Machine learning-based diagnosis of uveitis diseases using routine peripheral blood test data
Purpose
To evaluate diagnostic accuracy of machine learning for predicting diagnosis of uveitis using peripheral blood test data.
Methods
Five thousand four hundred and twenty-three patients diagnosed with uveitis at the Department of Ophthalmology, Tokyo Medical University Hospital between April 2004 and March 2020 were analyzed. Ten types of uveitis comprising eight diagnosed at high frequencies [Vogt-Koyanagi-Harada (VKH) disease, sarcoidosis(SAR), Behcet disease (BD), herpetic iridocyclitis(HI), vitreoretinal lymphoma (VRL), idiopathic pediatric iridocyclitis (IPD), acute retinal necrosis (ARN), and endophthalmitis(END)], other classifiable uveitis (others), and unclassified uveitis were diagnosed by six machine learning algorithms [support vector machine linear (SVM-L), support vector machine: radial basis function (SVM-RBF), random forest (RF), decision tree (DT), naïve Bayes (NB), and linear discriminant analysis (LDA) using peripheral blood test data.
Results
Accuracy (median ± standard deviation) using RF, SVM-RBF, SVM-L, LDA, DT and NB was 49±14%, 47±0.7%, 45±0.7%, 45±0.8%, 42±0.9% and 14±1%, respectively. Using RF, precision was 83.3% for BD, 77.5% for ARN, 77.1% for SAR, 75.0% for IPD, 61.5% for VRL, 54.0% for END, 50.0% for HI, 50.0% for VKH, 49.4% for others, and 45.7% for unclassified.
Conclusion
Machine learning approach using routine peripheral blood test data may be useful to make a diagnosis of uveitis.
Conflict of interest
No
Authors 1
Last name
TSUBOTA
Initials of first name(s)
K
Department
Department of Ophthalmology, Tokyo Medical University Hospital
City
Tokyo
Country
Japan
Authors 2
Last name
Usui
Initials of first name(s)
Y
Department
Department of Ophthalmology, Tokyo Medical University Hospital
City
Tokyo
Country
Japan
Authors 3
Last name
Nezu
Initials of first name(s)
N
Department
Department of Ophthalmology, Tokyo Medical University Hospital
City
Tokyo
Country
Japan
Authors 4
Last name
Goto
Initials of first name(s)
H
Department
Department of Ophthalmology, Tokyo Medical University Hospital
City
Tokyo
Country
Japan
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