| Literature DB >> 34268100 |
Hamid Akramifard1, Mohammad Ali Balafar1, Seyed Naser Razavi1, Abd Rahman Ramli2.
Abstract
BACKGROUND: A timely diagnosis of Alzheimer's disease (AD) is crucial to obtain more practical treatments. In this article, a novel approach using Auto-Encoder Neural Networks (AENN) for early detection of AD was proposed.Entities:
Keywords: Alzheimer's disease; Mini-Mental State Examination; autoencoders; cerebrospinal fluid; early detection; magnetic resonance imaging; missing data; positron emission tomographys
Year: 2021 PMID: 34268100 PMCID: PMC8253314 DOI: 10.4103/jmss.JMSS_11_20
Source DB: PubMed Journal: J Med Signals Sens ISSN: 2228-7477
Data of patients in the Alzheimer’s disease neuroimaging initiative database
| Count | Male | Female | Married | Widowed | Divorced | Never married | Average of age | Average of MMSE | |
|---|---|---|---|---|---|---|---|---|---|
| AD | 156 | 76 | 80 | 127 | 18 | 8 | 3 | 74.89 | 23.32 |
| NC | 211 | 110 | 101 | 142 | 38 | 17 | 14 | 75.91 | 29.13 |
| MCI | 338 | 215 | 123 | 269 | 39 | 24 | 6 | 74.51 | 27.05 |
| Total | 705 | 401 | 304 | 538 | 95 | 49 | 23 | 75.01 | 26.85 |
AD – Alzheimer’s disease; NC – Normal control; MIC – Mild cognitive impairment; MMSE – Mini-Mental State Examination
Figure 1Magnetic resonance imaging sample, (a) a normal control and (b) a Alzheimer's disease patient
Figure 2Sub-regions of medial surface of the human cerebral cortex
Figure 3An autoencoder having an input layer (encode), one hidden layer, and an output layer (decode)
Figure 4Diagram of proposed method
Comparing performance metrics
| Data | Classes | Accuracy (%) | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | AUC |
|---|---|---|---|---|---|---|---|
| All data, averaged missing data | NC-AD | 95.37 | 92.50 | 89.23 | 0.9625 | ||
| MCI-AD | 82.63 | 72.09 | 87.86 | 74.60 | 86.40 | 0.7988 | |
| NC-MCI | 78.65 | 65.86 | 69.59 | ||||
| All data, rebuilt missing data | NC-AD | ||||||
| MCI-AD | |||||||
| NC-MCI | 65.83 | 69.89 | 0.7983 | ||||
| Only MRI data | NC-AD | 84.46 | 81.87 | 86.41 | 81.79 | 86.45 | 0.8407 |
| MCI-AD | 66.84 | 48.70 | 82.31 | 70.11 | 65.31 | 0.6539 | |
| NC-MCI | 66.97 | 78.94 | 55.28 | 63.29 | 72.88 | 0.6707 | |
| Only MMSE data | NC-AD | 91.83 | 99.21 | 87.81 | 81.59 | 99.52 | 0.9351 |
| MCI-AD | 78.92 | 64.14 | 88.38 | 77.81 | 79.44 | 0.7613 | |
| NC-MCI | 70.26 | 93.14 | 56.88 | 55.81 | 93.41 | 0.7499 | |
| Only demographic data | NC-AD | 60.61 | 61.82 | 60.44 | 21.82 | 89.76 | 0.6065 |
| MCI-AD | 66.11 | 46.54 | 73.79 | 41.07 | 77.86 | 0.5997 | |
| NC-MCI | 55.86 | 68.43 | 44.59 | 52.57 | 61.14 | 0.5644 |
ACC – Classification accuracy; SEN – Sensitivity; SPE – Specificity; PPV – Positive predictive value; NPV – Negative predictive value; AUC – Area under the curve; AD – Alzheimer’s disease; NC – Normal control; MIC – Mild cognitive impairment; MMSE – Mini -Mental State Examination; MRI – Magnetic resonance imaging
Figure 5Receiver operating characteristic curves for Alzheimer's disease versus normal control classification
Figure 8Boxplots for recognition of AD, NC, and MCI subjects: (a) AD vs. NC. (b) AD vs. MCI. (c) MCI vs. NC
Figure 7Receiver operating characteristic curves for Alzheimer's disease versus mild cognitive impairment classification
Comparison of the proposed method with other methods based on Alzheimer’s disease versus normal control classification
| Method | Indicator, number of samples and data source | AD versus NC | |||
|---|---|---|---|---|---|
| Accuracy (%) | Sensitivity (%) | Specificity (%) | AUC | ||
| Zhang | MRI, PET, CSF, MMSE, ADAS-Cog (202, ADNI) | 93.20 | 93.00 | 93.30 | 0.98 |
| Dai | MRI (83, OASIS) | 90.81 | 92.59 | 90.33 | 0.94 |
| Liu | MRI, PET (710, ADNI) | 94.65 | 95.03 | 91.76 | 0.95 |
| da Silva Lopes | EEG Signal (41,-) | 71.5 | 82 | 61 | - |
| Beheshti | MRI (186, ADNI) | 93.01 | 89.13 | 96.80 | 0.935 |
| Mishra | MRI (417, ADNI) | 89.15 | 85.06 | 92.53 | 0.93 |
| Khedher | MRI (818, ADNI) | 88.96 | 92.35 | 86.24 | 0.93 |
| Lian | MRI (1457, ADNI) | 90.00 | 82.00 | 97.00 | 0.95 |
| Ben Ahmed | MRI (218, ADNI) | 87.00 | 75.50 | 100 | 0.85 |
| Zhou | MRI (507, ADNI) | 93.75 | 87.5 | 100 | - |
| Suk | MRI, PET, CSF, MMSE, ADAS-Cog (202, ADNI) | 93.05 | 90.86 | 94.57 | 0.95 |
| Maqsood | MRI (392, OASIS) | 89.66 | 100 | 82 | - |
| Saravanakumar and Thangaraj 2019[ | MRI (-, ADNI) | 92.34 | 96 | 87.5 | - |
| Proposed method (EL) | MRI, PET, CSF, MMSE (705, ADNI) | 95.57 | 100 | 95.57 | 0.964 |
AD – Alzheimer’s disease; NC – Normal control; MRI – Magnetic resonance imaging; PET – Positron emission tomography; CSF – Cerebrospinal Fluid; MMSE – Mini-Mental State Examination; ADNI – Alzheimer’s Disease Neuroimaging Initiative; OASIS – Open Access Series of Imaging Studies; ADAS – Alzheimer’s Disease Assessment Scale