Abstract

BackgroundThe measurement of the Erythrocyte Sedimentation Rate (ESR) value is a standard procedure performed during a typical blood test. In order to formulate a unified standard of establishing reference ESR values, this paper presents a novel prediction model in which local normal ESR values and corresponding geographical factors are used to predict reference ESR values using multi-layer feed-forward artificial neural networks (ANN).Methods and findingsLocal normal ESR values were obtained from hospital data, while geographical factors that include altitude, sunshine hours, relative humidity, temperature and precipitation were obtained from the National Geographical Data Information Centre in China.The results show that predicted values are statistically in agreement with measured values. Model results exhibit significant agreement between training data and test data. Consequently, the model is used to predict the unseen local reference ESR values.ConclusionsReference ESR values can be established with geographical factors by using artificial intelligence techniques. ANN is an effective method for simulating and predicting reference ESR values because of its ability to model nonlinear and complex relationships.

Highlights

  • The erythrocyte sedimentation rate (ESR) is a wellestablished clinical test in diseased patients that is commonly used for estimating the body's acute phase reaction to inflammation and infection [1,2]

  • Reference Erythrocyte Sedimentation Rate (ESR) values can be established with geographical factors by using artificial intelligence techniques

  • We maintain the inclusion of five geographical factors similar to a previous study [12]; we replace latitude with annual sunshine hours because of the effects of seasonal variation on ESR values suggested by a study in which high ESR values were observed in the spring and autumn while low values were observed in the summer [7]

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Summary

Methods and findings

Local normal ESR values were obtained from hospital data, while geographical factors that include altitude, sunshine hours, relative humidity, temperature and precipitation were obtained from the National Geographical Data Information Centre in China. The results show that predicted values are statistically in agreement with measured values. Model results exhibit significant agreement between training data and test data. The model is used to predict the unseen local reference ESR values

Conclusions
Introduction
Methods and materials
Normal ESR database
Wij i þ
Results and discussion
14. Foody GM
17. Gong P
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