Reliable detection of the prodromal stages of Alzheimer's disease (AD) remains difficult even today because, unlike other neurocognitive impairments, there is no definitive diagnosis of AD in vivo. In this context, existing research has shown that patients often develop language impairment even in mild AD conditions. We propose a multimodal deep learning method that utilizes speech and the corresponding transcript simultaneously to detect AD. For audio signals, the proposed audio-based network, a convolutional neural network (CNN) based model, predicts the diagnosis for multiple speech segments, which are combined for the final prediction. Similarly, we use contextual embedding extracted from BERT concatenated with a CNN-generated embedding for classifying the transcript. The individual predictions of the two models are then combined to make the final classification. We also perform experiments to analyze the model performance when Automated Speech Recognition (ASR) system generated transcripts are used instead of manual transcription in the text-based model. The proposed method achieves 85.3% 10-fold cross-validation accuracy when trained and evaluated on the Dementiabank Pitt corpus.
Alzheimer's Disease destroys brain cells causing people to lose their memory, mental functions and ability to continue daily activities. It is a severe neurological brain disorder which is not curable, but earlier detection of Alzheimer's Disease can help for proper treatment and to prevent brain tissue damage. Detection and classification of Alzheimer's Disease (AD) is challenging because sometimes the signs that distinguish Alzheimer's Disease MRI data can be found in normal healthy brain MRI data of older people. Moreover, there are relatively small amount of dataset available to train the …
Deep Learning in Early Alzheimer's disease's Detection: A Comprehensive Survey of Classification, Segmentation, and Feature Extraction Methods
University of Wah（瓦赫大学）；NUST（国家科技大学）；Washington University of Science and Technology Virginia（弗吉尼亚华盛顿科技大学）；Kansas State University（堪萨斯州立大学）；University of Alaska Anchorage（阿拉斯加安克雷奇大学）；State University of New York Polytechnic Institute（纽约州立大学理工学院）
School of Mathematics and Computational Science, Xiangtan University（湘潭大学数学与计算科学学院）；In-Chao Institute（因超研究所）
Alzheimer's disease (AD) is an irreversible neurode generative disease of the brain.The disease may causes memory loss, difficulty communicating and disorientation. For the diagnosis of Alzheimer's disease, a series of scales are often needed to evaluate the diagnosis clinically, which not only increases the workload of doctors, but also makes the results of diagnosis highly subjective. Therefore, for Alzheimer's disease, imaging means to find early diagnostic markers has become a top priority. In this paper, we propose a novel 3DMgNet architecture which is a unified framework of multigrid and…
Syracuse University（雪城大学）；SUNY Upstate Medical University（纽约州立大学北部医科大学）
Alzheimer's disease is one of the diseases that mostly affects older people without being a part of aging. The most common symptoms include problems with communicating and abstract thinking, as well as disorientation. It is important to detect Alzheimer's disease in early stages so that cognitive functioning would be improved by medication and training. In this paper, we propose two attention model networks for detecting Alzheimer's disease from MRI images to help early detection efforts at the preclinical stage. We also compare the performance of these two attention network models with a base…
University of Oxford（牛津大学）；Alan Turing Institute（艾伦·图灵研究所）
Joint models for longitudinal and time-to-event data are commonly used in longitudinal studies to forecast disease trajectories over time. Despite the many advantages of joint modeling, the standard forms suffer from limitations that arise from a fixed model specification and computational difficulties when applied to large datasets. We adopt a deep learning approach to address these limitations, enhancing existing methods with the flexibility and scalability of deep neural networks while retaining the benefits of joint modeling. Using data from the Alzheimer's Disease Neuroimaging Institute, …
School of Information Technology（信息技术学院）；University of Cincinnati（辛辛那提大学）
Alzheimer's disease is a degenerative brain disease. Being the primary cause of Dementia in adults and progressively destroys brain memory. Though Alzheimer's disease does not have a cure currently, diagnosing it at an earlier stage will help reduce the severity of the disease. Thus, early diagnosis of Alzheimer's could help to reduce or stop the disease from progressing. In this paper, we proposed a deep convolutional neural network-based model for learning model using to determine the stage of Dementia in adults based on the Magnetic Resonance Imaging (MRI) images to detect the early onset o…
