A Review on Machine Learning Deployment Patterns and Key Features in the Prediction of Preeclampsia

Abstract

Previous reviews have investigated machine learning (ML) models used to predict the risk of developing preeclampsia. However, they have not addressed the intended deployment of these models throughout pregnancy, nor have they detailed feature performance. This study aims to provide an overview of existing ML models and their intended deployment patterns and performance, along with identified features of high importance. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The search was performed in January and February 2024. It included all papers published before March 2024 obtained from the scientific databases: PubMed, Engineering Village, the Association for Computing Machinery, Scopus, and Web of Science. Of a total of 198 identified studies, 18 met the inclusion criteria. Among these, 11 showed the intent to use the ML model as a single-use tool, two intended a dual-use, and two intended multiple-use. Ten studies listed the features of the highest importance, with systolic and diastolic blood pressure, mean arterial pressure, and hypertension frequently mentioned as critical predictors. Notably, three of the four studies proposing dual or multiple-use models were conducted in 2023 and 2024, while the remaining study is from 2009. No single ML model emerged as superior across the subgroups of PE. Incorporating body mass index alongside hypertension and either mean arterial pressure, diastolic blood pressure, or systolic blood pressure as features may enhance performance. The deployment patterns mainly focused on single use during gestational weeks 11+0 to 14+1.