arXiv:2411.04155eess.IVcs.CV2024-11被引 13

融合影像与多组学数据,精准区分阿尔茨海默病与血管性痴呆。

MINDSETS: Multi-omics Integration with Neuroimaging for Dementia Subtyping and Effective Temporal Study

  • 整合脑部MRI影像特征与临床、认知、基因数据进行联合分析。
  • 在公开数据集上实现89.25%的诊断准确率,优于现有方法。
  • 模型可解释性强,适合临床辅助决策与治疗效果评估。

在认知障碍领域,阿尔茨海默病(AD)和血管性痴呆(VaD)是最常见的两种痴呆类型,症状交织但治疗方案不同。早期精准诊断对延缓神经退行性病变至关重要,但当前实践常延迟确诊血管性痴呆,影响干预时机与预后。本文提出一种创新的多组学方法,通过分割纵向MRI扫描并提取高级影像组学特征,再与临床、认知及遗传数据融合,实现89.25%的诊断准确率。该方法在大规模公开数据集上达到领先水平,构建了全面的痴呆亚型分析框架。同时引入可解释模型以支持临床决策,并设计新架构用于评估治疗效果。研究成果为提升鉴别诊断能力及减缓痴呆进展奠定基础。

原文摘要 · Abstract (English)

In the complex realm of cognitive disorders, Alzheimer's disease (AD) and vascular dementia (VaD) are the two most prevalent dementia types, presenting entangled symptoms yet requiring distinct treatment approaches. The crux of effective treatment in slowing neurodegeneration lies in early, accurate diagnosis, as this significantly assists doctors in determining the appropriate course of action. However, current diagnostic practices often delay VaD diagnosis, impeding timely intervention and adversely affecting patient prognosis. This paper presents an innovative multi-omics approach to accurately differentiate AD from VaD, achieving a diagnostic accuracy of 89.25%. The proposed method segments the longitudinal MRI scans and extracts advanced radiomics features. Subsequently, it synergistically integrates the radiomics features with an ensemble of clinical, cognitive, and genetic data to provide state-of-the-art diagnostic accuracy, setting a new benchmark in classification accuracy on a large public dataset. The paper's primary contribution is proposing a comprehensive methodology utilizing multi-omics data to provide a nuanced understanding of dementia subtypes. Additionally, the paper introduces an interpretable model to enhance clinical decision-making coupled with a novel model architecture for evaluating treatment efficacy. These advancements lay the groundwork for future work not only aimed at improving differential diagnosis but also mitigating and preventing the progression of dementia.

痴呆分型多组学融合影像组学可解释模型

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