scholarly journals Malingering Detection of Cognitive Impairment With the b Test Is Boosted Using Machine Learning

2019 ◽  
Vol 10 ◽  
Author(s):  
Giorgia Pace ◽  
Graziella Orrù ◽  
Merylin Monaro ◽  
Francesca Gnoato ◽  
Roberta Vitaliani ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Malingering Detection ◽  
B Test

Machine Learning for the Prediction of Amyloid Positivity in Amnestic Mild Cognitive Impairment

2021 ◽  
pp. 1-15
Author(s):  
Sung Hoon Kang ◽  
Bo Kyoung Cheon ◽  
Ji-Sun Kim ◽  
Hyemin Jang ◽  
Hee Jin Kim ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Apolipoprotein E ◽  
Cross Validation ◽  
Good Accuracy ◽  
External Validation ◽  
Amnestic Mild Cognitive Impairment ◽  
Temporal Region ◽  
Apolipoprotein E Genotype

Background: Amyloid (Aβ) evaluation in amnestic mild cognitive impairment (aMCI) patients is important for predicting conversion to Alzheimer’s disease. However, Aβ evaluation through amyloid positron emission tomography (PET) is limited due to high cost and safety issues. Objective: We therefore aimed to develop and validate prediction models of Aβ positivity for aMCI using optimal interpretable machine learning (ML) approaches utilizing multimodal markers. Methods: We recruited 529 aMCI patients from multiple centers who underwent Aβ PET. We trained ML algorithms using a training cohort (324 aMCI from Samsung medical center) with two-phase modelling: model 1 included age, gender, education, diabetes, hypertension, apolipoprotein E genotype, and neuropsychological test scores; model 2 included the same variables as model 1 with additional MRI features. We used four-fold cross-validation during the modelling and evaluated the models on an external validation cohort (187 aMCI from the other centers). Results: Model 1 showed good accuracy (area under the receiver operating characteristic curve [AUROC] 0.837) in cross-validation, and fair accuracy (AUROC 0.765) in external validation. Model 2 led to improvement in the prediction performance with good accuracy (AUROC 0.892) in cross validation compared to model 1. Apolipoprotein E genotype, delayed recall task scores, and interaction between cortical thickness in the temporal region and hippocampal volume were the most important predictors of Aβ positivity. Conclusion: Our results suggest that ML models are effective in predicting Aβ positivity at the individual level and could help the biomarker-guided diagnosis of prodromal AD.

scholarly journals Machine learning of neuroimaging for assisted diagnosis of cognitive impairment and dementia: A systematic review

2018 ◽  
Vol 10 (1) ◽  
pp. 519-535 ◽  
Author(s):  
Enrico Pellegrini ◽  
Lucia Ballerini ◽  
Maria del C. Valdes Hernandez ◽  
Francesca M. Chappell ◽  
Victor González‐Castro ◽  
...  
Keyword(s):  
Machine Learning ◽  
Systematic Review ◽  
Cognitive Impairment ◽  
Assisted Diagnosis

scholarly journals Detecting Cognitive Impairment Status Using Keystroke Patterns and Physical Activity Data among the Older Adults: A Machine Learning Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-16
Author(s):  
Mohammad Nahid Hossain ◽  
Mohammad Helal Uddin ◽  
K. Thapa ◽  
Md Abdullah Al Zubaer ◽  
Md Shafiqul Islam ◽  
...  
Keyword(s):  
Machine Learning ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Learning Algorithm ◽  
Negative Impact ◽  
Gradient Boosting ◽  
Feature Selection Technique ◽  
Activity Data ◽  
Physical Data ◽  
Machine Learning Model

Cognitive impairment has a significantly negative impact on global healthcare and the community. Holding a person’s cognition and mental retention among older adults is improbable with aging. Early detection of cognitive impairment will decline the most significant impact of extended disease to permanent mental damage. This paper aims to develop a machine learning model to detect and differentiate cognitive impairment categories like severe, moderate, mild, and normal by analyzing neurophysical and physical data. Keystroke and smartwatch have been used to extract individuals’ neurophysical and physical data, respectively. An advanced ensemble learning algorithm named Gradient Boosting Machine (GBM) is proposed to classify the cognitive severity level (absence, mild, moderate, and severe) based on the Standardised Mini-Mental State Examination (SMMSE) questionnaire scores. The statistical method “Pearson’s correlation” and the wrapper feature selection technique have been used to analyze and select the best features. Then, we have conducted our proposed algorithm GBM on those features. And the result has shown an accuracy of more than 94%. This paper has added a new dimension to the state-of-the-art to predict cognitive impairment by implementing neurophysical data and physical data together.

scholarly journals Random Forest Model in the Diagnosis of Dementia Patients with Normal Mini-Mental State Examination Scores

2022 ◽  
Vol 12 (1) ◽  
pp. 37
Author(s):  
Jie Wang ◽  
Zhuo Wang ◽  
Ning Liu ◽  
Caiyan Liu ◽  
Chenhui Mao ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Random Forest ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Machine Learning Algorithms ◽  
Assessment Model ◽  
Test Time ◽  
Cognitive Screening ◽  
State Examination

