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Paper · arXiv

Robust Reinforcement Learning for Dynamic Treatment Regimes under Model and Measurement Uncertainty

We develop a robust reinforcement learning (RL) framework for learning adaptive treatment policies that generalize across patients and remain reliable under errors in the measured biomarker and shifts in the disease dynamics. By modeling the patient as a hidden context, we address generalization and robustness in a unified manner through robust contextual Markov decision processes. Applying our framework to adaptive therapy for metastatic prostate cancer in a simulator calibrated to clinical data, we obtain generalizable and robust policies that substantially outperform the existing adaptive therapy method. In particular, we attain robustness with almost no loss of performance when the bi...

AuthorsChengze Xie, Xuan Wang, Ying Ding et al.
Primary categorycs.LG
Published15 October 2026
Last updated at source15 October 2026
cs.LG
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