PMID- 36896810 OWN - NLM STAT- MEDLINE DCOM- 20230928 LR - 20230928 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 37 IP - 2 DP - 2023 Mar TI - A novel machine learning-based web application for field identification of infectious and inflammatory disorders of the central nervous system in cattle. PG - 766-773 LID - 10.1111/jvim.16664 [doi] AB - BACKGROUND: Central nervous system (CNS) infections in cattle are a major cause of economic loss and mortality. Machine learning (ML) techniques are gaining widespread application in solving predictive tasks in both human and veterinary medicine. OBJECTIVES: Our primary aim was to develop and compare ML models that could predict the likelihood of a CNS disorder of infectious or inflammatory origin in neurologically-impaired cattle. Our secondary aim was to create a user-friendly web application based on the ML model for the diagnosis of infection and inflammation of the CNS. ANIMALS: Ninety-eight cattle with CNS infection and 86 with CNS disorders of other origin. METHODS: Retrospective observational study. Six different ML methods (logistic regression [LR]; support vector machine [SVM]; random forest [RF]; multilayer perceptron [MLP]; K-nearest neighbors [KNN]; gradient boosting [GB]) were compared for their ability to predict whether an infectious or inflammatory disease was present based on demographics, neurological examination findings, and cerebrospinal fluid (CSF) analysis. RESULTS: All 6 methods had high prediction accuracy (>/=80%). The accuracy of the LR model was significantly higher (0.843 +/- 0.005; receiver operating characteristic [ROC] curve 0.907 +/- 0.005 ) than the other models and was selected for implementation in a web application. CONCLUSION AND CLINICAL IMPORTANCE: Our findings support the use of ML algorithms as promising tools for veterinarians to improve diagnosis. The open-access web application may aid clinicians in achieving correct diagnosis of infectious and inflammatory neurological disorders in livestock, with the added benefit of promoting appropriate use of antimicrobials. CI - (c) 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Ferrini, Sara AU - Ferrini S AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. FAU - Rollo, Cesare AU - Rollo C AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Bellino, Claudio AU - Bellino C AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. FAU - Borriello, Giuliano AU - Borriello G AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. FAU - Cagnotti, Giulia AU - Cagnotti G AUID- ORCID: 0000-0003-1287-6723 AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. FAU - Corona, Cristiano AU - Corona C AD - Istituto Zooprofilattico del Piemonte Liguria e Valle d'Aosta, Turin, Italy. FAU - Di Muro, Giorgia AU - Di Muro G AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. FAU - Giacobini, Mario AU - Giacobini M AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. FAU - Iulini, Barbara AU - Iulini B AD - Istituto Zooprofilattico del Piemonte Liguria e Valle d'Aosta, Turin, Italy. FAU - D'Angelo, Antonio AU - D'Angelo A AD - Department of Veterinary Sciences, University of Turin, Turin, Italy. LA - eng GR - Ministero dell'Istruzione, dell'Universita e della Ricerca/ PT - Journal Article PT - Observational Study, Veterinary DEP - 20230310 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 SB - IM MH - Animals MH - Cattle MH - Algorithms MH - *Cattle Diseases/diagnosis MH - Central Nervous System MH - *Central Nervous System Diseases/veterinary MH - Machine Learning MH - ROC Curve MH - Software PMC - PMC10061175 OTO - NOTNLM OT - bovine neurology OT - central nervous system infections OT - clinical decision-making process OT - machine learning COIS- Authors declare no conflict of interest. EDAT- 2023/03/11 06:00 MHDA- 2023/03/31 06:41 PMCR- 2023/03/10 CRDT- 2023/03/10 05:53 PHST- 2022/11/16 00:00 [received] PHST- 2023/02/03 00:00 [accepted] PHST- 2023/03/31 06:41 [medline] PHST- 2023/03/11 06:00 [pubmed] PHST- 2023/03/10 05:53 [entrez] PHST- 2023/03/10 00:00 [pmc-release] AID - JVIM16664 [pii] AID - 10.1111/jvim.16664 [doi] PST - ppublish SO - J Vet Intern Med. 2023 Mar;37(2):766-773. doi: 10.1111/jvim.16664. Epub 2023 Mar 10.