Background: Breast cancer (BC) is one of the most common female cancers. Clinical and histopathological information is collectively used for diagnosis, but is often not precise. We applied machine learning (ML) methods to identify the valuable gene signature model based on differentially expressed genes (DEGs) for BC diagnosis and prognosis. Methods: A cohort of 701 samples from 11 GEO BC microarray datasets was used for the identification of significant DEGs. Seven ML methods, including RFECV-LR, RFECV-SVM, LR-L1, SVC-L1, RF, and Extra-Trees were applied for gene reduction and the construction of a diagnostic model for cancer classification. Kaplan–Meier survival analysis was performed for prognostic signature construction. The potential biomarkers were confirmed via qRT-PCR and validated by another set of ML methods including GBDT, XGBoost, AdaBoost, KNN, and MLP. Results: We identified 355 DEGs and predicted BC-associated pathways, including kinetochore metaphase signaling, PTEN, senescence, and phagosome-formation pathways. A hub of 28 DEGs and a novel diagnostic nine-gene signature (COL10A, S100P, ADAMTS5, WISP1, COMP, CXCL10, LYVE1, COL11A1, and INHBA) were identified using stringent filter conditions. Similarly, a novel prognostic model consisting of eight-gene signatures (CCNE2, NUSAP1, TPX2, S100P, ITM2A, LIFR, TNXA, and ZBTB16) was also identified using disease-free survival and overall survival analysis. Gene signatures were validated by another set of ML methods. Finally, qRT-PCR results confirmed the expression of the identified gene signatures in BC. Conclusion: The ML approach helped construct novel diagnostic and prognostic models based on the expression profiling of BC. The identified nine-gene signature and eight-gene signatures showed excellent potential in BC diagnosis and prognosis, respectively.

The next-generation sequencing (NGS) technology represents a significant advance in genomics and medical diagnosis. Nevertheless, the time it takes to perform sequencing, data analysis, and variant interpretation is a bottleneck in using next-generation sequencing in precision medicine. For accurate and efficient performance in clinical diagnostic lab practice, a consistent data analysis pipeline is necessary to avoid false variant calls and achieve optimum accuracy. This study aims to compare the performance of two NGS data analysis pipeline compartments, including short-read mapping (BWA-MEM and BWA-MEM2) and variant calling (GATK-HaplotypeCaller and DRAGEN-GATK). On Whole Exome Sequencing (WES) data, computational performance was assessed using several criteria, including mapping efficiency, variant calling performance, false positive calls rate, and time. We examined four gold-standard WES data sets: Ashkenazim father (NA24149), Ashkenazim mother (NA24143), Ashkenazim son (NA24385), and Asian son (NA25631). In addition, eighteen exome samples were analyzed based on different read counts, and coverage was used precisely in the run-time assessment. By using BWA-MEM 2 and Dragen-GATK, this study achieved faster and more accurate detection for SNVs and indels than the standard GATK Best Practices workflow. This systematic comparison will enable the bioinformatics community to develop a more efficient and faster solution for analyzing NGS data.

Cancer research has increasingly utilized multi-omics analysis in recent decades to obtain biomolecular information from multiple layers, thereby gaining a better understanding of complex biological systems. However, the curse of dimensionality is one of the most significant challenges when handling omics or biological data. Additionally, integrating multi-omics by transforming different omics types into a new representation can reduce a model’s interpretability, as the extracted features may lose the biological context. This paper proposes Iterative Similarity Bagging (ISB), assisted by Bayesian Ridge Regression (BRR). BRR serves as a domain-oriented supervised feature selection method, choosing essential features by calculating the coefficients for each feature. Despite this, the BRR output datasets contain many features, leading to complexity and high dimensionality. To address this, ISB was introduced to dynamically reduce dimensionality and complexity without losing the biological integrity of the omics data, which often occurs with transformation-based integration approaches. The evaluation measures employed were Root Mean Square Error (RMSE), the Pearson Correlation Coefficient (PCC), and the coefficient of determination (R²). The results demonstrate that the proposed method outperforms some current models in terms of regression performance, achieving an RMSE of 0.12, a PCC of 0.879, and an R² of 0.77 for the CCLE. For the GDSC, it achieved an RMSE of 0.029, a PCC of 0.90, and an R² of 0.80.

