Multi-feature computational framework for combined signatures of dementia in underrepresented settings
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Date
2022-08-25Authors
Moguilner, SebastiánBirba, Agustina
Fittipaldi, Sol
Gonzalez-Campo, Cecilia
Tagliazucchi, Enzo
Reyes Gavilan, Pablo Alexander
Matallana, Diana
Parra, Mario A.
Slachevsky, Andrea
Farías, Gonzalo A.
Cruzat, Josefina
García, Adolfo
Eyre, Harris A.
La Joie, Renaud
Rabinovici, Gil
Whelan, Robert
Ibáñez, Agustin
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Instituto de Envejecimiento
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud Mental
Type
Artículo de revista
ISSN
1741-2560 / 1741-2552 (Electrónico)
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Abstract
Objective: The differential diagnosis of behavioral variant frontotemporal dementia (bvFTD) and Alzheimer's disease (AD) remains challenging in underrepresented, underdiagnosed groups, including Latinos, as advanced biomarkers are rarely available. Recent guidelines for the study of dementia highlight the critical role of biomarkers. Thus, novel cost-effective complementary approaches are required in clinical settings. Approach: We developed a novel framework based on a gradient boosting machine learning classifier, tuned by Bayesian optimization, on a multi-feature multimodal approach (combining demographic, neuropsychological, magnetic resonance imaging (MRI), and electroencephalography/functional MRI connectivity data) to characterize neurodegeneration using site harmonization and sequential feature selection. We assessed 54 bvFTD and 76 AD patients and 152 healthy controls (HCs) from a Latin American consortium (ReDLat). Main results: The multimodal model yielded high area under the curve classification values (bvFTD patients vs HCs: 0.93 (±0.01); AD patients vs HCs: 0.95 (±0.01); bvFTD vs AD patients: 0.92 (±0.01)). The feature selection approach successfully filtered non-informative multimodal markers (from thousands to dozens). Results: Proved robust against multimodal heterogeneity, sociodemographic variability, and missing data. Significance: The model accurately identified dementia subtypes using measures readily available in underrepresented settings, with a similar performance than advanced biomarkers. This approach, if confirmed and replicated, may potentially complement clinical assessments in developing countries.
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América LatinaLink to the resource
https://iopscience.iop.org/article/10.1088/1741-2552/ac87d0Source
Journal of Neural Engineering; Volumen 19 Número 4 , Páginas 1 - 17 (2022)
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