Computational diagnosis and risk evaluation for canine lymphoma

TL;DR

This paper develops machine learning-based blood test diagnostics for canine lymphoma, achieving high sensitivity and specificity, and includes a web tool for monitoring recurrence and risk assessment in dogs.

Contribution

It introduces a computational system combining decision trees, kNN, and density evaluation for canine lymphoma diagnosis and risk evaluation, with implementation into accessible software.

Findings

Best differential diagnosis sensitivity 83.5%, specificity 77%.

Screening method sensitivity 81.4%, specificity >99%.

Recurrence detection up to two months early.

Abstract

The canine lymphoma blood test detects the levels of two biomarkers, the acute phase proteins (C-Reactive Protein and Haptoglobin). This test can be used for diagnostics, for screening, and for remission monitoring as well. We analyze clinical data, test various machine learning methods and select the best approach to these problems. Three family of methods, decision trees, kNN (including advanced and adaptive kNN) and probability density evaluation with radial basis functions, are used for classification and risk estimation. Several pre-processing approaches were implemented and compared. The best of them are used to create the diagnostic system. For the differential diagnosis the best solution gives the sensitivity and specificity of 83.5% and 77%, respectively (using three input features, CRP, Haptoglobin and standard clinical symptom). For the screening task, the decision tree method provides the best result, with sensitivity and specificity of 81.4% and >99%, respectively (using the same input features). If the clinical symptoms (Lymphadenopathy) are considered as unknown then a decision tree with CRP and Hapt only provides sensitivity 69% and specificity 83.5%. The lymphoma risk evaluation problem is formulated and solved. The best models are selected as the system for computational lymphoma diagnosis and evaluation the risk of lymphoma as well. These methods are implemented into a special web-accessed software and are applied to problem of monitoring dogs with lymphoma after treatment. It detects recurrence of lymphoma up to two months prior to the appearance of clinical signs. The risk map visualisation provides a friendly tool for explanatory data analysis.