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‹ Fri · 24 Apr 2026
Promising but preliminary

SHAP-based interpretable machine learning with longitudinal delta-radiomics across seven weeks of treatment for xerostomia prediction in head-and-neck cancer

Real-time imaging during radiation therapy predicts mouth dryness early enough to potentially adjust treatment and reduce lasting damage.

This study applied SHAP-based interpretable machine learning to longitudinal delta-radiomics features extracted weekly across 7 radiation treatment weeks to predict xerostomia in head-and-neck cancer patients, demonstrating improved predictive performance. Longitudinal on-treatment radiomics offers the potential for real-time adaptive treatment modification to reduce radiation-induced salivary gland toxicity.

What the study was

Study design
Retrospective longitudinal radiomics + ML prediction model
Population
Head-and-neck cancer patients undergoing radiotherapy; Malaysia
Category
Diagnostics
Maturity
Exploratory
Journal
Radiation Oncology

Why it surfaced

Novel longitudinal delta-radiomics approach for treatment toxicity prediction with SHAP interpretability; addresses quality-of-life endpoint in HN cancer radiotherapy.

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