Department of Rheumatology and Immunology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.
Graduate School of Xinjiang Medical University, Urumqi, Xinjiang, China.
Front Immunol. 2023 Dec 15;14:1328228. doi: 10.3389/fimmu.2023.1328228. eCollection 2023.
Ankylosing spondylitis (AS), rheumatoid arthritis (RA), and osteoarthritis (OA) are three rheumatic immune diseases with many common characteristics. If left untreated, they can lead to joint destruction and functional limitation, and in severe cases, they can cause lifelong disability and even death. Studies have shown that early diagnosis and treatment are key to improving patient outcomes. Therefore, a rapid and accurate method for rapid diagnosis of diseases has been established, which is of great clinical significance for realizing early diagnosis of diseases and improving patient prognosis.
This study was based on Fourier transform infrared spectroscopy (FTIR) combined with a deep learning model to achieve non-invasive, rapid, and accurate differentiation of AS, RA, OA, and healthy control group. In the experiment, 320 serum samples were collected, 80 in each group. AlexNet, ResNet, MSCNN, and MSResNet diagnostic models were established by using a machine learning algorithm.
The range of spectral wave number measured by four sets of Fourier transform infrared spectroscopy is 700-4000 cm-1. Serum spectral characteristic peaks were mainly at 1641 cm-1(amide I), 1542 cm-1(amide II), 3280 cm-1(amide A), 1420 cm-1(proline and tryptophan), 1245 cm-1(amide III), 1078 cm-1(carbohydrate region). And 2940 cm-1 (mainly fatty acids and cholesterol). At the same time, AlexNet, ResNet, MSCNN, and MSResNet diagnostic models are established by using machine learning algorithms. The multi-scale MSResNet classification model combined with residual blocks can use convolution modules of different scales to extract different scale features and use resblocks to solve the problem of network degradation, reduce the interference of spectral measurement noise, and enhance the generalization ability of the network model. By comparing the experimental results of the other three models AlexNet, ResNet, and MSCNN, it is found that the MSResNet model has the best diagnostic performance and the accuracy rate is 0.87.
The results prove the feasibility of serum Fourier transform infrared spectroscopy combined with a deep learning algorithm to distinguish AS, RA, OA, and healthy control group, which can be used as an effective auxiliary diagnostic method for these rheumatic immune diseases.
强直性脊柱炎(AS)、类风湿关节炎(RA)和骨关节炎(OA)是三种具有许多共同特征的风湿免疫性疾病。如果不及时治疗,它们可能导致关节破坏和功能受限,在严重的情况下,它们可能导致终身残疾甚至死亡。研究表明,早期诊断和治疗是改善患者预后的关键。因此,已经建立了一种快速准确的疾病快速诊断方法,这对于实现疾病的早期诊断和改善患者预后具有重要的临床意义。
本研究基于傅里叶变换红外光谱(FTIR)结合深度学习模型,实现了对 AS、RA、OA 和健康对照组的非侵入性、快速和准确区分。在实验中,收集了 320 个血清样本,每组 80 个。使用机器学习算法建立了 AlexNet、ResNet、MSCNN 和 MSResNet 诊断模型。
四组傅里叶变换红外光谱测量的光谱波数范围为 700-4000cm-1。血清光谱特征峰主要位于 1641cm-1(酰胺 I)、1542cm-1(酰胺 II)、3280cm-1(酰胺 A)、1420cm-1(脯氨酸和色氨酸)、1245cm-1(酰胺 III)、1078cm-1(碳水化合物区)和 2940cm-1(主要为脂肪酸和胆固醇)。同时,使用机器学习算法建立了 AlexNet、ResNet、MSCNN 和 MSResNet 诊断模型。结合残差块的多尺度 MSResNet 分类模型可以使用不同尺度的卷积模块提取不同尺度的特征,并使用残差块解决网络退化问题,减少光谱测量噪声的干扰,增强网络模型的泛化能力。通过比较 AlexNet、ResNet 和 MSCNN 这三个模型的实验结果,发现 MSResNet 模型具有最佳的诊断性能,准确率为 0.87。
结果证明了血清傅里叶变换红外光谱结合深度学习算法区分 AS、RA、OA 和健康对照组的可行性,可作为这些风湿免疫性疾病的有效辅助诊断方法。