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Disentangling Blood-Based Markers of Multiple Sclerosis Through Machine Learning: An Evaluation Study.
Robin Vlieger1, Mst Mousumi Rizia1, Abolfazl Amjadipour1
1The Australian National University, Australia.
Studies in Health Technology and Informatics
|August 8, 2025
Summary
Machine learning for multiple sclerosis classification shows varied methods. Logistic Regression with Random Forests and 10-fold cross-validation performed best, but results depend on experimental setup and feature selection.
Area of Science:
- Biomedical data analysis
- Computational neuroscience
- Machine learning in medicine
Background:
- Multiple sclerosis (MS) research increasingly utilizes blood-based biomarkers.
- Machine learning (ML) algorithms are applied for classifying MS using these markers.
- Significant variability exists in the ML methodologies employed in these studies.
Purpose of the Study:
- To compare different machine learning configurations for blood-based marker classification in multiple sclerosis.
- To evaluate the impact of feature selection methods and cross-validation strategies.
- To identify optimal ML approaches for MS biomarker discovery.
Main Methods:
- Comparison of various machine learning algorithms (e.g., Logistic Regression).
- Assessment of different feature selection techniques, including Random Forests.
- Evaluation using 10-fold cross-validation with heterogeneous data splits.
Main Results:
- Logistic Regression combined with Random Forests for feature selection and 10-fold cross-validation achieved the best classification performance.
- The specific blood-based markers identified were dependent on the feature selection method used.
- Heterogeneity in cross-validation data splits indicated variability in experimental setups.
Conclusions:
- The choice of machine learning algorithms, feature selection, and evaluation methods significantly impacts classification results for MS blood-based markers.
- Experimental design and data splitting strategies influence the selection of relevant biomarkers.
- Standardization of ML methodologies is crucial for reproducible MS biomarker research.

