This repository is a supplement to my preprint: https://www.biorxiv.org/content/10.1101/2020.03.27.009043v3
and upcoming paper.  

Here we explore the utility of telomeres and chromosome rearrangements for predicting cancer patient's risks of radiation late effects from radiotherapy, and present the first implementation of individual telomere length data in a machine learning model (XGBoost), providing a general framework for predicting individual outcomes from radiotherapy.  

The ability to predict a cancer patient’s response to radiotherapy and risk of developing adverse late health effects would greatly improve personalized treatment regimens and individual outcomes. Telomeres represent a compelling biomarker of individual radiosensitivity and risk, as exposure can result in dysfunctional telomere pathologies that coincidentally overlap with many radiation-induced late effects, ranging from degenerative conditions like fibrosis and cardiovascular disease to proliferative pathologies like cancer. Here, telomere length was longitudinally assessed in a cohort of fifteen prostate cancer patients undergoing Intensity Modulated Radiation Therapy (IMRT) utilizing Telomere Fluorescence in situ Hybridization (Telo-FISH). To evaluate genome instability and enhance predictions for individual patient risk of secondary malignancy, chromosome aberrations were also assessed utilizing directional Genomic Hybridization (dGH) for high-resolution inversion detection. We present the first implementation of individual telomere length data in a machine learning model, XGBoost, trained on pre-radiotherapy (baseline) and in vitro exposed (4 Gy γ-rays) telomere length measures, to predict post-radiotherapy telomeric outcomes, which together with chromosomal instability provide insight into individual radiosensitivity and risk for radiation-induced late effects.

The notebooks which document and execute the data analysis for this project are provided below in multiple formats. All code is written in python. The Nbviewer and HTML links provide static renderings of the jupyter notebooks. The Jupyter lab Binder link provides an interactive, fully functional rendering of the entire repo or individual notebooks. Each notebook is dedicated to a specific task in the workflow, detailed in the filename suffix.  

01_radiation_therapy_patients_data_EXTRACTION_CLEANING.ipynb

• Extraction and cleaning of telomere length and chromosome rearrangement data

02_radiation_therapy_patients_data_VISUALIZATION_STATISTICS.ipynb

• Multiple types of highly customized data visualizations
• Feature engineering short/long telomeres
• ANOVAs, regressions, statistical modeling

03_radiation_therapy_patients_data_MACHINE_LEARNING.ipynb

• Extensive data-cleaning class pipelines to prepare data machine learning (ML) models
• GridSearch / Bayesian optimization (don't run if your laptop is older like mine)
• Training XGBoost models on pre-therapy data to predict post-therapy otucomes
• Extensive evaluation of model metrics
• Hierarchical clustering of patients using longitudinal data into high/low risk sub-groups

Jupyter Lab

Nbviewer	Jupyter Lab	HTML
01_radiation_therapy_patients_data_EXTRACTION_CLEANING.ipynb		HTML
02_radiation_therapy_patients_data_VISUALIZATION_STATISTICS.ipynb		HTML
03_radiation_therapy_patients_data_MACHINE_LEARNING.ipynb		HTML