用多种评估指标比较三种聚类方法，发现认知数据中潜在的痴呆风险分组。

Purpose: The primary goal of this study is to explore the application of evaluation metrics to different clustering algorithms using the data provided from the Canadian Longitudinal Study (CLSA), focusing on cognitive features. The objective of our work is to discover potential clinically relevant clusters that contribute to the development of dementia over time-based on cognitive changes. Method: The CLSA dataset includes 18,891 participants with data available at both baseline and follow-up assessments, to which clustering algorithms were applied. The clustering methodologies employed in this analysis are K-means (KM) clustering, Hierarchical Clustering (HC) and Partitioning Around Medoids (PAM). We use multiple evaluation metrics to assess our analysis. For internal evaluation metrics, we use: Average silhouette Width, Within and Between the sum of square Ratio (WB.Ratio), Entropy, Calinski-Harabasz Index (CH Index), and Separation Index. For clustering comparison metrics, we used: Homogeneity, Completeness, Adjusted Rand Index (ARI), Rand Index (RI), and Variation Information. Results: Using evaluation metrics to compare the results of the three clustering techniques, K-means and Partitioning Around Medoids (PAM) produced similar results. In contrast, there are significant differences between K-means clustering and Hierarchical Clustering. Our study highlights the importance of the two internal evaluation metrics: entropy and separation index. In between clustering comparison metrics, the Adjusted Rand Index is a key tool. Conclusion: The study results have the potential to contribute to understanding dementia. Researchers can also benefit by applying the suggested evaluation metrics to other areas of healthcare research. Overall, our study improves the understanding of using clustering techniques and evaluation metrics to reveal complex patterns in medical data.