Evidence map›Paper›PMID 36539525›Full record

ArticleMolecular psychiatry2023

Decoding the heterogeneity of Alzheimer's disease diagnosis and progression using multilayer networks.

Bárbara Avelar-Pereira, Michael E Belloy, Ruth O'Hara, S M Hadi Hosseini, Alzheimer’s Disease Neuroimaging Initiative

Abstract read
In one paragraph

Article in Molecular psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Epigenetic aging in Alzheimer's disease: Relation to proteome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

5 authors.

Bárbara Avelar-PereiraDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA, 94304, USA. barave@stanford.edu.ORCID 0000-0003-4719-8504
Michael E BelloyDepartment of Neurology and Neurological Sciences, School of Medicine, Stanford University, Stanford, CA, 94304, USA.
Ruth O'HaraDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA, 94304, USA.
S M Hadi HosseiniDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA, 94304, USA. hosseiny@stanford.edu.
Alzheimer’s Disease Neuroimaging Initiative

Funding

Microstructural changes in gray and white matter in aging and ADR01AG073362 · NIA · STANFORD UNIVERSITY · PI Hadi Hosseini · 2022 to 2026
$3.7M
Interactive Effects of Aging and AD on Brain NetworksR01AG072470 · NIA · STANFORD UNIVERSITY · PI Hadi Hosseini · 2022 to 2026
$2.9M
A Novel Neuromonitoring Guided Cognitive Intervention for Targeted Enhancement of Working MemoryR61MH119289 · NIMH · STANFORD UNIVERSITY · PI HOSSEINI, HADI · 2019 to 2021
$787k
The influence of multi-domain cognitive training on large-scale structural and functional brain networks in MCIK25AG050759 · NIA · STANFORD UNIVERSITY · PI HOSSEINI, HADI · 2016 to 2020
$739k
A Wearable Optical Imaging System for Daily Monitoring of Prefrontal Activity in ADHDR21MH123873 · NIMH · STANFORD UNIVERSITY · PI BOWDEN, AUDREY KYNSELLA, HOSSEINI, HADI · 2020 to 2020
$443k
Development of a cost-effective and neurobiologically valid VR assessment tool for early detection of ADR21AG073973 · NIA · STANFORD UNIVERSITY · PI HOSSEINI, HADI · 2021 to 2022
$433k
Multi-dimensional network framework for AD detection and progressionR21AG064263 · NIA · STANFORD UNIVERSITY · PI HOSSEINI, HADI · 2019 to 2020
$430k
NIA NIH HHS K25 AG050759NIA NIH HHS R01 AG072470NIA NIH HHS R01 AG073362NIA NIH HHS R21 AG064263NIA NIH HHS R21 AG073973NIH HHS R21AG073973NIMH NIH HHS R21 MH123873NIMH NIH HHS R21MH123873NIMH NIH HHS R61 MH119289NIMH NIH HHS R61MH119289
6 · The paper itself

Abstract

Alzheimer's disease (AD) is a multifactorial and heterogeneous disorder, which makes early detection a challenge. Studies have attempted to combine biomarkers to improve AD detection and predict progression. However, most of the existing work reports results in parallel or compares normalized findings but does not analyze data simultaneously. We tested a multi-dimensional network framework, applied to 490 subjects (cognitively normal [CN] = 147; mild cognitive impairment [MCI] = 287; AD = 56) from ADNI, to create a single model capable of capturing the heterogeneity and progression of AD. First, we constructed subject similarity networks for structural magnetic resonance imaging, amyloid-β positron emission tomography, cerebrospinal fluid, cognition, and genetics data and then applied multilayer community detection to find groups with shared similarities across modalities. Individuals were also followed-up longitudinally, with AD subjects having, on average, 4.5 years of follow-up. Our findings show that multilayer community detection allows for accurate identification of present and future AD (≈90%) and is also able to identify cases that were misdiagnosed clinically. From all MCI participants who developed AD or reverted to CN, the multilayer model correctly identified 90.8% and 88.5% of cases respectively. We observed similar subtypes across the full sample and when examining multimodal data from subjects with no AD pathology (i.e., amyloid negative). Finally, these results were also validated using an independent testing set. In summary, the multilayer framework is successful in detecting AD and provides unique insight into the heterogeneity of the disease by identifying subtypes that share similar multidisciplinary profiles of neurological, cognitive, pathological, and genetics information.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAmyloid beta-PeptidesBiomarkersCognitionDisease ProgressionHumansMagnetic Resonance ImagingNeuroimagingAmyloid beta-PeptidesBiomarkers

Identifiers

PMID36539525
PMCPMC10279806

What OpenQuestion holds

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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.