Evidence map›Paper›PMID 41106844›Full record

ArticleBMJ health & care informatics2025

Rapid discrimination of

Jia-Wei Tang, Xue-Song Xiong, Ting-Ting Huang, Yu-Lu Zhang, Lin-Fei Yao, Wen-Wen Zhang, Yun-Yun Xie, Quan-Fa Liang, Zhi-Xuan Tan, Kun Jiang and 2 more

Abstract read
In one paragraph

Article in BMJ health & care informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

12 authors.

Jia-Wei Tang *The Marshall Centre for Infectious Diseases Research and Training, School of Biomedical Sciences, The University of Western Australia, Perth, Western Australia, Australia.
Xue-Song Xiong *Department of Laboratory Medicine, Yangzhou University affiliated Huai'an Hospital, Huai'an, Jiangsu Province, China.
Ting-Ting Huang *Department of Laboratory Medicine, Yangzhou University affiliated Huai'an Hospital, Huai'an, Jiangsu Province, China.
Yu-Lu ZhangDepartment of Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Lin-Fei YaoDepartment of Intelligent Medical Engineering, School of Medical Informatics and Engineering, Xuzhou Medical University, Xuzhou, China.
Wen-Wen ZhangDepartment of Clinical Medicine, School of The First Clinical Medicine, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.
Yun-Yun XieDepartment of Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Quan-Fa LiangDepartment of Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Zhi-Xuan TanDepartment of Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Kun JiangDepartment of Pharmacy, The Fourth People's Hospital of Huai'an, Huai'an, Jiangsu Province, China liuxin@xzhmu.edu.cn healthscience@foxmail.com hasyjk@126.com.
Xin LiuDepartment of Intelligent Medical Engineering, School of Medical Informatics and Engineering, Xuzhou Medical University, Xuzhou, China liuxin@xzhmu.edu.cn healthscience@foxmail.com hasyjk@126.com.
Liang WangDepartment of Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China liuxin@xzhmu.edu.cn healthscience@foxmail.com hasyjk@126.com.ORCID http://orcid.org/0000-0001-5339-7484

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRapid discrimination of infections caused by

methodsDemographic, haematological and biochemical data were collected from two hospitals in Jiangsu province, China, between December 2018 and October 2024. A total of 400 patients were included in the training cohort, with 66 patients used for external validation. Six machine learning models were developed using routine laboratory features, and their performance was evaluated using multiple metrics.

resultsThe random forest (RF) model outperformed others using 49 routine lab features, achieving 82.71% accuracy in the internal cohort and 87.69% in external validation. SHapley Additive exPlanations (SHAP) model identified the top 10 critical features influencing model decisions, namely, chloride, sodium, gender, prealbumin, high-density lipoprotein, procalcitonin, albumin, globulin, total protein and creatine. Based on these indicators, an interactive web-based tool was developed (https://mtb-ntm.streamlit.app). DISCUSSION: The features identified by the model align with established clinical parameters and existing studies. Certain previously underestimated variables, such as Cl and Na, exhibited substantial importance in distinguishing between MTB and NTM, offering valuable insights for the development of decision-support tools.

conclusionRoutine laboratory indicators coupled with the RF model demonstrated potential capacity as an auxiliary diagnostic tool for discriminating MTB and NTM disease, offering effective medical support in resource-limited and remote settings.

Indexed as

Diagnostic Tests, RoutineMachine LearningMycobacterium Infections, NontuberculousTuberculosisAdultAgedChinaDiagnosis, DifferentialFemaleHumansMaleMiddle AgedMycobacterium tuberculosisNontuberculous MycobacteriaData MiningElectronic Data ProcessingMedical Informatics

Identifiers

PMID41106844
PMCPMC12542539

What OpenQuestion holds

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LicenceCC BY-NC
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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.