Reacción a "AI can diagnose immunological diseases"
José Gómez Rial
Head of the Immunology Department at the Complejo Hospitalario Universitario de Santiago de Compostela (CHUS), Servicio Gallego de Salud (SERGAS)
The study presented by Zaslavsky et al. represents a major breakthrough in the integration of artificial intelligence in immunological diagnosis by applying machine learning on immune cell receptor sequences to classify multiple diseases with high accuracy.
The methodology used, called Machine Learning for Immunological Diagnosis (Mal-ID), allows the identification of specific immunological signatures of infectious diseases, autoimmune diseases and vaccine responses from the immune receptor repertoire. This approach represents a paradigm shift in diagnosis, as immunological assessment has traditionally been based on the detection of antibodies and indirect biomarkers, whereas this technology takes advantage of the immense diversity of the immune repertoire to extract large amounts of data that provide highly specific information. The validation of this methodology, which has been done in a diverse set of diseases, underlines its potential as a versatile and clinically valuable tool.
The application of AI in clinical immunology opens up new possibilities to improve our diagnostic accuracy, reduce diagnostic time and personalise treatments based on the patient's immunological footprint. In this context, the use of these models to analyse immune receptor sequences is an innovative strategy that could be applied to an even wider range of pathologies, including rare diseases or other immune-based diseases. However, their implementation in clinical practice will require further studies to assess their reproducibility in different settings, as well as their integration with other immunological markers and clinical data. As AI continues to refine our ability to interpret complex immune responses, it is critical that immunologists lead its implementation to ensure its safe and effective application in clinical decision-making.