While machine learning has advanced in medicine, its widespread use in clinical applications, especially in predicting breast cancer metastasis, is still limited. We have been dedicated to constructing a DFNN model to predict breast cancer metastasis n years in advance. However, the challenge lies in efficiently identifying optimal hyperparameter values through grid search, given the constraints of time and resources. Issues such as the infinite possibilities for continuous hyperparameters like l1 and l2, as well as the time-consuming and costly process, further complicate the task. To address these challenges, we developed Single Hyperparameter Grid Search (SHGS) strategy, serving as a preselection method before grid search. Our experiments with SHGS applied to DFNN models for breast cancer metastasis prediction focus on analyzing eight target hyperparameters: epochs, batch size, dropout, L1, L2, learning rate, decay, and momentum. We created three figures, each depicting the experiment results obtained from three LSM-I-10-Plus-year datasets. These figures illustrate the relationship between model performance and the target hyperparameter values. For each hyperparameter, we analyzed whether changes in this hyperparameter would affect model performance, examined if there were specific patterns, and explored how to choose values for the particular hyperparameter. Our experimental findings reveal that the optimal value of a hyperparameter is not only dependent on the dataset but is also significantly influenced by the settings of other hyperparameters. Additionally, our experiments suggested some reduced range of values for a target hyperparameter, which may be helpful for low-budget grid search. This approach serves as a prior experience and foundation for subsequent use of grid search to enhance model performance.

A grid search, at the cost of training and testing a large number of models, is an effective way to optimize the prediction performance of deep learning models. A challenging task concerning grid search is the time management. Without a good time management scheme, a grid search can easily be set off as a mission that will not finish in our lifetime. In this study, we introduce a heuristic three-stage mechanism for managing the running time of low-budget grid searches, and the sweet-spot grid search (SSGS) and randomized grid search (RGS) strategies for improving model prediction performance, in predicting the 5-year, 10-year, and 15-year risk of breast cancer metastasis. We develop deep feedforward neural network (DFNN) models and optimize them through grid searches. We conduct eight cycles of grid searches by applying our three-stage mechanism and SSGS and RGS strategies. We conduct various SHAP analyses including unique ones that interpret the importance of the DFNN-model hyperparameters. Our results show that grid search can greatly improve model prediction. The grid searches we conducted improved the risk prediction of 5-year, 10-year, and 15-year breast cancer metastasis by 18.6%, 16.3%, and 17.3% respectively, over the average performance of all corresponding models we trained using the RGS strategy. We not only demonstrate best model performance but also characterize grid searches from various aspects such as their capabilities of discovering decent models and the unit grid search time. The three-stage mechanism worked effectively. It made our low-budget grid searches feasible and manageable, and in the meantime helped improve model prediction performance. Our SHAP analyses identified both clinical risk factors important for the prediction of future risk of breast cancer metastasis, and DFNN-model hyperparameters important to the prediction of performance scores.

Background: Breast cancer is a multifactorial disease, genetic and environmental factors will affect its incidence probability. Breast cancer metastasis is one of the main cause of breast cancer related deaths reported by the American Cancer Society (ACS). Method: the iMedBot is a web application that we developed using the python Flask web framework and deployed on Amazon Web Services. It contains a frontend and a backend. The backend is supported by a python program we developed using the python Keras and scikit-learn packages, which can be used to learn deep feedforward neural network (DFNN) models. Result: the iMedBot can provide two main services: 1. it can predict 5-, 10-, or 15-year breast cancer metastasis based on a set of clinical information provided by a user. The prediction is done by using a set of DFNN models that were pretrained, and 2. It can train DFNN models for a user using user-provided dataset. The model trained will be evaluated using AUC and both the AUC value and the AUC ROC curve will be provided. Conclusion: The iMedBot web application provides a user-friendly interface for user-agent interaction in conducting personalized prediction and model training. It is an initial attempt to convert results of deep learning research into an online tool that may stir further research interests in this direction. Keywords: Deep learning, Breast Cancer, Web application, Model training.