A machine learning-based prognostic model for de novo metastatic HR-positive breast cancer: SEER cohort with external validation - Takeaways - MDSpire

A machine learning-based prognostic model for de novo metastatic HR-positive breast cancer: SEER cohort with external validation

  • By

  • Sihang Lin

  • Wanwan Wang

  • Lixia Liu

  • Jiayu Guan

  • Chuanrong Cen

  • Huawei Yang

  • July 17, 2026

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  • 1

    The study analyzed 2,266 patients with de novo metastatic HR-positive breast cancer from the SEER database to evaluate postoperative radiotherapy's impact on overall survival.

  • 2

    Kaplan–Meier analysis showed significantly better overall survival in the postoperative radiotherapy group compared to the non-radiotherapy group.

  • 3

    Logistic regression emerged as the most effective machine learning model for predicting 3-year overall survival, achieving an AUC of 0.721.

  • 4

    Postoperative radiotherapy was confirmed as an independent protective factor for overall survival in both the training and external validation cohorts.

  • 5

    The study emphasizes the need for accurate prognostic risk stratification in patients with metastatic HR-positive breast cancer under current treatment strategies.

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