skip to main content


Title: Joint Multi-Modal Longitudinal Regression and Classification for Alzheimer’s Disease Prediction
Alzheimer’s disease (AD) is a serious neurodegenerative condition that affects millions of individuals across the world. As the average age of individuals in the United States and the world increases, the prevalence of AD will continue to grow. To address this public health problem, the research community has developed computational approaches to sift through various aspects of clinical data and uncover their insights, among which one of the most challenging problem is to determine the biological mechanisms that cause AD to develop. To study this problem, in this paper we present a novel Joint Multi-Modal Longitudinal Regression and Classification method and show how it can be used to identify the cognitive status of the participants in the Alzheimer’s Disease Neuroimaging Initiative (ADNI) cohort and the underlying biological mechanisms. By intelligently combining clinical data of various modalities (i.e., genetic information and brain scans) using a variety of regularizations that can identify AD-relevant biomarkers, we perform the regression and classification tasks simultaneously. Because the proposed objective is a non-smooth optimization problem that is difficult to solve in general, we derive an efficient iterative algorithm and rigorously prove its convergence. To validate our new method in predicting the cognitive scores of patients and their clinical diagnosis, we conduct comprehensive experiments on the ADNI cohort. Our promising results demonstrate the benefits and flexibility of the proposed method. We anticipate that our new method is of interest to clinical communities beyond AD research and have open-sourced the code of our method online.C  more » « less
Award ID(s):
1652943 1849359 1932482 1837964
NSF-PAR ID:
10129619
Author(s) / Creator(s):
; ; ; ;
Date Published:
Journal Name:
IEEE Transactions on Medical Imaging
ISSN:
0278-0062
Page Range / eLocation ID:
1 to 1
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. Abstract Background Alzheimer’s disease (AD) is a complex neurodegenerative disorder and the most common type of dementia. AD is characterized by a decline of cognitive function and brain atrophy, and is highly heritable with estimated heritability ranging from 60 to 80 $$\%$$ % . The most straightforward and widely used strategy to identify AD genetic basis is to perform genome-wide association study (GWAS) of the case-control diagnostic status. These GWAS studies have identified over 50 AD related susceptibility loci. Recently, imaging genetics has emerged as a new field where brain imaging measures are studied as quantitative traits to detect genetic factors. Given that many imaging genetics studies did not involve the diagnostic outcome in the analysis, the identified imaging or genetic markers may not be related or specific to the disease outcome. Results We propose a novel method to identify disease-related genetic variants enriched by imaging endophenotypes, which are the imaging traits associated with both genetic factors and disease status. Our analysis consists of three steps: (1) map the effects of a genetic variant (e.g., single nucleotide polymorphism or SNP) onto imaging traits across the brain using a linear regression model, (2) map the effects of a diagnosis phenotype onto imaging traits across the brain using a linear regression model, and (3) detect SNP-diagnosis association via correlating the SNP effects with the diagnostic effects on the brain-wide imaging traits. We demonstrate the promise of our approach by applying it to the Alzheimer’s Disease Neuroimaging Initiative database. Among 54 AD related susceptibility loci reported in prior large-scale AD GWAS, our approach identifies 41 of those from a much smaller study cohort while the standard association approaches identify only two of those. Clearly, the proposed imaging endophenotype enriched approach can reveal promising AD genetic variants undetectable using the traditional method. Conclusion We have proposed a novel method to identify AD genetic variants enriched by brain-wide imaging endophenotypes. This approach can not only boost detection power, but also reveal interesting biological pathways from genetic determinants to intermediate brain traits and to phenotypic AD outcomes. 
    more » « less
  2. Jenner, Adrianne (Ed.)
    With the recent approval by the FDA of the first disease-modifying drug for Alzheimer’s Disease (AD), personalized medicine will be increasingly important for appropriate management and counseling of patients with AD and those at risk. The growing availability of clinical biomarker data and data-driven computational modeling techniques provide an opportunity for new approaches to individualized AD therapeutic planning. In this paper, we develop a new mathematical model, based on AD cognitive, cerebrospinal fluid (CSF) and MRI biomarkers, to provide a personalized optimal treatment plan for individuals. This model is parameterized by biomarker data from the AD Neuroimaging Initiative (ADNI) cohort, a large multi-institutional database monitoring the natural history of subjects with AD and mild cognitive impairment (MCI). Optimal control theory is used to incorporate time-varying treatment controls and side-effects into the model, based on recent clinical trial data, to provide a personalized treatment regimen with anti-amyloid-beta therapy. In-silico treatment studies were conducted on the approved treatment, aducanumab, as well as on another promising anti-amyloid-beta therapy under evaluation, donanemab. Clinical trial simulations were conducted over both short-term (78 weeks) and long-term (10 years) periods with low-dose (6 mg/kg) and high-dose (10 mg/kg) regimens for aducanumab, and a single-dose regimen (1400 mg) for donanemab. Results confirm those of actual clinical trials showing a large and sustained effect of both aducanumab and donanemab on amyloid beta clearance. The effect on slowing cognitive decline was modest for both treatments, but greater for donanemab. This optimal treatment computational modeling framework can be applied to other single and combination treatments for both prediction and optimization, as well as incorporate new clinical trial data as it becomes available. 
    more » « less
  3. null (Ed.)
    The social and financial costs associated with Alzheimer's disease (AD) result in significant burdens on our society. In order to understand the causes of this disease, public-private partnerships such as the Alzheimer's Disease Neuroimaging Initiative (ADNI) release data into the scientific community. These data are organized into various modalities (genetic, brain-imaging, cognitive scores, diagnoses, etc.) for analysis. Many statistical learning approaches used in medical image analysis do not explicitly take advantage of this multimodal data structure. In this work we propose a novel objective function and optimization algorithm that is designed to handle multimodal information for the prediction and analysis of AD. Our approach relies on robust matrix-factorization and row-wise sparsity provided by the ℓ2,1- norm in order to integrate multimodal data provided by the ADNI. These techniques are jointly optimized with a classification task to guide the feature selection in our proposed Task Balanced Multimodal Feature Selection method. Our results, when compared against some widely used machine learning algorithms, show improved balanced accuracies, precision, and Matthew's correlation coefficients for identifying cognitive decline. In addition to the improved prediction performance, our method is able to identify brain and genetic biomarkers that are of interest to the clinical research community. Our experiments validate existing brain biomarkers and single nucleotide polymorphisms located on chromosome 11 and detail novel polymorphisms on chromosome 10 that, to the best of the authors' knowledge, have not previously been reported. We anticipate that our method will be of interest to the greater research community and have released our method's code online.11Code is provided at: https://github.com/minds-mines/TBMFSjl 
    more » « less
  4. Abstract

    Early diagnosis of Alzheimer’s disease plays a pivotal role in patient care and clinical trials. In this study, we have developed a new approach based on 3D deep convolutional neural networks to accurately differentiate mild Alzheimer’s disease dementia from mild cognitive impairment and cognitively normal individuals using structural MRIs. For comparison, we have built a reference model based on the volumes and thickness of previously reported brain regions that are known to be implicated in disease progression. We validate both models on an internal held-out cohort from The Alzheimer's Disease Neuroimaging Initiative (ADNI) and on an external independent cohort from The National Alzheimer's Coordinating Center (NACC). The deep-learning model is accurate, achieved an area-under-the-curve (AUC) of 85.12 when distinguishing between cognitive normal subjects and subjects with either MCI or mild Alzheimer’s dementia. In the more challenging task of detecting MCI, it achieves an AUC of 62.45. It is also significantly faster than the volume/thickness model in which the volumes and thickness need to be extracted beforehand. The model can also be used to forecast progression: subjects with mild cognitive impairment misclassified as having mild Alzheimer’s disease dementia by the model were faster to progress to dementia over time. An analysis of the features learned by the proposed model shows that it relies on a wide range of regions associated with Alzheimer's disease. These findings suggest that deep neural networks can automatically learn to identify imaging biomarkers that are predictive of Alzheimer's disease, and leverage them to achieve accurate early detection of the disease.

     
    more » « less
  5. Alzheimer’s Disease (AD) is a progressive memory disorder that causes irreversible cognitive declines, therefore early diagnosis is imperative to prevent the progression of AD. To this end, many biomarker analysis models have been presented for early AD detection. However, these models may not realize the full data potential due to their failure to integrate longitudinal (dynamic) phenotypic data with (static) genetic data. Sometimes, they may not fully utilize both labeled and unlabeled samples either. To overcome these limitations, we propose a semi-supervised enrichment learning method to learn a fixed-length vectorial representation for each participant, by which the static data record can be integrated with the dynamic data records. We have applied our new method on the Alzheimer’s Disease Neuroimaging Initiative (ADNI) cohort and achieved 75% accuracy on multiclass AD progression prediction by one year in advance. 
    more » « less