Random forest to differentiate dementia with Lewy bodies from Alzheimer's disease

Publication date

2016

Authors

Dauwan, MeenakshiISNI 0000000423196755
van der Zande, Jessica J.
van Dellen, EdwinORCID 0000-0003-1828-5959ISNI 0000000392942531
Sommer, I. E.ISNI 0000000368884271
Scheltens, Philip
Lemstra, Afina W.
Stam, Cornelis J.

Editors

Advisors

Supervisors

Document Type

Article

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License

cc_by_nc_nd

Abstract

Introduction The aim of this study was to build a random forest classifier to improve the diagnostic accuracy in differentiating dementia with Lewy bodies (DLB) from Alzheimer's disease (AD) and to quantify the relevance of multimodal diagnostic measures, with a focus on electroencephalography (EEG). Methods A total of 66 DLB, 66 AD patients, and 66 controls were selected from the Amsterdam Dementia Cohort. Quantitative EEG (qEEG) measures were combined with clinical, neuropsychological, visual EEG, neuroimaging, and cerebrospinal fluid data. Variable importance scores were calculated per diagnostic variable. Results For discrimination between DLB and AD, the diagnostic accuracy of the classifier was 87%. Beta power was identified as the single-most important discriminating variable. qEEG increased the accuracy of the other multimodal diagnostic data with almost 10%. Discussion Quantitative EEG has a higher discriminating value than the combination of the other multimodal variables in the differentiation between DLB and AD.

Keywords

Alzheimer's disease, Beta power, Dementia with Lewy bodies, Diagnostic accuracy, EEG, Machine learning, Random forest, Clinical Neurology, Psychiatry and Mental health, Journal Article

Citation

Dauwan, M, van der Zande, J J, van Dellen, E, Sommer, I E C, Scheltens, P, Lemstra, A W & Stam, C J 2016, 'Random forest to differentiate dementia with Lewy bodies from Alzheimer's disease', Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring, vol. 4, pp. 99-106. https://doi.org/10.1016/j.dadm.2016.07.003