Enhancing malignant transformation predictions in oral potentially malignant disorders: A novel machine learning framework using real-world data.

ABSTRACT: This study addresses the challenge of accurately predicting malignant transformation risk in patients with oral potentially malignant disorders (OPMDs). Using data from 1,094 patients across three institutions (2004-2023), the researchers compared traditional statistical methods, including a Cox proportional hazards (Cox-PH) nomogram, with machine learning (ML) algorithms. A novel Self Attention Artificial Neural Network (SANN) model was developed, trained, and validated alongside other ML models including ANN, RF, and DeepSurv. The SANN model outperformed all other approaches, achieving an AUC of 0.9877, with sensitivity, specificity, accuracy, and precision exceeding 0.96. In comparison, the Cox-PH nomogram achieved AUCs of 0.880-0.902. Comprehensive evaluations using Receiver Operating

SUBMITTER: Li JW 

PROVIDER: S-EPMC11915171 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature