Machine Learning Use for Prognostic Purposes in Multiple Sclerosis

The course of multiple sclerosis begins with a relapsing-remitting phase, which evolves into a secondarily progressive form over an extremely variable period, depending on many factors, each with a subtle influence. To date, no prognostic factors or risk score have been validated to predict disease...

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Main Authors: Ruggiero Seccia, Silvia Romano, Marco Salvetti, Andrea Crisanti, Laura Palagi, Francesca Grassi
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/11/2/122
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author Ruggiero Seccia
Silvia Romano
Marco Salvetti
Andrea Crisanti
Laura Palagi
Francesca Grassi
author_facet Ruggiero Seccia
Silvia Romano
Marco Salvetti
Andrea Crisanti
Laura Palagi
Francesca Grassi
author_sort Ruggiero Seccia
collection DOAJ
description The course of multiple sclerosis begins with a relapsing-remitting phase, which evolves into a secondarily progressive form over an extremely variable period, depending on many factors, each with a subtle influence. To date, no prognostic factors or risk score have been validated to predict disease course in single individuals. This is increasingly frustrating, since several treatments can prevent relapses and slow progression, even for a long time, although the possible adverse effects are relevant, in particular for the more effective drugs. An early prediction of disease course would allow differentiation of the treatment based on the expected aggressiveness of the disease, reserving high-impact therapies for patients at greater risk. To increase prognostic capacity, approaches based on machine learning (ML) algorithms are being attempted, given the failure of other approaches. Here we review recent studies that have used clinical data, alone or with other types of data, to derive prognostic models. Several algorithms that have been used and compared are described. Although no study has proposed a clinically usable model, knowledge is building up and in the future strong tools are likely to emerge.
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spelling doaj.art-10612e4e859a42a998c5ba223f3b7dfb2023-12-03T12:30:24ZengMDPI AGLife2075-17292021-02-0111212210.3390/life11020122Machine Learning Use for Prognostic Purposes in Multiple SclerosisRuggiero Seccia0Silvia Romano1Marco Salvetti2Andrea Crisanti3Laura Palagi4Francesca Grassi5Department of Computer, Control and Management Engineering “Antonio Ruberti”, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs, Sapienza University of Rome, 00189 Rome, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs, Sapienza University of Rome, 00189 Rome, ItalyDepartment of Physics, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Computer, Control and Management Engineering “Antonio Ruberti”, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Physiology and Pharmacology, Sapienza University of Rome, 00185 Rome, ItalyThe course of multiple sclerosis begins with a relapsing-remitting phase, which evolves into a secondarily progressive form over an extremely variable period, depending on many factors, each with a subtle influence. To date, no prognostic factors or risk score have been validated to predict disease course in single individuals. This is increasingly frustrating, since several treatments can prevent relapses and slow progression, even for a long time, although the possible adverse effects are relevant, in particular for the more effective drugs. An early prediction of disease course would allow differentiation of the treatment based on the expected aggressiveness of the disease, reserving high-impact therapies for patients at greater risk. To increase prognostic capacity, approaches based on machine learning (ML) algorithms are being attempted, given the failure of other approaches. Here we review recent studies that have used clinical data, alone or with other types of data, to derive prognostic models. Several algorithms that have been used and compared are described. Although no study has proposed a clinically usable model, knowledge is building up and in the future strong tools are likely to emerge.https://www.mdpi.com/2075-1729/11/2/122multiple sclerosismachine learningdisease progressionprognostication
spellingShingle Ruggiero Seccia
Silvia Romano
Marco Salvetti
Andrea Crisanti
Laura Palagi
Francesca Grassi
Machine Learning Use for Prognostic Purposes in Multiple Sclerosis
Life
multiple sclerosis
machine learning
disease progression
prognostication
title Machine Learning Use for Prognostic Purposes in Multiple Sclerosis
title_full Machine Learning Use for Prognostic Purposes in Multiple Sclerosis
title_fullStr Machine Learning Use for Prognostic Purposes in Multiple Sclerosis
title_full_unstemmed Machine Learning Use for Prognostic Purposes in Multiple Sclerosis
title_short Machine Learning Use for Prognostic Purposes in Multiple Sclerosis
title_sort machine learning use for prognostic purposes in multiple sclerosis
topic multiple sclerosis
machine learning
disease progression
prognostication
url https://www.mdpi.com/2075-1729/11/2/122
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