Abstract
Dementia is one of the leading causes of severe cognitive decline, it induces memory loss and impairs the daily life of millions of people worldwide. In this work, we consider the classification of dementia using magnetic resonance (MR) imaging and clinical data with machine learning models. We adapt univariate feature selection in the MR data pre-processing step as a filter-based feature selection. Bagged decision trees are also implemented to estimate the important features for achieving good classification accuracy. Several ensemble learning-based machine learning approaches, namely gradient boosting (GB), extreme gradient boost (XGB), voting-based, and random forest (RF) classifiers, are considered for the diagnosis of dementia. Moreover, we propose voting-based classifiers that train on an ensemble of numerous basic machine learning models, such as the extra trees classifier, RF, GB, and XGB. The implementation of a voting-based approach is one of the important contributions, and the performance of different classifiers are evaluated in terms of precision, accuracy, recall, and F1 score. Moreover, the receiver operating characteristic curve (ROC) and area under the ROC curve (AUC) are used as metrics for comparing these classifiers. Experimental results show that the voting-based classifiers often perform better compared to the RF, GB, and XGB in terms of precision, recall, and accuracy, thereby indicating the promise of differentiating dementia from imaging and clinical data.
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Alok N, Krishan K, Chauhan P (2021) Deep learning-based image classifier for malaria cell detection. Mach Learn Healthc Appl 12:187–197
Ansari H, Vijayvergia A, Kumar K (2018) DCR-HMM: depression detection based on content rating using hidden Markov model. In2018 conference on information and communication technology (CICT) (pp. 1-6). IEEE
Ansart M, Epelbaum S, Bassignana G, Bône A, Bottani S, Cattai T, Couronne R, Faouzi J, Koval I, Louis M, Thibeau-Sutre E (2020) Predicting the progression of mild cognitive impairment using machine learning: a systematic, quantitative and critical review. Med Image Anal 6:101848
Basaia S, Agosta F, Wagner L, Canu E, Magnani G, Santangelo R, Filippi M, Alzheimer's disease neuroimaging Initiative (2019) Automated classification of Alzheimer's disease and mild cognitive impairment using a single MRI and deep neural networks. NeuroImage: Clin 21:101645
Bateman RJ, Aisen PS, De Strooper B, Fox NC, Lemere CA, Ringman JM, Salloway S, Sperling RA, Windisch M, Xiong C (2011) Autosomal-dominant Alzheimer’s disease: A review and proposal for the prevention of Alzheimer’s disease. Alzheimers Res Ther 3(1):1–13
Battineni G, Chintalapudi N, Amenta F (2019) Machine learning in medicine: performance calculation of dementia prediction by support vector machines (SVM). Inform Med Unlocked 16:100200. https://doi.org/10.1016/j.imu.2019.100200
Bharati S, Rahman MA, Podder P (2018) Breast cancer prediction applying different classification algorithm with comparative analysis using WEKA. 4th International Conference on Electrical Engineering and Information & Communication Technology (iCEEiCT) 581–584
Bharati S, Podder P, Mondal MRH (2020) Hybrid deep learning for detecting lung diseases from X-ray images. Inform Med Unlocked 20:100391
Bharati S, Podder P, Mondal MRH, Prasath VBS (2021) Medical imaging with deep learning for COVID-19 diagnosis: a comprehensive review. Int J Comput Inf Syst Ind Manag Appl 13:91–112
Bharati S, Podder P, Mondal MRH, Prasath VBS (2021) CO-ResNet: optimized ResNet model for COVID-19 diagnosis from X-ray images. Int J Hybrid Intell Syst 17(1–2):71–85
Boser BE, Guyon IM, Vapnik VN (1992) A training algorithm for optimal margin classifiers. In: Proceedings of the fifth annual workshop on Computational learning theory (pp. 144–152).
