Meng Weimin, Inampudi Rohit, Zhang Xiang, Xu Jie, Huang Yu, Xie Mingyi, Bian Jiang, Yin Rui
Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Department of Computer Science and Engineering, University of Florida, Gainesville, FL, USA.
medRxiv. 2024 Mar 28:2024.03.27.24304966. doi: 10.1101/2024.03.27.24304966.
Alzheimer's disease (AD) manifests with varying progression rates across individuals, necessitating the understanding of their intricate patterns of cognition decline that could contribute to effective strategies for risk monitoring. In this study, we propose an innovative interpretable population graph network framework for identifying rapid progressors of AD by utilizing patient information from electronic health-related records in the UK Biobank. To achieve this, we first created a patient similarity graph, in which each AD patient is represented as a node; and an edge is established by patient clinical characteristics distance. We used graph neural networks (GNNs) to predict rapid progressors of AD and created a GNN Explainer with SHAP analysis for interpretability. The proposed model demonstrates superior predictive performance over the existing benchmark approaches. We also revealed several clinical features significantly associated with the prediction, which can be used to aid in effective interventions for the progression of AD patients.
阿尔茨海默病(AD)在个体间的进展速度各不相同,因此有必要了解其复杂的认知衰退模式,这有助于制定有效的风险监测策略。在本研究中,我们提出了一种创新的可解释群体图网络框架,通过利用英国生物银行中与电子健康相关记录中的患者信息来识别AD的快速进展者。为实现这一目标,我们首先创建了一个患者相似性图,其中每个AD患者都表示为一个节点;并通过患者临床特征距离建立边。我们使用图神经网络(GNN)来预测AD的快速进展者,并创建了一个带有SHAP分析的GNN解释器以实现可解释性。所提出的模型在预测性能上优于现有的基准方法。我们还揭示了几个与预测显著相关的临床特征,可用于辅助对AD患者病情进展进行有效干预。