使用机器学习检测正常禁食葡萄糖患者的糖尿病患者
Kun Lv1,2, Chunmei Cui3, Rui Fan4
1Key Laboratory of Non-Coding RNA Transformation Research of Anhui Higher Education Institutes, Wuhu, China. lvkun315@126.com.
BMC medicine
|September 6, 2023
概括
这项研究开发了一种机器学习模型,DRING,用于识别正常禁食葡萄糖的个体的糖尿病. 干燥可以有效地检测标准查错过的糖尿病,改善早期诊断和干预,以获得更好的健康结果.
科学领域:
- 内分泌学和代谢性疾病.
- 生物医学信息学 生物医学信息学
- 计算生物学 计算生物学
背景情况:
- 糖尿病是一种具有严重并发症的慢性代谢疾病,需要早期检测.
- 使用禁食血糖 (FBG) 的标准查错过了糖尿病患者,但正常的FBG.
- 在正常的禁食葡萄糖 (NFG) 患者中发现糖尿病对于及时干预至关重要.
研究的目的:
- 调查常见体检指数在NFG患者中识别糖尿病的有用性.
- 在NFG群体中开发和验证糖尿病检测的预测模型.
- 在NFG患者中识别糖尿病的个性化风险因素.
主要方法:
- 利用了来自三个中国队伍的6万多名NFG患者的体检数据.
- 基于HbA1c ≥48 mmol/mol (6.5%) 的定义糖尿病.
- 使用的机器学习模型 (逻辑回归,随机森林,深度神经网络,支持矢量机) 和排列对于风险因素识别具有重要意义.
主要成果:
- 经优化并命名为DRING (正常禁食葡萄糖的个体的糖尿病风险) 的后勤回归模型表现出高性能 (AUC 0.899,灵敏度85.0%,在验证集上81.1%的特异性).
- 使用13个特征的DRING在独立数据集上显示出可靠的性能 (AUC高达0.964).
- 确定的主要危险因素包括BMI,年龄,性别,绝对淋巴细胞计数和体积平均值;个性化因素包括FBG,年龄和BMI.
结论:
- 在那些正常的禁食葡萄糖中,DRING有效地识别出糖尿病患者,有助于早期诊断.
- 该模型可以帮助识别常规查方法经常错过的个体.
- 早期检测和干燥所促进的干预可以缓解严重的糖尿病并发症.
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