Evidence map›Paper›PMID 28546534›Full record

ArticleScientific reports2017

Classification of Paediatric Inflammatory Bowel Disease using Machine Learning.

E Mossotto, J J Ashton, T Coelho, R M Beattie, B D MacArthur, S Ennis

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

E MossottoHuman Genetics and Genomic Medicine, University of Southampton, Southampton, UK.ORCID 0000-0003-3996-3931
J J AshtonHuman Genetics and Genomic Medicine, University of Southampton, Southampton, UK.
T CoelhoHuman Genetics and Genomic Medicine, University of Southampton, Southampton, UK.
R M BeattieDepartment of Paediatric Gastroenterology, Southampton Children's Hospital, Southampton, UK.
B D MacArthurInstitute for Life Sciences, University of Southampton, Southampton, UK.ORCID 0000-0002-5396-9750
S EnnisHuman Genetics and Genomic Medicine, University of Southampton, Southampton, UK. s.ennis@southampton.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paediatric inflammatory bowel disease (PIBD), comprising Crohn's disease (CD), ulcerative colitis (UC) and inflammatory bowel disease unclassified (IBDU) is a complex and multifactorial condition with increasing incidence. An accurate diagnosis of PIBD is necessary for a prompt and effective treatment. This study utilises machine learning (ML) to classify disease using endoscopic and histological data for 287 children diagnosed with PIBD. Data were used to develop, train, test and validate a ML model to classify disease subtype. Unsupervised models revealed overlap of CD/UC with broad clustering but no clear subtype delineation, whereas hierarchical clustering identified four novel subgroups characterised by differing colonic involvement. Three supervised ML models were developed utilising endoscopic data only, histological only and combined endoscopic/histological data yielding classification accuracy of 71.0%, 76.9% and 82.7% respectively. The optimal combined model was tested on a statistically independent cohort of 48 PIBD patients from the same clinic, accurately classifying 83.3% of patients. This study employs mathematical modelling of endoscopic and histological data to aid diagnostic accuracy. While unsupervised modelling categorises patients into four subgroups, supervised approaches confirm the need of both endoscopic and histological evidence for an accurate diagnosis. Overall, this paper provides a blueprint for ML use with clinical data.

Indexed as

Machine LearningAdolescentAge FactorsChildChild, PreschoolCluster AnalysisFemaleHumansInfantInfant, NewbornInflammatory Bowel DiseasesMaleModels, TheoreticalReproducibility of ResultsROC CurveSupervised Machine Learning

Identifiers

PMID28546534
PMCPMC5445076

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.