Braak H, Braak E (1997) Frequency of stages of Alzheimer-related lesions in different age categories. Neurobiol Aging 18(4):351–357
Breiman L (2001) Random forests. Mach Learn 45(1):5–32
Brickman AM, Honig LS, Scarmeas N, Tatarina O, Sanders L, Albert MS, Brandt J, Blacker D, Stern Y (2008) Measuring cerebral atrophy and white matter hyperintensity burden to predict the rate of cognitive decline in Alzheimer disease. Arch Neurol 65(9):1202–1208
Cao J, Kwong S, Wang R, Li X, Li K, Kong X (2015) Class-specific soft voting based multiple extreme learning machines ensemble. Neurocomputing. 149:275–284
Castellazzi G, Cuzzoni MG, Cotta Ramusino M, Martinelli D, Denaro F, Ricciardi A, Vitali P, Anzalone N, Bernini S, Palesi F, Sinforiani E (2020) A machine learning approach for the differential diagnosis of alzheimer and vascular dementia fed by MRI selected features. Front Neuroinform 14:25
Chen T, Guestrin C (2016) Xgboost: A scalable tree boosting system. In: Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining (pp. 785–794)
Chen R, Herskovits EH (2010) Machine-learning techniques for building a diagnostic model for very mild dementia. Neuroimage 52(1):234–244
Cuijpers Y, Lente H (2015) Early diagnostics and Alzheimer's disease: beyond ‘cure’ and ‘care’. Technol Forecast Soc Chang 93:54–67
Dabral I, Singh M, Kumar K (2019) Cancer detection using convolutional neural network. In international conference on deep learning, artificial intelligence and robotics. Springer, Cham, pp 290–298
Darbari A, Kumar K, Darbari S, Patil PL (2021) Requirement of artificial intelligence technology awareness for thoracic surgeons. Cardiothorac Surg 29(1):1–13
Datta P, Shankle W, Pazzani M (1996) Applying machine learning to an Alzheimer’s database. In: Proceedings of the AAAI-96 Spring Symposium AI in Medicine: Applications of Current Technologies, Stanford, CA, USA. 25–27
Davatzikos C, Resnick SM, Wu X, Parmpi P, Clark CM (2008) Individual patient diagnosis of AD and FTD via high-dimensional pattern classification of MRI. Neuroimage 41(4):1220–1227
Delgado J, Ishii N (1999) Memory-based weighted majority prediction. InSIGIR Workshop Recomm. Syst Citeseer (p 85)
den Heijer T, Geerlings MI, Hoebeek FE, Hofman A, Koudstaal PJ, Breteler MM (2006) Use of hippocampal and amygdalar volumes on magnetic resonance imaging to predict dementia in cognitively intact elderly people. Arch Gen Psychiatry 63(1):57–62
Facal D, Valladares-Rodriguez S, Lojo-Seoane C, Pereiro AX, Anido-Rifon L, Juncos-Rabadán O (2019) Machine learning approaches to studying the role of cognitive reserve in conversion from mild cognitive impairment to dementia. Int J Geriatr Psychiatry 34(7):941–949
Farid AA, Selim GI, Khater HAA (2020) Applying artificial intelligence techniques to improve clinical diagnosis of Alzheimer’s disease, 9th international conference on research in science and technology, Berlin, Germany
Filipovych R, Davatzikos C (2011) Semi-supervised pattern classification of medical images: application to mild cognitive impairment (MCI). Neuroimage 55(3):1109–1119. https://doi.org/10.1016/j.neuroimage.2010.12.066
Fox NC, Cousens S, Scahill R, Harvey RJ, Rossor MN (2000) Using serial registered brain magnetic resonance imaging to measure disease progression in Alzheimer disease: power calculations and estimates of sample size to detect treatment effects. Arch Neurol 57(3):339–344
Friedman JH (2001) Greedy function approximation: a gradient boosting machine. Ann Stat 1:1189–1232
Frozza RL, Lourenco MV, De Felice FG (2018) Challenges for Alzheimer’s disease therapy: Insights from novel mechanisms beyond memory defects. Front Neurosci 12:37
Gill S, Mouches P, Hu S, Rajashekar D, MacMaster FP, Smith EE, Forkert ND, Ismail Z, Alzheimer’s Disease Neuroimaging Initiative (2020) Using machine learning to predict dementia from neuropsychiatric symptom and neuroimaging data. J Alzheimers Dis 75:277–288. https://doi.org/10.3233/JAD-191169
González-Salvador T, Lyketsos CG, Baker A, Hovanec L, Roques C, Brandt J, Steele C (2000) Quality of life in dementia patients in long-term care. Int J Geriatr Psychiatry 15(2):181–189
Herzog NJ, Magoulas GD (2021) Brain asymmetry detection and machine learning classification for diagnosis of early dementia. Sensors 21(3):778
Hosmer Jr DW, Lemeshow S, Sturdivant RX (2013) Applied logistic regression. Wiley
https://www.kaggle.com/hyunseokc/detecting-early-alzheimer-s/data. Last accessed on November 2020
Joshi S, Shenoy PD, Venugopal KR, Patnaik LM (2009) Evaluation of different stages of dementia employing neuropsychological and machine learning techniques. In: Proceedings of the First International Conference on Advanced Computing, Chennai, India
Kang XB, Lin GF, Chen YJ, Zhao F, Zhang EH, Jing CN (2020) Robust and secure zero-watermarking algorithm for color images based on majority voting pattern and hyper-chaotic encryption. Multimed Tools Appl 79(1):1169–1202
Kim KW, Park JH, Kim MH, Kim MD, Kim BJ, Kim SK, Kim JL, Moon SW, Bae JN, Woo JI, Ryu SH, Yoon JC, Lee NJ, Lee DY, Lee DW, Lee SB, Lee JJ, Lee JY, Lee CU, … Cho MJ (2011) A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea. J Alzheimers Dis 23:281–291
Korolev IO, Symonds LL, Bozoki AC, Alzheimer's Disease Neuroimaging Initiative (2016) Predicting progression from mild cognitive impairment to Alzheimer's dementia using clinical, MRI, and plasma biomarkers via probabilistic pattern classification. PLoS One 11(2):e0138866
Kumar K, Shrimankar DD (2017) F-DES: fast and deep event summarization. IEEE Trans Multimedia 20(2):323–334
Kumar K, Shrimankar DD (2018) Deep event learning boost-up approach: Delta. Multimed Tools Appl 77(20):26635–26655
Kumari S, Singh M, Kumar K (2021) Prediction of liver disease using grouping of machine learning classifiers. In: International conference on deep learning, artificial intelligence and robotics 2019 Dec 7 (pp. 339-349). Springer: Cham
Lezak MD (2004) Neuropsychological assessment. Oxford University Press, Oxford
Mondal MRH, Bharati S, Podder P (2021) CO-IRv2: optimized InceptionResNetV2 for COVID-19 detection from chest CT images. PLoS One 16(10):e0259179. https://doi.org/10.1371/journal.pone.0259179
Moradi E, Pepe A, Gaser C, Huttunen H, Tohka J (2015) Machine learning framework for early MRI-based Alzheimer’s conversion prediction in MCI subjects. NeuroImage 104:398–412. https://doi.org/10.1016/j.neuroimage.2014.10.002
Negi A, Kumar K, Chauhan P (2021) Deep neural network-based multi-class image classification for plant diseases. Agric Inform 19:117–129
Park JH, Cho HE, Kim JH, Wall MM, Stern Y, Lim H, Yoo S, Kim HS, Cha J (2020) Machine learning prediction of incidence of Alzheimer’s disease using large-scale administrative health data. NPJ Digit Med 3(1):1–7
Priya T, Kalavathi P, Prasath VBS, Sivanesan R (2021) Brain tissue volume estimation to detect Alzheimer’s disease in magnetic resonance images. Soft Comput 25(15):10007–10017
Rohini M, Surendran D (2021) Toward Alzheimer’s disease classification through machine learning. Soft Comput 25(4):2589–2597
Shanklea WR, Mania S, Dick MB, Pazzani MJ (1998) Simple models for estimating dementia severity using machine learning. Stud Health Technol Inform 52(Pt 1):472–476
Shin NY, Bang M, Yoo SW, Kim JS, Yun E, Yoon U, Han K, Ahn KJ, Lee SK (2021) Cortical thickness from MRI to predict conversion from mild cognitive impairment to dementia in Parkinson disease: a machine learning–based model. Radiology 25:203383
Shree SB, Sheshadri HS (2004) An initial investigation in the diagnosis of Alzheimer's disease using various classification techniques. In IEEE International Conference on Computational Intelligence and Computing Research (pp. 1–5). IEEE
