Available online 25 April 2024, 104106

FTIR spectroscopy is an alternative method for real-time evaluation of biofluids

Saliva assessment by FTIR spectroscopy has potential for early diagnosis of diabetes and periodontits

Machine-learning pairwise classification presented more improved classification accuracy compared with classification involving 4 study groups.

Prior knowledge on patients’ healthy, diabetic, or periodontitis’ condition can help selecting the appropriate pairwise classification model.

FT-IR is an important and emerging tool, providing information related to the biochemical composition of biofluids. It is important to demonstrate that there is an efficacy in separating healthy and diseased groups, helping to establish FT-IR uses as fast screening tool.

Via saliva diagnosis evaluate the accuracy of FT-IR associate with machine learning model for classification among healthy (control group), diabetic (D) and periodontitis (P) patients and the association of both diseases (DP).

Eighty patients diagnosed with diabetes and periodontitis through conventional methods were recruited and allocated in one of the four groups. Saliva samples were collected from participants of each group (n=20) and were processed using Bruker Alpha II spectrometer in a FT-IR spectral fingerprint region between 600 and–1800 cm−1, followed by data preprocessing and analysis using machine learning tools.

Various FTI-R peaks were detectable and attributed to specific vibrational modes, which were classified based on confusion matrices showed in paired groups. The highest true positive rates (TPR) appeared between groups C vs D (93.5% ± 2.7%), groups C vs. DP (89.2% ± 4.1%), and groups D and P (90.4% ± 3.2%). However, P vs DP presented higher TPR for DP (84.1% ±3.1%) while D vs. DP the highest rate for DP was 81.7% ±4.3%. Analyzing all groups together, the TPR decreased.

The system used is portable and robust and can be widely used in clinical environments and hospitals as a new diagnostic technique. Studies in our groups are being conducted to solidify and expand data analysis methods with friendly language for healthcare professionals. It was possible to classify healthy patients in a range of 78-93% of accuracy. Range over 80% of accuracy between periodontitis and diabetes were observed. A general classification model with lower TPR instead of a pairwise classification would only have advantages in scenarios where no prior patient information is available regarding diabetes and periodontitis status.

FTIR

Saliva

Periodontitis

Diabetes Mellitus

Machine learning

© 2024 Published by Elsevier B.V.