Machine learning diagnostic model for amyotrophic lateral sclerosis analysis using MRI-derived features.

Purpose: Amyotrophic Lateral Sclerosis is a devastating motor neuron disease characterized by its diagnostic difficulty. Currently, no reliable biomarkers exist in the diagnosis process. In this scenario, our purpose is the application of machine learning algorithms to imaging MRI-derived variables...

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Publicado en:Neuroradiology Vol. 67; no. 10; pp. 2803 - 2813
Autores principales: Gil Chong, Pablo, Mazon, Miguel, Cerdá-Alberich, Leonor, Beser Robles, Maria, Carot, José Miguel, Vázquez-Costa, Juan Francisco, Martí-Bonmatí, Luis
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
      vid: 67
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-025-03732-9
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        atl: Machine learning diagnostic model for amyotrophic lateral sclerosis analysis using MRI-derived features.
      aug:
        au:
          Gil Chong, Pablo
          Mazon, Miguel
          Cerdá-Alberich, Leonor
          Beser Robles, Maria
          Carot, José Miguel
          Vázquez-Costa, Juan Francisco
          Martí-Bonmatí, Luis
        affil: https://ror.org/01460j859 Department of Applied Statistics, Operations Research and Quality, Universitat Politècnica de València, Valencia, Spain
      sug:
        subj:
          Machine Learning Algorithms
          Amyotrophic Lateral Sclerosis Diagnosis
          Magnetic Resonance Imaging
          Image Interpretation, Computer Assisted Methods
          Radiomics Methods
          Diagnosis, Neurologic
          Amyotrophic Lateral Sclerosis Physiopathology
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Logistic Regression
          Random Forest
          Biological Markers
          Neurodegenerative Diseases Diagnosis
          Critical Thinking
          Ensemble Learning
          Iron
          Prospective Studies
          Imaging, Three-Dimensional
          Descriptive Statistics
          Comparative Studies
          Data Analysis Software
          Sensitivity and Specificity
          Frontal Lobe
          Models, Statistical
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Amyotrophic Lateral Sclerosis is a devastating motor neuron disease characterized by its diagnostic difficulty. Currently, no reliable biomarkers exist in the diagnosis process. In this scenario, our purpose is the application of machine learning algorithms to imaging MRI-derived variables for the development of diagnostic models that facilitate and shorten the process. Methods: A dataset of 211 patients (114 ALS, 45 mimic, 22 genetic carriers and 30 control) with MRI-derived features of volumetry, cortical thickness and local iron (via T2* mapping, and visual assessment of susceptibility imaging). A binary classification task approach has been taken to classify patients with and without ALS. A sequential modeling methodology, understood from an iterative improvement perspective, has been followed, analyzing each group's performance separately to adequately improve modelling. Feature filtering techniques, dimensionality reduction techniques (PCA, kernel PCA), oversampling techniques (SMOTE, ADASYN) and classification techniques (logistic regression, LASSO, Ridge, ElasticNet, Support Vector Classifier, K-neighbors, random forest) were included. Three subsets of available data have been used for each proposed architecture: a subset containing automatic retrieval MRI-derived data, a subset containing the variables from the visual analysis of the susceptibility imaging and a subset containing all features. Results: The best results have been attained with all the available data through a voting classifier composed of five different classifiers: accuracy = 0.896, AUC = 0.929, sensitivity = 0.886, specificity = 0.929. Conclusion: These results confirm the potential of ML techniques applied to imaging variables of volumetry, cortical thickness, and local iron for the development of diagnostic model as a clinical tool for decision-making support.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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