Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study

Abstract Background Primary Sjogren’s syndrome (pSS) and autoimmune thyroiditis (AIT) share overlapping genetic and immunological profiles. This retrospective study evaluates the efficacy of machine learning algorithms, with a focus on the Random Forest Classifier, to predict the presence of thyroid...

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Main Authors: Jia-yun Wu, Jing-yu Zhang, Wen-qi Xia, Yue-ning Kang, Ru-yi Liao, Yu-ling Chen, Xiao-min Li, Ya Wen, Fan-xuan Meng, Li-ling Xu, Sheng-hui Wen, Hui-fen Liu, Yuan-qing Li, Jie-ruo Gu, Qing Lv, Yong Ren
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Arthritis Research & Therapy
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Online Access:https://doi.org/10.1186/s13075-024-03469-5
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author Jia-yun Wu
Jing-yu Zhang
Wen-qi Xia
Yue-ning Kang
Ru-yi Liao
Yu-ling Chen
Xiao-min Li
Ya Wen
Fan-xuan Meng
Li-ling Xu
Sheng-hui Wen
Hui-fen Liu
Yuan-qing Li
Jie-ruo Gu
Qing Lv
Yong Ren
author_facet Jia-yun Wu
Jing-yu Zhang
Wen-qi Xia
Yue-ning Kang
Ru-yi Liao
Yu-ling Chen
Xiao-min Li
Ya Wen
Fan-xuan Meng
Li-ling Xu
Sheng-hui Wen
Hui-fen Liu
Yuan-qing Li
Jie-ruo Gu
Qing Lv
Yong Ren
author_sort Jia-yun Wu
collection DOAJ
description Abstract Background Primary Sjogren’s syndrome (pSS) and autoimmune thyroiditis (AIT) share overlapping genetic and immunological profiles. This retrospective study evaluates the efficacy of machine learning algorithms, with a focus on the Random Forest Classifier, to predict the presence of thyroid-specific autoantibodies (TPOAb and TgAb) in pSS patients. Methods A total of 96 patients with pSS were included in the retrospective study. All participants underwent a complete clinical and laboratory evaluation. All participants underwent thyroid function tests, including TPOAb and TgAb, and were accordingly divided into positive and negative thyroid autoantibody groups. Four machine learning algorithms were then used to analyze the risk factors affecting patients with pSS with positive and negative for thyroid autoantibodies. Results The results indicated that the Random Forest Classifier algorithm (AUC = 0.755) outperformed the other three machine learning algorithms. The random forest classifier indicated Age, IgG, C4 and dry mouth were the main factors influencing the prediction of positive thyroid autoantibodies in pSS patients. It is feasible to predict AIT in pSS using machine learning algorithms. Conclusions Analyzing clinical and laboratory data from 96 pSS patients, the Random Forest model demonstrated superior performance (AUC = 0.755), identifying age, IgG levels, complement component 4 (C4), and absence of dry mouth as primary predictors. This approach offers a promising tool for early identification and management of AIT in pSS patients. Trial registration This retrospective study was approved and monitored by the Ethics Committee of The Third Affiliated Hospital of Sun Yat-sen University (No.II2023-254-02).
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spelling doaj-art-4218564404524c3e910b0527338069d02025-01-05T12:42:21ZengBMCArthritis Research & Therapy1478-63622025-01-012711710.1186/s13075-024-03469-5Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective studyJia-yun Wu0Jing-yu Zhang1Wen-qi Xia2Yue-ning Kang3Ru-yi Liao4Yu-ling Chen5Xiao-min Li6Ya Wen7Fan-xuan Meng8Li-ling Xu9Sheng-hui Wen10Hui-fen Liu11Yuan-qing Li12Jie-ruo Gu13Qing Lv14Yong Ren15Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversitySchool of Automation Science and Engineering, South China University of TechnologyDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-Sen UniversityScientific Research Project Department, Guangdong Artificial Intelligence and Digital Economy Laboratory (Guangzhou), Pazhou LabAbstract Background Primary Sjogren’s syndrome (pSS) and autoimmune thyroiditis (AIT) share overlapping genetic and immunological profiles. This retrospective study evaluates the efficacy of machine learning algorithms, with a focus on the Random Forest Classifier, to predict the presence of thyroid-specific autoantibodies (TPOAb and TgAb) in pSS patients. Methods A total of 96 patients with pSS were included in the retrospective study. All participants underwent a complete clinical and laboratory evaluation. All participants underwent thyroid function tests, including TPOAb and TgAb, and were accordingly divided into positive and negative thyroid autoantibody groups. Four machine learning algorithms were then used to analyze the risk factors affecting patients with pSS with positive and negative for thyroid autoantibodies. Results The results indicated that the Random Forest Classifier algorithm (AUC = 0.755) outperformed the other three machine learning algorithms. The random forest classifier indicated Age, IgG, C4 and dry mouth were the main factors influencing the prediction of positive thyroid autoantibodies in pSS patients. It is feasible to predict AIT in pSS using machine learning algorithms. Conclusions Analyzing clinical and laboratory data from 96 pSS patients, the Random Forest model demonstrated superior performance (AUC = 0.755), identifying age, IgG levels, complement component 4 (C4), and absence of dry mouth as primary predictors. This approach offers a promising tool for early identification and management of AIT in pSS patients. Trial registration This retrospective study was approved and monitored by the Ethics Committee of The Third Affiliated Hospital of Sun Yat-sen University (No.II2023-254-02).https://doi.org/10.1186/s13075-024-03469-5Primary Sjogren’s syndromeAutoimmune thyroiditisPredictorsMachine learning algorithms
spellingShingle Jia-yun Wu
Jing-yu Zhang
Wen-qi Xia
Yue-ning Kang
Ru-yi Liao
Yu-ling Chen
Xiao-min Li
Ya Wen
Fan-xuan Meng
Li-ling Xu
Sheng-hui Wen
Hui-fen Liu
Yuan-qing Li
Jie-ruo Gu
Qing Lv
Yong Ren
Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study
Arthritis Research & Therapy
Primary Sjogren’s syndrome
Autoimmune thyroiditis
Predictors
Machine learning algorithms
title Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study
title_full Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study
title_fullStr Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study
title_full_unstemmed Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study
title_short Predicting autoimmune thyroiditis in primary Sjogren’s syndrome patients using a random forest classifier: a retrospective study
title_sort predicting autoimmune thyroiditis in primary sjogren s syndrome patients using a random forest classifier a retrospective study
topic Primary Sjogren’s syndrome
Autoimmune thyroiditis
Predictors
Machine learning algorithms
url https://doi.org/10.1186/s13075-024-03469-5
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