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Predicting late symptoms of head and neck cancer treatment using LSTM and patient reported outcomes
Conference proceeding   Open access

Predicting late symptoms of head and neck cancer treatment using LSTM and patient reported outcomes

Yaohua Wang, Lisanne Van Dijk, Abdallah S R Mohamed, Clifton David Fuller, Xinhua Zhang, G Elisabeta Marai and Guadalupe M Canahuate
IDEAS '21: Proceedings of the 25th International Database Engineering & Applications Symposium, pp.273-279
IDEAS 2021: 25th International Database Engineering & Applications Symposium (Montreal, Quebec, Canada, 07/14/2021–07/16/2021)
09/07/2021
DOI: 10.1145/3472163.3472177
PMCID: PMC8982996
PMID: 35392138
url
https://doi.org/10.1145/3472163.3472177View
Published (Version of record) Open Access

Abstract

Patient-Reported Outcome (PRO) surveys are used to monitor patients' symptoms during and after cancer treatment. Late symptoms refer to those experienced after treatment. While most patients experience severe symptoms during treatment, these usually subside in the late stage. However, for some patients, late toxicities persist negatively affecting the patient's quality of life (QoL). In the case of head and neck cancer patients, PRO surveys are recorded every week during the patient's visit to the clinic and at different followup times after the treatment has concluded. In this paper, we model the PRO data as a time-series and apply Long-Short Term Memory (LSTM) neural networks for predicting symptom severity in the late stage. The PRO data used in this project corresponds to MD Anderson Symptom Inventory (MDASI) questionnaires collected from head and neck cancer patients treated at the MD Anderson Cancer Center. We show that the LSTM model is effective in predicting symptom ratings under the RMSE and NRMSE metrics. Our experiments show that the LSTM model also outperforms other machine learning models and time-series prediction models for these data.
Long Short-Term Memory (LSTM) Late Toxicity Symptom Severity Prediction Patient Reported Outcomes (PRO) UIOWA OA Agreement

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