Yang Mei, Zhao Yuanzhi, Yu Haihang, Chen Shoulin, Gao Guosheng, Li Da, Wu Xiangping, Huang Ling, Ye Shuyuan
Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, 315201 Ningbo, Zhejiang, China; Department of Psychiatry, Ningbo Kangning Hospital, 315201 Ningbo, Zhejiang, China.
Department of Clinical Laboratory, Ningbo No.2 Hospital, 315099 Ningbo, Zhejiang, China.
Actas Esp Psiquiatr. 2025 Jan;53(1):89-99. doi: 10.62641/aep.v53i1.1728.
Accurate diagnosis and classification of Alzheimer's disease (AD) are crucial for effective treatment and management. Traditional diagnostic models, largely based on binary classification systems, fail to adequately capture the complexities and variations across different stages and subtypes of AD, limiting their clinical utility.
We developed a deep learning model integrating a dot-product attention mechanism and an innovative labeling system to enhance the diagnosis and classification of AD subtypes and severity levels. This model processed various clinical and demographic data, emphasizing the most relevant features for AD diagnosis. The approach emphasized precision in identifying disease subtypes and predicting their severity through advanced computational techniques that mimic expert clinical decision-making.
Comparative tests against a baseline fully connected neural network demonstrated that our proposed model significantly improved diagnostic accuracy. Our model achieved an accuracy of 83.1% for identifying AD subtypes, compared to 72.9% by the baseline. In severity prediction, our model reached an accuracy of 83.3%, outperforming the baseline (73.5%).
The incorporation of a dot-product attention mechanism and a tailored labeling system in our model significantly enhances the accuracy of diagnosing and classifying AD. This improvement highlights the potential of the model to support personalized treatment strategies and advance precision medicine in neurodegenerative diseases.
阿尔茨海默病(AD)的准确诊断和分类对于有效治疗和管理至关重要。传统诊断模型主要基于二元分类系统,无法充分捕捉AD不同阶段和亚型的复杂性及变异性,限制了其临床应用价值。
我们开发了一种深度学习模型,该模型整合了点积注意力机制和创新的标记系统,以加强AD亚型和严重程度水平的诊断与分类。此模型处理各种临床和人口统计学数据,强调与AD诊断最相关的特征。该方法通过模仿专家临床决策的先进计算技术,在识别疾病亚型和预测其严重程度方面强调精准性。
与基线全连接神经网络进行的对比测试表明,我们提出的模型显著提高了诊断准确性。我们的模型在识别AD亚型方面的准确率达到83.1%,而基线模型为72.9%。在严重程度预测方面,我们的模型准确率达到83.3%,优于基线模型(73.5%)。
在我们的模型中纳入点积注意力机制和定制的标记系统,显著提高了AD诊断和分类的准确性。这一改进凸显了该模型支持个性化治疗策略及推动神经退行性疾病精准医学发展的潜力。