Abstract

Using the Pearson correlation coefficient to constructing functional brain network has been evidenced to be an effective means to diagnose different stages of mild cognitive impairment (MCI) disease. In this study, we investigated the efficacy of a classification framework to distinguish early mild cognitive impairment (EMCI) from late mild cognitive impairment (LMCI) by using the effective features derived from functional brain network of three frequency bands (full-band: 0.01–0.08 Hz; slow-4: 0.027–0.08 Hz; slow-5: 0.01–0.027 Hz) at Rest. Graphic theory was performed to calculate and analyze the relationship between changes in network connectivity. Subsequently, three different algorithms [minimal redundancy maximal relevance (mRMR), sparse linear regression feature selection algorithm based on stationary selection (SS-LR), and Fisher Score (FS)] were applied to select the features of network attributes, respectively. Finally, we used the support vector machine (SVM) with nested cross validation to classify the samples into two categories to obtain unbiased results. Our results showed that the global efficiency, the local efficiency, and the average clustering coefficient were significantly higher in the slow-5 band for the LMCI–EMCI comparison, while the characteristic path length was significantly longer under most threshold values. The classification results showed that the features selected by the mRMR algorithm have higher classification performance than those selected by the SS-LR and FS algorithms. The classification results obtained by using mRMR algorithm in slow-5 band are the best, with 83.87% accuracy (ACC), 86.21% sensitivity (SEN), 81.21% specificity (SPE), and the area under receiver operating characteristic curve (AUC) of 0.905. The present results suggest that the method we proposed could effectively help diagnose MCI disease in clinic and predict its conversion to Alzheimer’s disease at an early stage.

Highlights

  • Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that is clinically characterized by dementia and cognitive decline [1]

  • We aim to evaluate the efficacy of a classification framework to distinguish early mild cognitive impairment (EMCI) from late mild cognitive impairment (LMCI) by using the effective features derived from functional brain network of three frequency bands during Rest States

  • When the number of features is K=10, the classification results and the p value obtained by using the minimal redundancy maximal relevance (mRMR) and SS-LR algorithms are shown in Tables 2 and 3, and Figure 4 shows the area under receiver operating characteristic curve (AUC) scores with the number of features under the mRMR and SS-LR algorithm

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Summary

Introduction

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that is clinically characterized by dementia and cognitive decline [1]. Identifying potentially high-sensitivity diagnostic markers that change with disease progression may assist the physician in making a diagnosis If it is found at an early stage of MCI, patients can reduced the number of AD incidence by nearly one-third through rehabilitation exercises and medication [9]. The content of p-tau protein in AD patients is significantly increased, with high sensitivity and specificity, and has certain reference value in clinical diagnosis [14], but the detection of this index is traumatic, patients have certain rejection psychology, and clinical operation is more difficult Compared with these methods, Hinrichs et al [15] reported that clinical and imaging data [MRI and fludeoxyglucose (FDG-PET)] can be successfully combined to predict AD using machine-learning techniques. They found that the imaging modalities had a better performance in prediction of AD compared to clinical data

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