Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia

Abstract Existing dementia prediction models using non-neuroimaging clinical measures have been limited in their ability to identify disease. This study used machine learning to re-examine the diagnostic potential of clinical measures for dementia. Data was sourced from the Australian Imaging, Bioma...

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Main Authors: Caitlin A. Finney, David A. Brown, Artur Shvetcov
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-025-03247-0
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author Caitlin A. Finney
David A. Brown
Artur Shvetcov
author_facet Caitlin A. Finney
David A. Brown
Artur Shvetcov
author_sort Caitlin A. Finney
collection DOAJ
description Abstract Existing dementia prediction models using non-neuroimaging clinical measures have been limited in their ability to identify disease. This study used machine learning to re-examine the diagnostic potential of clinical measures for dementia. Data was sourced from the Australian Imaging, Biomarkers, and Lifestyle Flagship Study of Ageing (AIBL) and the Alzheimer’s Disease Neuroimaging Initiative (ADNI). Clinical variables included 21 measures across medical history, hematological and other blood tests, and APOE genotype. Tree-based machine learning algorithms and artificial neural networks were used. APOE genotype was the best predictor of dementia cases and healthy controls. Our results, however, demonstrated that there are limitations when using publicly accessible cohort data that may limit the generalizability and interpretability of such predictive models. Future research should examine the use of routine APOE genetic testing for dementia diagnostics. It should also focus on clearly unifying data across clinical cohorts.
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spelling doaj-art-0ad9c59754fd4dd49d61e059402044b82025-01-26T12:53:43ZengNature Publishing GroupTranslational Psychiatry2158-31882025-01-0115111010.1038/s41398-025-03247-0Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and AustraliaCaitlin A. Finney0David A. Brown1Artur Shvetcov2Translational Dementia Research Group, Centre for Immunology and Allergy Research, Westmead Institute for Medical ResearchNeuroinflammation Research Group, Centre for Immunology and Allergy Research, Westmead Institute for Medical ResearchTranslational Dementia Research Group, Centre for Immunology and Allergy Research, Westmead Institute for Medical ResearchAbstract Existing dementia prediction models using non-neuroimaging clinical measures have been limited in their ability to identify disease. This study used machine learning to re-examine the diagnostic potential of clinical measures for dementia. Data was sourced from the Australian Imaging, Biomarkers, and Lifestyle Flagship Study of Ageing (AIBL) and the Alzheimer’s Disease Neuroimaging Initiative (ADNI). Clinical variables included 21 measures across medical history, hematological and other blood tests, and APOE genotype. Tree-based machine learning algorithms and artificial neural networks were used. APOE genotype was the best predictor of dementia cases and healthy controls. Our results, however, demonstrated that there are limitations when using publicly accessible cohort data that may limit the generalizability and interpretability of such predictive models. Future research should examine the use of routine APOE genetic testing for dementia diagnostics. It should also focus on clearly unifying data across clinical cohorts.https://doi.org/10.1038/s41398-025-03247-0
spellingShingle Caitlin A. Finney
David A. Brown
Artur Shvetcov
Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia
Translational Psychiatry
title Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia
title_full Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia
title_fullStr Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia
title_full_unstemmed Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia
title_short Developing multifactorial dementia prediction models using clinical variables from cohorts in the US and Australia
title_sort developing multifactorial dementia prediction models using clinical variables from cohorts in the us and australia
url https://doi.org/10.1038/s41398-025-03247-0
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