Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

Support Vector Machine-Based Formula for Detecting Suspected α Thalassemia Carriers: A Path Toward Universal Screening

Version 1 : Received: 9 April 2024 / Approved: 9 April 2024 / Online: 10 April 2024 (09:45:35 CEST)

How to cite: Lachover-Roth, I.; Peretz, S.; Zoabi, H.; Eitam, H.; Livshits, L.; Filon, D.; Levin, C.; Koren, A. Support Vector Machine-Based Formula for Detecting Suspected α Thalassemia Carriers: A Path Toward Universal Screening. Preprints 2024, 2024040686. https://doi.org/10.20944/preprints202404.0686.v1 Lachover-Roth, I.; Peretz, S.; Zoabi, H.; Eitam, H.; Livshits, L.; Filon, D.; Levin, C.; Koren, A. Support Vector Machine-Based Formula for Detecting Suspected α Thalassemia Carriers: A Path Toward Universal Screening. Preprints 2024, 2024040686. https://doi.org/10.20944/preprints202404.0686.v1

Abstract

The blood counts of α thalassemia carriers (α-thal) are similar to those of β thalassemia carriers, except for Hgb A2 that is not elevated. The objective of this study was to determine whether mathematical formulas are effective for detecting suspected α-thal. The data were obtained from the database of the prevention program for detecting couples at risk for having a child with hemoglobinopathy. RBC indices were analyzed using mathematical formulas and the sensitivity and negative predictive value (NPV) calculated. Among 1334 blood counts suspected α-thal analyzed, only the Shine&Lal and the Support Vector Machine formulas revealed high sensitivity and NPV. Sensitivity was 85.54 and 99.33% and NPV 98.93 and 99.93%, respectively. Molecular defects were found in 291, 81 had normal α genes. Molecular analysis was not performed in 962. Based on these results, mathematical formulas incorporating one of these reliable formulas for detecting suspected α or β thalassemia carriers in the program of the automatic analyzers can flag these results and increase the awareness of the primary physicians about the carrier risk and send an alert with a recommendation for further testing.

Keywords

Alpha Thalassemia, Screening, Support Vector Machine, Mathematical Formulas

Subject

Medicine and Pharmacology, Hematology

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