Evidence map›Paper›PMID 40949843›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Machine learning diagnosis of mild cognitive impairment using advanced diffusion MRI and CSF biomarkers.

Alexander Y Guo, John P Laporte, Kavita Singh, Jonghyun Bae, Keagan Bergeron, Angelique de Rouen, Noam Y Fox, Nathan Zhang, Isabel Carino-Bazan, Mary E Faulkner and 5 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Interpretable Alzheimer's Diagnosis via Multimodal Fusion of Regional Brain Experts.Proceedings. IEEE International Conference on Healthcare Informatics · 2026
    Article
  5. Article
  6. Article
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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

15 authors.

Alexander Y GuoNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
John P LaporteNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Kavita SinghNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Jonghyun BaeNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Keagan BergeronNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Angelique de RouenNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Noam Y FoxNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Nathan ZhangNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Isabel Carino-BazanNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Mary E FaulknerNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Rafael de CaboNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Dan BenjaminiNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Zhaoyuan GongNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Mustapha BouhraraNational Institute on Aging National Institutes of Health Baltimore Maryland USA.
Alzheimer's Disease Neuroimaging Initiative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMachine learning applied to neuroimaging can help with medical diagnosis and early detection by identifying biomarkers of subtle changes in brain structure and function. The effectiveness of advanced diffusion MRI (dMRI) methods for pre-dementia classification remains largely unexplored, particularly when combined with CSF biomarkers.

methodsWe implemented XGBoost machine learning models to evaluate the classification potential of dMRI parameters (derived using NODDI, C-NODDI, MAP, or SMI), CSF biomarkers of Alzheimer's pathology (Tau, pTau, Aβ42, Aβ40), and pairwise dMRI + CSF combinations in distinguishing cognitive normality from mild cognitive impairment.

resultsMAP-RTAP (AUC = 0.78) and pTau/Aβ42 (AUC = 0.76) were the best performing individual biomarkers. Combining C-NDI derived using C-NODDI and Aβ42/Aβ40 achieved the highest performance (AUC = 0.84) and accuracy (0.84), while other combinations optimized either sensitivity (0.93) or specificity (0.88). DISCUSSION: dMRI biomarkers demonstrate comparable performance to CSF biomarkers, with notable improvements achieved when combined. This study highlights dMRI's effectiveness for enhancing early AD detection. Highlights: Advanced multishell diffusion MRI provides equivalent performance as CSF biomarkers in classifying MCICombining diffusion MRI and CSF biomarkers improves classification performanceStatistical diffusion MRI models perform best when used individually to classify MCIThe pTau/Aβ42 ratio outperforms other individual CSF biomarkers in MCI diagnosisBiophysical diffusion MRI models achieve the best performance when combined with CSF data.

Indexed as

alzheimer's diseasecsf biomarkersdiffusion mriearly diagnosticsmachine learningmild cognitive impairmentneuroimaging

Identifiers

PMID40949843
PMCPMC12426029

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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.