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arXiv 1702.06408cs.CVq-bio.QM
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一种基于判别事件的阿尔茨海默病进展模型

A Discriminative Event Based Model for Alzheimer's Disease Progression Modeling

Erasmus MC(伊拉斯姆斯大学医学中心);Delft University of Technology(代尔夫特理工大学)

Vikram Venkatraghavan, Esther Bron, Wiro Niessen, Stefan Klein

摘要:

用于数据驱动的疾病进展建模的基于事件的模型(EBM)估计疾病的生物标志物变得异常的顺序。这有助于理解疾病进展的动力学,并通过在疾病进展时间轴上对患者进行分期来促进早期诊断。现有的循证医学方法本质上都是生成性的。在这项工作中,我们提出了一种新的判别方法EBM,这被证明是更准确的,以及计算效率比现有的国家的最先进的EBM方法。该方法首先通过对异常的个体生物标志物的后验概率进行排序来估计每个受试者的事件的近似顺序。随后,在所有科目的中央排序估计通过拟合广义马洛模型,这些近似的主题特定的排序的基础上一种新的概率肯德尔的Tau距离。为了评估准确性,我们对模拟阿尔茨海默病进展的合成数据进行了广泛的实验。随后,将该方法应用于阿尔茨海默病神经影像学倡议(ADNI)数据,以估计数据集中的中心事件排序。实验基准的准确性的新模型在各种条件下,并将其与现有的最先进的EBM方法。结果表明,判别式循证医学可能是一种简单而优雅的疾病进展建模方法。

英文摘要:

The event-based model (EBM) for data-driven disease progression modeling estimates the sequence in which biomarkers for a disease become abnormal. This helps in understanding the dynamics of disease progression and facilitates early diagnosis by staging patients on a disease progression timeline. Existing EBM methods are all generative in nature. In this work we propose a novel discriminative approach to EBM, which is shown to be more accurate as well as computationally more efficient than existing state-of-the art EBM methods. The method first estimates for each subject an approximate ordering of events, by ranking the posterior probabilities of individual biomarkers being abnormal. Subsequently, the central ordering over all subjects is estimated by fitting a generalized Mallows model to these approximate subject-specific orderings based on a novel probabilistic Kendall's Tau distance. To evaluate the accuracy, we performed extensive experiments on synthetic data simulating the progression of Alzheimer's disease. Subsequently, the method was applied to the Alzheimer's Disease Neuroimaging Initiative (ADNI) data to estimate the central event ordering in the dataset. The experiments benchmark the accuracy of the new model under various conditions and compare it with existing state-of-the-art EBM methods. The results indicate that discriminative EBM could be a simple and elegant approach to disease progression modeling.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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