Machine learning approaches to improve disease management of patients with rheumatoid arthritis: review and future directions

Expert Rev Clin Immunol. 2021 Dec;17(12):1311-1321. doi: 10.1080/1744666X.2022.2017773. Epub 2021 Dec 20.

Abstract

Introduction: Although the management of rheumatoid arthritis (RA) has improved in major way over the last decades, this disease still leads to an important burden for patients and society, and there is a need to develop more personalized approaches. Machine learning (ML) methods are more and more used in health-related studies and can be applied to different sorts of data (clinical, radiological, or 'omics' data). Such approaches may improve the management of patients with RA.

Areas covered: In this paper, we propose a review regarding ML approaches applied to RA. A scoping literature search was performed in PubMed, in September 2021 using the following MeSH terms: 'arthritis, rheumatoid' and 'machine learning'. Based on this search, the usefulness of ML methods for RA diagnosis, monitoring, and prediction of response to treatment and RA outcomes, is discussed.

Expert opinion: ML methods have the potential to revolutionize RA-related research and improve disease management and patient care. Nevertheless, these models are not yet ready to contribute fully to rheumatologists' daily practice. Indeed, these methods raise technical, methodological, and ethical issues, which should be addressed properly to allow their implementation. Collaboration between data scientists, clinical researchers, and physicians is therefore required to move this field forward.

Keywords: Artificial intelligence; artificial neural networks; deep learning; diagnosis; machine learning; monitoring; prediction; random forests; rheumatoid arthritis; support vector machine.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid* / diagnosis
  • Arthritis, Rheumatoid* / therapy
  • Disease Management
  • Humans
  • Machine Learning
  • Physicians*