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Gomez-Verdejo, V.

Publications and source records attributed to Gomez-Verdejo, V..

9 recordsLinked to original sources

MARISMa: a routine MALDI-TOF MS database from 2018 to 2024

Clinical microbiology laboratories play a crucial role in identifying pathogens, guiding antibiotic treatment, and managing antimicrobial resistance (AMR). Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) has become essential for rapid, accurate, and cost-effective microbial identification. Recent advances in integrating MALDI-TOF MS with Artificial Intelligence (AI) show promise in improving microbial detection and prediction of AMR. However, progress is limited by the lack of comprehensive and openly accessible datasets that restrict the validation, reproducibility, and applicability of the model. To address this gap, we introduce a publicly available MALDI-TOF MS dataset comprising 202,700 unique spectra from isolates collected between 2018 and 2024 at the Hospital General Universitario Gregorio Maranon, Spain. This dataset includes 186,213 bacteria, 16,163 fungal, and 371 mycobacterial samples, of which 29,679 contain AMR annotations. This resource is openly and freely shared, rigorously curated, and designed to support a wide range of machine learning. By ensuring unrestricted access to high-quality, standardized data, this dataset aims to promote transparency, reproducibility, comparative benchmarking, and collaborative progress in AI-driven clinical microbiology.

microbiology↗

Applied Machine Learning for human bacteriaMALDI-TOF Mass Spectrometry: a systematicreview

Bacterial identification, antimicrobial resistance prediction, and strain typification are critical tasks in clinical microbiology, essential for guiding patient treatment and controlling the spread of infectious diseases. While Machine Learning (ML) has shown immense promise in enhancing Matrix-Assisted Laser Desorption/Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) applications for these tasks, there is currently no comprehensive review that fully addresses this from a technical ML perspective. To address this gap, we systematically reviewed 115 studies published between 2004 and 2025, focusing on key ML aspects such as data size and balance, pre-processing pipelines, model selection and evaluation, open-source data, and code availability. Our analysis highlights the predominant use of classical ML models like Random Forest and Support Vector Machines, alongside emerging interest in Deep Learning approaches for handling complex, high-dimensional data. Despite significant progress, challenges such as inconsistent pre-processing workflows, reliance on black-box models, limited external validation, and insufficient open-source resources persist, hindering transparency, reproducibility, and broader adoption. This review offers actionable insights to enhance ML-driven bacterial diagnostics, advocating for standardized methodologies, greater transparency, and improved data accessibility. In addition, we provide guidelines on how to approach ML for MALDI-TOF MS analysis, helping researchers navigate key decisions in model development and evaluation.

bioengineering↗

Automatic surveillance of Escherichia coli bacteriological strains within clinical settings

Healthcare-associated infections (HAIs) are a significant concern within hospital environments, with the World Health Organization (WHO) identifying them as a major source of bacteriological infections. HAIs affect millions of patients annually, leading to substantial morbidity and mortality. However, a significant proportion of HAIs are preventable through early detection and appropriate intervention and isolation. Traditional methods for identifying bacterial species and strains, such as antigen tests, are often time-consuming and hamper the realtime tracking of outbreaks. The matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) technique has emerged as a more rapid and precise alternative, though it remains limited by manual identification processes and database constraints. Recent advancements have demonstrated the potential of combining MALDI-TOF MS data with machine learning (ML) to enhance in silico identification speed. In this paper we propose the first method for unsupervised Escherichia coli novel strain detection through the application of a efficient PIKE tailored to strain identification, spectral clustering techniques and a one-class support vector machine (OCSVM) novelty detection model, presenting promising results.

microbiology↗

Overcoming Challenges of Reproducibility and Variability for the Clostridioides difficile typification

