Comprehensive Performance Analysis of Neurodegenerative disease Incidence in the Females of 60-96 year Age Group

Neurodegenerative diseases such as Alzheimer's disease and dementia are gradually becoming more prevalent chronic diseases, characterized by the decline in cognitive and behavioral symptoms. Machine learning is revolu-tionising almost all domains of our life, including the clinical system. The application of machine learning has the potential to enormously augment the reach of neurodegenerative care thus building it more proficient. Throughout the globe, there is a massive burden of Alzheimer's and demen-tia cases; which denotes an exclusive set of difficulties. This provides us with an exceptional opportunity in terms of the impending convenience of data. Harnessing this data using machine learning tools and techniques, can put scientists and physicians in the lead research position in this area. The ob-jective of this study was to develop an efficient prognostic ML model with high-performance metrics to better identify female candidate subjects at risk of having Alzheimer's disease and dementia. The study was based on two diverse datasets. The results have been discussed employing seven perfor-mance evaluation measures i.e. accuracy, precision, recall, F-measure, Re-ceiver Operating Characteristic (ROC) area, Kappa statistic, and Root Mean Squared Error (RMSE). Also, a comprehensive performance analysis has been carried out later in the study

Investigating data mining techniques for extracting information from Alzheimer\u27s disease data

Data mining techniques have been used widely in many areas such as business, science, engineering and more recently in clinical medicine. These techniques allow an enormous amount of high dimensional data to be analysed for extraction of interesting information as well as the construction of models for prediction. One of the foci in health related research is Alzheimer\u27s disease which is currently a non-curable disease where diagnosis can only be confirmed after death via an autopsy. Using multi-dimensional data and the applications of data mining techniques, researchers hope to find biomarkers that will diagnose Alzheimer\u27s disease as early as possible. The primary purpose of this research project is to investigate the application of data mining techniques for finding interesting biomarkers from a set of Alzheimer\u27s disease related data. The findings from this project will help to analyse the data more effectively and contribute to methods of providing earlier diagnosis of the disease

Early Identification of Alzheimer’s Disease Using Medical Imaging: A Review From a Machine Learning Approach Perspective

Alzheimer’s disease (AD) is the leading cause of dementia in aged adults, affecting up to 70% of the dementia patients, and posing a serious public health hazard in the twenty-first century. AD is a progressive, irreversible and neuro-degenerative disease with a long pre-clinical period, affecting brain cells leading to memory loss, misperception, learning problems, and improper decisions. Given its significance, presently no treatment options are available, although disease advancement can be retarded through medication. Unfortunately, AD is diagnosed at a very later stage, after irreversible damages to the brain cells have occurred, when there is no scope to prevent further cognitive decline. The use of non-invasive neuroimaging procedures capable of detecting AD at preliminary stages is crucial for providing treatment retarding disease progression, and has stood as a promising area of research. We conducted a comprehensive assessment of papers employing machine learning to predict AD using neuroimaging data. Most of the studies employed brain images from Alzheimer’s disease neuroimaging initiative (ADNI) dataset, consisting of magnetic resonance image (MRI) and positron emission tomography (PET) images. The most widely used method, the support vector machine (SVM), has a mean accuracy of 75.4 percent, whereas convolutional neural networks(CNN) have a mean accuracy of 78.5 percent. Better classification accuracy has been achieved by combining MRI and PET, rather using single neuroimaging technique. Overall, more complicated models, like deep learning, paired with multimodal and multidimensional data (neuroimaging, cognitive, clinical, behavioral and genetic) produced superlative results. However, promising results have been achieved, still there is a room for performance improvement of the proposed methods, providing assistance to healthcare professionals and clinician

Efficient Algorithm for Distinction Mild Cognitive Impairment from Alzheimer’s Disease Based on Specific View FCM White Matter Segmentation and Ensemble Learning

