A Multi-Modal Deep Learning approach to the Early Prediction of Mild Cognitive Impairment Conversion to Alzheimer’s Disease
2020
Mild cognitive impairment (MCI) has been described as the intermediary stage before Alzheimer’s Disease – many people however remain stable or even demonstrate improvement in cognition. Early detection of progressive MCI (pMCI) therefore can be utilised in identifying at-risk individuals and directing additional medical treatment in order to revert conversion to AD as well as provide psychosocial support for the person and their family.This paper presents a novel solution in the early detection of pMCI people and classification of AD risk within MCI people. We proposed a model, MudNet, to utilise deep learning in the simultaneous prediction of progressive/stable MCI classes and time-to-AD conversion where high-risk pMCI people see conversion to AD within 24 months and low-risk people greater than 24 months. MudNet is trained and validated using baseline clinical and volumetric MRI data (n = 559 scans) from participants of the Alzheimer’s Disease Neuroimaging Initiative (ADNI). The model utilises T1-weighted structural MRIs alongside clinical data which also contains neuropsychological (RAVLT, ADAS-11, ADAS-13, ADASQ4, MMSE) tests as inputs.The averaged results of our model indicate a binary accuracy of 69.8% for conversion predictions and a categorical accuracy of 66.9% for risk classifications.
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