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Abstract INTRODUCTIONAlzheimer's disease (AD) initiates years prior to symptoms, underscoring the importance of early detection. While amyloid accumulation starts early, individuals with substantial amyloid burden may remain cognitively normal, implying that amyloid alone is not sufficient for early risk assessment. METHODSGiven the genetic susceptibility of AD, a multi‐factorial pseudotime approach was proposed to integrate amyloid imaging and genotype data for estimating a risk score. Validation involved association with cognitive decline and survival analysis across risk‐stratified groups, focusing on patients with mild cognitive impairment (MCI). RESULTSOur risk score outperformed amyloid composite standardized uptake value ratio in correlation with cognitive scores. MCI subjects with lower pseudotime risk score showed substantial delayed onset of AD and slower cognitive decline. Moreover, pseudotime risk score demonstrated strong capability in risk stratification within traditionally defined subgroups such as early MCI, apolipoprotein E (APOE) ε4+ MCI,APOEε4– MCI, and amyloid+ MCI. DISCUSSIONOur risk score holds great potential to improve the precision of early risk assessment. HighlightsAccurate early risk assessment is critical for the success of clinical trials.A new risk score was built from integrating amyloid imaging and genetic data.Our risk score demonstrated improved capability in early risk stratification.
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This content will become publicly available on June 10, 2026
Early Alzheimer's Detection Through Voice Analysis: Harnessing Locally Deployable LLMs via ADetectoLocum, a privacy-preserving diagnostic system
Diagnosing Alzheimer's Disease (AD) early and cost-effectively is crucial. Recent advancements in Large Language Models (LLMs) like ChatGPT have made accurate, affordable AD detection feasible. Yet, HIPAA compliance and the challenge of integrating these models into hospital systems limit their use. Addressing these constraints, we introduce ADetectoLocum, an open-source LLM equipped model designed for AD risk detection within hospital environments. This model evaluates AD risk through spontaneous patient speech, enhancing diagnostic processes without external data exchange. Our approach secures local deployment and significantly surpasses previous models in predictive accuracy for AD detection, especially in early-stage identification. ADetectoLocum therefore offers a reliable solution for AD diagnostics in healthcare institutions.
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- Award ID(s):
- 2207231
- PAR ID:
- 10610639
- Publisher / Repository:
- American Medical Informatics Association
- Date Published:
- ISSN:
- 2153-4063
- Page Range / eLocation ID:
- 365-374
- Subject(s) / Keyword(s):
- Machine learning clinical decision support data security and privacy generative AI predictive modeling translational data science interventions.
- Format(s):
- Medium: X
- Location:
- Pittsburgh, PA
- Sponsoring Org:
- National Science Foundation
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