# Prediction of Hereditary Cancers Using Neural Networks

arXiv: https://arxiv.org/abs/2106.13682 · HTML: https://mlsanity.com/paper/2106.13682/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 14 of its 108 references that are in the map.
- First posted on arXiv 25 Jun 2021.

## Builds on (most cited first, 14 of 14)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [A Comprehensive Survey on Graph Neural Networks](https://mlsanity.com/paper/1901.00596/) (2019)
- [Learning Important Features Through Propagating Activation Differences](https://mlsanity.com/paper/1704.02685/) (2017)
- [Fast and Accurate Deep Network Learning by Exponential Linear Units (ELUs)](https://mlsanity.com/paper/1511.07289/) (2015)
- [Learning Convolutional Neural Networks for Graphs](https://mlsanity.com/paper/1605.05273/) (2016)
- [Deep Learning for Case-Based Reasoning through Prototypes: A Neural Network that Explains Its Predictions](https://mlsanity.com/paper/1710.04806/) (2017)
- [Interpretable Convolutional Neural Networks](https://mlsanity.com/paper/1710.00935/) (2017)
- [Evaluation of Neural Architectures Trained with Square Loss vs Cross-Entropy in Classification Tasks](https://mlsanity.com/paper/2006.07322/) (2020)
- [On Loss Functions for Deep Neural Networks in Classification](https://mlsanity.com/paper/1702.05659/) (2017)
- [Theano: A Python framework for fast computation of mathematical expressions](https://mlsanity.com/paper/1605.02688/) (2016)
- [Towards Interpretable Deep Neural Networks by Leveraging Adversarial Examples](https://mlsanity.com/paper/1708.05493/) (2017)
- [A Generalization of Convolutional Neural Networks to Graph-Structured Data](https://mlsanity.com/paper/1704.08165/) (2017)
- [A concatenating framework of shortcut convolutional neural networks](https://mlsanity.com/paper/1710.00974/) (2017)

## Abstract (arXiv)

Family history is a major risk factor for many types of cancer. Mendelian risk prediction models translate family histories into cancer risk predictions based on knowledge of cancer susceptibility genes. These models are widely used in clinical practice to help identify high-risk individuals. Mendelian models leverage the entire family history, but they rely on many assumptions about cancer susceptibility genes that are either unrealistic or challenging to validate due to low mutation prevalence. Training more flexible models, such as neural networks, on large databases of pedigrees can potentially lead to accuracy gains. In this paper, we develop a framework to apply neural networks to family history data and investigate their ability to learn inherited susceptibility to cancer. While there is an extensive literature on neural networks and their state-of-the-art performance in many tasks, there is little work applying them to family history data. We propose adaptations of fully-connected neural networks and convolutional neural networks to pedigrees. In data simulated under Mendelian inheritance, we demonstrate that our proposed neural network models are able to achieve nearly optimal prediction performance. Moreover, when the observed family history includes misreported cancer diagnoses, neural networks are able to outperform the Mendelian BRCAPRO model embedding the correct inheritance laws. Using a large dataset of over 200,000 family histories, the Risk Service cohort, we train prediction models for future risk of breast cancer. We validate the models using data from the Cancer Genetics Network.
