Evidence map›Paper›PMID 38133801›Full record

ArticleJournal of neurology2024

Predicting disease severity in multiple sclerosis using multimodal data and machine learning.

Magi Andorra, Ana Freire, Irati Zubizarreta, Nicole Kerlero de Rosbo, Steffan D Bos, Melanie Rinas, Einar A Høgestøl, Sigrid A de Rodez Benavent, Tone Berge, Synne Brune-Ingebretse and 30 more

Abstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Rethinking MS Therapeutics: From Disease Pathogenesis Mechanisms to AI-Driven Drug Discovery.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Review
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Semi-Supervised Learning for Predicting Multiple Sclerosis.Journal of personalized medicine · 2025
    Article
  13. First-year treatment response predicts the following 5-year disease course in patients with relapsing-remitting multiple sclerosis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  14. Multiple sclerosis: 2024 update.Free neuropathology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Assessing the role of volumetric brain information in multiple sclerosis progression.Computational and structural biotechnology journal · 2025
    Article
  20. 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

40 authors.

Magi Andorra *Institut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Ana Freire *School of Management, Pompeu Fabra University, Barcelona, Spain.
Irati ZubizarretaInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Nicole Kerlero de RosboDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Steffan D BosUniversity of Oslo, Oslo, Norway.
Melanie RinasInstitute for Computational Biomedicine, Heidelberg University Hospital, and Heidelberg University, Heidelberg, Germany.
Einar A HøgestølUniversity of Oslo, Oslo, Norway.
Sigrid A de Rodez BenaventUniversity of Oslo, Oslo, Norway.
Tone BergeOslo University Hospital, Oslo, Norway.
Synne Brune-IngebretseUniversity of Oslo, Oslo, Norway.
Federico IvaldiDepartment of Internal Medicine, University of Genoa, Genoa, Italy.
Maria CellerinoDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Matteo PardiniDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Gemma VilaInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Irene Pulido-ValdeolivasInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Elena H Martinez-LapiscinaInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Sara LlufriuInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Albert SaizInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Yolanda BlancoInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Eloy Martinez-HerasInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Elisabeth SolanaInstitut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS) and Hospital Clinic Barcelona, Barcelona, Spain.
Priscilla Bäcker-KoduahCharité Universitaetsmedizin Berlin, Berlin, Germany.
Janina BehrensCharité Universitaetsmedizin Berlin, Berlin, Germany.
Joseph KuchlingCharité Universitaetsmedizin Berlin, Berlin, Germany.
Susanna AsseyerCharité Universitaetsmedizin Berlin, Berlin, Germany.
Michael ScheelCharité Universitaetsmedizin Berlin, Berlin, Germany.
Claudia ChienCharité Universitaetsmedizin Berlin, Berlin, Germany.
Hanna ZimmermannCharité Universitaetsmedizin Berlin, Berlin, Germany.
Seyedamirhosein MotamediCharité Universitaetsmedizin Berlin, Berlin, Germany.
Josef Kauer-BoninCharité Universitaetsmedizin Berlin, Berlin, Germany.
Alex BrandtCharité Universitaetsmedizin Berlin, Berlin, Germany.
Julio Saez-RodriguezInstitute for Computational Biomedicine, Heidelberg University Hospital, and Heidelberg University, Heidelberg, Germany.
Leonidas G AlexopoulosProtATonce Ltd, Athens, Greece.
Friedemann PaulCharité Universitaetsmedizin Berlin, Berlin, Germany.
Hanne F HarboUniversity of Oslo, Oslo, Norway.
Hengameh ShamsDepartment of Neurology, University of California, San Francisco, USA.
Jorge OksenbergDepartment of Neurology, University of California, San Francisco, USA.
Antonio UccelliDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Ricardo Baeza-YatesSchool of Engineering, Pompeu Fabra University, Barcelona, Spain.
Pablo VillosladaDepartment of Medicine and Life Sciences, Pompeu Fabra University, Barcelona, Spain. pablo.villoslada@upf.edu.ORCID http://orcid.org/0000-0002-8735-6119

Funding

Directorate-General for Research and Innovation ID-43Instituto de Salud Carlos III AC1500052
6 · The paper itself

Abstract

backgroundMultiple sclerosis patients would benefit from machine learning algorithms that integrates clinical, imaging and multimodal biomarkers to define the risk of disease activity.

methodsWe have analysed a prospective multi-centric cohort of 322 MS patients and 98 healthy controls from four MS centres, collecting disability scales at baseline and 2 years later. Imaging data included brain MRI and optical coherence tomography, and omics included genotyping, cytomics and phosphoproteomic data from peripheral blood mononuclear cells. Predictors of clinical outcomes were searched using Random Forest algorithms. Assessment of the algorithm performance was conducted in an independent prospective cohort of 271 MS patients from a single centre.

resultsWe found algorithms for predicting confirmed disability accumulation for the different scales, no evidence of disease activity (NEDA), onset of immunotherapy and the escalation from low- to high-efficacy therapy with intermediate to high-accuracy. This accuracy was achieved for most of the predictors using clinical data alone or in combination with imaging data. Still, in some cases, the addition of omics data slightly increased algorithm performance. Accuracies were comparable in both cohorts.

conclusionCombining clinical, imaging and omics data with machine learning helps identify MS patients at risk of disability worsening.

Indexed as

Multiple SclerosisHumansLeukocytes, MononuclearMachine LearningMagnetic Resonance ImagingPatient AcuityProspective StudiesImagingMachine learningMultiple sclerosisOmicsPrecision medicine

Identifiers

PMID38133801
PMCPMC10896787

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.