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Decision trees to evaluate the risk of developing multiple sclerosis
Manuela Pasella1, Fabio Pisano1, Barbara Cannas1
1Department of Electrical and Electronic Engineering, University of Cagliari, Cagliari, Italy.
Frontiers in Neuroinformatics
|August 31, 2023
Summary
A new machine learning model uses immunogenetic markers to predict multiple sclerosis (MS) risk. This tool can help identify at-risk individuals and monitor family members of MS patients.
Area of Science:
- Neurology
- Immunogenetics
- Machine Learning
Background:
- Multiple sclerosis (MS) is a chronic neurological disease affecting the central nervous system, with uncertain etiology attributed to genetic and environmental factors.
- Current MS diagnosis involves clinical assessment, neuroimaging, and cerebrospinal fluid analysis, with no definitive cure available.
Purpose of the Study:
- To develop a predictive machine learning tool for assessing the risk of developing multiple sclerosis.
- To identify key immunogenetic risk markers associated with MS development.
Main Methods:
- A decision tree-based machine learning algorithm was developed.
- The algorithm integrated demographic factors (initially) and immunogenetic markers, including Human Leukocyte Antigen (HLA) class I alleles and Killer Immunoglobulin-like Receptor (KIR) genes.
- Demographic factors were excluded due to bias, focusing solely on immunogenetic markers.
Main Results:
- The study included 619 healthy controls and 299 MS patients from Sardinia.
- Excluding gender, the algorithm achieved 73.24% accuracy in identifying MS patients and 66.07% in identifying healthy individuals.
- The model demonstrated the predictive power of immunogenetic markers in MS risk assessment.
Conclusions:
- The developed machine learning system shows potential for clinical application.
- It can aid in monitoring relatives of MS patients and identifying at-risk individuals.
- Further research may refine predictive capabilities for early MS detection and intervention.

