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IPCW-Weighted Ensemble of DeepSurv, VAE and Bayesian Neural Mixture Models for Personalized Prognostic Subtyping on the METABRIC Breast Cancer Cohort

3rd International Conference on Innovations and Advances in Cancer Research and Treatment

October 09, 2025 | Virtual Event

Sunday Aghamie

University of Northern Colorado, USA

Abstract :

Accurate, patient-specific prognosis in breast cancer is hindered by high-dimensional data, heterogeneous risk factors and right-censoring. We present an ensemble framework that leverages inverse-probabilityof-censoring weights (IPCW) to train three complementary DeepSurvbased architectures on the publicly available METABRIC cohort (n 1,980; up to 10- year follow-up):

  • A baseline DeepSurv network predicting log-hazard scores,
  • A DeepSurv network fed with low-dimensional embeddings froma variational autoencod­er, and
  • A DeepSurv network whose final layer is a Bayesian neural mixture head.

Each model is optimized under an IPCW-weighted Cox partial-likelihood loss; their risk out­puts are then stacked via a meta-learner and converted into calibrated survival probabilities through Platt scaling. On held-out test data, our ensemble achieves a concordance index of 0.784 (±0.012) and an integrated Brier score of 0.183, outperforming all individual components. Time-dependent AUC at 5 years increases by up to 5%, and decision-curve analysis demon­strates higher net benefit across clinically relevant thresholds. This IPCW-weighted ensemble delivers fine-grained, uncertainty-aware prognostic subtypes that can guide personalized surveillance and treatment planning in breast oncology.

Biography :

Sunday Aghamie is a Ph.D. student and Graduate Assistant in the Department of Applied Statistics and Research Methods at the University of Northern Colorado (UNC) in Greeley, Colorado