通过常规血液检测诊断精神分裂症:机器学习算法的比较分析
Yavuz Selim Ogur1, Ayse Erdogan Kaya2, Nur Banu Ogur3
1Department of Psychiatry, Serdivan State Hospital, Sakarya, Türkiye.
Frontiers in psychiatry
|September 4, 2025
概括
机器学习模型使用常规血液检测准确地识别了精神分裂症. 像葡萄糖和铁这样的关键生物标志物显示出客观诊断的潜力,
科学领域:
- 生物标志物的发现
- 计算精神病学
- 临床诊断
背景情况:
- 精神分裂症诊断依赖于临床标准, 缺乏客观的生物标志物.
- 外周血液生物标志物和机器学习 (ML) 提供了改善诊断准确性的潜力.
- 目前的诊断方法在客观性和有效性方面面临挑战.
研究的目的:
- 开发和评估使用周围血液生物标志物的精神分裂症诊断ML模型.
- 确定最佳生物标记子集,以区分精神分裂症患者和健康对照.
- 评估基于ML的诊断性能和潜在的临床实用性.
主要方法:
- 对203名精神分裂症患者和192名健康对照者的回顾性病例对照研究.
- 抽取和计算常规的血液学和生物化学参数.
- 灰狼优化 (GWO) 的应用用于生物标志物选择和各种ML模型 (RF,XGBoost,SVM,KNN,LR) 的十倍交叉验证.
主要成果:
- 在GWO优化后,XGBoost获得了最高的精度 (95.90%) 和特异性 (95.54%).
- 随机森林显示出强的表现,准确率为94.95%,回忆率为96.25%.
- 主要区分生物标志物包括总蛋白质,葡萄糖,铁,肌酸酶,总 bilirubin,尿酸,和.
结论:
- 使用常规血液参数的ML模型显示精神分裂症的高诊断准确性.
- 与昂贵的方法相比,已识别的生物标志物和开发的模型提供了成本有效的方法.
- 建议进行进一步的外部验证,以确认其通用性和临床适用性.
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