Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests

Introduction: Carbohydrate malabsorptions symptoms include intestinal fluid retention, causing diarrhea and abdominal distention. The aim of this work is to create a machine learning model that predicts carbohydrate malabsorption using H2 measurements from lactose and fructose tolerance tests. Metho...

Full description

Bibliographic Details
Main Authors: Netzer Michael, Hanser Friedrich, Ledochowski Maximilian, Baumgarten Daniel
Format: Article
Language:English
Published: De Gruyter 2022-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2022-1073
_version_ 1797947906800484352
author Netzer Michael
Hanser Friedrich
Ledochowski Maximilian
Baumgarten Daniel
author_facet Netzer Michael
Hanser Friedrich
Ledochowski Maximilian
Baumgarten Daniel
author_sort Netzer Michael
collection DOAJ
description Introduction: Carbohydrate malabsorptions symptoms include intestinal fluid retention, causing diarrhea and abdominal distention. The aim of this work is to create a machine learning model that predicts carbohydrate malabsorption using H2 measurements from lactose and fructose tolerance tests. Methods: We compare the predictive ability of popular classifiers with classifiers that are specifically designed for time series data. Our approach was implemented using sklearn and sktime Python machine learning libraries. Results: The highest predictive ability for the fructose dataset was achieved using a Random Forest Classifier (balanced accuracy = 0.91). In contrast, the highest predictive ability (balanced accuracy = 0.81) for the lactose dataset was obtained using an IndividualTDE time classifier. Conclusion: Our results indicate a high predictive ability for distinguishing between carbohydrate malabsorptions. However, the detection of SIBO is challenging but adapted time classifier models could reach higher performances compared to standard methods. Our results could establish the basis of an expert system for diagnosing carbohydrate malabsorptions and SIBO, respectively.
first_indexed 2024-04-10T21:33:56Z
format Article
id doaj.art-9cc090319b7845c98a3b860f2d7eefb6
institution Directory Open Access Journal
issn 2364-5504
language English
last_indexed 2024-04-10T21:33:56Z
publishDate 2022-09-01
publisher De Gruyter
record_format Article
series Current Directions in Biomedical Engineering
spelling doaj.art-9cc090319b7845c98a3b860f2d7eefb62023-01-19T12:47:02ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042022-09-018228528810.1515/cdbme-2022-1073Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath TestsNetzer Michael0Hanser Friedrich1Ledochowski Maximilian2Baumgarten Daniel3Institute of Electrical and Biomedical Engineering, UMIT – Private University for Health Sciences, Medical Informatics and Technology,Hall in Tirol, AustriaInstitute of Electrical and Biomedical Engineering, UMIT - Private University for Health Sciences, Medical Informatics and Technology,Hall in Tirol, AustriaAkademie fur Ernahrungsmedizin,Innsbruck, AustriaInstitute of Electrical and Biomedical Engineering, UMIT - Private University for Health Sciences, Medical Informatics and Technology,Hall in Tirol, AustriaIntroduction: Carbohydrate malabsorptions symptoms include intestinal fluid retention, causing diarrhea and abdominal distention. The aim of this work is to create a machine learning model that predicts carbohydrate malabsorption using H2 measurements from lactose and fructose tolerance tests. Methods: We compare the predictive ability of popular classifiers with classifiers that are specifically designed for time series data. Our approach was implemented using sklearn and sktime Python machine learning libraries. Results: The highest predictive ability for the fructose dataset was achieved using a Random Forest Classifier (balanced accuracy = 0.91). In contrast, the highest predictive ability (balanced accuracy = 0.81) for the lactose dataset was obtained using an IndividualTDE time classifier. Conclusion: Our results indicate a high predictive ability for distinguishing between carbohydrate malabsorptions. However, the detection of SIBO is challenging but adapted time classifier models could reach higher performances compared to standard methods. Our results could establish the basis of an expert system for diagnosing carbohydrate malabsorptions and SIBO, respectively.https://doi.org/10.1515/cdbme-2022-1073carbohydrate malabsorptionshydrogen breath testssupervised machine learningtime classifier
spellingShingle Netzer Michael
Hanser Friedrich
Ledochowski Maximilian
Baumgarten Daniel
Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests
Current Directions in Biomedical Engineering
carbohydrate malabsorptions
hydrogen breath tests
supervised machine learning
time classifier
title Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests
title_full Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests
title_fullStr Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests
title_full_unstemmed Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests
title_short Supervised Machine Learning for Predicting Carbohydrate Malabsorptions Using Hydrogen Breath Tests
title_sort supervised machine learning for predicting carbohydrate malabsorptions using hydrogen breath tests
topic carbohydrate malabsorptions
hydrogen breath tests
supervised machine learning
time classifier
url https://doi.org/10.1515/cdbme-2022-1073
work_keys_str_mv AT netzermichael supervisedmachinelearningforpredictingcarbohydratemalabsorptionsusinghydrogenbreathtests
AT hanserfriedrich supervisedmachinelearningforpredictingcarbohydratemalabsorptionsusinghydrogenbreathtests
AT ledochowskimaximilian supervisedmachinelearningforpredictingcarbohydratemalabsorptionsusinghydrogenbreathtests
AT baumgartendaniel supervisedmachinelearningforpredictingcarbohydratemalabsorptionsusinghydrogenbreathtests