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Prediction of Preeclampsia Using Machine Learning: A Systematic Review.

Vinayak Malik1, Neha Agrawal2, Sonal Prasad2

  • 1Computer Science, University of Wisconsin, Madison, USA.

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Summary
This summary is machine-generated.

Machine learning models show promise for predicting preeclampsia, a major cause of maternal mortality. Balancing predictive accuracy with interpretability is key for clinical use.

Keywords:
artificial intelligencedeep learningmachine learningpreeclampsiarisk of biassystematic review

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Area of Science:

  • Obstetrics and Gynecology
  • Medical Informatics
  • Artificial Intelligence in Healthcare

Background:

  • Preeclampsia significantly contributes to maternal and perinatal morbidity and mortality worldwide.
  • Early prediction of preeclampsia is crucial for timely intervention, such as aspirin prophylaxis.
  • Machine learning (ML) is emerging as a powerful tool for disease prediction and prognosis.

Purpose of the Study:

  • To review methodologies, predictors, and performance of ML models for preeclampsia prediction.
  • To emphasize comparative advantages, challenges, and clinical applicability of ML in preeclampsia.
  • To explore the potential of artificial intelligence and deep learning in managing preeclampsia.

Main Methods:

  • Systematic literature search of PubMed, Cochrane, and Scopus (last 10 years).
  • Keywords included "preeclampsia", "risk factors", "machine learning", "artificial intelligence", and "deep learning".
  • 11 eligible studies were included after screening 325 records, assessing risk of bias.

Main Results:

  • A wide range of predictors were used, including clinicodemographic data, lab results, Doppler ultrasound, genotypic data, and fundal images.
  • Over ten different ML models were employed across studies from various countries.
  • Models like XGBoost, random forest, and neural networks showed high predictive accuracy (AUC 0.76-0.97).

Conclusions:

  • ML models demonstrate significant potential for accurate preeclampsia prediction.
  • Interpretability of 'black box' models is a critical ethical consideration for clinical adoption.
  • Future research should focus on diverse population validation and balancing performance with interpretability for improved maternal outcomes.