Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms

Background and ObjectiveIdentifying biomarkers for predicting progression to dementia in patients with mild cognitive impairment (MCI) is crucial. To this end, the comprehensive visual rating scale (CVRS), which is based on magnetic resonance imaging (MRI), was developed for the assessment of struct...

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Main Authors: Chaeyoon Park, Jae-Won Jang, Gihun Joo, Yeshin Kim, Seongheon Kim, Gihwan Byeon, Sang Won Park, Payam Hosseinzadeh Kasani, Sujin Yum, Jung-Min Pyun, Young Ho Park, Jae-Sung Lim, Young Chul Youn, Hyun-Soo Choi, Chihyun Park, Hyeonseung Im, SangYun Kim
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.906257/full
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author Chaeyoon Park
Jae-Won Jang
Jae-Won Jang
Jae-Won Jang
Gihun Joo
Yeshin Kim
Seongheon Kim
Gihwan Byeon
Sang Won Park
Payam Hosseinzadeh Kasani
Sujin Yum
Jung-Min Pyun
Young Ho Park
Young Ho Park
Jae-Sung Lim
Young Chul Youn
Hyun-Soo Choi
Hyun-Soo Choi
Chihyun Park
Chihyun Park
Hyeonseung Im
Hyeonseung Im
Hyeonseung Im
SangYun Kim
SangYun Kim
author_facet Chaeyoon Park
Jae-Won Jang
Jae-Won Jang
Jae-Won Jang
Gihun Joo
Yeshin Kim
Seongheon Kim
Gihwan Byeon
Sang Won Park
Payam Hosseinzadeh Kasani
Sujin Yum
Jung-Min Pyun
Young Ho Park
Young Ho Park
Jae-Sung Lim
Young Chul Youn
Hyun-Soo Choi
Hyun-Soo Choi
Chihyun Park
Chihyun Park
Hyeonseung Im
Hyeonseung Im
Hyeonseung Im
SangYun Kim
SangYun Kim
author_sort Chaeyoon Park
collection DOAJ
description Background and ObjectiveIdentifying biomarkers for predicting progression to dementia in patients with mild cognitive impairment (MCI) is crucial. To this end, the comprehensive visual rating scale (CVRS), which is based on magnetic resonance imaging (MRI), was developed for the assessment of structural changes in the brains of patients with MCI. This study aimed to investigate the use of the CVRS score for predicting dementia in patients with MCI over a 2-year follow-up period using various machine learning (ML) algorithms.MethodsWe included 197 patients with MCI who were followed up more than once. The data used for this study were obtained from the Japanese-Alzheimer's Disease Neuroimaging Initiative study. We assessed all the patients using their CVRS scores, cortical thickness data, and clinical data to determine their progression to dementia during a follow-up period of over 2 years. ML algorithms, such as logistic regression, random forest (RF), XGBoost, and LightGBM, were applied to the combination of the dataset. Further, feature importance that contributed to the progression from MCI to dementia was analyzed to confirm the risk predictors among the various variables evaluated.ResultsOf the 197 patients, 108 (54.8%) showed progression from MCI to dementia. Tree-based classifiers, such as XGBoost, LightGBM, and RF, achieved relatively high performance. In addition, the prediction models showed better performance when clinical data and CVRS score (accuracy 0.701–0.711) were used than when clinical data and cortical thickness (accuracy 0.650–0.685) were used. The features related to CVRS helped predict progression to dementia using the tree-based models compared to logistic regression.ConclusionsTree-based ML algorithms can predict progression from MCI to dementia using baseline CVRS scores combined with clinical data.
