Nishat Fariha Ahmed, Mridha M F, Mahmud Istiak, Alfarhood Meshal, Safran Mejdl, Che Dunren
Dhaka National Medical College, Dhaka 1100, Bangladesh.
Department of Computer Science, American International University-Bangladesh, Dhaka 1229, Bangladesh.
Diagnostics (Basel). 2025 Feb 26;15(5):562. doi: 10.3390/diagnostics15050562.
Typhoid fever remains a significant public health challenge, especially in developing countries where diagnostic resources are limited. Accurate and timely diagnosis is crucial for effective treatment and disease containment. Traditional diagnostic methods, while effective, can be time-consuming and resource-intensive. This study aims to develop a lightweight machine learning-based diagnostic tool for the early and efficient detection of typhoid fever using clinical data. A custom dataset comprising 14 clinical and demographic parameters-including age, gender, headache, muscle pain, nausea, diarrhea, cough, fever range (°F), hemoglobin (g/dL), platelet count, urine culture bacteria, calcium (mg/dL), and potassium (mg/dL)-was analyzed. A machine learning metamodel, integrating Support Vector Machine (SVM), Gaussian Naive Bayes (GNB), and Decision Tree classifiers with a Light Gradient Boosting Machine (LGBM), was trained and evaluated using k-fold cross-validation. Performance was assessed using precision, recall, F1-score, and area under the receiver operating characteristic curve (AUC). The proposed metamodel demonstrated superior diagnostic performance, achieving a precision of 99%, recall of 100%, and an AUC of 1.00. It outperformed traditional diagnostic methods and other standalone machine learning algorithms, offering high accuracy and generalizability. The lightweight machine learning metamodel provides a cost-effective, non-invasive, and rapid diagnostic alternative for typhoid fever, particularly suited for resource-limited settings. Its reliance on accessible clinical parameters ensures practical applicability and scalability, potentially improving patient outcomes and aiding in disease control. Future work will focus on broader validation and integration into clinical workflows to further enhance its utility.
伤寒热仍然是一项重大的公共卫生挑战,尤其是在诊断资源有限的发展中国家。准确及时的诊断对于有效治疗和疾病控制至关重要。传统的诊断方法虽然有效,但可能耗时且资源密集。本研究旨在开发一种基于轻量级机器学习的诊断工具,用于利用临床数据早期高效地检测伤寒热。分析了一个包含14个临床和人口统计学参数的自定义数据集,这些参数包括年龄、性别、头痛、肌肉疼痛、恶心、腹泻、咳嗽、发热范围(华氏度)、血红蛋白(克/分升)、血小板计数、尿培养细菌、钙(毫克/分升)和钾(毫克/分升)。使用k折交叉验证对一个集成了支持向量机(SVM)、高斯朴素贝叶斯(GNB)和决策树分类器以及轻梯度提升机(LGBM)的机器学习元模型进行了训练和评估。使用精确率、召回率、F1分数和受试者工作特征曲线下面积(AUC)评估性能。所提出的元模型表现出卓越的诊断性能,精确率达到99%,召回率达到100%,AUC为1.00。它优于传统诊断方法和其他独立的机器学习算法,具有高准确性和通用性。这种轻量级机器学习元模型为伤寒热提供了一种经济高效、非侵入性且快速的诊断替代方案,特别适用于资源有限的环境。它对易于获取的临床参数的依赖确保了实际适用性和可扩展性,有可能改善患者预后并有助于疾病控制。未来的工作将集中在更广泛的验证以及整合到临床工作流程中,以进一步提高其效用。