Mechanistic Simulation of Tumor Response Outperforms Radiomics Predicting Recurrence in Prostate Cancer Radiotherapy

In prostate cancer radiotherapy, biochemical recurrence has been traditionally predicted using radiomics approaches with however limited performance. The purpose of this work was to use a mechanistic in silico model of tumor growth and response to irradiation to obtain better predictions. A cohort of 76 patients with localized prostate adenocarcinoma having undergone external beam radiotherapy was used. Analogous digital tissues were built from...