A new artificial intelligence model can predict people’s risk of multiple sclerosis years before diagnosis, potentially enabling quicker treatment, according to research revealed today at the 2023 AACC Annual Scientific Meeting & Clinical Lab Expo.
| Breaking results from two studies to be presented at 2023 AACC Annual Scientific Meeting & Clinical Lab Expo ANAHEIM, Calif., July 25, 2023 /PRNewswire/ -- A new artificial intelligence model can predict people’s risk of multiple sclerosis years before diagnosis, potentially enabling quicker treatment, according to research revealed today at the 2023 AACC Annual Scientific Meeting & Clinical Lab Expo. Another breaking study demonstrates how machine learning can help detect lab samples contaminated with intravenous fluids—a finding that could reduce lab errors that delay diagnosis and raise healthcare costs.
Taken together, the results highlight key advances in the use of artificial intelligence and machine learning to improve patient care. AI Model Harnesses Patient Data to Predict Multiple Sclerosis Risk A team led by Raj Gopalan, MD, at Siemens Healthineers in Tarrytown, New York, trained machine-learning models to predict people’s risk of multiple sclerosis. They harnessed more than 3,000 sets of data from the electronic health records of patients with and without multiple sclerosis from Beth Israel Deaconess Medical Center in Boston. Their “random forest model” parses data on a patient’s age, gender, blood markers, and metabolic data, gathered up to three years before diagnosis. The model was highly accurate and demonstrated strong predictive power. Most of the model’s ability to distinguish at-risk patients came from blood measurements of neutrophils, red blood cells, and other markers. These predictions remained consistent for as long as three years before the patients were diagnosed. “Our model’s performance suggests that AI-based prediction models could identify the risk for multiple sclerosis years before neurological symptoms appear,” Gopalan said. “This could reveal which patients should be monitored for periodic neurological and cognitive exams when symptoms appear,” he said. “In addition, early confirmation of the diagnosis with imaging and cerebrospinal fluid studies could facilitate disease-modifying treatment.” Machine Learning Flags Potentially Contaminated Lab Results Using a technique called “mixture-of-experts” modeling, researchers have now created a machine-learning pipeline that can identify cases of IV fluid contamination that went undetected by manual methods. The team, led by Nicholas Spies, MD, at Washington University School of Medicine in St. Louis, aggregated more than 9,600,000 chemistry results from patients and simulated IV fluid contamination in some of the samples with common IV solutions. After training various machine-learning models using the simulated results, the scientists generated a final set of predictions. The models detected meaningful contamination in several thousand samples. Spies said that the pipeline can detect about 5 to 10 times as many contaminated specimens as his group’s current approach. Furthermore, many of these tests evaded being previously flagged with manual methods–up to 94% in the case of samples contaminated with a solution called lactated Ringer’s. “While this won’t immediately reduce the number of contaminated tests, it will hopefully substantially reduce the operational and clinical impact of these events when they do happen, and provide us with a better quality metric with which we can prioritize areas for improvement initiatives,” Spies said. About the 2023 AACC Annual Scientific Meeting & Clinical Lab Expo At the Clinical Lab Expo, more than 900 exhibitors will fill the show floor of the Anaheim Convention Center in Anaheim, California, with displays of the latest diagnostic technology, including but not limited to COVID-19 testing, artificial intelligence, point-of-care, and automation. About the Association for Diagnostics & Laboratory Medicine (ADLM) Bill Malone Molly Polen
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