机构:[1]SIVOTEC Analytics, Boca Raton, FL, USA.[2]Department of Computer and Electrical Engineering and Computer Science, Florida Atlantic University, Boca Raton, FL, USA.[3]SJN Biomed LTD, Kunming, Yunnan, China.[4]Center for Alzheimer's Research, Washington Institute of Clinical Research, Washington, DC.[5]Department of Rehabilitation Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.医技科室康复医学科昆明医科大学附属第一医院[6]Department of Neurology, Dehong People's Hospital, Dehong, Yunnan, China.[7]Department of Neurology, the First Affiliated Hospital of Kunming Medical University, Wuhua District, Kunming, Yunnan Province, China.内科科室外科科室医技科室神经内科昆明医科大学附属第一医院[8]War-Related Illness and Injury Study Center, VA Palo Alto Health Care System, Palo Alto, CA, USA.[9]Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
The widespread incidence and prevalence of Alzheimer's disease and mild cognitive impairment (MCI) has prompted an urgent call for research to validate early detection cognitive screening and assessment.
Our primary research aim was to determine if selected MemTrax performance metrics and relevant demographics and health profile characteristics can be effectively utilized in predictive models developed with machine learning to classify cognitive health (normal versus MCI), as would be indicated by the Montreal Cognitive Assessment (MoCA).
We conducted a cross-sectional study on 259 neurology, memory clinic, and internal medicine adult patients recruited from two hospitals in China. Each patient was given the Chinese-language MoCA and self-administered the continuous recognition MemTrax online episodic memory test on the same day. Predictive classification models were built using machine learning with 10-fold cross validation, and model performance was measured using Area Under the Receiver Operating Characteristic Curve (AUC). Models were built using two MemTrax performance metrics (percent correct, response time), along with the eight common demographic and personal history features.
Comparing the learners across selected combinations of MoCA scores and thresholds, Naïve Bayes was generally the top-performing learner with an overall classification performance of 0.9093. Further, among the top three learners, MemTrax-based classification performance overall was superior using just the top-ranked four features (0.9119) compared to using all 10 common features (0.8999).
MemTrax performance can be effectively utilized in a machine learning classification predictive model screening application for detecting early stage cognitive impairment.
基金:
We recognize the work of J. Wesson Ashford, Curtis B. Ashford, and colleagues for developing and validating the online continuous recognition task and tool (MemTrax) utilized here and we are grateful to the numerous patients with dementia who contributed to the critical foundational research. We also thank Xianbo Zhou and his colleagues at SJN Biomed LTD, his colleagues and collaborators at the hospitals/clinics sites, especially Drs. M. Luo and M. Zhong, who helped with recruitment of participants, scheduling tests, and collecting, recording, and front-end managing the data, and the volunteer participants who donated their valuable time and made the commitment to taking the tests and providing the valued data for us to evaluate in this study. This study was supported in part by the MD Scientific Research Program of Kunming Medical University (Grant no. 2017BS028 to X.L.) and the Research Program of Yunnan Science and Technology Department (Grant no. 2019FE001 (-222) to X.L).
通讯机构:[7]Department of Neurology, the First Affiliated Hospital of Kunming Medical University, Wuhua District, Kunming, Yunnan Province, China.
推荐引用方式(GB/T 7714):
Bergeron Michael F,Landset Sara,Zhou Xianbo,et al.Utility of MemTrax and Machine Learning Modeling in Classification of Mild Cognitive Impairment.[J].JOURNAL OF ALZHEIMERS DISEASE.2020,77(4):1545-1558.doi:10.3233/JAD-191340.
APA:
Bergeron Michael F,Landset Sara,Zhou Xianbo,Ding Tao,Khoshgoftaar Taghi M...&Ashford J Wesson.(2020).Utility of MemTrax and Machine Learning Modeling in Classification of Mild Cognitive Impairment..JOURNAL OF ALZHEIMERS DISEASE,77,(4)
MLA:
Bergeron Michael F,et al."Utility of MemTrax and Machine Learning Modeling in Classification of Mild Cognitive Impairment.".JOURNAL OF ALZHEIMERS DISEASE 77..4(2020):1545-1558