
Background Machine learning (ML) provides novel opportunities for human behavior research and clinical translation, yet its application can have noted pitfalls (Bone et al., 2015). In this work, we fastidiously utilize ML to derive autism spectrum disorder (ASD) instrument algorithms in an attempt to improve upon widely used ASD screening and diagnostic tools. Methods The data consisted of Autism Diagnostic Interview‐Revised (ADI‐R) and Social Responsiveness Scale (SRS) scores for 1,264 verbal individuals with ASD and 462 verbal individuals with non‐ASD developmental or psychiatric disorders, split at age 10. Algorithms were created via a robust ML classifier, support vector machine, while targeting best‐estimate clinical diagnosis of ASD versus non‐ASD. Parameter settings were tuned in multiple levels of cross‐validation. Results The created algorithms were more effective (higher performing) than the current algorithms, were tunable (sensitivity and specificity can be differentially weighted), and were more efficient (achieving near‐peak performance with five or fewer codes). Results from ML‐based fusion of ADI‐R and SRS are reported. We present a screener algorithm for below (above) age 10 that reached 89.2% (86.7%) sensitivity and 59.0% (53.4%) specificity with only five behavioral codes. Conclusions ML is useful for creating robust, customizable instrument algorithms. In a unique dataset comprised of controls with other difficulties, our findings highlight the limitations of current caregiver‐report instruments and indicate possible avenues for improving ASD screening and diagnostic tools.
Adult, Male, Support Vector Machine, Adolescent, diagnosis, Autism Spectrum Disorder, Intellectual and Developmental Disabilities (IDD), Autism, Clinical Sciences, Bioengineering, Developmental & Child Psychology, Clinical sciences, Applied and Developmental Psychology, Clinical and health psychology, Young Adult, Clinical Research, Behavioral and Social Science, Psychology, Humans, Preschool, Child, Pediatric, Psychiatric Status Rating Scales, screening and diagnosis, Biomedical and Clinical Sciences, Clinical and Health Psychology, screening, Applied and developmental psychology, Middle Aged, Brain Disorders, 4.1 Discovery and preclinical testing of markers and technologies, Detection, Mental Health, machine learning, Child, Preschool, Mental health, Cognitive Sciences, Female, Algorithms, 4.2 Evaluation of markers and technologies
Adult, Male, Support Vector Machine, Adolescent, diagnosis, Autism Spectrum Disorder, Intellectual and Developmental Disabilities (IDD), Autism, Clinical Sciences, Bioengineering, Developmental & Child Psychology, Clinical sciences, Applied and Developmental Psychology, Clinical and health psychology, Young Adult, Clinical Research, Behavioral and Social Science, Psychology, Humans, Preschool, Child, Pediatric, Psychiatric Status Rating Scales, screening and diagnosis, Biomedical and Clinical Sciences, Clinical and Health Psychology, screening, Applied and developmental psychology, Middle Aged, Brain Disorders, 4.1 Discovery and preclinical testing of markers and technologies, Detection, Mental Health, machine learning, Child, Preschool, Mental health, Cognitive Sciences, Female, Algorithms, 4.2 Evaluation of markers and technologies
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