Gender variability in machine learning based subcortical neuroimaging for Parkinson’s disease diagnosis

PurposeThis study evaluates machine learning (ML) classifiers for diagnosing Parkinson’s disease (PD) using subcortical brain region data from 3D T1 magnetic resonance imaging (MRI) Parkinson’s Progression Markers Initiative (PPMI database). We aim to identify top-performing algorithms and assess gender-related differences in accuracy.Design/methodology/approachMultiple ML algorithms will be compared for their ability to classify PD vs healthy controls using MRI scans of the brain structures like the putamen, thalamus, brainstem, accumbens, amygdala, caudate, hippocampus and pallidum. Analysis will include gender-specific performance comparisons.FindingsThe study reveals that ML classifier performance in diagnosing PD varies across subcortical brain regions and shows gender differences. The Extra Trees classifier performed best in men (86.36% accuracy in the putamen), while Naive Bayes performed best in women (69.23%, amygdala). Regions like the accumbens, hippocampus and caudate showed moderate accuracy (65–70%) in men and poor performance in women. The results point out a significant gender-based performance gap, highlighting the need for gender-specific models to improve diagnostic precision across complex brain structures.Originality/valueThis study highlights the significant impact of gender on machine learning diagnosis of PD using data from subcortical brain regions. Our novel focus on these regions uncovers their diagnostic potential, improves model accuracy and emphasizes the need for gender-specific approaches in medical AI. This work could ultimately lead to earlier PD detection and more personalized treatment.