Artificial intelligence predicts the progression of diabetic kidney disease using big data machine learning
Masaki Makino1, Ryo Yoshimoto1, Masaki Ono2
1Department of Endocrinology and Metabolism, Fujita Health University, Toyoake, Aichi, Japan.
Scientific Reports
|August 16, 2019
Summary
Artificial intelligence (AI) predicts diabetic kidney disease (DKD) progression using electronic medical records. This AI model accurately identifies patients at high risk for DKD aggravation, potentially reducing the need for hemodialysis.
Area of Science:
- Medical Informatics
- Nephrology
- Machine Learning
Background:
- Diabetic kidney disease (DKD) is a major complication of diabetes.
- Early detection of DKD progression is crucial for timely intervention.
- Existing methods for predicting DKD aggravation have limitations.
Purpose of the Study:
- To develop and validate an AI-powered predictive model for diabetic kidney disease (DKD) aggravation.
- To utilize natural language processing and big data machine learning on electronic medical records (EMR).
- To assess the model's accuracy in predicting DKD progression over a 6-month period.
Main Methods:
- A predictive model was constructed using AI and big data machine learning on EMR data from 64,059 diabetes patients.
- AI extracted features from the past 6 months and identified 24 key factors using a convolutional autoencoder.
- A predictive model incorporating 3,073 features, including time-series data, was built using logistic regression analysis.
Main Results:
- The AI model achieved 71% accuracy in predicting DKD aggravation.
- A significant increase in hemodialysis incidence was observed in the DKD aggravation group over 10 years.
- The model demonstrated the ability to detect DKD progression.
Conclusions:
- AI can effectively support clinical judgment in predicting diabetic kidney disease (DKD) aggravation.
- The developed AI model shows promise for early detection and intervention in DKD.
- This approach may contribute to reducing the incidence of hemodialysis in diabetic patients.
Related Concept Videos
Chronic Kidney Disease I: Introduction
590
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
590
Chronic Kidney Disease II: Clinical Manifestations
572
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
572
Chronic Kidney Disease III: Interprofessional Care
356
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
356
Chronic Kidney Disease IV: Nursing Management
328
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
328
Intelligence
8.5K
The term "intelligence" is complex because it refers to both behavior and individuals, and its interpretation varies across cultures. European Americans tend to link intelligence with reasoning and cognitive skills, while in Kenya, it is tied to responsible participation in family and social life. In Uganda, intelligence is seen as the ability to know the right actions and carry them out effectively, while the Iatmul people of Papua New Guinea associate it with the capacity to remember...
8.5K
Kidney Structure
75.0K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
75.0K