Background: Rare diseases, predominantly caused by genetic factors and often presenting neurological manifestations, are significantly underrepresented in research. This review addresses the urgent need for advanced research in rare neurological diseases (RNDs), which suffer from a data scarcity and diagnostic challenges. Bridging the gap in RND research is the integration of machine learning (ML) and omics technologies, offering potential insights into the genetic and molecular complexities of these conditions. Methods: We employed a structured search strategy, using a combination of machine learning and omics-related keywords, alongside the names and synonyms of 1840 RNDs as identified by Orphanet. Our inclusion criteria were limited to English language articles that utilized specific ML algorithms in the analysis of omics data related to RNDs. We excluded reviews and animal studies, focusing solely on studies with the clear application of ML in omics data to ensure the relevance and specificity of our research corpus. Results: The structured search revealed the growing use of machine learning algorithms for the discovery of biomarkers and diagnosis of rare neurological diseases (RNDs), with a primary focus on genomics and radiomics because genetic factors and imaging techniques play a crucial role in determining the severity of these diseases. With AI, we can improve diagnosis and mutation detection and develop personalized treatment plans. There are, however, several challenges, including small sample sizes, data heterogeneity, model interpretability, and the need for external validation studies. Conclusions: The sparse knowledge of valid biomarkers, disease pathogenesis, and treatments for rare diseases presents a significant challenge for RND research. The integration of omics and machine learning technologies, coupled with collaboration among stakeholders, is essential to develop personalized treatment plans and improve patient outcomes in this critical medical domain.

The increasing number of COVID-19 patients has increased health care professionals’ workloads, making the management of dynamic patient information in a timely and comprehensive manner difficult and sometimes impossible. Compounding this problem is a lack of health care professionals and trained medical staff to handle the increased number of patients. Although Saudi Arabia has recently improved the quality of its health services, there is still no suitable intelligent system that can help health practitioners follow the clinical guidelines and automated risk assessment and treatment plan remotely, which would allow for the effective follow-up of patients of COVID-19. The proposed system includes five sub-systems: an information management system, a knowledge-based expert system, adaptive learning, a notification and follow-up system, and a mobile tracker system. This study shows that, to control epidemics, there is a method to overcome the shortage of specialists in the management of infections in Saudi Arabia, both today and in the future. The availability of computerized clinical guidance and an up-to-date knowledge base play a role in Saudi health organizations, which may not have to constantly train their physician staff and may no longer have to rely on international experts, since the expert system can offer clinicians all the information necessary to treat their patients.

Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet #Preprint #PeerReviewMe: Warning: This is a unreviewed preprint. Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn. Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period. Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author). Background: Cancer is one of the leading causes of disease burden globally, and early and accurate diagnosis is crucial for effective treatment. This study presents a deep learning-based model designed to classify five common types of cancer in Saudi Arabia: Breast, Colorectal, Thyroid, Non-Hodgkin Lymphoma (NHL), and Corpus Uteri. Objective: To determine whether incorporating multi-omics data, including RNAseq, mutation, and methylation data, could enhance classification accuracy. Methods: Utilizing a stacking ensemble learning approach, our model integrates five well-established methods: Support Vector Machine (SVM), K-Nearest Neighbors (KNN), Artificial Neural Network (ANN), Convolutional Neural Network (CNN), and Random Forest (RF). The methodology involves two main stages: data pre-processing (including normalization and feature extraction) and ensemble stacking classification. We prepared the data before applying the stacking model. Results: The stacking ensemble model achieved 98% accuracy with multi-omics versus 96% using RNA-seq, suggesting that multi-omics data can be used for diagnosis in primary care settings. The models used in ensemble learning are among the most widely utilized in cancer classification research. Their prevalent use in prior studies underscores their effectiveness and flexibility, enhancing the performance of multi-omics data integration. Conclusions: This study highlights the importance of advanced machine learning techniques in improving cancer detection and prognosis accuracy. It contributes valuable insights by applying ensemble learning to integrate multi-omics data for more effective cancer classification. Clinical Trial: Not Applicable