Purpose: Alzheimer's Disease (AD) is in the dementia group and is one of the most prevalent neurodegenerative disorders. Between existing characteristics, White Matter (WM) is a known marker for AD tracking, and WM segmentation in MRI based on clustering can be used to decrease the volume of data. Many algorithms have been developed to predict AD, but most concentrate on the distinction of AD from Cognitive Normal (CN). In this study, we provided a new, simple, and efficient methodology for classifying patients into AD and MCI patients and evaluated the effect of the view dimension of Fuzzy C Means (FCM) in prediction with ensemble classifiers. Materials and Methods: We proposed our methodology in three steps; first, segmentation of WM from T1 MRI with FCM according to two specific viewpoints (3D and 2D). In the second, two groups of features are extracted: approximate coefficients of Discrete Wavelet Transform (DWT) and statistical (mean, variance, skewness) features. In the final step, an ensemble classifier that is constructed with three classifiers, K-Nearest Neighbor (KNN), Decision Tree (DT), and Linear Discriminant Analysis (LDA), was used. Results: The proposed method has been evaluated by using 1280 slices (samples) from 64 patients with MCI (32) and AD (32) of the ADNI dataset. The best performance is for the 3D viewpoint, and the accuracy, precision, and f1-score achieved from the methodology are 94.22%, 94.45%, and 94.21%, respectively, by using a ten-fold Cross-Validation (CV) strategy. Conclusion: The experimental evaluation shows that WM segmentation increases the performance of the ensemble classifier, and moreover the 3D view FCM is better than the 2D view. According to the results, the proposed methodology has comparable performance for the detection of MCI from AD. The low computational cost algorithm and the three classifiers for generalization can be used in practical application by physicians in pre-clinical

DEEP-AD: The deep learning model for diagnostic classification and prognostic prediction of alzheimer's disease