Sperling RA, Aisen PS, Beckett LA, Bennett DA, Craft S, Fagan AM, Iwatsubo T, Jack CR Jr, Kaye J, Montine TJ, Park DC (2011) Toward defining the preclinical stages of Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement 7(3):280–292
Stamate D, Smith R, Tsygancov R, Vorobev R, Langham J, Stahl D, Reeves D (2020) Applying deep learning to predicting dementia and mild cognitive impairment. In: IFIP international conference on artificial intelligence applications and innovations 2020 Jun 5 (pp 308–319). Springer: Cham
Tian J, Smith G, Guo H, Liu B, Pan Z, Wang Z, Xiong S, Fang R (2021) Modular machine learning for Alzheimer's disease classification from retinal vasculature. Sci Rep 11(1):1–1
Trambaiolli LR, Lorena AC, Fraga FJ, Kanda PA, Anghinah R, Nitrini R (2011) Improving Alzheimer’s disease diagnosis with machine learning techniques. Clin EEG Neurosci 42:160–165
Ulrich J (1985) Alzheimer changes in nondemented patients younger than sixty-five: possible early stages of Alzheimer's disease and senile dementia of Alzheimer type. Ann Neurol 17(3):273–277
Vossel KA, Beagle AJ, Rabinovici GD, Shu H, Lee SE, Naasan G, Hegde M, Cornes SB, Henry ML, Nelson AB, Seeley WW (2013) Seizures and epileptiform activity in the early stages of Alzheimer disease. JAMA Neurol 70(9):1158–1166
Williams JA, Weakley A, Cook DJ, Schmitter-Edgecombe M (2013) Machine learning techniques for diagnostic differentiation of mild cognitive impairment and dementia. In Proceedings of the Twenty-Seventh AAAI Conference on Artificial Intelligence (AAAI-13), Bellevue, WA, USA
World Alzheimer Report 2019: Attitudes to dementia, Available at: https://www.alz.co.uk/research/WorldAlzheimerReport2019.pdf. Last Accessed on November 2020
World Health Organization (WHO) (2015) Meeting Report. In Proceedings of the First WHO Ministerial Conference on Global Action against Dementia, Geneva, Switzerland
Wortmann M (2013) Importance of national plans for Alzheimer’s disease and dementia. Alzheimers Res Ther 5(40):1–4. https://doi.org/10.1186/alzrt205
Wu YT, Beiser AS, Breteler MM, Fratiglioni L, Helmer C, Hendrie HC, Matthews FE (2017) The changing prevalence andincidence of dementia over time [mdash] current evidence. Nat Rev Neurol 13(6):327
Ye DH, Pohl KM, Davatzikos C (2011) Semi-supervised pattern classification: application to structural MRI of Alzheimer's disease. Pattern Recognition in NeuroImaging(PRNI). International Workshop on. IEEE, pp 1–4. https://doi.org/10.1109/PRNI.2011.12
Young J, Modat M, Cardoso MJ, Mendelson A, Cash D, Ourselin S (2013) Alzheimer's disease neuroimaging Initiative. Accurate multimodal probabilistic prediction of conversion to Alzheimer's disease in patients with mild cognitive impairment. NeuroImage: Clin 2:735–745
Zhang Y, Dong Z, Phillips P, Wang S, Ji G, Yang J, Yuan TF (2015) Detection of subjects and brain regions related to Alzheimer’s disease using 3D MRI scans based on eigenbrain and machine learning. Front Comput Neurosci 9:66. https://doi.org/10.3389/fncom.2015.00066
Acknowledgments
DNHT: This research was funded by University of Economics Ho Chi Minh City (UEH), Vietnam.
VBSP is supported by NCATS/NIH grant U2CTR002818, NHLBI/NIH grantU24HL148865, NIAID/NIH grant U01AI150748, Cincinnati Children’s Hospital Medical Center-Advanced Research Council (ARC)Grants 2018-2020, and the Cincinnati Children’s Research Foundation-Center for Pediatric Genomics (CPG) grants 2019-2021.
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Bharati, S., Podder, P., Thanh, D.N.H. et al. Dementia classification using MR imaging and clinical data with voting based machine learning models. Multimed Tools Appl 81, 25971–25992 (2022). https://doi.org/10.1007/s11042-022-12754-x
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DOI: https://doi.org/10.1007/s11042-022-12754-x