Evidence map›Paper›PMID 41311462›Full record

ArticleJournal of mass spectrometry and advances in the clinical lab2025

Interpretable machine learning of clinical MALDI-TOF spectra discriminates carbapenem-resistant

Chuangye Cai, Mengxue Zou, Mingxiao Chen, Peibo Yuan, Zhencheng Fang, Lanlan Zhong, Dingqiang Chen, Hongwei Zhou, Nianyi Zeng

Abstract read
In one paragraph

Article in Journal of mass spectrometry and advances in the clinical lab, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
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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

9 authors.

Chuangye CaiMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.
Mengxue ZouMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.
Mingxiao ChenClinical Laboratory Medicine Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China.
Peibo YuanMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.
Zhencheng FangMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.
Lanlan ZhongSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, China.
Dingqiang ChenMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.
Hongwei ZhouMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.
Nianyi ZengMicrobiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Carbapenem-resistant Methods: Machine learning classifiers were applied using MALDI-TOF MS data to discriminate KPC-type, NDM-type CRKP, and carbapenem-susceptible strains (CSKP). Model performance was validated across platforms and strain collections. SHapley Additive exPlanations (SHAP) analysis and phylogenetic reconstruction were used to interpret feature contributions and genetic determinants. Results: Significant spectral divergence was observed among Conclusion: This study developed models to classify KPC, NDM, and CSKP strains using MALDI-TOF MS combined with machine learning. KPC strains were effectively classified across platforms, whereas NDM and CSKP strains showed limited differentiation due to their close evolutionary relationship. Effective classification requires consideration of regional strain variation and periodic model updates informed by local epidemiology.

Indexed as

CRKPInterpretable machine learningMALDI-TOF MSPhylogenetic analysisSHAP value

Identifiers

PMID41311462
PMCPMC12648985

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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.