Modeling Patients' Methylmalonic Acid Levels using Probabilistic Fuzzy Systems

Rui Jorge Almeida*, S. van Loon, U. Kaymak, A. Wilbik, V. Scharnhorst

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingAcademicpeer-review

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Abstract

Vitamin B12 deficiency is a common disorder with severe impacts on hematological and neurological disorders. Identifying vitamin B12 deficiency is not straightforward since blood vitamin B12 levels are not representative for actual vitamin B12 status in tissue. Instead, methylmalonic acid (MMA) levels in the plasma are used as indicators of vitamin B12 deficiency. MMA concentrations increase starting from the early course of vitamin B12 deficiency but they may also be high regardless of vitamin B12 deficiency due to renal failure (measured by eGFR). In this paper we propose the use of probabilistic fuzzy systems (PFS) to explore the relationship between MMA plasma levels with vitamin B12 and kidney function. We propose a PFS model for the analysis of overall MMA properties for all patients and also specific MMA properties for individual patients. We show that this PFS model leads to accurate MMA interval predictions. We further show that the proposed model can be used to assess a change in the eGFR level to a normal eGFR level, and its effect on the patient's MMA distribution.
Original languageEnglish
Title of host publication2017 IEEE INTERNATIONAL CONFERENCE ON FUZZY SYSTEMS (FUZZ-IEEE)
PublisherIEEE
Pages1-6
Number of pages6
ISBN (Print)9781509060344
DOIs
Publication statusPublished - 2017
Event2017 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE) - Naples, Italy
Duration: 9 Jul 201712 Jul 2017
http://www.fuzzieee2017.org
https://ewh.ieee.org/conf/fuzz/fuzz-2017.pdf

Publication series

SeriesIEEE International Conference on Fuzzy Systems
ISSN1098-7584

Conference

Conference2017 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE)
Abbreviated titleFUZZ-IEEE 2017
Country/TerritoryItaly
CityNaples
Period9/07/1712/07/17
Internet address

Keywords

  • GLOMERULAR-FILTRATION-RATE
  • VITAMIN-B12 DEFICIENCY
  • COBALAMIN

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