Machine-learning-based patient-specific prediction models for knee osteoarthritis
Abstract
Osteoarthritis (OA) is an extremely common musculoskeletal disease. However, current guidelines are not well suited for diagnosing patients in the early stages of disease and do not discriminate patients for whom the disease might progress rapidly. The most important hurdle in OA management is identifying and classifying patients who will benefit most from treatment. Further efforts are needed in patient subgrouping and developing prediction models. Conventional statistical modelling approaches exist; however, these models are limited in the amount of information they can adequately process. Comprehensive patient-specific prediction models need to be developed. Approaches such as data mining and machine learning should aid in the development of such models. Although a challenging task, technology is now available that should enable subgrouping of patients with OA and lead to improved clinical decision-making and precision medicine.
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Feature selection helps mitigate the curse of dimensionality.
“Using filter methods (correlation, mutual information), wrapper methods (recursive feature elimination, sequential selection), embedded methods (LASSO, elastic net, ridge regression), or dimensionality reduction (PCA, LDA, t-SNE) to maximize predictive performance and lower overfitting, feature selection helps to mitigate the curse of dimensionality [82].”
From Biomarker-Guided Imaging and AI-Augmented Diagnosis of Degenerative Joint Disease (2025) · cites this paper as [82]
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- Authors
- Jamshidi, A., Pelletier, J.-P., & Martel-Pelletier, J.
- Affiliations
- Université de Montréal (CA)
- Venue
- Nature Reviews Rheumatology
- Published
- 2018-12-06
- Volume
- 15
- Issue
- 1
- Pages
- 49-60
- ISSN
- 1759-4790 (ISSN-L)
- 1759-4804
- OpenAlex
- W2902433159
- Cited by
- 190
- References
- 73
- Citations by year
- 2026: 13 · 2025: 28 · 2024: 25 · 2023: 36 · 2022: 26 · 2021: 29 · 2020: 25 · 2019: 8
- FWCI
- 2.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- knee osteoarthritis, machine learning, prediction model, patient-specific prediction, disease progression, patient subgrouping, precision medicine, clinical decision-making, early diagnosis
- MeSH terms
- Clinical Decision-Making, Machine Learning, Clinical Decision Rules, Aged, Aged, 80 and over, Female, Humans, Male, Models, Theoretical, Risk Factors, Disease Progression, Osteoarthritis, Knee, Early Diagnosis, Data Mining, Precision Medicine
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