Identification of metabolic correlates of mild cognitive impairment in Parkinson's disease using magnetic resonance spectroscopic imaging and machine learning

Autor: Sevim Cengiz, Dilek Betul Arslan, Ani Kicik, Emel Erdogdu, Muhammed Yildirim, Gokce Hale Hatay, Zeynep Tufekcioglu, Aziz Müfit Uluğ, Basar Bilgic, Hasmet Hanagasi, Tamer Demiralp, Hakan Gurvit, Esin Ozturk-Isik
Přispěvatelé: Işık Üniversitesi, İktisadi, İdari ve Sosyal Bilimler Fakültesi, Psikoloji Bölümü, Işık Üniversitesi, Faculty Of Economics, Administrative And Social Sciences, Psychology Department, Erdoğdu, Emel
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Popis: This study was funded by The Scientific and Technological Research Council of Turkey (TUBITAK) 1001 Grant #115S219 and Istanbul University Scientific Research Projects Unit project #1567/42362. Objective: To investigate metabolic changes of mild cognitive impairment in Parkinson’s disease (PD-MCI) using proton magnetic resonance spectroscopic imaging (1H-MRSI). Methods: Sixteen healthy controls (HC), 26 cognitively normal Parkinson’s disease (PD-CN) patients, and 34 PD-MCI patients were scanned in this prospective study. Neuropsychological tests were performed, and three-dimensional 1H-MRSI was obtained at 3 T. Metabolic parameters and neuropsychological test scores were compared between PD-MCI, PD-CN, and HC. The correlations between neuropsychological test scores and metabolic intensities were also assessed. Supervised machine learning algorithms were applied to classify HC, PD-CN, and PD-MCI groups based on metabolite levels. Results: PD-MCI had a lower corrected total N-acetylaspartate over total creatine ratio (tNAA/tCr) in the right precentral gyrus, corresponding to the sensorimotor network (p = 0.01), and a lower tNAA over myoinositol ratio (tNAA/mI) at a part of the default mode network, corresponding to the retrosplenial cortex (p = 0.04) than PD-CN. The HC and PD-MCI patients were classified with an accuracy of 86.4% (sensitivity = 72.7% and specificity = 81.8%) using bagged trees. Conclusion: 1H-MRSI revealed metabolic changes in the default mode, ventral attention/salience, and sensorimotor networks of PD-MCI patients, which could be summarized mainly as ‘posterior cortical metabolic changes’ related with cognitive dysfunction. Turkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) Istanbul University Publisher's Version Q3 WOS:000828927500002 PubMed ID: 35867235
Databáze: OpenAIRE