A predictive machine-learning model for clinical decision-making in washed microbiota transplantation on ulcerative colitis

被引:1
作者
Zhang, Sheng [1 ,2 ,3 ]
Lu, Gaochen [1 ,2 ,3 ]
Wang, Weihong [1 ,2 ,3 ]
Li, Qianqian [1 ,2 ,3 ]
Wang, Rui [1 ,2 ,3 ]
Zhang, Zulun [1 ,2 ,3 ]
Wu, Xia [1 ,2 ,3 ]
Liang, Chenchen [1 ,2 ,3 ]
Liu, Yujie [4 ]
Li, Pan [1 ,2 ,3 ]
Wen, Quan [1 ,2 ,3 ]
Cui, Bota [1 ,2 ,3 ]
Zhang, Faming [1 ,2 ,3 ,5 ]
机构
[1] Nanjing Med Univ, Affiliated Hosp 2, Dept Microbiota Med, Nanjing, Peoples R China
[2] Nanjing Med Univ, Med Ctr Digest Dis, Affiliated Hosp 2, Nanjing, Peoples R China
[3] Nanjing Med Univ, Jiangsu Engn Res Ctr Adv Microbiota Med, Key Lab Holist Integrat Enterol, Affiliated Hosp 2, Nanjing, Peoples R China
[4] Chinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Peoples R China
[5] Natl Clin Res Ctr Digest Dis, Xian, Peoples R China
关键词
Fecal microbiota transplant; Machine learning; Ulcerative colitis; Clinical indicator; INFLAMMATION; PREVENTION; DIAGNOSIS;
D O I
10.1016/j.csbj.2024.08.021
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Background and Aim: Machine learning based on clinical data and treatment protocols for better clinical decision- making is a current research hotspot. This study aimed to build a machine learning model on washed microbiota transplantation (WMT) for ulcerative colitis (UC), providing patients and clinicians with a new evaluation system to optimize clinical decision-making. Methods Patients with UC who underwent WMT via mid-gut or colonic delivery route at an affiliated hospital of Nanjing Medical University from April 2013 to June 2022 were recruited. Model ensembles based on the clinical indicators were constructed by machine-learning to predict the clinical response of WMT after one month. Results A total of 366 patients were enrolled in this study, with 210 patients allocated for training and internal validation, and 156 patients for external validation. The low level of indirect bilirubin, activated antithrombin III, defecation frequency and cholinesterase and the elderly and high level of creatine kinase, HCO3- 3- and thrombin time were related to the clinical response of WMT at one month. Besides, the voting ensembles exhibited an area under curve (AUC) of 0.769 +/- 0.019 [accuracy, 0.754; F1-score, 0.845] in the internal validation; the AUC of the external validation was 0.614 +/- 0.017 [accuracy, 0.801; F1-score, 0.887]. Additionally, the model was available at https://wmtpredict.streamlit.app. Conclusions This study pioneered the development of a machine learning model to predict the one-month clinical response of WMT on UC. The findings demonstrate the potential value of machine learning applications in the field of WMT, opening new avenues for personalized treatment strategies in gastrointestinal disorders. Trial registration clinical trials, NCT01790061. Registered 09 February 2013- Retrospectively registered, https://clinicaltrials.go v/study/NCT01790061
引用
收藏
页码:583 / 592
页数:10
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