Metabolomic Biomarker Discovery for ADHD Diagnosis Using Interpretable Machine Learning

Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder with limited objective diagnostic tools, highlighting the urgent need for objective, biology-based diagnostic frameworks in precision psychiatry. We integrate urinary metabolomics with an interpretable machine learning framework to identify biochemical signatures associated with ADHD. Targeted metabolomic profiles from 52 ADHD and 46 control participants were analyzed using a Closest Resemblance (CR) classifier with embedded feature selection. The CR model outperformed Random Forest and K-Nearest Neighbor classifiers, achieving an AUC > 0.97 based on a reduced panel of 14 metabolites. These metabolites including dopamine 4-sulfate, N-acetylaspartylglutamic acid, and citrulline map to dopaminergic neurotransmission and amino acid metabolism pathways, offering mechanistic insight into ADHD pathophysiology. The CR classifier's transparent decision boundaries and low computational cost support integration into targeted metabolomic assays and future point of care diagnostic platforms. Overall, this work demonstrates a translational framework combining metabolomics and interpretable machine learning to advance objective, biologically informed diagnostic strategies for ADHD.

An Online, Adaptive and Unsupervised Regression Framework with Drift Detection for Label Scarcity Contexts

In scenarios where obtaining real-time labels proves challenging, conventional approaches may result in sub-optimal performance. This paper presents an optimal strategy for streaming contexts with limited labeled data, introducing an adaptive technique for unsupervised regression. The proposed method leverages a sparse set of initial labels and introduces an innovative drift detection mechanism to enable dynamic model adaptations in response to evolving patterns in the data. To enhance adaptability, we integrate the ADWIN (ADaptive WINdowing) algorithm with error generalization based on Root Mean Square Error (RMSE). ADWIN facilitates real-time drift detection, while RMSE provides a robust measure of model prediction accuracy. This combination enables our multivariate method to effectively navigate the challenges of streaming data, continuously adapting to changing patterns while maintaining a high level of predictive precision. Finally, we evaluate the performance of our multivariate method across various public datasets, comparing it to non-adapting baselines. Through comprehensive assessments, we demonstrate the superior efficacy of our adaptive regression technique for tasks where obtaining labels in real-time is a significant challenge. The results underscore the method's capacity to outperform traditional approaches and highlight its potential in scenarios characterized by label scarcity and evolving data patterns.