利用多模态神经影像数据进行机器学习以对阿尔茨海默病阶段进行分类:一项系统综述和荟萃分析。

Machine learning with multimodal neuroimaging data to classify stages of Alzheimer's disease: a systematic review and meta-analysis.

作者信息

Odusami Modupe, Maskeliūnas Rytis, Damaševičius Robertas, Misra Sanjay

机构信息

Department of Multimedia Engineering, Kaunas University of Technology, Kaunas, Lithuania.

Faculty of Applied Mathematics, Silesian University of Technology, Gliwice, Poland.

出版信息

Cogn Neurodyn. 2024 Jun;18(3):775-794. doi: 10.1007/s11571-023-09993-5. Epub 2023 Aug 18.

Abstract

In recent years, Alzheimer's disease (AD) has been a serious threat to human health. Researchers and clinicians alike encounter a significant obstacle when trying to accurately identify and classify AD stages. Several studies have shown that multimodal neuroimaging input can assist in providing valuable insights into the structural and functional changes in the brain related to AD. Machine learning (ML) algorithms can accurately categorize AD phases by identifying patterns and linkages in multimodal neuroimaging data using powerful computational methods. This study aims to assess the contribution of ML methods to the accurate classification of the stages of AD using multimodal neuroimaging data. A systematic search is carried out in IEEE Xplore, Science Direct/Elsevier, ACM DigitalLibrary, and PubMed databases with forward snowballing performed on Google Scholar. The quantitative analysis used 47 studies. The explainable analysis was performed on the classification algorithm and fusion methods used in the selected studies. The pooled sensitivity and specificity, including diagnostic efficiency, were evaluated by conducting a meta-analysis based on a bivariate model with the hierarchical summary receiver operating characteristics (ROC) curve of multimodal neuroimaging data and ML methods in the classification of AD stages. Wilcoxon signed-rank test is further used to statistically compare the accuracy scores of the existing models. With a 95% confidence interval of 78.87-87.71%, the combined sensitivity for separating participants with mild cognitive impairment (MCI) from healthy control (NC) participants was 83.77%; for separating participants with AD from NC, it was 94.60% (90.76%, 96.89%); for separating participants with progressive MCI (pMCI) from stable MCI (sMCI), it was 80.41% (74.73%, 85.06%). With a 95% confidence interval (78.87%, 87.71%), the Pooled sensitivity for distinguishing mild cognitive impairment (MCI) from healthy control (NC) participants was 83.77%, with a 95% confidence interval (90.76%, 96.89%), the Pooled sensitivity for distinguishing AD from NC was 94.60%, likewise (MCI) from healthy control (NC) participants was 83.77% progressive MCI (pMCI) from stable MCI (sMCI) was 80.41% (74.73%, 85.06%), and early MCI (EMCI) from NC was 86.63% (82.43%, 89.95%). Pooled specificity for differentiating MCI from NC was 79.16% (70.97%, 87.71%), AD from NC was 93.49% (91.60%, 94.90%), pMCI from sMCI was 81.44% (76.32%, 85.66%), and EMCI from NC was 85.68% (81.62%, 88.96%). The Wilcoxon signed rank test showed a low P-value across all the classification tasks. Multimodal neuroimaging data with ML is a promising future in classifying the stages of AD but more research is required to increase the validity of its application in clinical practice.

摘要

近年来,阿尔茨海默病(AD)一直严重威胁着人类健康。研究人员和临床医生在试图准确识别和分类AD阶段时都遇到了重大障碍。多项研究表明,多模态神经影像学输入有助于深入了解与AD相关的大脑结构和功能变化。机器学习(ML)算法可以通过使用强大的计算方法识别多模态神经影像学数据中的模式和关联,从而准确地对AD阶段进行分类。本研究旨在评估ML方法对使用多模态神经影像学数据准确分类AD阶段的贡献。我们在IEEE Xplore、Science Direct/Elsevier、ACM DigitalLibrary和PubMed数据库中进行了系统检索,并在谷歌学术上进行了向前滚雪球检索。定量分析使用了47项研究。对所选研究中使用的分类算法和融合方法进行了可解释性分析。通过基于双变量模型进行荟萃分析,评估了合并敏感性和特异性,包括诊断效率,该双变量模型具有多模态神经影像学数据和ML方法在AD阶段分类中的分层汇总接收器操作特征(ROC)曲线。进一步使用Wilcoxon符号秩检验对现有模型的准确性得分进行统计比较。在将轻度认知障碍(MCI)参与者与健康对照(NC)参与者区分开来时,合并敏感性为83.77%,95%置信区间为78.87 - 87.71%;在将AD参与者与NC参与者区分开来时,合并敏感性为94.60%(90.76%,96.89%);在将进行性MCI(pMCI)参与者与稳定MCI(sMCI)参与者区分开来时,合并敏感性为80.41%(74.73%,85.06%)。在将轻度认知障碍(MCI)与健康对照(NC)参与者区分开来时,合并敏感性为83.77%,95%置信区间(78.87%,87.71%);在将AD与NC区分开来时,合并敏感性为94.60%,95%置信区间(90.76%,96.89%);同样,在将MCI与NC参与者区分开来时,合并敏感性为83.77%,将进行性MCI(pMCI)与稳定MCI(sMCI)区分开来时,合并敏感性为80.41%(74.73%,85.06%),将早期MCI(EMCI)与NC区分开来时,合并敏感性为86.63%(82.43%,89.95%)。区分MCI与NC的合并特异性为79.16%(70.97%,87.71%),区分AD与NC的合并特异性为93.49%(91.60%,94.90%),区分pMCI与sMCI的合并特异性为81.44%(76.32%,85.66%),区分EMCI与NC的合并特异性为85.68%(81.62%,88.96%)。Wilcoxon符号秩检验在所有分类任务中显示出较低的P值。多模态神经影像学数据与ML在AD阶段分类方面具有广阔的前景,但需要更多研究来提高其在临床实践中应用的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b5f/11143094/ff852b5e2565/11571_2023_9993_Fig1_HTML.jpg

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