Evidence map›Paper›PMID 32324139›Full record

ArticleJournal of medical Internet research2020

Exploring the Hierarchical Influence of Cognitive Functions for Alzheimer Disease: The Framingham Heart Study.

Huitong Ding, Ning An, Rhoda Au, Sherral Devine, Sanford H Auerbach, Joseph Massaro, Prajakta Joshi, Xue Liu, Yulin Liu, Elizabeth Mahon and 2 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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

12 authors.

Huitong DingSchool of Computer Science and Information Engineering, Hefei University of Technology, Hefei, China.ORCID 0000-0001-6495-3087
Ning AnSchool of Computer Science and Information Engineering, Hefei University of Technology, Hefei, China.ORCID 0000-0003-3317-5299
Rhoda AuDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0001-7742-4491
Sherral DevineDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0002-5063-6651
Sanford H AuerbachThe Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0003-2962-6405
Joseph MassaroThe Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0002-2682-4812
Prajakta JoshiDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0002-0946-9900
Xue LiuDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0002-4196-3597
Yulin LiuDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0002-2881-6939
Elizabeth MahonDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0003-0854-1453
Ting Fa Ang *Department of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0003-4687-2552
Honghuang Lin *The Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0003-3043-3942

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
PRECURSORS OF STROKE INCIDENCE AND PROGNOSISR01NS017950 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Hugo Javier Aparicio, Jose Rafael Romero · 1985 to 2026
$22.9M
EPIDEMIOLOGY OF DEMENTIA IN THE FRAMINGHAM STUDYR01AG008122 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, SESHADRI, SUDHA · 1989 to 2015
$14.4M
MRI, Genetics &Cognitive Precursors of AD &DementiaR01AG016495 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 1999 to 2016
$12.5M
Re-visiting Methods for MCI Diagnosis to Improve Biomarker and Trial FindingsR01AG049810 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BONDI, MARK W, EDLAND, STEVEN DYAL · 2016 to 2020
$3.7M
Epigenetic changes in synaptic and inflammatory genes involved in the age-dependent development of Alzheimer's disease pathologies andcognitive declineRF1AG054156 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, RYU, HOON · 2016 to 2018
$3.4M
Cognitive Heterogeneity in those with high Alzheimer's Disease RiskRF1AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 2020 to 2021
$1.8M
Cognitive heterogeneity in those with high Alzheimer's Disease RiskR01AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rhoda Au, Vijaya B. Kolachalama · 2025 to 2026
$1.6M
Cognitive heterogeneity in those with high Alzheimer's Disease RiskR56AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 2018 to 2018
$517k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NCATS NIH HHS UL1 TR001430NHLBI NIH HHS N01 HC025195NIA NIH HHS R01 AG008122NIA NIH HHS R01 AG016495NIA NIH HHS R01 AG049810NIA NIH HHS R01 AG062109NIA NIH HHS R56 AG062109NIA NIH HHS RF1 AG054156NIA NIH HHS RF1 AG062109NINDS NIH HHS R01 NS017950
6 · The paper itself

Abstract

backgroundAlthough some neuropsychological (NP) tests are considered more central for the diagnosis of Alzheimer disease (AD), there is a lack of understanding about the interaction between different cognitive tests.

objectiveThis study aimed to demonstrate a global view of hierarchical probabilistic dependencies between NP tests and the likelihood of cognitive impairment to assist physicians in recognizing AD precursors.

methodsOur study included 2091 participants from the Framingham Heart Study. These participants had undergone a variety of NP tests, including Wechsler Memory Scale, Wechsler Adult Intelligence Scale, and Boston Naming Test. Heterogeneous cognitive Bayesian networks were developed to understand the relationship between NP tests and the cognitive status. The performance of probabilistic inference was evaluated by the 10-fold cross validation.

resultsA total of 4512 NP tests were used to build the Bayesian network for the dementia diagnosis. The network demonstrated conditional dependency between different cognitive functions that precede the development of dementia. The prediction model reached an accuracy of 82.24%, with sensitivity of 63.98% and specificity of 92.74%. This probabilistic diagnostic system can also be applied to participants that exhibit more heterogeneous profiles or with missing responses for some NP tests.

conclusionsWe developed a probabilistic dependency network for AD diagnosis from 11 NP tests. Our study revealed important psychological functional segregations and precursor evidence of AD development and heterogeneity.

Indexed as

Longitudinal StudiesAgedAged, 80 and overAlzheimer DiseaseCognitionFemaleHumansMaleNeuropsychological TestsAlzheimer diseaseBayesian networkclusteringneuropsychological teststratification

Identifiers

PMID32324139
PMCPMC7206516

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Registered trials

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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.