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spelling doaj.art-43ec7d9be9fa4375b0122248262f1cca2022-12-22T02:34:35ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-08-011310.3389/fneur.2022.906257906257Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithmsChaeyoon Park0Jae-Won Jang1Jae-Won Jang2Jae-Won Jang3Gihun Joo4Yeshin Kim5Seongheon Kim6Gihwan Byeon7Sang Won Park8Payam Hosseinzadeh Kasani9Sujin Yum10Jung-Min Pyun11Young Ho Park12Young Ho Park13Jae-Sung Lim14Young Chul Youn15Hyun-Soo Choi16Hyun-Soo Choi17Chihyun Park18Chihyun Park19Hyeonseung Im20Hyeonseung Im21Hyeonseung Im22SangYun Kim23SangYun Kim24Department of Convergence Security, Kangwon National University, Chuncheon, South KoreaDepartment of Convergence Security, Kangwon National University, Chuncheon, South KoreaDepartment of Neurology, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South KoreaDepartment of Neurology, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, South KoreaDepartment of Neurology, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, South KoreaDepartment of Psychiatry, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South KoreaDepartment of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, South KoreaDepartment of Neurology, Seoul National University Bundang Hospital, Seongnam, South KoreaDepartment of Neurology, Seoul National University College of Medicine, Seoul, South KoreaDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South KoreaDepartment of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South Korea0Department of Computer Science and Engineering, Kangwon National University, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South Korea0Department of Computer Science and Engineering, Kangwon National University, Chuncheon, South KoreaDepartment of Convergence Security, Kangwon National University, Chuncheon, South KoreaInterdisciplinary Graduate Program in Medical Bigdata Convergence, Chuncheon, South Korea0Department of Computer Science and Engineering, Kangwon National University, Chuncheon, South KoreaDepartment of Neurology, Seoul National University Bundang Hospital, Seongnam, South KoreaDepartment of Neurology, Seoul National University College of Medicine, Seoul, South KoreaBackground and ObjectiveIdentifying biomarkers for predicting progression to dementia in patients with mild cognitive impairment (MCI) is crucial. To this end, the comprehensive visual rating scale (CVRS), which is based on magnetic resonance imaging (MRI), was developed for the assessment of structural changes in the brains of patients with MCI. This study aimed to investigate the use of the CVRS score for predicting dementia in patients with MCI over a 2-year follow-up period using various machine learning (ML) algorithms.MethodsWe included 197 patients with MCI who were followed up more than once. The data used for this study were obtained from the Japanese-Alzheimer's Disease Neuroimaging Initiative study. We assessed all the patients using their CVRS scores, cortical thickness data, and clinical data to determine their progression to dementia during a follow-up period of over 2 years. ML algorithms, such as logistic regression, random forest (RF), XGBoost, and LightGBM, were applied to the combination of the dataset. Further, feature importance that contributed to the progression from MCI to dementia was analyzed to confirm the risk predictors among the various variables evaluated.ResultsOf the 197 patients, 108 (54.8%) showed progression from MCI to dementia. Tree-based classifiers, such as XGBoost, LightGBM, and RF, achieved relatively high performance. In addition, the prediction models showed better performance when clinical data and CVRS score (accuracy 0.701–0.711) were used than when clinical data and cortical thickness (accuracy 0.650–0.685) were used. The features related to CVRS helped predict progression to dementia using the tree-based models compared to logistic regression.ConclusionsTree-based ML algorithms can predict progression from MCI to dementia using baseline CVRS scores combined with clinical data.https://www.frontiersin.org/articles/10.3389/fneur.2022.906257/fullmild cognition impairmentAlzheimer's Diseasebrain MRImachine learningvisual rating scale
spellingShingle Chaeyoon Park
Jae-Won Jang
Jae-Won Jang
Jae-Won Jang
Gihun Joo
Yeshin Kim
Seongheon Kim
Gihwan Byeon
Sang Won Park
Payam Hosseinzadeh Kasani
Sujin Yum
Jung-Min Pyun
Young Ho Park
Young Ho Park
Jae-Sung Lim
Young Chul Youn
Hyun-Soo Choi
Hyun-Soo Choi
Chihyun Park
Chihyun Park
Hyeonseung Im
Hyeonseung Im
Hyeonseung Im
SangYun Kim
SangYun Kim
Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms
Frontiers in Neurology
mild cognition impairment
Alzheimer's Disease
brain MRI
machine learning
visual rating scale
title Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms
title_full Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms
title_fullStr Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms
title_full_unstemmed Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms
title_short Predicting progression to dementia with “comprehensive visual rating scale” and machine learning algorithms
title_sort predicting progression to dementia with comprehensive visual rating scale and machine learning algorithms
topic mild cognition impairment
Alzheimer's Disease
brain MRI
machine learning
visual rating scale
url https://www.frontiersin.org/articles/10.3389/fneur.2022.906257/full
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