Diagnostic performance of magnetic resonance imaging–based machine learning in Alzheimer's disease detection: a meta-analysis.

Purpose: Advanced machine learning (ML) algorithms can assist rapid medical image recognition and realize automatic, efficient, noninvasive, and convenient diagnosis. We aim to further evaluate the diagnostic performance of ML to distinguish patients with probable Alzheimer's disease (AD) from norma...

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Publicado en:Neuroradiology Vol. 65; no. 3; pp. 513 - 528
Autores principales: Hu, Jiayi, Wang, Yashan, Guo, Dingjie, Qu, Zihan, Sui, Chuanying, He, Guangliang, Wang, Song, Chen, Xiaofei, Wang, Chunpeng, Liu, Xin
Formato: meta analysis research tables/charts Journal Article
Publicado: Springer Nature Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-022-03098-2
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        atl: Diagnostic performance of magnetic resonance imaging–based machine learning in Alzheimer's disease detection: a meta-analysis.
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        au:
          Hu, Jiayi
          Wang, Yashan
          Guo, Dingjie
          Qu, Zihan
          Sui, Chuanying
          He, Guangliang
          Wang, Song
          Chen, Xiaofei
          Wang, Chunpeng
          Liu, Xin
        affil: Department of Epidemiology and Statistics, School of Public Health, Jilin University, 130021, Changchun, Jilin, China
      sug:
        subj:
          Alzheimer's Disease Diagnosis
          Brain Radiography
          Magnetic Resonance Imaging Methods
          Machine Learning
          Sensitivity and Specificity
          Human
          Meta Analysis
          Medline
          Embase
          Cochrane Library
          Checklists
          Descriptive Statistics
          Image Interpretation, Computer Assisted
      ab: Purpose: Advanced machine learning (ML) algorithms can assist rapid medical image recognition and realize automatic, efficient, noninvasive, and convenient diagnosis. We aim to further evaluate the diagnostic performance of ML to distinguish patients with probable Alzheimer's disease (AD) from normal older adults based on structural magnetic resonance imaging (MRI). Methods: The Medline, Embase, and Cochrane Library databases were searched for relevant literature published up until July 2021. We used the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool and Checklist for Artificial Intelligence in Medical Imaging (CLAIM) to evaluate all included studies' quality and potential bias. Random-effects models were used to calculate pooled sensitivity and specificity, and the Deeks' test was used to assess publication bias. Results: We included 24 models based on different brain features extracted by ML algorithms in 19 papers. The pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio, and area under the summary receiver operating characteristic curve for ML in detecting AD were 0.85 (95%CI 0.81–0.89), 0.88 (95%CI 0.84–0.91), 7.15 (95%CI 5.40–9.47), 0.17 (95%CI 0.12–0.22), 43.34 (95%CI 26.89–69.84), and 0.93 (95%CI 0.91–0.95). Conclusion: ML using structural MRI data performed well in diagnosing probable AD patients and normal elderly. However, more high-quality, large-scale prospective studies are needed to further enhance the reliability and generalizability of ML for clinical applications before it can be introduced into clinical practice.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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