In terms of context, the aim of this dissertation is to aid neuroradiologists in their clinical judgment regarding the early detection of AD by using DL. To that aim, the system design research methodology is suggested in this dissertation for achieving three goals. The first goal is to investigate the DL models that have performed well at identifying patterns associated with AD, as well as the accuracy so far attained, limitations, and gaps. A systematic review of the literature (SLR) revealed a shortage of empirical studies on the early identification of AD through DL. In this regard, thirteen empirical studies were identified and examined. We concluded that three-dimensional (3D) DL models have been generated far less often and that their performance is also inadequate to qualify them for clinical trials. The second goal is to provide the neuroradiologist with the computer-interpretable information they need to analyze neuroimaging biomarkers. Given this context, the next step in this dissertation is to find the optimum DL model to analyze neuroimaging biomarkers. It has been achieved in two steps. In the first step, eight state-of-the-art DL models have been implemented by training from scratch using end-to-end learning (E2EL) for two binary classification tasks (AD vs. CN and AD vs. stable MCI) and compared by utilizing MRI scans from the publicly accessible datasets of neuroimaging biomarkers. Comparative analysis is carried out by utilizing efficiency-effects graphs, comprehensive indicators, and ranking mechanisms. For the training of the AD vs. sMCI task, the EfficientNet-B0 model gets the highest value for the comprehensive indicator and has the fewest parameters. DenseNet264 performed better than the others in terms of evaluation matrices, but since it has the most parameters, it costs more to train. For the AD vs. CN task by DenseNet264, we achieved 100% accuracy for training and 99.56% accuracy for testing. However, the classification accuracy was still only 82.5% for the AD vs. sMCI task. In the second step, fusion of transfer learning (TL) with E2EL is applied to train the EfficientNet-B0 for the AD vs. sMCI task, which achieved 95.29% accuracy for training and 93.10% accuracy for testing. Additionally, we have also implemented EfficientNet-B0 for the multiclass AD vs. CN vs. sMCI classification task with E2EL to be used in ensemble of models and achieved 85.66% training accuracy and 87.38% testing accuracy. To evaluate the model’s robustness, neuroradiologists must validate the implemented model. As a result, the third goal of this dissertation is to create a tool that neuroradiologists may use at their convenience. To achieve this objective, this dissertation proposes a web-based application (DEEP-AD) that has been created by making an ensemble of Efficient-Net B0 and DenseNet 264 (based on the contribution of goal 2). The accuracy of a DEEP-AD prototype has undergone repeated evaluation and improvement. First, we validated 41 subjects of Spanish MRI datasets (acquired from HT Medica, Madrid, Spain), achieving an accuracy of 82.90%, which was later verified by neuroradiologists. The results of these evaluation studies showed the accomplishment of such goals and relevant directions for future research in applied DL for the early detection of AD in clinical settings.En términos de contexto, el objetivo de esta tesis es ayudar a los neurorradiólogos en su juicio clínico sobre la detección precoz de la AD mediante el uso de DL. Para ello, en esta tesis se propone la metodología de investigación de diseño de sistemas para lograr tres objetivos. El segundo objetivo es proporcionar al neurorradiólogo la información interpretable por ordenador que necesita para analizar los biomarcadores de neuroimagen. Dado este contexto, el siguiente paso en esta tesis es encontrar el modelo DL óptimo para analizar biomarcadores de neuroimagen. Esto se ha logrado en dos pasos. En el primer paso, se han implementado ocho modelos DL de última generación mediante entrenamiento desde cero utilizando aprendizaje de extremo a extremo (E2EL) para dos tareas de clasificación binarias (AD vs. CN y AD vs. MCI estable) y se han comparado utilizando escaneos MRI de los conjuntos de datos de biomarcadores de neuroimagen de acceso público. El análisis comparativo se lleva a cabo utilizando gráficos de efecto-eficacia, indicadores exhaustivos y mecanismos de clasificación. Para el entrenamiento de la tarea AD vs. sMCI, el modelo EfficientNet-B0 obtiene el valor más alto para el indicador exhaustivo y tiene el menor número de parámetros. DenseNet264 obtuvo mejores resultados que los demás en términos de matrices de evaluación, pero al ser el que tiene más parámetros, su entrenamiento es más costoso. Para la tarea AD vs. CN de DenseNet264, conseguimos una accuracy del 100% en el entrenamiento y del 99,56% en las pruebas. Sin embargo, la accuracy de la clasificación fue sólo del 82,5% para la tarea AD vs. sMCI. En el segundo paso, se aplica la fusión del aprendizaje por transferencia (TL) con E2EL para entrenar la EfficientNet-B0 para la tarea AD vs. sMCI, que alcanzó una accuracy del 95,29% en el entrenamiento y del 93,10% en las pruebas. Además, también hemos implementado EfficientNet-B0 para la tarea de clasificación multiclase AD vs. CN vs. sMCI con E2EL para su uso en conjuntos de modelos y hemos obtenido una accuracy de entrenamiento del 85,66% y una precisión de prueba del 87,38%. Para evaluar la solidez del modelo, los neurorradiólogos deben validar el modelo implementado. Como resultado, el tercer objetivo de esta disertación es crear una herramienta que los neurorradiólogos puedan utilizar a su conveniencia. Para lograr este objetivo, esta disertación propone una aplicación basada en web (DEEP-AD) que ha sido creada haciendo un ensemble de Efficient-Net B0 y DenseNet 264 (basado en la contribución del objetivo 2). La accuracy del prototipo DEEP-AD ha sido sometida a repetidas evaluaciones y mejoras. En primer lugar, validamos 41 sujetos de conjuntos de datos de MRI españoles (adquiridos de HT Medica, Madrid, España), logrando una accuracy del 82,90%, que posteriormente fue verificada por neurorradiólogos. Los resultados de estos estudios de evaluación mostraron el cumplimiento de dichos objetivos y las direcciones relevantes para futuras investigaciones en DL, aplicada en la detección precoz de la AD en entornos clínicos.Escuela de DoctoradoDoctorado en Tecnologías de la Información y las Telecomunicacione

Decision-based data fusion of complementary features for the early diagnosis of Alzheimer\u27s disease