Machine learning (ML) approaches applied to Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) spectra have shown promise for the typing of Clostridioides difficile, yet their deployment in routine clinical settings remains challenging due to strong sensitivity to acquisition variability. Differences in culture media, incubation time, protein extraction protocols, and instrumentation across hospitals often lead to substantial performance degradation when models are evaluated under heterogeneous or previously unseen conditions. In this work, we systematically analyze the impact of methodological and technical variability on ML-based C. difficile typing and investigate whether data augmentation (DA) strategies can mitigate these effects. Using a dedicated dataset of 60 isolates acquired under diverse conditions, we show that DA substantially improves robustness to variability when training on spectra from selective C. difficile agar media. Importantly, models trained with DA achieve performance levels approaching those obtained using enriched Schaedler agar media, while relying exclusively on standard 24-hour incubation. Evaluation on an independent cohort of 28 newly acquired isolates confirms that DA significantly reduces performance degradation under real-world domain shift. To facilitate adoption and reproducibility, we release MAL-DIDA, an open-source Python library for DA of MALDI-TOF MS spectra.

microbiology↗

Rapid, automatic typing of Clostridioides difficile Ribotypes Using MALDI-TOF MS

Clostridioides difficile is a major cause of hospital-acquired diarrhea, posing significant clinical challenges due to its high morbi-mortality rates and its involvement in nosocomial outbreaks. Detecting its toxigenic ribotypes rapidly and accurately is crucial for effective outbreak control. This study aimed to create a rapid diagnostic methodology based on MALDI-TOF MS and Machine Learning algorithms to differentiate toxigenic C. difficile RTs. MALDI-TOF spectra were acquired from 379 clinical isolates sourcing from 10 Spanish hospitals and analysed using Clover MSDAS, a specific software for MALDI-TOF spectra analysis, considered as the state-of-the-art tool for this purpose, and AutoCdiff, an ad hoc software developed in this study. Seven biomarker peaks were found to differentiate epidemic RT027 and RT181 strains from other RTs (2463, 3353, 4933, 4993, 6187, 6651 and 6710 m/z). Two peaks (2463 and 4993 m/z) were specifically found in RT027 isolates while combinations of the other 5 peaks allowed the differentiation of RT181 from other ribotypes. Automatic classification tools developed in Clover MSDAS and AutoCdiff using the specific peaks and the entire protein spectra, respectively, showed up to 100% balanced accuracy. Both methods allowed correct ribotype assignment for isolates sourcing from real-time outbreaks. The developed models, available from Clover MSDAS and the AutoCdiff website -https://bacteria.id-offer researchers a valuable tool for quick C. difficile ribotype determination based on MALDI-TOF spectra analysis. Although further validation of the models is still required, they represent rapid and cost-effective methods for standardized C. difficile ribotype assignment.

microbiology↗

Development and Validation of a MALDI-TOF-Based Model to Predict Extended-Spectrum Beta-Lactamase and/or Carbapenemase-Producing in Klebsiella pneumoniae Clinical Isolates

Matrix-Assisted Laser Desorption Ionization Time-Of-Flight (MALDI-TOF) Mass Spectrometry (MS) is a reference method for microbial identification and it can be used to predict Antibiotic Resistance (AR) when combined with artificial intelligence methods. However, current solutions need time-costly preprocessing steps, are difficult to reproduce due to hyperparameter tuning, are hardly interpretable, and do not pay attention to epidemiological differences inherent to data coming from different centres, which can be critical. We propose using a multi-view heterogeneous Bayesian model (KSSHIBA) for the prediction of AR using MALDI-TOF MS data together with their epidemiological differences. KSSHIBA is the first model that removes the ad-hoc preprocessing steps that work with raw MALDI-TOF data. In addition, due to its Bayesian probabilistic nature, it does not require hyperparameter tuning, provides interpretable results, and allows exploiting local epidemiological differences between data sources. To test the proposal, we used data from 402 Klebsiella pneumoniae isolates coming from two different domains and 20 different hospitals located in Spain and Portugal. KSSHIBA outperforms current state-of-the-art approaches in antibiotic susceptibility prediction, obtaining a 0.78 AUC score in Wild Type classification and a 0.90 AUC score in Extended-Spectrum Beta-Lactamases (ESBL)+Carbapenemases (CP)-producers. The proposal consistently removes the need for ad-hoc preprocessing by working with raw MALDI-TOF data, which, in turn, reduces the time needed to obtain the results of the resistance mechanism in microbiological laboratories. The proposed model implementation as well as both data domains are publicly available.

