Deviation From Model of Normal Aging in Alzheimer’s Disease: Application of Deep Learning to Structural MRI Data and Cognitive Tests

oleh: Tetiana Habuza, Nazar Zaki, Elfadil A. Mohamed, Yauhen Statsenko

Format: Article
Diterbitkan: IEEE 2022-01-01

Deskripsi

Background. Psychophysiological and cognitive tests as well as other functional studies can detect pre-symptomatic stages of dementia. When assembled with structural data, cognitive tests diagnose NDs more reliably thus becoming a multimodal diagnostic tool. Objective. Our main goal is to improve screening for dementia by studying an association between the brain structure and its function. Hypothetically, the brain structure-function association has features specific for either disease-related cognitive deterioration or normal neurocognitive slowing while aging. Materials and methods. We studied a total number of 287 cognitively normal cases, 646 of mild cognitive impairment, and 369 of Alzheimer&#x2019;s disease. To work out a new marker of neurodegeneration, we created a convolutional neural network-based regression model and predicted the cognitive status of the cognitively preserved examinee from the brain MRI data. This was a model of normal aging. A big deviation from the model suggests a high risk of accelerated cognitive decline. Results. The deviation from the model of normal aging can accurately distinguish cognitively normal subjects from MCI patients (AUC &#x003D; 0.9957). We also achieved creditable performance in the MCI-versus-AD classification (AUC &#x003D; 0.9793). We identified a considerable difference in the MMSE test between A-positive and A-negative demented individuals according to ATN-criteria (6.27&#x00B1;1.82 vs 5.32&#x00B1;1.9; <inline-formula> <tex-math notation="LaTeX">$p&lt; 0.05$ </tex-math></inline-formula>). Conclusion. The deviation from the model of normal aging can be potentially used as a marker of dementia and as a tool for differentiating Alzheimer&#x2019;s disease from non-Alzheimer&#x2019;s dementia. To find and justify a reliable threshold levels, further research is required