A multi-modal fusion model with enhanced feature representation for chronic kidney disease progression prediction DOI Creative Commons

Yixuan Qiao,

Hong Zhou, Yang Liu

et al.

Briefings in Bioinformatics, Journal Year: 2024, Volume and Issue: 26(1)

Published: Nov. 22, 2024

Abstract Artificial intelligence (AI)-based multi-modal fusion algorithms are pivotal in emulating clinical practice by integrating data from diverse sources. However, most of the existing models focus on designing new modal methods, ignoring critical role feature representation. Enhancing representativeness can address noise caused heterogeneity at source, enabling high performance even with small datasets and simple architectures. Here, we introduce DeepOmix-FLEX (Fusion Learning Enhanced representation for X-modal or FLEX short), a model that integrates data, proteomic metabolomic pathology images across different scales modalities, advanced learning contains Feature Encoding Trainer structure train encoding, thus achieving inter-feature inter-modal. achieves mean AUC 0.887 prediction chronic kidney disease progression an internal dataset, exceeding 0.727 using conventional variables. Following external validation interpretability analyses, our demonstrated favorable generalizability validity, as well ability to exploit markers. In summary, highlights potential AI integrate optimize allocation healthcare resources through accurate prediction.

Language: Английский

Baseline comorbidity of cardiovascular-kidney-metabolic syndrome increases the risk of adverse clinical outcomes in patients with chronic kidney disease DOI Creative Commons

Jiali Meng,

Wen Li,

Wenjing Fu

et al.

Frontiers in Endocrinology, Journal Year: 2025, Volume and Issue: 16

Published: April 16, 2025

Introduction Our study aims to analyze the relationship between different stage of Cardiovascular-Kidney-Metabolic (CKM) Syndrome in Chronic Kidney Disease (CKD) patients and risk progression all-caused mortality or end-stage renal disease (ESRD). Methods results A retrospective cohort was performed by collecting baseline data CKD patients. All participants were followed throughout course study. Cox proportional hazards analysis Fine-Gray subdistribution model prognostic value CKM stages on adverse clinical outcomes (all-caused ESRD) these 1,358 finally completed follow-up. Among them, 1,233 alive, 125 had died; 163 progressed ESRD. Baseline 3 (OR=3.906, 95% CI=0.988-16.320, p=0.048) 4 (OR=5.728, CI=1.329-24.698, p=0.019) remain independent factors for all-cause patients, while 2b (OR=2.739, CI=1.157-6.486, p=0.022) identified as having an factor ESRD adjusting confounding factors. Conclusion research demonstrated that a high-risk can predict including

Language: Английский

Citations

0

Cardiovascular–Kidney–Metabolic Syndrome: A New Paradigm in Clinical Medicine or Going Back to Basics? DOI Open Access

Victoria Mutruc,

Cristina Bologa, Victoriţa Şorodoc

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(8), P. 2833 - 2833

Published: April 19, 2025

Cardiovascular, renal, and metabolic diseases are pathophysiologically interdependent, posing a significant global health challenge being associated with substantial increase in morbidity mortality. In 2023, the American Heart Association (AHA) defined this complex network of interconnected conditions as cardiovascular–kidney–metabolic (CKM) syndrome. This syndrome is based on common pathophysiological mechanisms, including chronic inflammation, oxidative stress, hyperglycemia insulin resistance, activation renin–angiotensin–aldosterone system (RAAS), neurohormonal dysfunction, which trigger vicious cycle where impairment one organ contributes to progressive deterioration others. An integrated approach these conditions, rather than treating them separate entities, supports holistic management strategy that helps reduce burden public improve patients’ quality life. Existing focuses lifestyle modification, glycemic lipid control, use nephroprotective cardioprotective therapies. narrative review aims synthesize contextualize existing information interactions between systems diagnostic approaches, well provide an overview available therapeutic options.

