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Use of machine learning to identify functional connectivity changes in a clinical cohort of patients at risk for dementia.

作者信息

Shen Ying, Lu Qian, Zhang Tianjiao, Yan Hailang, Mansouri Negar, Osipowicz Karol, Tanglay Onur, Young Isabella, Doyen Stephane, Lu Xi, Zhang Xia, Sughrue Michael E, Wang Tong

机构信息

Rehabilitation Medicine Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Department of Rehabilitation Medicine, The Affiliated Jiangsu Shengze Hospital of Nanjing Medical University, Suzhou, China.

出版信息

Front Aging Neurosci. 2022 Sep 1;14:962319. doi: 10.3389/fnagi.2022.962319. eCollection 2022.


DOI:10.3389/fnagi.2022.962319
PMID:36118683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9475065/
Abstract

OBJECTIVE: Progressive conditions characterized by cognitive decline, including mild cognitive impairment (MCI) and subjective cognitive decline (SCD) are clinical conditions representing a major risk factor to develop dementia, however, the diagnosis of these pre-dementia conditions remains a challenge given the heterogeneity in clinical trajectories. Earlier diagnosis requires data-driven approaches for improved and targeted treatment modalities. METHODS: Neuropsychological tests, baseline anatomical T1 magnetic resonance imaging (MRI), resting-state functional MRI (rsfMRI), and diffusion weighted scans were obtained from 35 patients with SCD, 19 with MCI, and 36 age-matched healthy controls (HC). A recently developed machine learning technique, Hollow Tree Super (HoTS) was utilized to classify subjects into diagnostic categories based on their FC, and derive network and parcel-based FC features contributing to each model. The same approach was used to identify features associated with performance in a range of neuropsychological tests. We concluded our analysis by looking at changes in PageRank centrality (a measure of node hubness) between the diagnostic groups. RESULTS: Subjects were classified into diagnostic categories with a high area under the receiver operating characteristic curve (AUC-ROC), ranging from 0.73 to 0.84. The language networks were most notably associated with classification. Several central networks and sensory brain regions were predictors of poor performance in neuropsychological tests, suggesting maladaptive compensation. PageRank analysis highlighted that basal and limbic deep brain region, along with the frontal operculum demonstrated a reduction in centrality in both SCD and MCI patients compared to controls. CONCLUSION: Our methods highlight the potential to explore the underlying neural networks contributing to the cognitive changes and neuroplastic responses in prodromal dementia.

摘要

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引用本文的文献

[1]
Differential effects of aging, Alzheimer's pathology, and APOE4 on longitudinal functional connectivity and episodic memory in older adults.

Alzheimers Res Ther. 2025-4-25

[2]
Effects of repetitive transcranial magnetic stimulation on episodic memory in patients with subjective cognitive decline: study protocol for a randomized clinical trial.

Front Psychol. 2023-11-1

本文引用的文献

[1]
Differential Abnormality in Functional Connectivity Density in Preclinical and Early-Stage Alzheimer's Disease.

Front Aging Neurosci. 2022-5-25

[2]
Culture Effects on the Chinese Version Boston Naming Test Performance and the Normative Data in the Native Chinese-Speaking Elders in Mainland China.

Front Neurol. 2022-5-13

[3]
Abnormal Dynamic Functional Networks in Subjective Cognitive Decline and Alzheimer's Disease.

Front Comput Neurosci. 2022-5-2

[4]
Classification of Alzheimer's Disease Based on Abnormal Hippocampal Functional Connectivity and Machine Learning.

Front Aging Neurosci. 2022-2-22

[5]
Predictive classification of Alzheimer's disease using brain imaging and genetic data.

Sci Rep. 2022-2-14

[6]
Connectivity-based parcellation of normal and anatomically distorted human cerebral cortex.

Hum Brain Mapp. 2022-3

[7]
Hollow-tree super: A directional and scalable approach for feature importance in boosted tree models.

PLoS One. 2021

[8]
Gait Kinematic and Kinetic Characteristics of Older Adults With Mild Cognitive Impairment and Subjective Cognitive Decline: A Cross-Sectional Study.

Front Aging Neurosci. 2021-8-3

[9]
Language Network Connectivity Increases in Early Alzheimer's Disease.

J Alzheimers Dis. 2021

[10]
Machine Learning for Diagnosis of AD and Prediction of MCI Progression From Brain MRI Using Brain Anatomical Analysis Using Diffeomorphic Deformation.

Front Neurol. 2021-2-5

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