Background: Mini-Mental State Examination (MMSE) is the most widely used tool in cognitive screening. Some individuals with normal MMSE scores have extensive cognitive impairment. Systematic neuropsychological assessment should be performed in these patients. This study aimed to optimize the systematic neuropsychological test battery (NTB) by machine learning and develop new classification models for distinguishing mild cognitive impairment (MCI) and dementia among individuals with MMSE ≥ 26. Methods: 375 participants with MMSE ≥ 26 were assigned a diagnosis of cognitively unimpaired (CU) (n = 67), MCI (n = 174), or dementia (n = 134). We compared the performance of five machine learning algorithms, including logistic regression, decision tree, SVM, XGBoost, and random forest (RF), in identifying MCI and dementia. Results: RF performed best in identifying MCI and dementia. Six neuropsychological subtests with high-importance features were selected to form a simplified NTB, and the test time was cut in half. The AUC of the RF model was 0.89 for distinguishing MCI from CU, and 0.84 for distinguishing dementia from nondementia. Conclusions: This simplified cognitive assessment model can be useful for the diagnosis of MCI and dementia in patients with normal MMSE. It not only optimizes the content of cognitive evaluation, but also improves diagnosis and reduces missed diagnosis.

scholarly journals Machine Learning Models to Predict Cognitive Impairment of Rodents Subjected to Space Radiation

2021 ◽  
Vol 15 ◽  
Author(s):  
Mona Matar ◽  
Suleyman A. Gokoglu ◽  
Matthew T. Prelich ◽  
Christopher A. Gallo ◽  
Asad K. Iqbal ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Radiation Exposure ◽  
Space Radiation ◽  
Distribution Functions ◽  
Cumulative Distribution ◽  
Support Vector ◽  
Control Group ◽  
Significant Finding ◽  
Dose Dependent

This research uses machine-learned computational analyses to predict the cognitive performance impairment of rats induced by irradiation. The experimental data in the analyses is from a rodent model exposed to ≤15 cGy of individual galactic cosmic radiation (GCR) ions: 4He, 16O, 28Si, 48Ti, or 56Fe, expected for a Lunar or Mars mission. This work investigates rats at a subject-based level and uses performance scores taken before irradiation to predict impairment in attentional set-shifting (ATSET) data post-irradiation. Here, the worst performing rats of the control group define the impairment thresholds based on population analyses via cumulative distribution functions, leading to the labeling of impairment for each subject. A significant finding is the exhibition of a dose-dependent increasing probability of impairment for 1 to 10 cGy of 28Si or 56Fe in the simple discrimination (SD) stage of the ATSET, and for 1 to 10 cGy of 56Fe in the compound discrimination (CD) stage. On a subject-based level, implementing machine learning (ML) classifiers such as the Gaussian naïve Bayes, support vector machine, and artificial neural networks identifies rats that have a higher tendency for impairment after GCR exposure. The algorithms employ the experimental prescreen performance scores as multidimensional input features to predict each rodent’s susceptibility to cognitive impairment due to space radiation exposure. The receiver operating characteristic and the precision-recall curves of the ML models show a better prediction of impairment when 56Fe is the ion in question in both SD and CD stages. They, however, do not depict impairment due to 4He in SD and 28Si in CD, suggesting no dose-dependent impairment response in these cases. One key finding of our study is that prescreen performance scores can be used to predict the ATSET performance impairments. This result is significant to crewed space missions as it supports the potential of predicting an astronaut’s impairment in a specific task before spaceflight through the implementation of appropriately trained ML tools. Future research can focus on constructing ML ensemble methods to integrate the findings from the methodologies implemented in this study for more robust predictions of cognitive decrements due to space radiation exposure.

scholarly journals Mild cognitive impairment, dementia, and cognitive dysfunction screening using machine learning

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052093688
Author(s):  
Daehyuk Yim ◽  
Tae Young Yeo ◽  
Moon Ho Park
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Dysfunction ◽  
Learning Algorithm ◽  
Machine Learning Algorithms ◽  
Kappa Statistics ◽  
Machine Learning Algorithm ◽  
Neuropsychological Screening ◽  
Dementia Screening

Objective To develop a machine learning algorithm to identify cognitive dysfunction based on neuropsychological screening test results. Methods This retrospective study included 955 participants: 341 participants with dementia (dementia), 333 participants with mild cognitive impairment (MCI), and 341 participants who were cognitively healthy. All participants underwent evaluations including the Mini-Mental State Examination and the Montreal Cognitive Assessment. Each participant’s caregiver or informant was surveyed using the Korean Dementia Screening Questionnaire at the same visit. Different machine learning algorithms were applied, and their overall accuracies, Cohen’s kappa, receiver operating characteristic curves, and areas under the curve (AUCs) were calculated. Results The overall screening accuracies for MCI, dementia, and cognitive dysfunction (MCI or dementia) using a machine learning algorithm were approximately 67.8% to 93.5%, 96.8% to 99.9%, and 75.8% to 99.9%, respectively. Their kappa statistics ranged from 0.351 to 1.000. The AUCs of the machine learning models were statistically superior to those of the competing screening model. Conclusion This study suggests that a machine learning algorithm can be used as a supportive tool in the screening of MCI, dementia, and cognitive dysfunction.

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