University of Toronto（多伦多大学）；The Hospital for Sick Children（病童医院）
Many high-performance classification models utilize complex CNN-based architectures for Alzheimer's Disease classification. We aim to investigate two relevant questions regarding classification of Alzheimer's Disease using MRI: "Do Vision Transformer-based models perform better than CNN-based models?" and "Is it possible to use a shallow 3D CNN-based model to obtain satisfying results?" To achieve these goals, we propose two models that can take in and process 3D MRI scans: Convolutional Voxel Vision Transformer (CVVT) architecture, and ConvNet3D-4, a shallow 4-block 3D CNN-based model. Our re…
Longitudinal Progression Prediction of Alzheimer's Disease with Tabular Foundation Model
Department of Computer Science Emory University Atlanta GA USA（埃默里大学计算机科学系）；Center for Data Science Nell Hodgson Woodruff School of Nursing Emory University Atlanta GA USA（埃默里大学数据科学中心）；Department of Computer Science Georgia State University Atlanta GA USA（佐治亚州立大学计算机科学系）；Tri-Institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS) Atlanta GA USA（神经影像与数据科学转化研究三机构中心（TReNDS））
While a large body of research has formally identified apolipoprotein E (APOE) as a major genetic risk marker for Alzheimer disease, accumulating evidence supports the notion that other risk markers may exist. The traditional Alzheimer-specific signature analysis methods, however, have not been able to make full use of rich protein expression data, especially the interaction between attributes. This paper develops a novel feature selection method to identify pathogenic factors of Alzheimer disease using the proteomic and clinical data. This approach has taken the weights of network nodes as th…
Longitudinal Bayesian Learning of Continuous Disease Position across the Alzheimer's Disease Continuum
University of Texas Rio Grande Valley（德克萨斯大学里奥格兰德河谷分校）；University of Pittsburgh（匹兹堡大学）；Eli and Lilly Company（礼来公司）；Washington University in St. Louis（圣路易斯华盛顿大学）
Introduction: Alzheimer's disease is a type of dementia in which early diagnosis plays a major rule in the quality of treatment. Among new works in the diagnosis of Alzheimer's disease, there are many of them analyzing the voice stream acoustically, syntactically or both. The mostly used tools to perform these analysis usually include machine learning techniques. Objective: Designing an automatic machine learning based diagnosis system will help in the procedure of early detection. Also, systems, using noninvasive data are preferable. Methods: We used are classification system based on spoken …
We develop three efficient approaches for generating visual explanations from 3D convolutional neural networks (3D-CNNs) for Alzheimer's disease classification. One approach conducts sensitivity analysis on hierarchical 3D image segmentation, and the other two visualize network activations on a spatial map. Visual checks and a quantitative localization benchmark indicate that all approaches identify important brain parts for Alzheimer's disease diagnosis. Comparative analysis show that the sensitivity analysis based approach has difficulty handling loosely distributed cerebral cortex, and appr…
Alzheimer's Disease (AD), as the most devastating neurodegenerative disease worldwide, has reached nearly 10 million new cases annually. Current technology provides unprecedented opportunities to study the progression and etiology of this disease with the advanced in imaging techniques. With the recent emergence of a society driven by big data and machine learning (ML), researchers have exerted considerable effort to summarize recent advances in ML-based AD diagnosis. Here, we outline some of the most prevalent and recent ML models for assessing the progression of AD and provide insights on th…
University of Illinois at Urbana-Champaign（伊利诺伊大学厄巴纳-香槟分校）；National Institutes of Health（美国国立卫生研究院）
Alzheimer's disease (AD) is a degenerative brain disease impairing a person's ability to perform day to day activities. The clinical manifestations of Alzheimer's disease are characterized by heterogeneity in age, disease span, progression rate, impairment of memory and cognitive abilities. Due to these variabilities, personalized care and treatment planning, as well as patient counseling about their individual progression is limited. Recent developments in machine learning to detect hidden patterns in complex, multi-dimensional datasets provides significant opportunities to address this criti…
