Evidence map›Paper›PMID 42026117›Full record

ArticleNPJ digital medicine2026

Decoupling MCI-specific signatures from shared neurobiological substrates of cognitive aging via deep learning.

Biying Peng, Lin Du, Mingxi Dang, Ting Li, Ziyun Li, Jiawen Liu, Yaojing Chen, Bing Liu, Zhanjun Zhang

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Biying PengState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Lin DuState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Mingxi DangState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Ting LiState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Ziyun LiState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Jiawen LiuState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Yaojing ChenState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China. chenyaojing@bnu.edu.cn.
Bing LiuState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China. bing.liu@bnu.edu.cn.
Zhanjun ZhangState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China. zhang_rzs@bnu.edu.cn.

Funding

Innovation Team for Clinical & Basic Research, Shandong First Medical University No. CX202408Postdoctoral Fellowship Program (Grade C) of China Postscience Foundation GZC20252268the National Key Research and Development Program of China Grant No. 2023YFC3605400the National Natural Science Foundation of China Grant No. 82425024the Science and Technology Innovation 2030 Major Projects Grant No. 2022ZD0211600
6 · The paper itself

Abstract

The specific neuroanatomy of mild cognitive impairment (MCI) is obscured by its clinical heterogeneity and confounding effects from normative variation. This problem is compounded by the inability of conventional neuroimaging methods to disentangle these overlapping influences. Leveraging data from the Beijing Aging Brain Rejuvenation Initiative (BABRI, n = 918) and the Alzheimer's Disease Neuroimaging Initiative (ADNI, n = 1293), this study employed a conditional variational autoencoder (CVAE) to: (1) systematically distinguish between aging-related cognitive decline and MCI-specific cognitive impairments; (2) implicitly disentangle latent, unknown confounding effects to identify MCI-specific structural brain alterations; and (3) construct individualized scores for predicting the risk of conversion to Alzheimer's disease (AD). The CVAE effectively extracted MCI-specific latent features from T1 structural MRI, significantly correlated with episodic memory, attention, and executive function impairments. Reconstructions revealed characteristic deformation in regions including the middle and medial temporal lobes, frontal lobe, limbic system, and cerebellum. The robustness of this structural-cognitive impairment association model established in BABRI dataset was validated in the ADNI dataset. Moreover, predictive modeling using these features achieved superior AD-conversion prediction (AUC = 0.83) versus whole-brain atrophy (AUC = 0.74; p < 0.001) or CSF biomarkers (AUC = 0.77; p < 0.001).This work establishes a novel paradigm for isolating MCI-specific brain alterations from physiological aging.

Identifiers

PMID42026117
PMCPMC13315589

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.