Confusion Matrixes for out of sample classification of the decision trees shown in Figure 4, pessimistic tree built using only 80% of the data, Random Forests classifier and RUSBoost algorithm. For the high-risk population on the tree in Figure 4 A), 15% (4/26) of patients developed pneumonitis. On the other hand, for the high risk population of the tree on Figure a B) 22.73% (5/22) developed pneumonitis. The true performance will be in between these values and the pessimistic estimation. At this stage, the performance of the random forest is equivalent to the decision trees nevertheless, RUSBoost performs better than all the algorithms. True Positive = TP, False Negative = FN, False Positive = FP, True Negative = TN.