Sun Jingnan, Xie Zengmai, Sun Yike, Shen Anruo, Li Renren, Yuan Xiao, Lu Bai, Li Yunxia
Department of Biomedical Engineering Tsinghua University Beijing China.
Department of Neurology, Shanghai Pudong Hospital Fudan University Pudong Medical Center Shanghai China.
MedComm (2020). 2024 Apr 19;5(5):e532. doi: 10.1002/mco2.532. eCollection 2024 May.
Alzheimer's disease (AD) constitutes a neurodegenerative disorder marked by a progressive decline in cognitive function and memory capacity. The accurate diagnosis of this condition predominantly relies on cerebrospinal fluid (CSF) markers, notwithstanding the associated burdens of pain and substantial financial costs endured by patients. This study encompasses subjects exhibiting varying degrees of cognitive impairment, encompassing individuals with subjective cognitive decline, mild cognitive impairment, and dementia, constituting a total sample size of 82 participants. The primary objective of this investigation is to explore the relationships among brain atrophy measurements derived from magnetic resonance imaging, atypical electroencephalography (EEG) patterns, behavioral assessment scales, and amyloid β-protein (Aβ) indicators. The findings of this research reveal that individuals displaying reduced Aβ1-42/Aβ-40 levels exhibit significant atrophy in the frontotemporal lobe, alongside irregularities in various parameters related to EEG frequency characteristics, signal complexity, inter-regional information exchange, and microstates. The study additionally endeavors to estimate Aβ1-42/Aβ-40 content through the application of a random forest algorithm, amalgamating structural data, electrophysiological features, and clinical scales, achieving a remarkable predictive precision of 91.6%. In summary, this study proposes a cost-effective methodology for acquiring CSF markers, thereby offering a valuable tool for the early detection of AD.
阿尔茨海默病(AD)是一种神经退行性疾病,其特征为认知功能和记忆能力逐渐衰退。尽管患者会承受疼痛负担和高昂的经济成本,但这种疾病的准确诊断主要依赖于脑脊液(CSF)标志物。本研究涵盖了表现出不同程度认知障碍的受试者,包括主观认知衰退、轻度认知障碍和痴呆患者,样本总量为82名参与者。本调查的主要目的是探究磁共振成像得出的脑萎缩测量结果、非典型脑电图(EEG)模式、行为评估量表和淀粉样β蛋白(Aβ)指标之间的关系。本研究结果表明,Aβ1-42/Aβ-40水平降低的个体在额颞叶出现明显萎缩,同时在与EEG频率特征、信号复杂性、区域间信息交换和微状态相关的各种参数方面存在异常。该研究还尝试通过应用随机森林算法,结合结构数据、电生理特征和临床量表来估计Aβ1-42/Aβ-40含量,预测精度达到了91.6%,效果显著。总之,本研究提出了一种获取CSF标志物的经济有效方法,从而为AD的早期检测提供了一个有价值的工具。