
Medicina, Год журнала: 2025, Номер 61(5), С. 833 - 833
Опубликована: Апрель 30, 2025
Background and Objectives: Rheumatoid arthritis (RA) is a chronic autoimmune disease characterised by joint inflammation pain. Metabolomics approaches, which are high-throughput profiling of small molecule metabolites in plasma or serum RA patients, have so far provided biomarker discovery the literature for clinical subgroups, risk factors, predictors treatment response using classical statistical approaches machine learning models. Despite these recent developments, an explainable artificial intelligence (XAI)-based methodology has not been used to identify metabolomic biomarkers distinguish patients with RA. This study constructed XAI-based EBM model global metabolomics predictive develop classification that can from healthy controls. Materials Methods: Global data were analysed (49 samples) individuals (10 samples). SMOTE technique was class imbalance preprocessing. EBM, LightGBM, AdaBoost algorithms applied generate discriminatory between Comprehensive performance metrics calculated, interpretability optimal assessed local feature descriptions. Results: A total 59 samples analysed, 49 10 subjects. The generated better results than LightGBM attaining AUC 0.901 (95% CI: 0.847–0.955) 87.8% sensitivity helps prevent false negative early diagnosis. primary EBM-based XAI identified N-acetyleucine, pyruvic acid, glycerol-3-phosphate. explanation analysis indicated elevated acid levels significantly correlated RA, whereas N-acetyleucine exhibited nonlinear relationship, implying possible protective effects at specific concentrations. Conclusions: underscores promise evidence-based medicine developing through metabolomics. discovered offer significant insights into pathophysiology may function as diagnostic therapeutic targets. Incorporating methodologies integrated improves transparency increases applicability models diagnosis/management. Furthermore, transparent structure empowers clinicians understand verify reasoning behind each prediction, thereby fostering trust AI-assisted decision-making facilitating integration routine practice.
Язык: Английский