โก Quick Summary
A recent study developed a prognostic model to predict the conversion from mild cognitive impairment (MCI) to Alzheimer’s disease (AD) using functional connectivity data. This model demonstrated a strong correlation with clinical symptoms and imaging results, offering a promising tool for early intervention. ๐ง
๐ Key Details
- ๐ Dataset: Utilized the Alzheimer’s Disease Neuroimaging Initiative dataset and validated with external data.
- ๐งฉ Features used: Functional connectivity gradients and clinical factors.
- โ๏ธ Technology: Cox regression model with elastic net penalty.
- ๐ Performance: Risk score aligned with expected disease trajectories and symptom severity.
๐ Key Takeaways
- ๐ง Early detection of Alzheimer’s disease is crucial for effective management.
- ๐ The prognostic model predicts conversion risk from MCI to AD using functional connectivity data.
- ๐ Key brain regions involved include the heteromodal association and visual cortices, caudate, and hippocampus.
- ๐ The model’s risk score correlates with positron emission tomography tracer uptake and symptom severity.
- โ Validation of findings was achieved using an independent dataset.
- ๐ Clinical usefulness of the model reinforces its potential for early intervention strategies.
๐ Background
Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that significantly impacts cognitive function and quality of life. Early detection, particularly in individuals with mild cognitive impairment (MCI), is essential for timely management and therapeutic interventions. Traditional neuroimaging studies have often overlooked the temporal aspect of conversion, making it imperative to develop models that can accurately predict the risk of progression to AD.
๐๏ธ Study
The study aimed to create a prognostic model for predicting AD conversion by leveraging a large-scale dataset from the Alzheimer’s Disease Neuroimaging Initiative. Researchers focused on individuals who were either cognitively normal or had MCI at baseline and tracked their progression over a five-year follow-up period. By employing manifold learning techniques, they generated cortex-wide principal functional connectivity gradients and computed subcortical-weighted manifold degrees from baseline functional magnetic resonance imaging data.
๐ Results
The developed prognostic model effectively predicted the risk of conversion to AD, confirming the significance of imaging-derived manifolds in this context. The model’s risk score was consistent with expected disease trajectories and showed a strong correlation with clinical symptom severity and imaging results. Notably, the model indicated a higher risk for AD compared to MCI, reinforcing its clinical relevance.
๐ Impact and Implications
The findings from this study hold substantial implications for the field of neurology and Alzheimer’s research. By providing a reliable method for predicting the risk of conversion to AD, healthcare professionals can implement early intervention strategies for at-risk individuals. This could lead to improved patient outcomes and a better understanding of the neurodegenerative progression, ultimately enhancing the quality of care for those affected by Alzheimer’s disease. ๐
๐ฎ Conclusion
This study highlights the potential of using functional connectivity data to develop a prognostic model for predicting Alzheimer’s disease conversion. The associated risk score offers valuable insights for early intervention, paving the way for future research and clinical applications in the management of Alzheimer’s disease. The integration of advanced neuroimaging techniques with clinical data represents a significant step forward in the fight against neurodegenerative disorders. ๐ง
๐ฌ Your comments
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Prognostic model for predicting Alzheimer’s disease conversion using functional connectome manifolds.
Abstract
BACKGROUND: Early detection of Alzheimer’s disease (AD) is essential for timely management and consideration of therapeutic options; therefore, detecting the risk of conversion from mild cognitive impairment (MCI) to AD is crucial during neurodegenerative progression. Existing neuroimaging studies have mostly focused on group differences between individuals with MCI (or AD) and cognitively normal (CN), discarding the temporal information of conversion time. Here, we aimed to develop a prognostic model for AD conversion using functional connectivity (FC) and Cox regression suitable for conversion event modeling.
METHODS: We developed a prognostic model using a large-scale Alzheimer’s Disease Neuroimaging Initiative dataset, and it was validated using external data obtained from the Open Access Series of Imaging Studies. We considered individuals who were initially CN or had MCI but progressed to AD and those with MCI with no progression to AD during the five-year follow-up period. As the exact conversion time to AD is unknown, we inferred this information using imputation approaches. We generated cortex-wide principal FC gradients using manifold learning techniques and computed subcortical-weighted manifold degrees from baseline functional magnetic resonance imaging data. A penalized Cox regression model with an elastic net penalty was adopted to define a risk score predicting the risk of conversion to AD, using FC gradients and clinical factors as regressors.
RESULTS: Our prognostic model predicted the conversion risk and confirmed the role of imaging-derived manifolds in the conversion risk. The brain regions that largely contributed to predicting AD conversion were the heteromodal association and visual cortices, as well as the caudate and hippocampus. Our risk score based on Cox regression was consistent with the expected disease trajectories and correlated with positron emission tomography tracer uptake and symptom severity, reinforcing its clinical usefulness. Our findings were validated using an independent dataset. The cross-sectional application of our model showed a higher risk for AD than that for MCI, which correlated with symptom severity scores in the validation dataset.
CONCLUSION: We proposed a prognostic model predicting the risk of conversion to AD. The associated risk score may provide insights for early intervention in individuals at risk of AD conversion.
Author: [‘Kim S’, ‘Kim M’, ‘Lee JE’, ‘Park BY’, ‘Park H’]
Journal: Alzheimers Res Ther
Citation: Kim S, et al. Prognostic model for predicting Alzheimer’s disease conversion using functional connectome manifolds. Prognostic model for predicting Alzheimer’s disease conversion using functional connectome manifolds. 2024; 16:217. doi: 10.1186/s13195-024-01589-3