arXiv:2507.03899cs.LGcs.AI2025-07被引 9

用时序就诊数据预测阿尔茨海默病进展阶段,对失访和缺损数据鲁棒。

Transformer Model for Alzheimer's Disease Progression Prediction Using Longitudinal Visit Sequences

  • 基于Transformer建模连续就诊序列,捕捉疾病演变模式。
  • 在存在缺失数据情况下仍能准确识别病情转化人群。
  • 适合临床早期预警与个性化随访决策支持。

阿尔茨海默病(AD)是一种全球影响数千万人的神经退行性疾病,尚无治愈方法。早期检测对延缓疾病进展至关重要。本文提出一种基于Transformer的模型,利用受试者历史就诊序列中的特征,预测其下一次临床随访的疾病阶段。我们系统比较了该模型与LSTM、GRU、minimalRNN等循环神经网络在不同先前就诊长度和数据不平衡条件下的表现,并评估了各类特征与就诊历史的重要性。同时,将本模型与最新优化的时序Transformer进行对比。结果表明,该模型在存在缺失就诊和缺失特征的情况下仍具备强大预测能力,尤其在识别病情转化者(从轻度到更严重阶段的转变个体)方面表现突出,这是纵向预测中的重大挑战。研究凸显了该模型在提升早期诊断与患者预后方面的潜力。

原文摘要 · Abstract (English)

Alzheimer's disease (AD) is a neurodegenerative disorder with no known cure that affects tens of millions of people worldwide. Early detection of AD is critical for timely intervention to halt or slow the progression of the disease. In this study, we propose a Transformer model for predicting the stage of AD progression at a subject's next clinical visit using features from a sequence of visits extracted from the subject's visit history. We also rigorously compare our model to recurrent neural networks (RNNs) such as long short-term memory (LSTM), gated recurrent unit (GRU), and minimalRNN and assess their performances based on factors such as the length of prior visits and data imbalance. We test the importance of different feature categories and visit history, as well as compare the model to a newer Transformer-based model optimized for time series. Our model demonstrates strong predictive performance despite missing visits and missing features in available visits, particularly in identifying converter subjects -- individuals transitioning to more severe disease stages -- an area that has posed significant challenges in longitudinal prediction. The results highlight the model's potential in enhancing early diagnosis and patient outcomes.

阿尔茨海默病Transformer时序预测医疗健康

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