Classification of Alzheimer's disease and frontotemporal dementia using routine clinical and cognitive measures across multicentric underrepresented samples: A cross sectional observational study
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Citações na Scopus
24
Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER
Autores
MAITO, Marcelo Adrian
SANTAMARIA-GARCIA, Hernando
MOGUILNER, Sebastian
POSSIN, Katherine L.
GODOY, Maria E.
AVILA-FUNES, Jose Alberto
I, Maria Behrens
BRUSCO, Ignacio L.
BRUNO, Martin A.
CARDONA, Juan F.
Citação
LANCET REGIONAL HEALTH-AMERICAS, v.17, article ID 100387, 14p, 2023
Resumo
Background Global brain health initiatives call for improving methods for the diagnosis of Alzheimer & rsquo;s disease (AD) and frontotemporal dementia (FTD) in underrepresented populations. However, diagnostic procedures in upper -middle-income countries (UMICs) and lower-middle income countries (LMICs), such as Latin American countries (LAC), face multiple challenges. These include the heterogeneity in diagnostic methods, lack of clinical harmonisation, and limited access to biomarkers. Methods This cross-sectional observational study aimed to identify the best combination of predictors to discriminate between AD and FTD using demographic, clinical and cognitive data among 1794 participants [904 diagnosed with AD, 282 diagnosed with FTD, and 606 healthy controls (HCs)] collected in 11 clinical centres across five LAC (ReDLat cohort). Findings A fully automated computational approach included classical statistical methods, support vector machine procedures, and machine learning techniques (random forest and sequential feature selection procedures). Results demonstrated an accurate classification of patients with AD and FTD and HCs. A machine learning model produced the best values to differentiate AD from FTD patients with an accuracy = 0.91. The top features included social cognition, neuropsychiatric symptoms, executive functioning performance, and cognitive screening; with secondary contributions from age, educational attainment, and sex. Interpretation Results demonstrate that data-driven techniques applied in archival clinical datasets could enhance diagnostic procedures in regions with limited resources. These results also suggest specific fine-grained cognitive and behavioural measures may aid in the diagnosis of AD and FTD in LAC. Moreover, our results highlight an opportunity for harmonisation of clinical tools for dementia diagnosis in the region.
Palavras-chave
Alzheimer?s Disease, Frontotemporal dementia, Underrepresented samples, Machine learning
Referências
- Parra MA, 2021, ALZHEIMERS DEMENT, V17, P295, DOI 10.1002/alz.12202
- Altman N, 2017, NAT METHODS, V14, P933, DOI 10.1038/nmeth.4438
- Amodio DM, 2006, NAT REV NEUROSCI, V7, P268, DOI 10.1038/nrn1884
- Arevalo-Rodriguez I, 2015, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD010783.pub2
- Baez S, 2017, CURR TOP BEHAV NEURO, V30, P379, DOI 10.1007/7854_2016_443
- Baez S, 2014, FRONT AGING NEUROSCI, V6, DOI 10.3389/fnagi.2014.00262
- Antor MB, 2021, J HEALTHC ENG, V2021, DOI 10.1155/2021/9917919
- Battista P, 2017, BEHAV NEUROL, V2017, DOI 10.1155/2017/1850909
- Borroni B, 2008, INT J GERIATR PSYCH, V23, P796, DOI 10.1002/gps.1974
- Breiman L., 2001, Machine Learning, V45, P5, DOI 10.1023/A:1010933404324
- Breiman L, 2018, RANDOM FORESTS
- Cummings JL, 1997, NEUROLOGY, V48, pS10, DOI 10.1212/WNL.48.5_Suppl_6.10S
- Custodio N, 2017, FRONT AGING NEUROSCI, V9, DOI 10.3389/fnagi.2017.00221
