Graduate School of Science and Technology, Chiba University, Chiba, Japan.
Department of Pathology, Tsurumi University School of Dental Medicine, Yokohama, Japan.
Sci Rep. 2023 Jan 24;13(1):1334. doi: 10.1038/s41598-023-27764-4.
Sjögren's syndrome (SS) is an autoimmune disease characterized by dry mouth. The cause of SS is unknown, and its diverse symptoms make diagnosis difficult. The Saxon test, an intraoral examination, is used as the primary diagnostic method for SS, however, the risk of salivary infection is problematic. Therefore, we investigate the possibility of diagnosing SS by non-contact and imaging observation of the tongue surface. In this study, we obtained tongue photographs of 60 patients at the Tsurumi University School of Dentistry outpatient clinic to clarify the relationship between the features of the tongue and SS. We divided the tongue into four regions, and the color of each region was transformed into CIE1976Lab* space and statistically analyzed. To clarify experimentally the possibility of SS diagnosis using tongue color, we employed three machine-learning models: logistic regression, support vector machine, and random forest. In addition, we constructed diagnostic prediction models based on the Bagging and Stacking methods combined with three machine-learning models for comparative evaluation. This analysis used dimensionality compression by principal component analysis to eliminate redundancy in tongue color information. We found a significant difference between the a* value of the rear part of the tongue and the b* value of the middle part of the tongue in SS and non-SS patients. In addition to the principal component scores of tongue color, the support vector machine was trained using age, and achieved high accuracy (71.3%) and specificity (78.1%). The results indicate that the prediction of SS diagnosis by tongue color reaches a level comparable to machine learning models trained using the Saxon test. This is the first study using machine learning to predict SS diagnosis by non-contact tongue observation. Our proposed method can potentially support early SS detection simply and conveniently, eliminating the risk of infection at diagnosis, and it should be validated and optimized in clinical practice.
干燥综合征(SS)是一种以口干为特征的自身免疫性疾病。SS 的病因尚不清楚,其多样的症状使其诊断变得困难。Saxon 测试是一种口腔内检查,被用作 SS 的主要诊断方法,然而,唾液感染的风险是一个问题。因此,我们研究了通过非接触和舌面成像观察来诊断 SS 的可能性。在这项研究中,我们从鹤见大学齿学部的门诊患者中获得了 60 名患者的舌照片,以明确舌特征与 SS 之间的关系。我们将舌分为四个区域,并将每个区域的颜色转换为 CIE1976Lab空间,并进行了统计分析。为了明确使用舌色诊断 SS 的可能性,我们采用了三种机器学习模型:逻辑回归、支持向量机和随机森林。此外,我们还构建了基于 Bagging 和 Stacking 方法的诊断预测模型,结合三种机器学习模型进行比较评估。该分析使用主成分分析进行维度压缩,以消除舌色信息的冗余。我们发现 SS 患者和非 SS 患者的舌后部 a值和舌中部 b*值之间存在显著差异。除了舌色的主成分得分外,还使用年龄对支持向量机进行了训练,实现了高准确率(71.3%)和高特异性(78.1%)。结果表明,通过舌色预测 SS 诊断的准确率达到了与基于 Saxon 测试训练的机器学习模型相当的水平。这是首次使用机器学习通过非接触式舌观察预测 SS 诊断的研究。我们提出的方法有可能通过简单方便的方式支持早期 SS 检测,消除诊断时的感染风险,并应在临床实践中进行验证和优化。
J Oral Rehabil. 2020-10-5
J Oral Pathol Med. 2007-7
Rev Rhum Engl Ed. 1999-2
Mod Rheumatol. 2015-1
Front Cardiovasc Med. 2024-8-23
Evid Based Complement Alternat Med. 2024-3-23
BMC Med Inform Decis Mak. 2024-2-8
Artif Intell Med. 2019-3-20
Postepy Dermatol Alergol. 2016-2
BMC Complement Altern Med. 2015-10-16
Evid Based Complement Alternat Med. 2014-4-6
Forsch Komplementmed. 2012