single-source models. After that, SHAP (SHapley Additive exPlanations) was applied to the model to make it interpretable and to identify the features that affected the predictions and their significance. In the end, the combination of radiomics and dosiomics not only increased prediction accuracy but also contributed to transparency of the model.

Outcomes and Implications

Blood toxicity of a serious nature during chemoradiotherapy could affect the course of treatment and the patient's outcome. This study suggests that the application of machine learning can offer significant aid for doctors to **determine which patients are at a higher risk of experiencing adverse effects, hence doing so before the occurrence**, thus giving them the chance to **alter radiation schedules, monitor blood counts more rigorously, or provide preventive drugs**. The hybrid model that utilized both texture and dose information came out to be the most precise, implying that **the viewpoint derived from combining various types of data is the clearest regarding the risk of patients**. The fact that the model can also be interpreted through SHAP adds to this as it allows for the understanding of **why** the model is making certain predictions that in turn makes it trustworthy in the clinical practice being so close to reality.

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AIIM Research

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© 2025 AIIM. Created by AIIM IT Team

AIIM Research

Articles

© 2025 AIIM. Created by AIIM IT Team

AIIM Research

Articles

© 2025 AIIM. Created by AIIM IT Team