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Can Survival Prediction Be Improved By Merging Gene Expression Data Sets 英文参考文献
CanSurvivalPredictionBeImprovedByMergingGene
ExpressionDataSets?
HalehYasrebi1,2*,PeterSperisen2,VivianePraz2,PhilippBucher1,2
1SwissInstituteforExperimentalCancerResearch(ISREC),SwissFederalInstituteofTechnology(EPFL),SchoolofLifeSciences,EPFLSVISREC,Lausanne,Switzerland,
2SwissInstituteofBioinformatics,EPFLSVISREC,Lausanne,Switzerland
Abstract
Background:High-throughputgeneexpressionprofilingtechnologiesgeneratingawealthofdata,areincreasinglyusedfor
characterizationoftumorbiopsiesforclinicaltrials.Byapplyingmachinelearningalgorithmstosuchclinicallydocumented
data sets, one hopes to improve tumor diagnosis, prognosis, as well as prediction of treatment response. However, the
limitednumberofpatientsenrolledinasingletrialstudylimitsthepowerofmachinelearningapproachesduetoover-
fitting.Onecouldpartially overcomethislimitation bymergingdatafrom differentstudies.Nevertheless,suchdatasets
differfromeachotherwithregardtotechnicalbiases,patientselectioncriteriaandfollow-uptreatment.Itisthereforenot
clearatallwhethertheadvantageofincreasedsamplesizeoutweighsthedisadvantageofhigherheterogeneityofmerged
data sets. Here, we present a systematic study to answer this question specifically for breast cancer data sets. We use
survivalpredictionbasedonCoxregressionasanassaytomeasuretheaddedvalueofmergeddatasets.
Results: Using time-dependent Receiver Operating Characteristic-Area Under the Curve (ROC-AUC) and hazard ratio as
performancemeasures,weseeinoverallnosignificantimprovementordeteriorationofsurvivalpredictionwithmerged
datasetsascomparedtoindividualdatasets.Thisapparentlywasduetothefactthatafewgeneswithstrongprognostic
powerwerenotavailableonallmicroarrayplatformsandthuswerenotretainedinthemergeddatasets.Surprisingly,we
foundthattheoverallbestperformancewasachievedwithasingle-genepredictorconsistingofCYB5D1.
Conclusions:Mergingdidnotdeteriorateperformanceonaveragedespite(a)Thediversityofmicroarrayplatformsused.
(b)Theheterogeneityofpatientscohorts.(c)Theheterogeneityof
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