Pattern of heterogeneity in normal brain ageing: screening for mild cognitive impairment and its risk of progression with a radiomics model.

Purpose This study aimed to develop a normal brain ageing model based on magnetic resonance imaging and radiomics, therefore identifying radscore, an imaging indicator representing white matter heterogeneity and exploring the significance of radscore in detecting people's cognitive changes. Methods...

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Publicado en:Age & Ageing Vol. 53; no. 7; pp. 1 - 9
Autores principales: Yan, Yuting, He, Xiaodong, Xu, Yuyun, Zhao, Fanfan, Peng, Jiaxuan, Shao, Yuan
Formato: Artículo
Publicado: Oxford University Press / USA Jul2024
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Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        10.1093/ageing/afae140
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        atl: Pattern of heterogeneity in normal brain ageing: screening for mild cognitive impairment and its risk of progression with a radiomics model.
      aug:
        au:
          Yan, Yuting
          He, Xiaodong
          Xu, Yuyun
          Zhao, Fanfan
          Peng, Jiaxuan
          Shao, Yuan
        affil: Center for Rehabilitation Medicine, Department of Radiology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou 310014, Zhejiang, China
      su:
        Aging
        Disease risk factors
        Brain physiology
        Risk assessment
        Mild cognitive impairment
        Prediction models
        Research funding
        Receiver operating characteristic curves
        Radiomics
        Magnetic resonance imaging
        Descriptive statistics
        Kaplan-Meier estimator
        White matter (Nerve tissue)
      sug:
        subj:
          Aging
          Disease risk factors
          Diagnostic Imaging Centers
          Brain physiology
          Risk assessment
          Mild cognitive impairment
          Prediction models
          Research funding
          Receiver operating characteristic curves
          Radiomics
          Magnetic resonance imaging
          Descriptive statistics
          Kaplan-Meier estimator
          White matter (Nerve tissue)
      keyword:
        Alzheimer's disease
        brain ageing
        heterogeneity
        mild cognitive impairment
        older people
        radiomics
        Alzheimer's disease
        brain ageing
        heterogeneity
        mild cognitive impairment
        older people
        radiomics
      ab: Purpose This study aimed to develop a normal brain ageing model based on magnetic resonance imaging and radiomics, therefore identifying radscore, an imaging indicator representing white matter heterogeneity and exploring the significance of radscore in detecting people's cognitive changes. Methods Three hundred sixty cognitively normal (CN) subjects from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database and 105 CN subjects from the Parkinson's Progression Markers Initiative database were used to develop the model. In ADNI, 230 mild cognitive impairment (MCI) subjects were matched with 230 CN old-aged subjects to evaluate their heterogeneity difference. One hundred four MCI subjects with 48 months of follow-up were divided into low and high heterogeneity groups. Kaplan–Meier survival curve analysis was used to observe the importance of heterogeneity results for predicting MCI progression. Results The area under the receiver operating characteristic curve of the model in the training, internal test and external test sets was 0.7503, 0.7512 and 0.7514, respectively. There was a significantly positive correlation between age and radscore of CN subjects (r  = 0.501; P  < .001). The radscore of MCI subjects was significantly higher than that of matched CN subjects (P  < .001). The median radscore ratios of MCI to CN from four age groups (66–70y, 71–75y, 76–80y and 81–85y) were 1.611, 1.760, 1.340 and 1.266, respectively. The probability to progression of low and high heterogeneity groups had a significant difference (P  = .002). Conclusion When radscore is significantly higher than that of normal ageing, it is necessary to alert the possibility of cognitive impairment and deterioration.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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