We propose to apply a 2D CNN architecture to 3D MRI image Alzheimer's disease classification. Training a 3D convolutional neural network (CNN) is time-consuming and computationally expensive. We make use of approximate rank pooling to transform the 3D MRI image volume into a 2D image to use as input to a 2D CNN. We show our proposed CNN model achieves $9.5\%$ better Alzheimer's disease classification accuracy than the baseline 3D models. We also show that our method allows for efficient training, requiring only 20% of the training time compared to 3D CNN models. The code is available online: h…
Faculty of Science, Northern Border University（北部边境大学理学院）；SEU Saudi Electronic University（沙特电子大学）
Alzheimer's disease is a neurogenerative disease that alters memories, cognitive functions leading to death. Early diagnosis of the disease, by detection of the preliminary stage, called Mild Cognitive Impairment (MCI), remains a challenging issue. In this respect, we introduce, in this paper, a powerful classification architecture that implements the pre-trained network AlexNet to automatically extract the most prominent features from Magnetic Resonance Imaging (MRI) images in order to detect the Alzheimer's disease at the MCI stage. The proposed method is evaluated using a big database from …
Simulators make unique benchmarks for causal effect estimation since they do not rely on unverifiable assumptions or the ability to intervene on real-world systems, but are often too simple to capture important aspects of real applications. We propose a simulator of Alzheimer's disease aimed at modeling intricacies of healthcare data while enabling benchmarking of causal effect and policy estimators. We fit the system to the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset and ground hand-crafted components in results from comparative treatment trials and observational treatment patt…
Alzheimer's patients gradually lose their ability to think, behave, and interact with others. Medical history, laboratory tests, daily activities, and personality changes can all be used to diagnose the disorder. A series of time-consuming and expensive tests are used to diagnose the illness. The most effective way to identify Alzheimer's disease is using a Random-forest classifier in this study, along with various other Machine Learning techniques. The main goal of this study is to fine-tune the classifier to detect illness with fewer tests while maintaining a reasonable disease discovery acc…
JSS Academy of Higher Education and Research（JSS高等教育与研究学院）；University of Delhi（德里大学）
Early detection of Alzheimer disease is crucial for deploying interventions and slowing the disease progression. A lot of machine learning and deep learning algorithms have been explored in the past decade with the aim of building an automated detection for Alzheimer. Advancements in data augmentation techniques and advanced deep learning architectures have opened up new frontiers in this field, and research is moving at a rapid speed. Hence, the purpose of this survey is to provide an overview of recent research on deep learning models for Alzheimer disease diagnosis. In addition to categoriz…
We model Alzheimer's disease (AD) progression by combining differential equations (DEs) and reinforcement learning (RL) with domain knowledge. DEs provide relationships between some, but not all, factors relevant to AD. We assume that the missing relationships must satisfy general criteria about the working of the brain, for e.g., maximizing cognition while minimizing the cost of supporting cognition. This allows us to extract the missing relationships by using RL to optimize an objective (reward) function that captures the above criteria. We use our model consisting of DEs (as a simulator) an…
Radiogenomic Bipartite Graph Representation Learning for Alzheimer's Disease Detection
Department of Electrical and Computer Engineering, Ohio State University（电子与计算机工程系，俄亥俄州立大学）；Department of Computer Science and Engineering, Ohio State University（计算机科学与工程系，俄亥俄州立大学）
The Mind Research Network（心智研究网络）；University of New Mexico（新墨西哥大学）；Microsoft Research（微软研究院）；Montreal Institute for Learning Algorithms（蒙特利尔学习算法研究所）；University of Montreal（蒙特利尔大学）；Shanxi University（山西大学）
Arguably, unsupervised learning plays a crucial role in the majority of algorithms for processing brain imaging. A recently introduced unsupervised approach Deep InfoMax (DIM) is a promising tool for exploring brain structure in a flexible non-linear way. In this paper, we investigate the use of variants of DIM in a setting of progression to Alzheimer's disease in comparison with supervised AlexNet and ResNet inspired convolutional neural networks. As a benchmark, we use a classification task between four groups: patients with stable, and progressive mild cognitive impairment (MCI), with Alzhe…