As the average life expectancy increases, particularly in developing countries, the prevalence of Alzheimer\u27s disease (AD), which is the most common form of dementia worldwide, has increased dramatically. As there is no cure to stop or reverse the effects of AD, the early diagnosis and detection is of utmost concern. Recent pharmacological advances have shown the ability to slow the progression of AD; however, the efficacy of these treatments is dependent on the ability to detect the disease at the earliest stage possible. Many patients are limited to small community clinics, by geographic and/or financial constraints. Making diagnosis possible at these clinics through an accurate, inexpensive, and noninvasive tool is of great interest. Many tools have been shown to be effective at the early diagnosis of AD. Three in particular are focused upon in this study: event-related potentials (ERPs) in electroencephalogram (EEG) recordings, magnetic resonance imaging (MRI), as well as positron emission tomography (PET). These biomarkers have been shown to contain diagnostically useful information regarding the development of AD in an individual. The combination of these biomarkers, if they provide complementary information, can boost overall diagnostic accuracy of an automated system. EEG data acquired from an auditory oddball paradigm, along with volumetric T2 weighted MRI data and PET imagery representative of metabolic glucose activity in the brain was collected from a cohort of 447 patients, along with other biomarkers and metrics relating to neurodegenerative disease. This study in particular focuses on AD versus control diagnostic ability from the cohort, in addition to AD severity analysis. An assortment of feature extraction methods were employed to extract diagnostically relevant information from raw data. EEG signals were decomposed into frequency bands of interest hrough the discrete wavelet transform (DWT). MRI images were reprocessed to provide volumetric representations of specific regions of interest in the cranium. The PET imagery was segmented into regions of interest representing glucose metabolic rates within the brain. Multi-layer perceptron neural networks were used as the base classifier for the augmented stacked generalization algorithm, creating three overall biomarker experts for AD diagnosis. The features extracted from each biomarker were used to train classifiers on various subsets of the cohort data; the decisions from these classifiers were then combined to achieve decision-based data fusion. This study found that EEG, MRI and PET data each hold complementary information for the diagnosis of AD. The use of all three in tandem provides greater diagnostic accuracy than using any single biomarker alone. The highest accuracy obtained through the EEG expert was 86.1 ±3.2%, with MRI and PET reaching 91.1 +3.2% and 91.2 ±3.9%, respectively. The maximum diagnostic accuracy of these systems averaged 95.0 ±3.1% when all three biomarkers were combined through the decision fusion algorithm described in this study. The severity analysis for AD showed similar results, with combination performance exceeding that of any biomarker expert alone

Alzheimer’s And Parkinson’s Disease Classification Using Deep Learning Based On MRI: A Review

Neurodegenerative disorders present a current challenge for accurate diagnosis and for providing precise prognostic information. Alzheimer’s disease (AD) and Parkinson's disease (PD), may take several years to obtain a definitive diagnosis. Due to the increased aging population in developed countries, neurodegenerative diseases such as AD and PD have become more prevalent and thus new technologies and more accurate tests are needed to improve and accelerate the diagnostic procedure in the early stages of these diseases. Deep learning has shown significant promise in computer-assisted AD and PD diagnosis based on MRI with the widespread use of artificial intelligence in the medical domain. This article analyses and evaluates the effectiveness of existing Deep learning (DL)-based approaches to identify neurological illnesses using MRI data obtained using various modalities, including functional and structural MRI. Several current research issues are identified toward the conclusion, along with several potential future study directions

Data fusion of complementary information from parietal and occipital event related potentials for early diagnosis of Alzheimer\u27s disease

The number of the elderly population affected by Alzheimer\u27s disease is rapidly rising. The need to find an accurate, inexpensive, and non-intrusive procedure that can be made available to community healthcare providers for the early diagnosis of Alzheimer\u27s disease is becoming an increasingly urgent public health concern. Several recent studies have looked at analyzing electroencephalogram signals through the use of many signal processing techniques. While their methods show great promise, the final outcome of these studies has been largely inconclusive. The inherent difficulty of the problem may be the cause of this outcome, but most likely it is due to the inefficient use of the available information, as many of these studies have used only a single EEG source for the analysis. In this contribution, data from the event related potentials of 19 available electrodes of the EEG are analyzed. These signals are decomposed into different frequency bands using multiresolution wavelet analysis. Two data fusion approaches are then investigated: i.) concatenating features before presenting them to a classification algorithm with the expectation of creating a more informative feature space, and ii.) generating multiple classifiers each trained with a different combination of features obtained from various stimuli, electrode, and frequency bands. The classifiers are then combined through the weighted majority vote, product and sum rule combination schemes. The results indicate that a correct diagnosis performance of over 80% can be obtained by combining data primarily from parietal and occipital lobe electrodes. The performance significantly exceeds that reported from community clinic physicians, despite their access to the outcomes of longitudinal monitoring of the patients