Predicting progression of mild cognitive impairment to dementia using neuropsychological data: a supervised learning approach using time windows.

Journal: BMC medical informatics and decision making
Published Date:

Abstract

BACKGROUND: Predicting progression from a stage of Mild Cognitive Impairment to dementia is a major pursuit in current research. It is broadly accepted that cognition declines with a continuum between MCI and dementia. As such, cohorts of MCI patients are usually heterogeneous, containing patients at different stages of the neurodegenerative process. This hampers the prognostic task. Nevertheless, when learning prognostic models, most studies use the entire cohort of MCI patients regardless of their disease stages. In this paper, we propose a Time Windows approach to predict conversion to dementia, learning with patients stratified using time windows, thus fine-tuning the prognosis regarding the time to conversion.

Authors

  • Telma Pereira
    Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal. telma.pereira@tecnico.ulisboa.pt.
  • Luís Lemos
    Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal.
  • Sandra Cardoso
    Laboratório de Neurociências, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
  • Dina Silva
    Cognitive Neuroscience Research Group, Department of Psychology and Educational Sciences and Centre for Biomedical Research (CBMR), University of Algarve, Faro, Portugal.
  • Ana Rodrigues
    Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal.
  • Isabel Santana
    Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal.
  • Alexandre de Mendonça
    Laboratório de Neurociências, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
  • Manuela Guerreiro
    Laboratório de Neurociências, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
  • Sara C Madeira
    INESC-ID, Lisbon, Portugal. sacmadeira@ciencias.ulisboa.pt.