An SBM-based machine learning model for identifying mild cognitive impairment in patients with Parkinson's disease

Jiahui Zhang1, You Li1, Yuyuan Gao1

  • 1Department of Neurology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Neuroscience Institute, No. 106 Zhongshan Er Road, Guangzhou 510080, China.

Abstract

Insights

This study developed a machine learning model using surface-based morphometry (SBM) to identify Parkinson's disease with mild cognitive impairment (PD-MCI). The model achieved high accuracy, demonstrating potential for early PD-MCI detection.

Area of Science:

  • Neuroimaging
  • Machine Learning
  • Neurology

Background:

  • Parkinson's disease (PD) can progress to mild cognitive impairment (PD-MCI).
  • Early identification of PD-MCI is crucial for timely intervention.
  • Surface-based morphometry (SBM) offers a way to analyze brain structure.

Purpose of the Study:

  • To develop and evaluate a machine learning model for identifying PD-MCI.
  • To utilize SBM features for classification of PD-MCI patients.

Main Methods:

  • A support vector machine (SVM) model was trained using 276 SBM variables from 93 PD patients (35 with normal cognition, 58 with PD-MCI) and 20 healthy controls.
  • Feature selection was performed on statistically significant variables.
  • Model performance was assessed using accuracy, MCC, ROC, PR curves, AUC-ROC, AUC-PR, and LOOCV.

Main Results:

  • The SBM-based SVM model achieved 80.00% accuracy and an AUC-ROC of 0.86 in identifying PD-MCI.
  • The model demonstrated a Matthews Correlation Coefficient (MCC) of 0.56 and an AUC-PR of 0.89.
  • Leave-one-out cross-validation (LOOCV) yielded a classification accuracy of 78.08%.

Conclusions:

  • Surface-based morphometry combined with machine learning can effectively identify PD-MCI.
  • This approach holds promise for the automatic diagnosis of PD-MCI.