Imperial College London（帝国理工学院）；King’s College London（伦敦国王学院）
Pattern recognition methods using neuroimaging data for the diagnosis of Alzheimer's disease have been the subject of extensive research in recent years. In this paper, we use deep learning methods, and in particular sparse autoencoders and 3D convolutional neural networks, to build an algorithm that can predict the disease status of a patient, based on an MRI scan of the brain. We report on experiments using the ADNI data set involving 2,265 historical scans. We demonstrate that 3D convolutional neural networks outperform several other classifiers reported in the literature and produce state-…
Most approaches to machine learning from electronic health data can only predict a single endpoint. Here, we present an alternative that uses unsupervised deep learning to simulate detailed patient trajectories. We use data comprising 18-month trajectories of 44 clinical variables from 1908 patients with Mild Cognitive Impairment or Alzheimer's Disease to train a model for personalized forecasting of disease progression. We simulate synthetic patient data including the evolution of each sub-component of cognitive exams, laboratory tests, and their associations with baseline clinical characteri…
Univ. Bordeaux（波尔多大学）；CNRS（法国国家科学研究中心）；Bordeaux INP（波尔多国立高等物理、数学与信息技术学院）；Universitat Politècnia de València（瓦伦西亚理工大学）
Alzheimer's disease is the most common dementia leading to an irreversible neurodegenerative process. To date, subject revealed advanced brain structural alterations when the diagnosis is established. Therefore, an earlier diagnosis of this dementia is crucial although it is a challenging task. Recently, many studies have proposed biomarkers to perform early detection of Alzheimer's disease. Some of them have proposed methods based on inter-subject similarity while other approaches have investigated framework using intra-subject variability. In this work, we propose a novel framework combining…
Erasmus MC, University Medical Center Rotterdam（鹿特丹伊拉斯姆斯医学中心（鹿特丹大学医学中心））；Delft University of Technology（代尔夫特理工大学）
Alzheimer's Disease (AD) is characterized by a cascade of biomarkers becoming abnormal, the pathophysiology of which is very complex and largely unknown. Event-based modeling (EBM) is a data-driven technique to estimate the sequence in which biomarkers for a disease become abnormal based on cross-sectional data. It can help in understanding the dynamics of disease progression and facilitate early diagnosis and prognosis. In this work we propose a novel discriminative approach to EBM, which is shown to be more accurate than existing state-of-the-art EBM methods. The method first estimates for e…
Purpose Predicting the progression of MCI to Alzheimer's disease is an important step in reducing the progression of the disease. Therefore, many methods have been introduced for this task based on deep learning. Among these approaches, the methods based on ROIs are in a good position in terms of accuracy and complexity. In these techniques, some specific parts of the brain are extracted as ROI manually for all of the patients. Extracting ROI manually is time-consuming and its results depend on human expertness and precision. Method To overcome these limitations, we propose a novel smart metho…
Ludwig-Maximilians-Universität（路德维希-马克西米利安大学）；Indiana University School of Medicine（印第安纳大学医学院）
The current state-of-the-art deep neural networks (DNNs) for Alzheimer's Disease diagnosis use different biomarker combinations to classify patients, but do not allow extracting knowledge about the interactions of biomarkers. However, to improve our understanding of the disease, it is paramount to extract such knowledge from the learned model. In this paper, we propose a Deep Factorization Machine model that combines the ability of DNNs to learn complex relationships and the ease of interpretability of a linear model. The proposed model has three parts: (i) an embedding layer to deal with spar…
Alzheimer's Disease (AD) is a progressive neurodegenerative disease and the leading cause of dementia. Early diagnosis is critical for patients to benefit from potential intervention and treatment. The retina has been hypothesized as a diagnostic site for AD detection owing to its anatomical connection with the brain. Developed AI models for this purpose have yet to provide a rational explanation about the decision and neither infer the stage of disease's progression. Along this direction, we propose a novel model-agnostic explainable-AI framework, called Granular Neuron-level Explainer (LAVA)…
Flexible and Explainable Graph Analysis for EEG-based Alzheimer's Disease Classification
