Evidence map›Paper›PMID 39251639›Full record

ArticleScientific reports2024

Enhancing early Parkinson's disease detection through multimodal deep learning and explainable AI: insights from the PPMI database.

Vincenzo Dentamaro, Donato Impedovo, Luca Musti, Giuseppe Pirlo, Paolo Taurisano

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 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

5 authors.

Vincenzo Dentamaro *Dipartimento di Informatica, University of Bari Aldo Moro, 70125, Bari, Italy. vincenzo.dentamaro@uniba.it.
Donato Impedovo *Dipartimento di Informatica, University of Bari Aldo Moro, 70125, Bari, Italy.
Luca Musti *Dipartimento di Informatica, University of Bari Aldo Moro, 70125, Bari, Italy.
Giuseppe Pirlo *Dipartimento di Informatica, University of Bari Aldo Moro, 70125, Bari, Italy.
Paolo Taurisano *Dipartimento di Biomedicina Traslazionale e Neuroscienze (DiBraiN), University of Bari Aldo Moro, Bari, Italy.

Funding

DARE - DigitAl lifelong pRevEntion B53C22006420001
6 · The paper itself

Abstract

Parkinson's is the second most common neurodegenerative disease, affecting nearly 8.5M people and steadily increasing. In this research, Multimodal Deep Learning is investigated for the Prodromal stage detection of Parkinson's Disease (PD), combining different 3D architectures with the novel Excitation Network (EN) and supported by Explainable Artificial Intelligence (XAI) techniques. Utilizing data from the Parkinson's Progression Markers Initiative, this study introduces a joint co-learning approach for multimodal fusion, enabling end-to-end training of deep neural networks and facilitating the learning of complementary information from both imaging and clinical modalities. DenseNet with EN outperformed other models, showing a substantial increase in accuracy when supplemented with clinical data. XAI methods, such as Integrated Gradients for ResNet and DenseNet, and Attention Heatmaps for Vision Transformer (ViT), revealed that DenseNet focused on brain regions believed to be critical to prodromal pathophysiology, including the right temporal and left pre-frontal areas. Similarly, ViT highlighted the lateral ventricles associated with cognitive decline, indicating their potential in the Prodromal stage. These findings underscore the potential of these regions as early-stage PD biomarkers and showcase the proposed framework's efficacy in predicting subtypes of PD and aiding in early diagnosis, paving the way for innovative diagnostic tools and precision medicine.

Indexed as

Deep LearningParkinson DiseaseAgedArtificial IntelligenceBrainDatabases, FactualEarly DiagnosisFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeural Networks, Computer

Identifiers

PMID39251639
PMCPMC11385236

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.