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The Ε4 allele of the apolipoprotein E (APOE) gene is well established as a strong genetic risk factor for the development of late-onset Alzheimer’s disease (AD) and declining cognitive function, with AD patients showing a higher frequency of one or two copies of the Ε4 allele than in the healthy elderly population. The impact of this allele on cognitively healthy APOE-Ε4 carriers a brain pattern that resembles the pattern seen in AD patients has been documented, but its influence on normal brain-aging patterns is still elusive. Capitalizing on a cross-sectional study on 113 cognitively healthy late middle aged and older adults with two, one and no APOE-e4 alleles, the current study aims to characterize the ability of comparing a person's estimated brain age with their chronological age to identify the potential effects of the APOE-Ε4 on brain-aging morphology. The brain age estimation model was trained on magnetic resonance image (MRI) data from 594 cognitively normal late middle aged and older individuals, by using the well-known AlexNet, with relevance vector regression methods. The model achieved R2= 0.79, and mean absolute error of 4.51 years. When applied the pretrained prediction model to new subjects, the estimated brain age of subjects in Ε4 homozygotes was 2.37 ± 3.65 years greater than their chronological age (p= 0.002), whereas within the control group, estimated brain age was similar to the chronological age. The result showed that healthy APOE-Ε4 homozygotes have accelerated brain-aging pattern, which may suggest dose-dependent disease vulnerability on the brain structure level. The proposed method can be used as a potential imaging biomarker for detecting the earliest effects of AD on the brain of cognitively unimpaired people. © 2019 Association for Computing Machinery.
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年份: 2019
语种: 英文