An Epidemiological-based Regression Analysis of Alzheimer’s disease and Mild Cognitive Impairment Converts in the Female Population

A. Khan, S. Zubair, Samreen Khan
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Abstract

Detection and prediction of Alzheimer's Disease (AD) conversion from the stage of Mild Cognitive Impairment (MCI) have remained a challenging task. Regression analysis is a method that sorts those essential features/biomarkers that have a strong impact on the overall prediction. This study centres on delivering an individualized regression analysis of cognitively normal and MCI converts over the twenty independent biomarkers that leverage clinical data. Out of the 1713 male and female subjects, 768 female subjects were studied to investigate the prevalence of AD and MCI, those diagnosed with AD and MCI and their associated risk factors. The study data were gathered from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Twenty potential clinical features were included; comprised of a combination of demographic, cerebral spinal fluid, cognitive, diffusion tensor imaging, electroencephalography, genetic, magnetic resonance imaging, and positron emission tomography testing variables. The regression analysis metrics R-squared, F-statistic, Omnibus, Durbin-Watson, Coefficient and Standard error, were used to evaluate the model. Our results showed that cognitive assessment metrics were highly significant among the other testing biomarkers. Additionally, we determined the significance of each clinical variable. Our performed analysis could impact the clinical setting as a means to further develop a machine learning model in predicting the conversion of MCI to AD or to detect principle subjects for clinical trials.
女性人群中阿尔茨海默病和轻度认知障碍转换的流行病学回归分析
从轻度认知障碍(MCI)阶段检测和预测阿尔茨海默病(AD)转换仍然是一项具有挑战性的任务。回归分析是一种对整体预测有强烈影响的基本特征/生物标志物进行分类的方法。本研究的重点是对认知正常和轻度认知障碍转化者进行个性化回归分析,这些转化者使用了20种独立的生物标志物来利用临床数据。在1713名男性和女性受试者中,研究了768名女性受试者,以调查AD和MCI的患病率,诊断为AD和MCI的患者及其相关危险因素。研究数据来自阿尔茨海默病神经影像学倡议(ADNI)。包括20个潜在的临床特征;包括人口统计学、脑脊液、认知、弥散张量成像、脑电图、遗传、磁共振成像和正电子发射断层扫描测试变量的组合。采用回归分析指标r平方、f统计量、Omnibus、Durbin-Watson、系数和标准误差对模型进行评价。我们的研究结果表明,认知评估指标在其他测试生物标志物中非常重要。此外,我们确定了每个临床变量的重要性。我们进行的分析可能会影响临床环境,作为进一步开发机器学习模型的一种手段,用于预测MCI向AD的转化,或检测临床试验的主要受试者。
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