Evidence map›Paper›PMID 33800653›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Artificial Intelligence in Differential Diagnostics of Meningitis: A Nationwide Study.

Alexios-Fotios A Mentis, Irene Garcia, Juan Jiménez, Maria Paparoupa, Athanasia Xirogianni, Anastasia Papandreou, Georgina Tzanakaki

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. An explainable machine learning model predicts pediatric varicella encephalitis.Frontiers in cellular and infection microbiology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
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

7 authors.

Alexios-Fotios A MentisNational Meningitis Reference Laboratory, Department of Public Health Policy, School of Public Health, University of West Attica, 122 43 Athens, Greece.ORCID 0000-0002-1480-390X
Irene GarciaDepartment of Mathematical Sciences and Informatics, and Health Research Institute (IdISBa), University of the Balearic Islands (UIB), 07122 Palma, Balearic Islands, Spain.ORCID 0000-0003-4935-438X
Juan JiménezADEMA University School, University of the Balearic Islands (UIB), 07122 Palma, Balearic Islands, Spain.ORCID 0000-0002-3778-3032
Maria PaparoupaDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.ORCID 0000-0003-1713-6759
Athanasia XirogianniNational Meningitis Reference Laboratory, Department of Public Health Policy, School of Public Health, University of West Attica, 122 43 Athens, Greece.
Anastasia PapandreouNational Meningitis Reference Laboratory, Department of Public Health Policy, School of Public Health, University of West Attica, 122 43 Athens, Greece.
Georgina TzanakakiNational Meningitis Reference Laboratory, Department of Public Health Policy, School of Public Health, University of West Attica, 122 43 Athens, Greece.

Funding

European Regional Development Fund PGC2018-096956-B-C43
6 · The paper itself

Abstract

Differential diagnosis between bacterial and viral meningitis is crucial. In our study, to differentiate bacterial vs. viral meningitis, three machine learning (ML) algorithms (multiple logistic regression (MLR), random forest (RF), and naïve-Bayes (NB)) were applied for the two age groups (0-14 and >14 years) of patients with meningitis by both conventional (culture) and molecular (PCR) methods. Cerebrospinal fluid (CSF) neutrophils, CSF lymphocytes, neutrophil-to-lymphocyte ratio (NLR), blood albumin, blood C-reactive protein (CRP), glucose, blood soluble urokinase-type plasminogen activator receptor (suPAR), and CSF lymphocytes-to-blood CRP ratio (LCR) were used as predictors for the ML algorithms. The performance of the ML algorithms was evaluated through a cross-validation procedure, and optimal predictions of the type of meningitis were above 95% for viral and 78% for bacterial meningitis. Overall, MLR and RF yielded the best performance when using CSF neutrophils, CSF lymphocytes, NLR, albumin, glucose, gender, and CRP. Also, our results reconfirm the high diagnostic accuracy of NLR in the differential diagnosis between bacterial and viral meningitis.

Indexed as

artificial intelligencebacterial infectionmachine learningmeningitisneutrophil-to-lymphocyte ratioviral infection

Identifiers

PMID33800653
PMCPMC8065596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.