Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm

BackgroundThe number of patients with cerebral small vessel disease is increasing, especially among the elderly population. With the continuous improvement of detection techniques, the positivity rate keeps increasing. Our goal is to develop a nomogram for early identification of PSCI and PSCID in s...

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Main Authors: Yanzi Huang, Wendie Huang, Xiaoming Ma, Guoyin Zhao, Jingwen Kang, Huajie Li, Jingwei Li, Shiying Sheng, Fengjuan Qian
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Aging Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2025.1431421/full
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author Yanzi Huang
Wendie Huang
Xiaoming Ma
Guoyin Zhao
Jingwen Kang
Huajie Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Shiying Sheng
Fengjuan Qian
author_facet Yanzi Huang
Wendie Huang
Xiaoming Ma
Guoyin Zhao
Jingwen Kang
Huajie Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Shiying Sheng
Fengjuan Qian
author_sort Yanzi Huang
collection DOAJ
description BackgroundThe number of patients with cerebral small vessel disease is increasing, especially among the elderly population. With the continuous improvement of detection techniques, the positivity rate keeps increasing. Our goal is to develop a nomogram for early identification of PSCI and PSCID in stroke patients.MethodsIn a retrospective cohort, chained data imputation was performed to ensure no statistical differences from the original dataset. Subsequently, Boruta algorithm was utilized for variable selection based on their importance, followed by logistic regression employing backward stepwise regression. Finally, the regression results were visualized as a Nomogram.ResultsThe nomogram chart in this study achieves clinical utility in a concise and user-friendly manner, passing the Hosmer-Lemeshow goodness-of-fit test. ROC and calibration curves indicate its high discriminative ability.ConclusionWhile CSVD is prevalent among middle-aged and older individuals, cognitive decline trajectories differ. Endocrine metabolic indicators like IGF-1 offer early predictive value. This study has produced a succinct nomogram integrating demographic and clinical indicators for medical application.
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institution Kabale University
issn 1663-4365
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Aging Neuroscience
spelling doaj-art-2cde16a6fda048fe81056f4665f08c722025-02-03T06:33:49ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652025-02-011710.3389/fnagi.2025.14314211431421Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithmYanzi Huang0Wendie Huang1Xiaoming Ma2Guoyin Zhao3Jingwen Kang4Huajie Li5Jingwei Li6Jingwei Li7Jingwei Li8Jingwei Li9Jingwei Li10Jingwei Li11Shiying Sheng12Fengjuan Qian13Department of Neurology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Neurology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Neurology of Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, ChinaDepartment of Neurology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Neurology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Neurology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Neurology of Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, ChinaDepartment of Neurology of Drum Tower Hospital, Medical School and the State Key Laboratory of Pharmaceutical Biotechnology, Nanjing University, Nanjing, ChinaInstitute of Brain Sciences, Nanjing University, Nanjing, ChinaJiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, ChinaJiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, ChinaNanjing Neurology Clinic Medical Center, Nanjing, ChinaDepartment of Neurology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Endocrinology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaBackgroundThe number of patients with cerebral small vessel disease is increasing, especially among the elderly population. With the continuous improvement of detection techniques, the positivity rate keeps increasing. Our goal is to develop a nomogram for early identification of PSCI and PSCID in stroke patients.MethodsIn a retrospective cohort, chained data imputation was performed to ensure no statistical differences from the original dataset. Subsequently, Boruta algorithm was utilized for variable selection based on their importance, followed by logistic regression employing backward stepwise regression. Finally, the regression results were visualized as a Nomogram.ResultsThe nomogram chart in this study achieves clinical utility in a concise and user-friendly manner, passing the Hosmer-Lemeshow goodness-of-fit test. ROC and calibration curves indicate its high discriminative ability.ConclusionWhile CSVD is prevalent among middle-aged and older individuals, cognitive decline trajectories differ. Endocrine metabolic indicators like IGF-1 offer early predictive value. This study has produced a succinct nomogram integrating demographic and clinical indicators for medical application.https://www.frontiersin.org/articles/10.3389/fnagi.2025.1431421/fullMCICSVDIGF-1cognitioncognitive impairmentstroke
spellingShingle Yanzi Huang
Wendie Huang
Xiaoming Ma
Guoyin Zhao
Jingwen Kang
Huajie Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Jingwei Li
Shiying Sheng
Fengjuan Qian
Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm
Frontiers in Aging Neuroscience
MCI
CSVD
IGF-1
cognition
cognitive impairment
stroke
title Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm
title_full Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm
title_fullStr Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm
title_full_unstemmed Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm
title_short Nomogram for predicting mild cognitive impairment in Chinese elder CSVD patients based on Boruta algorithm
title_sort nomogram for predicting mild cognitive impairment in chinese elder csvd patients based on boruta algorithm
topic MCI
CSVD
IGF-1
cognition
cognitive impairment
stroke
url https://www.frontiersin.org/articles/10.3389/fnagi.2025.1431421/full
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