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Application of artificial intelligence to chronic kidney disease mineral bone disorder
Eleanor D Lederer1,2,3, Mahmoud M Sobh4, Michael E Brier3,5
1VA North Texas Health Care Services, Dallas TX, USA.
Insights
Chronic kidney disease mineral and bone disorder (CKD-MBD) accelerates mortality. This review proposes using AI and mathematical modeling to develop new CKD-MBD therapies and diagnostic tools for better patient outcomes.
Area of Science:
- Nephrology
- Biomathematics
- Artificial Intelligence
Background:
- Chronic kidney disease-mineral and bone disorder (CKD-MBD) significantly increases mortality in kidney disease patients.
- Current treatments for CKD-MBD, including dialysis, phosphate binders, and therapies for secondary hyperparathyroidism, have not improved cardiovascular outcomes.
- Progress is hindered by incomplete understanding of pathophysiology, lack of early-stage clinical targets, and diverse clinical presentations.
Purpose of the Study:
- To introduce a novel approach to CKD-MBD by integrating mathematical modeling and machine learning artificial intelligence.
- To explore the potential of AI in generating new hypotheses and developing innovative therapeutic strategies for CKD-MBD.
- To address the need for improved diagnostic tools, risk assessment, and personalized therapies for CKD-MBD.
Main Methods:
- Review of current understanding and treatment limitations of CKD-MBD.
- Description of a proposed framework combining mathematical modeling of biological processes with machine learning AI.
- Application of AI for hypothesis generation and development of novel therapeutic approaches.
Main Results:
- The proposed approach offers a pathway to overcome current obstacles in CKD-MBD research and treatment.
- AI and mathematical modeling can accelerate the identification of new therapeutic targets and personalized treatment strategies.
- Integration of AI can enhance diagnostic capabilities and risk profiling for CKD-MBD patients.
Conclusions:
- A novel approach combining mathematical modeling and AI holds significant promise for advancing CKD-MBD research.
- AI integration is crucial for developing innovative diagnostics and personalized therapies to improve outcomes for kidney disease patients.
- This interdisciplinary approach can accelerate progress in managing the complexities of CKD-MBD.
Abstract:
The global derangement of mineral metabolism that accompanies chronic kidney disease (CKD-MBD) is a major driver of the accelerated mortality for individuals with kidney disease. Advances in the delivery of dialysis, in the composition of phosphate binders, and in the therapies directed towards secondary hyperparathyroidism have failed to improve the cardiovascular event profile in this population. Many obstacles have prevented progress in this field including the incomplete understanding of pathophysiology, the lack of clinical targets for early stages of chronic kidney disease, and the remarkably wide diversity in clinical manifestations. We describe in this review a novel approach to CKD-MBD combining mathematical modelling of biologic processes with machine learning artificial intelligence techniques as a tool for the generation of new hypotheses and for the development of innovative therapeutic approaches to this syndrome. Clinicians need alternative targets of therapy, tools for risk profile assessment, and new therapies to address complications early in the course of disease and to personalize therapy to each individual. The complexity of CKD-MBD suggests that incorporating artificial intelligence techniques into the diagnostic, therapeutic, and research armamentarium could accelerate the achievement of these goals.
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