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Author:

Zhang, Baiwen (Zhang, Baiwen.) | Xu, Meng (Xu, Meng.) | Wu, Qing (Wu, Qing.) | Ye, Sicheng (Ye, Sicheng.) | Zhang, Ying (Zhang, Ying.) | Li, Zufei (Li, Zufei.)

Indexed by:

Scopus SCIE

Abstract:

Introduction Mild cognitive impairment (MCI) is an important stage in Alzheimer's disease (AD) research, focusing on early pathogenic factors and mechanisms. Examining MCI patient subtypes and identifying their cognitive and neuropathological patterns as the disease progresses can enhance our understanding of the heterogeneous disease progression in the early stages of AD. However, few studies have thoroughly analyzed the subtypes of MCI, such as the cortical atrophy, and disease development characteristics of each subtype.Methods In this study, 396 individuals with MCI, 228 cognitive normal (CN) participants, and 192 AD patients were selected from ADNI database, and a semi-supervised mixture expert algorithm (MOE) with multiple classification boundaries was constructed to define AD subtypes. Moreover, the subtypes of MCI were obtained by using the multivariate linear boundary mapping of support vector machine (SVM). Then, the gray matter atrophy regions and severity of each MCI subtype were analyzed and the features of each subtype in demography, pathology, cognition, and disease progression were explored combining the longitudinal data collected for 2 years and analyzed important factors that cause conversion of MCI were analyzed.Results Three MCI subtypes were defined by MOE algorithm, and the three subtypes exhibited their own features in cortical atrophy. Nearly one-third of patients diagnosed with MCI have almost no significant difference in cerebral cortex from the normal aging population, and their conversion rate to AD are the lowest. The subtype characterized by severe atrophy in temporal lobe and frontal lobe have a faster decline rate in many cognitive manifestations than the subtype featured with diffuse atrophy in the whole cortex. APOE epsilon 4 is an important factor that cause the conversion of MCI to AD.Conclusion It was proved through the data-driven method that MCI collected by ADNI baseline presented different subtype features. The characteristics and disease development trajectories among subtypes can help to improve the prediction of clinical progress in the future and also provide necessary clues to solve the classification accuracy of MCI.

Keyword:

mild cognitive impairment mixture of experts subtype magnetic resonance imaging longitudinal analysis

Author Community:

  • [ 1 ] [Zhang, Baiwen]Beijing Acad Sci & Technol, Inst Informat & Artificial Intelligence Technol, Beijing, Peoples R China
  • [ 2 ] [Wu, Qing]Beijing Acad Sci & Technol, Inst Informat & Artificial Intelligence Technol, Beijing, Peoples R China
  • [ 3 ] [Zhang, Ying]Beijing Acad Sci & Technol, Inst Informat & Artificial Intelligence Technol, Beijing, Peoples R China
  • [ 4 ] [Xu, Meng]Beijing Univ Technol, Fac Informat Technol, Beijing, Peoples R China
  • [ 5 ] [Ye, Sicheng]Beijing Univ Posts & Telecommun, Int Coll, Beijing, Peoples R China
  • [ 6 ] [Li, Zufei]Capital Med Univ, Beijing Chaoyang Hosp, Dept Otorhinolaryngol Head & Neck Surg, Beijing, Peoples R China

Reprint Author's Address:

  • [Zhang, Ying]Beijing Acad Sci & Technol, Inst Informat & Artificial Intelligence Technol, Beijing, Peoples R China;;[Li, Zufei]Capital Med Univ, Beijing Chaoyang Hosp, Dept Otorhinolaryngol Head & Neck Surg, Beijing, Peoples R China;;

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Source :

FRONTIERS IN AGING NEUROSCIENCE

ISSN: 1663-4365

Year: 2024

Volume: 16

4 . 8 0 0

JCR@2022

Cited Count:

WoS CC Cited Count: 1

SCOPUS Cited Count: 1

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 8

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