利用判别函数分析(DFA)基于生物标志物浓度对骨关节炎(OA)患者和志愿者进行分类。
Utilising Discriminant Function Analysis (DFA) for Classifying Osteoarthritis (OA) Patients and Volunteers Based on Biomarker Concentration.
作者信息
Coleman Laura Jane, Byrne John L, Edwards Stuart, O'Hara Rosemary
机构信息
HealthCORE, Department of Health and Sport Sciences, South East Technological University, R93 V960 Carlow, Ireland.
Department of Applied Science, South East Technological University, R93 V960 Carlow, Ireland.
出版信息
Diagnostics (Basel). 2024 Aug 1;14(15):1660. doi: 10.3390/diagnostics14151660.
Osteoarthritis (OA) is a degenerative joint disease characterised by the breakdown of cartilage, causing pain, stiffness, and limited movement. Early diagnosis is crucial for effective management but remains challenging due to non-specific early symptoms. This study explores the application of Discriminant Function Analysis (DFA) to classify OA patients and healthy volunteers based on biomarker concentrations of Interleukin-6 (IL-6), Tumour necrosis factor-alpha (TNF-α), and Myeloperoxidase (MPO). DFA was employed to analyse biomarker data from 86 participants (58 patients, 28 volunteers) to evaluate the discriminatory power of these biomarkers in predicting OA. Significant differences were observed in MPO and TNF-α levels between groups, while IL-6 did not show a significant distinction. The iterative classification process improved model assumptions and classification accuracy, achieving a pre-classification accuracy of 71.8%, which adjusted to 57.1% post-classification. The results highlight DFA's potential in OA diagnosis, suggesting its utility in managing complex data and aiding personalised treatment strategies. The study underscores the need for larger sample sizes and additional biomarkers to enhance diagnostic robustness and provides a foundation for integrating DFA into clinical practice for early OA detection.
骨关节炎(OA)是一种退行性关节疾病,其特征是软骨破坏,导致疼痛、僵硬和活动受限。早期诊断对于有效管理至关重要,但由于早期症状不具特异性,诊断仍具有挑战性。本研究探讨判别函数分析(DFA)在根据白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和髓过氧化物酶(MPO)的生物标志物浓度对OA患者和健康志愿者进行分类中的应用。采用DFA分析了86名参与者(58名患者,28名志愿者)的生物标志物数据,以评估这些生物标志物在预测OA方面的判别能力。两组之间MPO和TNF-α水平存在显著差异,而IL-6没有显著差异。迭代分类过程改善了模型假设和分类准确性,预分类准确率达到71.8%,分类后调整为57.1%。结果突出了DFA在OA诊断中的潜力,表明其在处理复杂数据和辅助个性化治疗策略方面的效用。该研究强调需要更大的样本量和更多的生物标志物来提高诊断的稳健性,并为将DFA纳入早期OA检测的临床实践提供了基础。