A novel cascade machine learning pipeline for Alzheimer’s disease identification and prediction

Zhou, Kun and Piao, Sirong and Liu, Xiao and Luo, Xiao and Chen, Hongyi and Xiang, Rui and Geng, Daoying (2023) A novel cascade machine learning pipeline for Alzheimer’s disease identification and prediction. Frontiers in Aging Neuroscience, 14. ISSN 1663-4365

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Abstract

Introduction: Alzheimer’s disease (AD) is a progressive and irreversible brain degenerative disorder early. Among all diagnostic strategies, hippocampal atrophy is considered a promising diagnostic method. In order to proactively detect patients with early Alzheimer’s disease, we built an Alzheimer’s segmentation and classification (AL-SCF) pipeline based on machine learning.

Methods: In our study, we collected coronal T1 weighted images that include 187 patients with AD and 230 normal controls (NCs). Our pipeline began with the segmentation of the hippocampus by using a modified U2-net. Subsequently, we extracted 851 radiomics features and selected 37 features most relevant to AD by the Hierarchical clustering method and Least Absolute Shrinkage and Selection Operator (LASSO) algorithm. At last, four classifiers were implemented to distinguish AD from NCs, and the performance of the models was evaluated by accuracy, specificity, sensitivity, and area under the curve.

Results: Our proposed pipeline showed excellent discriminative performance of classification with AD vs NC in the training set (AUC=0.97, 95% CI: (0.96-0.98)). The model was also verified in the validation set with Dice=0.93 for segmentation and accuracy=0.95 for classification.

Discussion: The AL-SCF pipeline can automate the process from segmentation to classification, which may assist doctors with AD diagnosis and develop individualized medical plans for AD in clinical practice.

Item Type: Article
Subjects: STM Archives > Medical Science
Depositing User: Unnamed user with email support@stmarchives.com
Date Deposited: 26 Jun 2024 10:40
Last Modified: 26 Jun 2024 10:40
URI: http://science.scholarsacademic.com/id/eprint/1426

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