Prediction models for early diagnosis of actinomycotic osteomyelitis of the jaw using machine learning techniques: a preliminary study.


Journal

BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684

Informations de publication

Date de publication:
06 05 2022
Historique:
received: 28 10 2021
accepted: 25 04 2022
entrez: 6 5 2022
pubmed: 7 5 2022
medline: 11 5 2022
Statut: epublish

Résumé

This study aimed to develop and validate five machine learning models designed to predict actinomycotic osteomyelitis of the jaw. Furthermore, this study determined the relative importance of the predictive variables for actinomycotic osteomyelitis of the jaw, which are crucial for clinical decision-making. A total of 222 patients with osteomyelitis of the jaw were analyzed, and Actinomyces were identified in 70 cases (31.5%). Logistic regression, random forest, support vector machine, artificial neural network, and extreme gradient boosting machine learning methods were used to train the models. The models were subsequently validated using testing datasets. These models were compared with each other and also with single predictors, such as age, using area under the receiver operating characteristic (ROC) curve (AUC). The AUC of the machine learning models ranged from 0.81 to 0.88. The performance of the machine learning models, such as random forest, support vector machine and extreme gradient boosting was significantly superior to that of single predictors. Presumed causes, antiresorptive agents, age, malignancy, hypertension, and rheumatoid arthritis were the six features that were identified as relevant predictors. This prediction model would improve the overall patient care by enhancing prognosis counseling and informing treatment decisions for high-risk groups of actinomycotic osteomyelitis of the jaw.

Sections du résumé

BACKGROUND
This study aimed to develop and validate five machine learning models designed to predict actinomycotic osteomyelitis of the jaw. Furthermore, this study determined the relative importance of the predictive variables for actinomycotic osteomyelitis of the jaw, which are crucial for clinical decision-making.
METHODS
A total of 222 patients with osteomyelitis of the jaw were analyzed, and Actinomyces were identified in 70 cases (31.5%). Logistic regression, random forest, support vector machine, artificial neural network, and extreme gradient boosting machine learning methods were used to train the models. The models were subsequently validated using testing datasets. These models were compared with each other and also with single predictors, such as age, using area under the receiver operating characteristic (ROC) curve (AUC).
RESULTS
The AUC of the machine learning models ranged from 0.81 to 0.88. The performance of the machine learning models, such as random forest, support vector machine and extreme gradient boosting was significantly superior to that of single predictors. Presumed causes, antiresorptive agents, age, malignancy, hypertension, and rheumatoid arthritis were the six features that were identified as relevant predictors.
CONCLUSIONS
This prediction model would improve the overall patient care by enhancing prognosis counseling and informing treatment decisions for high-risk groups of actinomycotic osteomyelitis of the jaw.

Identifiants

pubmed: 35524204
doi: 10.1186/s12903-022-02201-6
pii: 10.1186/s12903-022-02201-6
pmc: PMC9074201
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

164

Informations de copyright

© 2022. The Author(s).

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Auteurs

Sun-Gyu Choi (SG)

Department of Oral and Maxillofacial Surgery, Hankook General Hospital, Danjae-ro 106, Sangdang-gu, Cheongju, South Korea.

Eun-Young Lee (EY)

Department of Oral and Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Chungdae-ro 1, Seowon-Gu, Cheongju, Chungbuk, 28644, South Korea.
Department of Oral and Maxillofacial Surgery, Chungbuk National University Hospital, 776, 1Sunhwan-ro, Seowon-gu, Cheongju, Chungbuk, 28644, South Korea.

Ok-Jun Lee (OJ)

Department of Pathology, Chungbuk National University Hospital, 776, 1Sunhwan-ro, Seowon-gu, Cheongju, Chungbuk, 28644, South Korea.

Somi Kim (S)

Dental Clinic Center, Chungnam National University Hospital, Sejong, South Korea.

Ji-Yeon Kang (JY)

Department of Oral and Maxillofacial Surgery, College of Medicine, Chungnam National University, Daejeon, South Korea.

Jae Seok Lim (JS)

Department of Oral and Maxillofacial Surgery, Chungbuk National University Hospital, 776, 1Sunhwan-ro, Seowon-gu, Cheongju, Chungbuk, 28644, South Korea. ahinshar1119@gmail.com.

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