A modified single-stacked ensemble framework for prognostic analysis of leukemia relapse

Bone marrow transplant (BMT) is a life-saving treatment for acute leukemia, though relapse remains a risk due to donor compatibility, clinical variability, and healthcare resource limitations. This chapter introduces a modified single-stacked ensemble prognostic algorithm optimized for interpretabil...

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Bibliographic Details
Main Author: Chuan, Zun Liang
Other Authors: Jingyuan, Zhao
Format: Book Chapter
Language:en
Published: IGI Global 2026
Subjects:
Online Access:https://umpir.ump.edu.my/id/eprint/47627/1/Book%20Chapter%20%28Biomedical%20Data%20Science%29.pdf
https://umpir.ump.edu.my/id/eprint/47627/
https://doi.org/10.4018/979-8-2600-0986-4.ch004
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Summary:Bone marrow transplant (BMT) is a life-saving treatment for acute leukemia, though relapse remains a risk due to donor compatibility, clinical variability, and healthcare resource limitations. This chapter introduces a modified single-stacked ensemble prognostic algorithm optimized for interpretability, transparency, and reliability, especially for small and imbalanced datasets. While its predictive performance is average, the algorithm identifies key relapse-related covariates, including acute GVHD time, acute and chronic GVHD occurrence, platelet recovery time and status, and French-American-British (FAB) classification. By embedding structured statistical modeling within an AI framework, the approach integrates clinical insight with algorithmic reasoning. It promotes e-collaboration by enabling clinicians to engage with AI outputs, fostering trust and transparency. This study contributes to explainable AI in hematology, supports clinical decision-making, enhances patient care, and aligns with United Nations Sustainable Development Goal 3 (Good Health and Well-Being).