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KMID : 1103720230840030638
Journal of the Korean Society of Radiology
2023 Volume.84 No. 3 p.638 ~ p.652
Prediction of Amyloid ¥â-Positivity with both MRI Parameters and Cognitive Function Using Machine Learning
Park Hye-Jin

Lee Ji-Young
Yang Jin-Ju
Kim Hee-Jin
Kim Young-Seo
Kim Ji-Young
Choi Yun-Young
Abstract
Purpose : To investigate the MRI markers for the prediction of amyloid ¥â (A¥â)-positivity in mild cognitive impairment (MCI) and Alzheimer¡¯s disease (AD), and to evaluate the differences in MRI markers between A¥â-positive (A¥â [+]) and -negative groups using the machine learning (ML) method.

Materials and Methods : This study included 139 patients with MCI and AD who underwent amyloid PET-CT and brain MRI. Patients were divided into A¥â (+) (n = 84) and A¥â-negative (n = 55) groups. Visual analysis was performed with the Fazekas scale of white matter hyperintensity (WMH) and cerebral microbleeds (CMB) scores. The WMH volume and regional brain volume were quantitatively measured. The multivariable logistic regression and ML using support vector machine, and logistic regression were used to identify the best MRI predictors of A¥â-positivity.

Results : The Fazekas scale of WMH (p = 0.02) and CMB scores (p = 0.04) were higher in A¥â (+). The volumes of hippocampus, entorhinal cortex, and precuneus were smaller in A¥â (+) (p < 0.05). The third ventricle volume was larger in A¥â (+) (p = 0.002). The logistic regression of ML showed a good accuracy (81.1%) with mini-mental state examination (MMSE) and regional brain volumes.

Conclusion : The application of ML using the MMSE, third ventricle, and hippocampal volume is helpful in predicting A¥â-positivity with a good accuracy.
KEYWORD
Amyloid Beta-Peptides, Third Ventricle, Neuroimaging, Support Vector Machine
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