Development and validation of a machine learning clinicogenomic model to improve prognostic stratification in ER-positive/HER2-negative early breast cancer
Background Several gene expression signatures (GESs) are used for risk stratification in estrogen receptor-positive/human epidermal growth factor receptor 2-negative (ER-positive/HER2-negative) early breast cancer. Recent integrative approaches combine tumour proliferation, estrogen receptor signalling, immune activity, and clinicopathologic features, yielding gains in prognostic accuracy. We therefore developed a machine-learning-based clinicogenomic prognostic model integrating a research-grade implementation…
A random survival forest clinicogenomic model integrating a 21-gene recurrence score, 14-gene immunoglobulin signature, and clinicopathologic features improved prognostic stratification in ER-positive/HER2-negative early breast cancer, identifying larger low-risk groups and improving discrimination in external datasets
Findings are based on retrospective analysis of microarray and RNA-sequencing data using a research-grade implementation of the 21-gene recurrence score, not prospective clinical deployment
Evidence
- Peer-reviewedBreast Cancer Research2026-09-16
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Truvace Impact Record TRV-2026-1132, v1: “Development and validation of a machine learning clinicogenomic model to improve prognostic stratification in ER-positive/HER2-negative early breast cancer.” Truvace, 2026-09-18. /record/TRV-2026-1132 (accessed at citation time). sha256 f6733a1526cc7415…
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