Ontology highlight
ABSTRACT: Objective
Alzheimer's disease (AD) is the most common type of dementia and the prevalence rapidly increased as the elderly population increased worldwide. In the contemporary model of AD, it is regarded as a disease continuum involving preclinical stage to severe dementia. For accurate diagnosis and disease monitoring, objective index reflecting structural change of brain is needed to correctly assess a patient's severity of neurodegeneration independent from the patient's clinical symptoms. The main aim of this paper is to develop a random forest (RF) algorithm-based prediction model of AD using structural magnetic resonance imaging (MRI).Methods
We evaluated diagnostic accuracy and performance of our RF based prediction model using newly developed brain segmentation method compared with the Freesurfer's which is a commonly used segmentation software.Results
Our RF model showed high diagnostic accuracy for differentiating healthy controls from AD and mild cognitive impairment (MCI) using structural MRI, patient characteristics, and cognitive function (HC vs. AD 93.5%, AUC 0.99; HC vs. MCI 80.8%, AUC 0.88). Moreover, segmentation processing time of our algorithm (<5 minutes) was much shorter than of Freesurfer's (6-8 hours).Conclusion
Our RF model might be an effective automatic brain segmentation tool which can be easily applied in real clinical practice.
SUBMITTER: Kim J
PROVIDER: S-EPMC7897872 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Kim JeeYoung J Lee Minho M Lee Min Kyoung MK Wang Sheng-Min SM Kim Nak-Young NY Kang Dong Woo DW Um Yoo Hyun YH Na Hae-Ran HR Woo Young Sup YS Lee Chang Uk CU Bahk Won-Myong WM Kim Donghyeon D Lim Hyun Kook HK
Psychiatry investigation 20210125 1
<h4>Objective</h4>Alzheimer's disease (AD) is the most common type of dementia and the prevalence rapidly increased as the elderly population increased worldwide. In the contemporary model of AD, it is regarded as a disease continuum involving preclinical stage to severe dementia. For accurate diagnosis and disease monitoring, objective index reflecting structural change of brain is needed to correctly assess a patient's severity of neurodegeneration independent from the patient's clinical sympt ...[more]