microbiology↗

Regularized Bagged Canonical Component Analysis for Multiclass Learning in Brain Imaging

A fundamental problem of supervised learning algorithms for brain imaging applications is that the number of features far exceeds the number of subjects. In this paper, we propose a combined feature selection and extraction approach for multiclass problems. This method starts with a bagging procedure which calculates the sign consistency of the multivariate analysis (MVA) projection matrix feature-wise to determine the relevance of each feature. This relevance measure provides a parsimonious matrix, which is combined with a hypothesis test to automatically determine the number of selected features. Then, a novel MVA regularized with the sign and magnitude consistency of the features is used to generate a reduced set of summary components providing a compact data description.\n\nWe evaluated the proposed method with two multiclass brain imaging problems: 1) the classification of the elderly subjects in four classes (cognitively normal, stable mild cognitive impairment (MCI), MCI converting to AD in 3 years, and Alzheimers disease) based on structural brain imaging data from the ADNI cohort; 2) the classification of children in 3 classes (typically developing, and 2 types of Attention Deficit/Hyperactivity Disorder (ADHD)) based on functional connectivity. Experimental results confirmed that each brain image (defined by 29.852 features in the ADNI database and 61.425 in the ADHD) could be represented with only 30 - 45% of the original features. Furthermore, this information could be redefined into two or three summary components, providing not only a gain of interpretability but also classification rate improvements when compared to state-of-art reference methods.

bioinformatics↗

Comparison of feature representations in MRI-based MCI-to-AD conversion prediction

Alzheimers Disease (AD) is a progressive neurological disorder in which the death of brain cells causes memory loss and cognitive decline. The identifica-tion of at-risk subjects yet showing no dementia symptoms but who will later convert to AD can be crucial for the effective treatment of AD. For this, Magnetic Resonance Imaging (MRI) is expected to play a crucial role. During recent years, several Machine Learning (ML) approaches to AD-conversion prediction have been proposed using different types of MRI features. However, few studies comparing these different feature representations exist, and the existing ones do not allow to make definite conclusions. We evaluated the performance of various types of MRI features for the conversion prediction: voxel-based features extracted based on voxel-based morphometry, hippocampus volumes, volumes of the entorhinal cortex, and a set of regional volumetric, surface area, and cortical thickness measures across the brain. Regional features consistently yielded the best performance over two classifiers (Support Vector Machines and Regularized Logistic Regression), and two datasets studied. However, the performance difference to other features was not statistically significant. There was a consis-tent trend of age correction improving the classification performance, but the improvement reached statistical significance only rarely.

neuroscience↗

Sign-Consistency Based Variable Importance For Machine Learning In Brain Imaging

An important problem that hinders the use of supervised classification algorithms for brain imaging is that the number of variables per single subject far exceeds the number of training subjects available. Deriving multivariate measures of variable importance becomes a challenge in such scenarios. This paper proposes a new measure of variable importance termed sign-consistency bagging (SCB). The SCB captures variable importance by analyzing the sign consistency of the corresponding weights in an ensemble of linear support vector machine (SVM) classifiers. Further, the SCB variable importances are enhanced by means of transductive conformal analysis. This extra step is important when the data can be assumed to be heterogeneous. Finally, the proposal of these SCB variable importance measures is completed with the derivation of a parametric hypothesis test of variable importance. The new importance measures were compared with a t-test based univariate and an SVM-based multivariate variable importances using anatomical and functional magnetic resonance imaging data. The obtained results demonstrated that the new SCB based importance measures were superior to the compared methods in terms of reproducibility and classification accuracy.

neuroscience↗