DeepOmicsSurv: a deep learning-based model for survival prediction of oral cancer.

OBJECTIVE: Oral cancer is an important health challenge worldwide and accurate survival time prediction of this disease can guide treatment decisions. This study aims to propose a deep learning-based model, DeepOmicsSurv, to predict survival in oral cancer patients using clinical and multi-omics data. METHODS: DeepOmicsSurv builds on the DeepSurv model, incorporating multi-head attention convolutional layers, dropout, pooling, and batch normalization to boost its strength and precision. Various dimensionality reduction techniques, including Principal Component Analysis (PCA), Kernel PCA, Non-Negative Matrix Factorization (NMF), Singular Value Decomposition (SVD), Partial Least Squares (PLS), Multidimensional Scaling (MDS), and Autoencoders, were employed to manage the high-dimensional omics data. The model's performance was evaluated against DeepSurv, DeepHit, Cox Proportional Hazards (CoxPH), Convolutional Neural Networks (CNN), and Recurrent Neural Networks (RNN). Additionally, SHapley Additive Explanations (SHAP) was used to analyze the impact of clinical features on survival predictions. RESULTS: DeepOmicsSurv achieved a C-index of 0.966, MSE of 0.0138, RMSE of 0.1174, MAE of 0.0795, and MedAE of 0.0515, outperforming other deep learning models. Among various dimensionality reduction techniques, autoencoder performed the best with DeepOmicsSurv. SHAP analysis showed that Age, AJCC N Stage, alcohol history and patient smoking history are prevalent clinical features for survival time. CONCLUSION: In conclusion, DeepOmicsSurv has the potential to predict survival time in oral cancer patients. This model achieved high accuracy with various data types including Clinical, DNAmethylation + clinical, mRNA + clinical, Copy number alteration + clinical, or multi-omics data. Additionally, SHAP analysis reveals clinical factors that influence survival time.