TURKISH JOURNAL OF ONCOLOGY 2026 , Vol 41 , Num 1
A Hybrid Deep-ensemble Decision-Support Framework for Reliable Early Breast Cancer Detection: A Cross-validated Outcome Analysis
Praveen PACHAURI1,Kamal UPRETI2,Pravin KSHIRSAGAR3,Ganeshavishwaa V. RADHAKRISHNAN4,Sivaneasan Bala KRISHNAN5,Ajay KUMAR6,Rituraj JAIN7
1Department of Computer Science, Government Polytechnic Siwan, Siwan-India
2Department of Computer Science, Christ University, Ghaziabad-India
3Department of Electronics & Telecommunication, J D College of Engineering & Management, Nagpur-India
4Department of Economics and Finance, Kalinga Institute of Industrial Technology, Bhubaneswar-India
5Singapore Institute of Technology Engineering Cluster, Singapore-Singapore
6Dev Bhoomi Uttarakhand University, Dehradun-India
7Department of Information Technology, Marwadi University, Rajkot-India
DOI : 10.5505/tjo.2026.4798 OBJECTIVE
The necessity to diagnose breast cancer early and correctly is the need to minimize the diagnostic uncertainty and unwarranted clinical procedures. This paper assesses the reliability of a hybrid deep-ensemble decision-support model in terms of diagnostic reliability, stability of outcome, and translational feasibility of the model via structured clinical data to detect early breast cancer.

METHODS
The Wisconsin Diagnostic Breast Cancer dataset which consisted of 569 cases of benign and malignant tumors was analyzed retrospectively. The framework proposed combines the deep learning of latent representations with stacked classification, ensemble-based feature selection, and stacked classification. Performance evaluation was performed based on sensitivity, specificity, accuracy, F1-score, and area under the curve (AUC) performed using stratified 10-fold cross-validation. The statistical stability across folds and the comparison with baseline models were determined with the help of non-parametric tests (p<0.05).

RESULTS
The model had good diagnostic performance with an accuracy of between 91.2-100 (Mean 96), Sensitivity of 76.2-100, good specificity value, and AUC 0.973-1.000. Variability in performance between folds was low, and statistically significant enhancement as compared to baseline classifiers were present.

CONCLUSION
The hybrid deep-ensemble model is highly diagnostic, has robust discriminative ability, and ultimately remains stable, which demonstrates the methodological robustness and diagnostic reliability of the proposed framework as a proof-of-concept decision-support model for early breast cancer detection, with potential translational relevance subject to further external clinical validation. Keywords : Breast cancer detection; clinical decision support; diagnostic reliability; hybrid deep?ensemble learning