Integrated cerebellar radiomic‐network model for predicting mild cognitive impairment in Alzheimer's disease

作者：Yini Chen, Yiwei Qi, Yiying Hu, Xinhui Qiu, Tao Qiu, Song Li, Meichen Liu, Qiqi Jia, Bo Sun, Cong Liu, Tianbai Li, Weidong Le, for the Alzheimer's Disease Neuroimaging Initiative · 发表于：Alzheimer s & Dementia · 年份：2024 · DOI：10.1002/alz.14361 · 被引用次数：23 · 研究领域：Dementia and Cognitive Impairment Research、Radiomics and Machine Learning in Medical Imaging、Functional Brain Connectivity Studies

INTRODUCTION: Pathological and neuroimaging alterations in the cerebellum of Alzheimer's disease (AD) patients have been documented. However, the role of cerebellum-derived radiomic and structural connectome modeling in the prediction of AD progression remains unclear. METHODS: Radiomic features were extracted from magnetic resonance imaging (MRI) in the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset (n = 1319) and an in-house dataset (n = 308). Integrated machine learning models were developed to predict the conversion risk of normal cognition (NC) to mild cognitive impairment (MCI) over a 6-year follow-up. RESULTS: The cerebellar models outperformed hippocampal models in distinguishing MCI from NC and in predicting transitions from NC to MCI across both cohorts. Key predictors included textural features in the right III and left I and II lobules, and network properties in Vermis I and II, which were associated with cognitive decline in AD. DISCUSSION: Cerebellum-derived radiomic-network modeling shows promise as a tool for early identification and prediction of disease progression during the preclinical stage of AD. HIGHLIGHTS: Altered cerebellar radiomic features and topological networks were identified in the subjects with mild cognitive impairment (MCI). The cerebellar radiomic-network integrated models outperformed hippocampal models in distinguishing MCI from normal cognition. The cerebellar radiomic model effectively predicts MCI risk and can stratify indi...