Stevens Institute of Technology（史蒂文斯理工学院）；Semcer Center for Healthcare Innovation（塞姆瑟医疗创新中心）；New Jersey Institute of Technology（新泽西理工学院）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；Institute of Brain Science, College of Medicine, National Yang-Ming Chiao Tung University（国立阳明交通大学医学院脑科学研究所）
Alzheimer's Disease (AD) is a neurodegenerative disease that affects subjects in a broad range of severity and is assessed in clinical trials with multiple cognitive and functional instruments. As clinical trials in AD increasingly focus on earlier stages of the disease, especially Mild Cognitive Impairment (MCI), the ability to model subject outcomes across the disease spectrum is extremely important. We use unsupervised machine learning models called Conditional Restricted Boltzmann Machines (CRBMs) to create Digital Twins of AD subjects. Digital Twins are simulated clinical records that sha…
Shahid Beheshti University of Medical Sciences（沙希德·贝赫什提医科大学）；Khazar University（哈扎尔大学）
Background: Alzheimers disease is a progressive neurodegenerative disorder and the main cause of dementia in aging. Hippocampus is prone to changes in the early stages of Alzheimers disease. Detection and observation of the hippocampus changes using magnetic resonance imaging (MRI) before the onset of Alzheimers disease leads to the faster preventive and therapeutic measures. Objective: The aim of this study was the segmentation of the hippocampus in magnetic resonance (MR) images of Alzheimers patients using deep machine learning method. Methods: U-Net architecture of convolutional neural net…
Instituto Superior Técnico, Universidade de Lisboa（里斯本大学高等技术学院）
Most machine learning classifiers give predictions for new examples accurately, yet without indicating how trustworthy predictions are. In the medical domain, this hampers their integration in decision support systems, which could be useful in the clinical practice. We use a supervised learning approach that combines Ensemble learning with Conformal Predictors to predict conversion from Mild Cognitive Impairment to Alzheimer's Disease. Our goal is to enhance the classification performance (Ensemble learning) and complement each prediction with a measure of credibility (Conformal Predictors). O…
Recent technology and equipment advancements provide with us opportunities to better analyze Alzheimer's disease (AD), where we could collect and employ the data from different image and genetic modalities that may potentially enhance the predictive performance. To perform better clustering in AD analysis, in this paper we propose a novel model to leverage data from all different modalities/views, which can learn the weights of each view adaptively. Different from previous vanilla Non-negative Matrix Factorization which assumes data is linearly separable, we propose a simple yet efficient meth…
Isik University（伊希克大学）；Istanbul Technical University（伊斯坦布尔技术大学）
Retinal optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) are promising tools for the (early) diagnosis of Alzheimer's disease (AD). These non-invasive imaging techniques are cost-effective and more accessible than alternative neuroimaging tools. However, interpreting and classifying multi-slice scans produced by OCT devices is time-consuming and challenging even for trained practitioners. There are surveys on machine learning and deep learning approaches concerning the automated analysis of OCT scans for various diseases such as glaucoma. However, the curr…
Massachusetts Institute of Technology（麻省理工学院）；Imperial College London（伦敦帝国学院）
In this paper, we introduce the use of a personalized Gaussian Process model (pGP) to predict the key metrics of Alzheimer's Disease progression (MMSE, ADAS-Cog13, CDRSB and CS) based on each patient's previous visits. We start by learning a population-level model using multi-modal data from previously seen patients using the base Gaussian Process (GP) regression. Then, this model is adapted sequentially over time to a new patient using domain adaptive GPs to form the patient's pGP. We show that this new approach, together with an auto-regressive formulation, leads to significant improvements …
Alzheimer's disease (AD) is the most prevalent form of dementia. Traditional methods cannot achieve efficient and accurate diagnosis of AD. In this paper, we introduce a novel method based on dynamic functional connectivity (dFC) that can effectively capture changes in the brain. We compare and combine four different types of features including amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo), dFC and the adjacency matrix of different brain structures between subjects. We use graph convolution network (GCN) which consider the similarity of brain structure between pati…
