Osteoarthritis

Deep learning–based clustering for endotyping and post-arthroplasty response classification using knee osteoarthritis multiomic data

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

We developed a multimodal deep learning-based clustering model capable of integrating complex multifluid, multiomic data to assist in uncovering biologically distinct patient endotypes and enhance outcome classifications to TKA surgery

Study context

Population
Patients with primary knee OA with subject-matched plasma, synovial fluid and urine; 1-year post-TKA WOMAC pain/function responses
Participants
414 patients
Outcome
Multimodal deep learning-based clustering across 4 multiomic domains (plasma metabolites; plasma, synovial fluid and urine microRNAs)
Methodological detailsmultimodal deep learning variational autoencoder with K-means clustering, integrative machine learning framework, multiomic (microRNA sequencing, metabolomics)
  • Multimodal deep learning variational autoencoder with K-means clustering
  • Integrative machine learning framework
  • Multiomic (microRNA sequencing, metabolomics)

Main finding

As reported in the abstract

Distinct patient clusters (knee osteoarthritis (KOA) endotypes)

3

Features in signature associated with cluster 1

30

Features in signature associated with cluster 3

24

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Deep learning–based clustering for endotyping and post-arthroplasty response classification using knee osteoarthritis multiomic data. Ann Rheum Dis. Published 12 February 2025. doi:10.1016/j.ard.2025.01.012

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