Subtyping of mild cognitive impairment using a deep learning model based on brain atrophy patterns
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Abstract
Trajectories of cognitive decline vary considerably among individuals with mild cognitive impairment (MCI). To address this heterogeneity, subtyping approaches have been developed, with the objective of identifying more homogeneous subgroups. To date, subtyping of MCI has been based primarily on cognitive measures, often resulting in indistinct boundaries between subgroups and limited validity. Here, we introduce a subtyping method for MCI based solely upon brain atrophy. We train a deep learning model to differentiate between Alzheimer's disease (AD) and cognitively normal (CN) subjects based on whole-brain MRI features. We then deploy the trained model to classify MCI subjects based on whole-brain gray matter resemblance to AD-like or CN-like patterns. We subsequently validate the subtyping approach using cognitive, clinical, fluid biomarker, and molecular imaging data. Overall, the results suggest that atrophy patterns in MCI are sufficiently heterogeneous and can thus be used to subtype individuals into biologically and clinically meaningful subgroups.
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AI technologies are being developed to detect early signs of dementia through speech and language patterns analyzing short snippets of speech to predict and monitor cognitive decline.
“Notably, there are AI technologies being developed to detect early signs of dementia through speech and language patterns analyzing short snippets of speech to predict and monitor cognitive decline (Kwak et al., 2021).”
From The impact of digital technology, social media, and artificial intelligence on cognitive functions: a review (2023) · cites this paper as Kwak et al., 2021
The Discussion describes predicting progression from mild cognitive impairment to Alzheimer’s disease using brain-atrophy patterns, not speech. The Methods mention language tests, but neither those passages nor searches for short speech snippets and speech-pattern analysis establish the claimed AI technology. (LLM, conf=0.76)
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Self-citationLower functional hippocampal redundancy in mild cognitive impairment
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Self-citation
Flagged first, then by citations
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Cited by
Sorted by citations
Shanmugasundaram, M., & Tamilarasu, A. (2023) · Frontiers in Cognition · doi:10.3389/fcogn.2023.1203077 · Cited by 291 · see citing works
- Authors
- Kwak, K., Giovanello, K. S., Bozoki, A., Styner, M., & Dayan, E.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Dayan, Eran
- Venue
- Cell Reports Medicine
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 2
- Issue
- 12
- Pages
- 100467
- ISSN
- 2666-3791 (ISSN-L)
- PMC
- PMC8714856
- OpenAlex
- W4206353576
- Cited by
- 47
- References
- 90
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 14 · 2023: 12 · 2022: 7
- FWCI
- 5.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cell Reports Medicine (publishedVersion, cc-by-nc-nd)
- medRxiv (acceptedVersion)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion, other-oa)
- UNC Libraries
- Funders
- Pfizer
- Takeda Pharmaceutical Company
- Genentech
- Northern California Institute for Research and Education
- Merck
- Alzheimer's Disease Neuroimaging Initiative
- Bristol-Myers Squibb
- BioClinica
- Alzheimer's Drug Discovery Foundation
- Novartis Pharmaceuticals Corporation
- National Institute on Aging (R01AG062590)
- AbbVie
- National Institute of Biomedical Imaging and Bioengineering
- GE Healthcare
- Alzheimer's Association
- Fujirebio US
- Janssen Research and Development
- Servier
- National Institutes of Health (P01 AG003991, P01 AG026276, P30 NS09857781, P50 AG00561, R01 AG043434, R01 EB009352, UL1 TR000448)
- Biogen
- H. Lundbeck A/S
- U.S. Department of Defense (W81XWH-12-2-0012)
- University of Southern California
- IXICO
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- mild cognitive impairment, brain atrophy patterns, Alzheimer's disease, gray matter atrophy, deep learning classification, cognitive decline trajectories, fluid biomarkers, molecular imaging
- MeSH terms
- Deep Learning, Aged, Atrophy, Brain, Cognition, Female, Humans, Male, Reproducibility of Results, Cohort Studies, Biomarkers, Positron-Emission Tomography, Cognitive Dysfunction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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