Evidence map›Paper›PMID 31992745›Full record

ArticleScientific reports2020

Novel Alzheimer's disease subtypes identified using a data and knowledge driven strategy.

Alexis Mitelpunkt, Tal Galili, Tal Kozlovski, Noa Bregman, Netta Shachar, Mira Markus-Kalish, Yoav Benjamini

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Radiographic phenotype-driven clustering in lumbar decompression: comparative study of outcome and reoperation risk.The spine journal : official journal of the North American Spine Society · 2026
    Article
  4. Article
  5. Article
  6. Cognitively defined Alzheimer's dementia subgroups have distinct atrophy patterns.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Recent update on the heterogeneity of the Alzheimer's disease spectrum.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Alexis MitelpunktDepartment of Statistics and Operations Research, Tel Aviv University, Tel Aviv, Israel. alexism@tauex.tau.ac.il.ORCID http://orcid.org/0000-0002-4025-5302
Tal GaliliDepartment of Statistics and Operations Research, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0003-0046-7332
Tal KozlovskiDepartment of Statistics and Operations Research, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-5690-4805
Noa BregmanSackler faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0003-4856-086X
Netta ShacharDepartment of Statistics and Operations Research, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-0309-9937
Mira Markus-KalishThe Sagol School for Neurosciences, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0003-2134-215X
Yoav BenjaminiDepartment of Statistics and Operations Research, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-3253-7588

Funding

EC | EC Seventh Framework Programm | FP7 Ideas: European Research Council (FP7-IDEAS-ERC - Specific Programme: "Ideas" Implementing the Seventh Framework Programme of the European Community for Research, Technological Development and Demonstration Activities (2007 to 2013)) 604102
6 · The paper itself

Abstract

The population of adults with Alzheimer's disease (AD) varies in needs and outcomes. The heterogeneity of current AD diagnostic subgroups impedes the use of data analytics in clinical trial design and translation of findings into improved care. The purpose of this project was to define more clinically-homogeneous groups of AD patients and link clinical characteristics with biological markers. We used an innovative big data analysis strategy, the 3C strategy, that incorporates medical knowledge into the data analysis process. A large set of preprocessed AD Neuroimaging Initiative (ADNI) data was analyzed with 3C. The data analysis yielded 6 new disease subtypes, which differ from the assigned diagnosis types and present different patterns of clinical measures and potential biomarkers. Two of the subtypes, "Anosognosia dementia" and "Insightful dementia", differentiate between severe participants based on clinical characteristics and biomarkers. The "Uncompensated mild cognitive impairment (MCI)" subtype, demonstrates clinical, demographic and imaging differences from the "Affective MCI" subtype. Differences were also observed between the "Worried Well" and "Healthy" clusters. The use of data-driven analysis yielded sub-phenotypic clinical clusters that go beyond current diagnoses and are associated with biomarkers. Such homogenous sub-groups can potentially form the basis for enhancement of brain medicine research.

Indexed as

AgedAged, 80 and overAlgorithmsAlzheimer DiseaseBiomarkersCluster AnalysisDatabases, FactualFemaleHumansImage Processing, Computer-AssistedMaleMedical InformaticsNeuroimagingSoftwareWorkflowBiomarkers

Identifiers

PMID31992745
PMCPMC6987140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.