Machine learning models and classification algorithms in the diagnosis of vestibular migraine: A systematic review and meta‐analysis.

Objectives: To perform a systematic review and meta‐analysis to evaluate the effectiveness of machine learning (ML) algorithms in the diagnosis of vestibular migraine. Background: Due to the absence of defined biomarkers for diagnosing vestibular migraine (VM), it is valuable to determine which clin...

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Publicado en:Headache: The Journal of Head & Face Pain Vol. 65; no. 4; pp. 695 - 709
Autores principales: Suarez‐Barcena, Pablo D., Parra‐Perez, Alberto M., Martín‐Lagos, Juan, Gallego‐Martinez, Alvaro, Lopez‐Escámez, Jose A., Perez‐Carpena, Patricia
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Machine learning models and classification algorithms in the diagnosis of vestibular migraine: A systematic review and meta‐analysis.
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          Suarez‐Barcena, Pablo D.
          Parra‐Perez, Alberto M.
          Martín‐Lagos, Juan
          Gallego‐Martinez, Alvaro
          Lopez‐Escámez, Jose A.
          Perez‐Carpena, Patricia
        affil: Department of Otolaryngology, Hospital Universitario San Cecilio, Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain
      sug:
        subj:
          Vestibular Migraine Diagnosis
          Machine Learning Methods
          Prediction Models
          Classification Algorithms Methods
          Diagnosis, Computer Assisted Methods
          Human
          Funding Source
          Systematic Review
          Meta Analysis
          PubMed
          Artificial Intelligence
          Quality Assessment
          Physical Examination
          Vestibular Function Tests
          Descriptive Statistics
          Confidence Intervals
          ROC Curve
          Checklists
      ab: Objectives: To perform a systematic review and meta‐analysis to evaluate the effectiveness of machine learning (ML) algorithms in the diagnosis of vestibular migraine. Background: Due to the absence of defined biomarkers for diagnosing vestibular migraine (VM), it is valuable to determine which clinical, physical, and exploratory information is most crucial to diagnosing this disease. The use of artificial intelligence tools could streamline this process. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines and searched for records from PubMed, Scopus, and Web of Science. Observational (case–control and cohort) studies were included to assess the ability of artificial intelligence (AI) to distinguish VM from other vestibular disorders. Risk of bias and applicability concerns were assessed using the Quality Assessment of Diagnostic Accuracy Studies‐AI tool. Results: A total of 14 articles were included in the systematic review, and 10 were eligible for meta‐analysis. The main inputs included for the ML algorithms were anamnesis (medical history), physical examination, results from audiological and vestibular tests, and imaging. The global sensitivity was 0.85 (95% confidence interval [CI] 0.73–0.92, I2 = 96%), while the global specificity was 0.89 (95% CI 0.84–0.93, I2 = 95%). The pooled diagnostic odds ratio was 48.15 (95% CI 17.64–131.43, I2 = 97%). Using the bivariate model, the area under the curve and for the summary receiver operating characteristic curve, using the 10 available studies, was 0.94 (95% CI 0.86–0.96). Conclusion: Machine learning algorithms could be used as effective tools for the diagnosis process in VM. The use of models trained with three to four inputs yield the highest accuracy, compared to other strategies. However, the design and validation of these studies could be improved to ensure the reproducibility and generalizability of results. Plain Language Summary: The diagnosis of vestibular migraine (VM) is based on a list of symptoms reported by patients, but this can sometimes lead to delays in diagnosis. We conducted a systematic review and meta‐analysis to understand whether machine learning tools can help to diagnose patients with VM based on clinical and physical information, or other complementary tests. We found that combining clinical information and machine learning methods could facilitate and shorten the diagnostic process of VM.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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