Uncovering hidden subtypes in dementia: An unsupervised machine learning approach to dementia diagnosis and personalization of care.

Journal: Journal of biomedical informatics
PMID:

Abstract

OBJECTIVE: Dementia represents a growing public health challenge, affecting an increasing number of individuals. It encompasses a broad spectrum of cognitive impairments, ranging from mild to severe stages, each of which demands varying levels of care. Current diagnostic approaches often treat dementia as a uniform condition, potentially overlooking clinically significant subtypes, which limits the effectiveness of treatment and care strategies. This study seeks to address the limitations of traditional diagnostic methods by applying unsupervised machine learning techniques to a large, multi-modal dataset of dementia patients (encompassing multiple data sources including clinical, demographic, gene expression and protein concentrations), with the aim of identifying distinct subtypes within the population. The primary focus is on differentiating between mild and severe stages of dementia to improve diagnostic accuracy and personalize treatment plans.

Authors

  • Andrea Campagner
    IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milano, Italy. Electronic address: a.campagner@campus.unimib.it.
  • Luca Marconi
    Department of Computer Science, Systems and Communication, University of Milano-Bicocca, Milan, Italy.
  • Edoardo Bianchi
    Department of Computer Science, Systems and Communication, University of Milano-Bicocca, Milan, Italy.
  • Beatrice Arosio
    Geriatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Paolo Rossi
    Academic Department of Pediatrics (DPUO), Research Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome, Italy.
  • Giorgio Annoni
    Department of Medicine, University of Milano-Bicocca, Milan, Italy.
  • Tiziano Angelo Lucchi
    Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Nicola Montano
    Department of Neuroscience, Neurosurgery Section, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Federico Cabitza
    Department of Informatics, Systems and Communication, University of Milano-Bicocca, Milano, Italy.