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@ARTICLE{Keyl:298360,
author = {J. Keyl and P. Keyl and G. Montavon and R. Hosch and A.
Brehmer and L. Mochmann and P. Jurmeister and G. Dernbach
and M. Kim and S. Koitka and S. Bauer$^*$ and N.
Bechrakis$^*$ and M. Forsting$^*$ and D. Führer-Sakel and
M. Glas$^*$ and V. Grünwald$^*$ and B. Hadaschik$^*$ and J.
Haubold and K. Herrmann$^*$ and S. Kasper$^*$ and R. Kimmig
and S. Lang and T. Rassaf and A. Roesch$^*$ and D.
Schadendorf$^*$ and J. Siveke$^*$ and M. Stuschke$^*$ and U.
Sure$^*$ and M. Totzeck and A. Welt and M. Wiesweg$^*$ and
H. A. Baba and F. Nensa$^*$ and J. Egger and K.-R. Müller
and M. Schuler$^*$ and F. Klauschen$^*$ and J. Kleesiek$^*$},
title = {{D}ecoding pan-cancer treatment outcomes using multimodal
real-world data and explainable artificial intelligence.},
journal = {Nature cancer},
volume = {6},
number = {2},
issn = {2662-1347},
address = {London},
publisher = {Nature Research},
reportid = {DKFZ-2025-00258},
pages = {307-322},
year = {2025},
note = {2025 Feb;6(2):307-322},
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 uncover 1,373 prognostic
interactions between markers. Our approach was validated in
an independent cohort of 3,288 patients with lung cancer
from a US nationwide electronic health record-derived
database. These results show the potential of xAI to
transform the assessment of clinical variables and enable
personalized, data-driven cancer care.},
cin = {ED01 / BE01 / MU01},
ddc = {610},
cid = {I:(DE-He78)ED01-20160331 / I:(DE-He78)BE01-20160331 /
I:(DE-He78)MU01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:39885364},
doi = {10.1038/s43018-024-00891-1},
url = {https://inrepo02.dkfz.de/record/298360},
}