Language: Английский

Citations

0

Management of patients with the cardio renal liver metabolic syndrome: The need for a multidisciplinary approach in research, education and practice DOI
Angeliki M. Angelidi, Despina Sanoudou, Michael A. Hill

et al.

Metabolism, Journal Year: 2024, Volume and Issue: 159, P. 155997 - 155997

Published: Aug. 12, 2024

Language: Английский

Citations

3

GDF-15 improves the predictive capacity of Steatotic liver disease non-invasive tests for incident morbidity and mortality risk for cardio-renal-metabolic diseases and malignancies DOI Creative Commons
Michail Kokkorakis, Pytrik Folkertsma, José Castela Forte

et al.

Metabolism, Journal Year: 2024, Volume and Issue: unknown, P. 156047 - 156047

Published: Oct. 1, 2024

Language: Английский

Citations

2

Monitoring the liver as a part of the cardio-renal-metabolic continuum – What is cooking and burning with non-invasive tests and treatment options? DOI
Špela Volčanšek, Andrej Janež, Manfredi Rizzo

et al.

Journal of Diabetes and its Complications, Journal Year: 2024, Volume and Issue: unknown, P. 108875 - 108875

Published: Sept. 1, 2024

Language: Английский

Citations

0

Epidemiological characteristics, complications of haemodialysis patients with end-stage diabetic nephropathy in a tertiary hospital in Guizhou, China: a cross-sectional survey DOI Creative Commons
Xiuping Xu,

Nengyuan Yang,

Jingjing Da

et al.

Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Oct. 18, 2024

In China, diabetes mellitus (DM) significantly contributes to end-stage renal disease (ESRD), necessitating treatments like hemodialysis. This study investigates hemodialysis outcomes in diabetic nephropathy patients Guizhou Province, aiming enhance care for this high-risk group.

Language: Английский

Citations

0

The role of IL-1 family cytokines in diabetic cardiomyopathy DOI
Qi Wu,

Yan Zeng,

Kang Geng

et al.

Metabolism, Journal Year: 2024, Volume and Issue: unknown, P. 156083 - 156083

Published: Nov. 1, 2024

Language: Английский

Citations

0

CKM: A New Approach to Managing Metabolic Comorbidities in MASLD? DOI
Tianyuan Yang,

Tong Bu,

Bingqing Yang

et al.

Journal of Hepatology, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 1, 2024

Language: Английский

Citations

0

Innovative Management of Type 2 Diabetes: Combined Application of Continuous Glucose Monitoring and Continuous Subcutaneous Insulin Infusion DOI Open Access

康 李

Journal of Clinical Personalized Medicine, Journal Year: 2024, Volume and Issue: 03(04), P. 2577 - 2585

Published: Jan. 1, 2024

Language: Английский

Citations

0

A multi-modal fusion model with enhanced feature representation for chronic kidney disease progression prediction DOI Creative Commons

Yixuan Qiao,

Hong Zhou, Yang Liu

et al.

Briefings in Bioinformatics, Journal Year: 2024, Volume and Issue: 26(1)

Published: Nov. 22, 2024

Abstract Artificial intelligence (AI)-based multi-modal fusion algorithms are pivotal in emulating clinical practice by integrating data from diverse sources. However, most of the existing models focus on designing new modal methods, ignoring critical role feature representation. Enhancing representativeness can address noise caused heterogeneity at source, enabling high performance even with small datasets and simple architectures. Here, we introduce DeepOmix-FLEX (Fusion Learning Enhanced representation for X-modal or FLEX short), a model that integrates data, proteomic metabolomic pathology images across different scales modalities, advanced learning contains Feature Encoding Trainer structure train encoding, thus achieving inter-feature inter-modal. achieves mean AUC 0.887 prediction chronic kidney disease progression an internal dataset, exceeding 0.727 using conventional variables. Following external validation interpretability analyses, our demonstrated favorable generalizability validity, as well ability to exploit markers. In summary, highlights potential AI integrate optimize allocation healthcare resources through accurate prediction.

Language: Английский

Citations

0