Abstract

Objective: This paper proposes a multiclass deep learning method for the classification of dementia using an informant-based questionnaire. Methods: A deep neural network classification model based on Keras framework is proposed in this paper. To evaluate the advantages of our proposed method, we compared the performance of our model with industry-standard machine learning approaches. We enrolled 6,701 individuals, which were randomly divided into training data sets (6030 participants) and test data sets (671 participants). We evaluated each diagnostic model in the test set using accuracy, precision, recall, and F1-Score. Results: Compared with the seven conventional machine learning algorithms, the DNN showed higher stability and achieved the best accuracy with 0.88, which also showed good results for identifying normal (F1-score = 0.88), mild cognitive impairment (MCI) (F1-score = 0.87), very mild dementia (VMD) (F1-score = 0.77) and Severe dementia (F1-score = 0.94). Conclusion: The deep neural network (DNN) classification model can effectively help doctors accurately screen patients who have normal cognitive function, mild cognitive impairment (MCI), very mild dementia (VMD), mild dementia (Mild), moderate dementia (Moderate), and severe dementia (Severe).

Highlights

  • Dementia characterized by cognitive and intellectual impairment is a kind of neurodegenerative diseases [1]

  • We assessed the history of cognitive status and objective assessments including the Clinical Dementia Ratings (CDR), Mini Mental Status Examination (MMSE), Cognitive Abilities Screening Instrument (CASI) and Montreal Cognitive Assessment (MoCA) performed to evaluate memory, executive function, VOLUME 8, 2020 orientation, visual-spatial ability, and language function [11]

  • Among CDR 0.5, participants without significantly impaired activities of daily living were divided as CDR 0.5 mild cognitive impairment (MCI) and those with significantly impaired activities of daily living were divided as CDR 0.5 very mild dementia (VMD)

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Summary

Introduction

Dementia characterized by cognitive and intellectual impairment is a kind of neurodegenerative diseases [1]. Dementia diagnosis is a critical issue since it affects 47.5 million people worldwide according to World Health Organization [2]. To assess the cognitive status of a patient the neuropsychological tests are commonly used in clinical diagnosis. It is time-consuming for the manual diagnosis of cognitive impairment by using neuropsychological tests. The efficiency and accuracy of the diagnosis are determined by the professional level of the practitioner. In some remote areas lacking professional personnel, it will be a much more difficult task for classification and the early diagnosis of dementia

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