- Dawson WD, 2020, LANCET NEUROL, V19, P972, DOI 10.1016/S1474-4422(20)30358-6
- Donnelly-Kehoe PA, 2019, ALZH DEMENT-DADM, V11, P588, DOI 10.1016/j.dadm.2019.06.002
- Dubois B, 2007, LANCET NEUROL, V6, P734, DOI 10.1016/S1474-4422(07)70178-3
- Duran-Aniotz C, 2022, ALZHEIMERS DEMENT, V18, P1696, DOI 10.1002/alz.12710
- Duran-Aniotz C, 2021, FRONT NEUROL, V12, DOI 10.3389/fneur.2021.663407
- Eslinger PJ, 2011, J NEUROPSYCH CLIN N, V23, P74, DOI 10.1176/appi.neuropsych.23.1.74
- Ferri CP, 2017, PLOS MED, V14, DOI 10.1371/journal.pmed.1002271
- FOLSTEIN MF, 1975, J PSYCHIAT RES, V12, P189, DOI 10.1016/0022-3956(75)90026-6
- Funkiewiez A, 2012, NEUROPSYCHOLOGY, V26, P81, DOI 10.1037/a0025318
- Garcia-Gutierrez F, 2022, INT J GERIATR PSYCH, V37, DOI 10.1002/gps.5667
- GBD 2019 Dementia Forecasting Collaborators, 2022, Lancet Public Health, V7, pe105, DOI 10.1016/S2468-2667(21)00249-8
- Gleichgerrcht E, 2011, J CLIN EXP NEUROPSYC, V33, P997, DOI 10.1080/13803395.2011.589375
- Gorno-Tempini ML, 2011, NEUROLOGY, V76, P1006, DOI 10.1212/WNL.0b013e31821103e6
- Grassi M, 2018, J ALZHEIMERS DIS, V61, P1555, DOI 10.3233/JAD-170547
- Gregory CA, 1997, INT J GERIATR PSYCH, V12, P375, DOI 10.1002/(SICI)1099-1166(199703)12:3<375::AID-GPS518>3.0.CO;2-#
- Gurevich P, 2017, FRONT AGING NEUROSCI, V9, DOI 10.3389/fnagi.2017.00114
- Hodges JR, 2018, J ALZHEIMERS DIS, V62, P1467, DOI 10.3233/JAD-171087
- Hutchinson AD, 2007, J NEUROL NEUROSUR PS, V78, P917, DOI 10.1136/jnnp.2006.100669
- Ibanez A, 2021, FRONT NEUROL, V12, DOI 10.3389/fneur.2021.631722
- Ibanez A, 2021, J ALZHEIMERS DIS, V82, pS379, DOI 10.3233/JAD-201384
- Ibanez K, 2022, LANCET NEUROL, V21, P234, DOI 10.1016/S1474-4422(21)00462-2
- Ismail Z, 2016, ALZHEIMERS DEMENT, V12, P195, DOI 10.1016/j.jalz.2015.05.017
- Kharoubi R, 2019, J STAT COMPUT SIM, V89, P1020, DOI 10.1080/00949655.2019.1575382
- Kim JP, 2019, NEUROIMAGE-CLIN, P23
- Kim R, 2018, J MOV DISORD, V11, P30, DOI 10.14802/jmd.17038
- Larose CDLDT, 2015, DATA MINING PREDICTI, V2nd
- Livingston G, 2020, LANCET, V396, P413, DOI 10.1016/S0140-6736(20)30367-6
- Livingston G, 2017, LANCET, V390, P2673, DOI 10.1016/S0140-6736(17)31363-6
- MAHONEY F I, 1965, Md State Med J, V14, P61
- Mathuranath PS, 2000, NEUROLOGY
- Matias-Guiu JA, 2018, INT PSYCHOGERIATR, V30, P1227, DOI 10.1017/S104161021700268X
- Migeot JA, 2022, TRENDS NEUROSCI, V45, P838, DOI 10.1016/j.tins.2022.08.005
- Miranda JJ, 2019, NAT MED, V25, P1667, DOI 10.1038/s41591-019-0644-7
- Moguilner S, 2022, J NEURAL ENG, V19, DOI 10.1088/1741-2552/ac87d0
- Nasreddine ZS, 2005, J AM GERIATR SOC, V53, P695, DOI 10.1111/j.1532-5415.2005.53221.x
- Ng KP, 2017, NEUROLOGY, V88, P1814, DOI 10.1212/WNL.0000000000003916
- Park LQ, 2015, ALZ DIS ASSOC DIS, V29, P301, DOI 10.1097/WAD.0000000000000081
- Parra MA, 2022, ALZHEIMERS DEMENT, DOI 10.1002/alz.12757
- Parra MA, 2018, NEUROLOGY, V90, P222, DOI 10.1212/WNL.0000000000004897
- Pedregosa F, 2011, J MACH LEARN RES, V12, P2825
- PFEFFER RI, 1982, J GERONTOL, V37, P323, DOI 10.1093/geronj/37.3.323
- Raschka, 2018, J OPEN SOURCE SOFTW, V3, P638, DOI 10.21105/JOSS.00638
- Rascovsky K, 2011, BRAIN, V134, P2456, DOI 10.1093/brain/awr179
- Escudero JMS, 2019, FRONT AGING NEUROSCI, V11, DOI 10.3389/fnagi.2019.00176
- Santamar-Garcia H, 2016, J ALZHEIMERS DIS, V54, P957, DOI 10.3233/JAD-160501
- Scholkopf B, 2018, LEARNING KERNELS
- Spooner A, 2020, SCI REP-UK, V10, DOI 10.1038/s41598-020-77220-w
- Torralva T, 2009, J INT NEUROPSYCH SOC, V15, P777, DOI 10.1017/S1355617709990415
- Weakley A, 2015, J CLIN EXP NEUROPSYC, V37, P899, DOI 10.1080/13803395.2015.1067290