Computer-Aided Diagnosis of Multiple Sclerosis.pdfVIP

Computational and Mathematical Methods in Medicine Vol. 10, No. 1, March 2009, 39–47 Computer-aided diagnosis of multiple sclerosis a ¨ b ¨ a b R. Linder *, D. Morschner , S.J. Poppl and A. Moser a ¨ ¨ b Institute of Medical Informatics, University of Lubeck, Lubeck, Germany; Department ¨ ¨ of Neurology, University of Lubeck, Lubeck, Germany ( Received 18 December 2007; final version received 20 March 2008 ) The study aims to develop a computer-assisted decision support based on cerebrospinal fluid (CSF) and blood findings to improve their value and ease the diagnostic procedure of chronic inflammatory diseases (CIDs) of central nervous system (CNS). Data were collected from patients suffering from multiple sclerosis (MS, n ¼ 73), from another CID of the CNS (n ¼ 22), or a psychiatric disease (control group, CTRL, n ¼ 12). Univariate and multivariate analyses were performed using multiple logistic regression and artificial neural networks. Differentiating between MS and CID, no parameter could be disclosed that could provide a meaningful decision support. However, multivariate analysis obtained a statistically significant classification (sensitivity ¼ 84.9%, specificity ¼ 54.5%, p , 0.001). On the contrary, multivariate analysis based on the differentiation between MS vs. CTRL, gave good results (sensitivity ¼ 95.9%, specificity ¼ 83.3%, p , 0.001). It became evident from standard laboratory findings that there is a significant potential for computer-aide