Personalized Survival Prediction with Contextual Explanation Networks

Abstract: Accurate and transparent prediction of cancer survival times on the level of individual patients can inform and improve patient care and treatment practices. In this paper, we design a model that concurrently learns to accurately predict patient-specific survival distributions and to explain its predictions in terms of patient attributes such as clinical tests or assessments. Our model is flexible and based on a recurrent network, can handle various modalities of data including temporal measurements, and yet constructs and uses simple explanations in the form of patient- and time-specific linear regression. For analysis, we use two publicly available datasets and show that our networks outperform a number of baselines in prediction while providing a way to inspect the reasons behind each prediction.