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Altered large-scale dynamic connectivity patterns in Alzheimer's disease and mild cognitive impairment patients: A machine learning study

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机构: [1]School of Instrument Science and Opto-Electronics Engineering, Beijing Information Science and Technology University, Beijing, China [2]Brainnetome Center & National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, China [3]School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing, China [4]School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing, China [5]Department of Neurology, Tianjin Huanhu Hospital, Tianjin University, Tianjin, China [6]Department of Radiology, Qilu Hospital of Shandong University, Ji'nan, China [7]Department of Neurology, Qilu Hospital of Shandong University, Ji'nan, China [8]Department of Radiology, Xuanwu Hospital of Capital Medical University, Beijing, China [9]Branch of Chinese PLA General Hospital, Sanya, China [10]Department of Radiology, the Second Medical Centre, National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China [11]Department of Radiology, Tianjin Huanhu Hospital, Tianjin, China [12]Department of Radiology, Tianjin Medical University General Hospital, Tianjin, China [13]Department of Neurology, the Second Medical Centre, National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China [14]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China [15]Beijing Institute of Geriatrics, Beijing, China [16]National Clinical Research Center for Geriatric Disorders, Beijing, China [17]State Key Laboratory of Cognition Neuroscience & Learning, Beijing Normal University, Beijing, China
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关键词: Alzheimer's disease classification dynamic connectivity functional network

摘要:
Alzheimer's disease (AD) is a common neurodegeneration disease associated with substantial disruptions in the brain network. However, most studies investigated static resting-state functional connections, while the alteration of dynamic functional connectivity in AD remains largely unknown. This study used group independent component analysis and the sliding-window method to estimate the subject-specific dynamic connectivity states in 1704 individuals from three data sets. Informative inherent states were identified by the multivariate pattern classification method, and classifiers were built to distinguish ADs from normal controls (NCs) and to classify mild cognitive impairment (MCI) patients with informative inherent states similar to ADs or not. In addition, MCI subgroups with heterogeneous functional states were examined in the context of different cognition decline trajectories. Five informative states were identified by feature selection, mainly involving functional connectivity belonging to the default mode network and working memory network. The classifiers discriminating AD and NC achieved the mean area under the receiver operating characteristic curve of 0.87 with leave-one-site-out cross-validation. Alterations in connectivity strength, fluctuation, and inter-synchronization were found in AD and MCIs. Moreover, individuals with MCI were clustered into two subgroups, which had different degrees of atrophy and different trajectories of cognition decline progression. The present study uncovered the alteration of dynamic functional connectivity in AD and highlighted that the dynamic states could be powerful features to discriminate patients from NCs. Furthermore, it demonstrated that these states help to identify MCIs with faster cognition decline and might contribute to the early prevention of AD.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 神经成像 2 区 神经科学 2 区 核医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 神经成像 2 区 神经科学 2 区 核医学
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出版当年[2021]版:
Q1 NEUROIMAGING Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 NEUROSCIENCES
最新[2023]版:
Q1 NEUROIMAGING Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]School of Instrument Science and Opto-Electronics Engineering, Beijing Information Science and Technology University, Beijing, China
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通讯机构: [2]Brainnetome Center & National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, China [3]School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing, China [4]School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing, China [5]Department of Neurology, Tianjin Huanhu Hospital, Tianjin University, Tianjin, China [*1]Department of Neurology, Tianjin Huanhu Hospital, Tianjin University, Tianjin 300300, China. [*2]School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing 100876, China
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