Artificial intelligence for dementia prevention

Author:

Newby Danielle1ORCID,Orgeta Vasiliki2,Marshall Charles R.34,Lourida Ilianna56,Albertyn Christopher P.7,Tamburin Stefano8,Raymont Vanessa1,Veldsman Michele910,Koychev Ivan1,Bauermeister Sarah1,Weisman David11,Foote Isabelle F.312,Bucholc Magda13,Leist Anja K.14,Tang Eugene Y. H.5,Tai Xin You1516,Llewellyn David J.617,Ranson Janice M.6,

Affiliation:

1. Department of Psychiatry Warneford Hospital University of Oxford Oxford UK

2. Division of Psychiatry University College London London UK

3. Preventive Neurology Unit Wolfson Institute of Population Health Barts and The London School of Medicine and Dentistry Queen Mary University of London London UK

4. Department of Neurology Royal London Hospital London UK

5. Population Health Sciences Institute Newcastle University Newcastle UK

6. University of Exeter Medical School Exeter UK

7. Department of Old Age Psychiatry Institute of Psychiatry Psychology and Neuroscience King's College London London UK

8. Department of Neurosciences Biomedicine and Movement Sciences University of Verona Verona Italy

9. Wellcome Centre for Integrative Neuroimaging University of Oxford Oxford UK

10. Department of Experimental Psychology University of Oxford Oxford UK

11. Abington Neurological Associates Abington Pennsylvania USA

12. Institute for Behavioral Genetics University of Colorado Boulder Boulder Colorado USA

13. Cognitive Analytics Research Lab School of Computing Engineering & Intelligent Systems Ulster University Derry UK

14. Department of Social Sciences Institute for Research on Socio‐Economic Inequality (IRSEI) University of Luxembourg Esch‐sur‐Alzette Luxembourg

15. Nuffield Department of Clinical Neuroscience University of Oxford Oxford UK

16. Division of Clinical Neurology John Radcliffe Hospital Oxford University Hospitals Trust Oxford UK

17. The Alan Turing Institute London UK

Abstract

AbstractINTRODUCTIONA wide range of modifiable risk factors for dementia have been identified. Considerable debate remains about these risk factors, possible interactions between them or with genetic risk, and causality, and how they can help in clinical trial recruitment and drug development. Artificial intelligence (AI) and machine learning (ML) may refine understanding.METHODSML approaches are being developed in dementia prevention. We discuss exemplar uses and evaluate the current applications and limitations in the dementia prevention field.RESULTSRisk‐profiling tools may help identify high‐risk populations for clinical trials; however, their performance needs improvement. New risk‐profiling and trial‐recruitment tools underpinned by ML models may be effective in reducing costs and improving future trials. ML can inform drug‐repurposing efforts and prioritization of disease‐modifying therapeutics.DISCUSSIONML is not yet widely used but has considerable potential to enhance precision in dementia prevention.Highlights Artificial intelligence (AI) is not widely used in the dementia prevention field. Risk‐profiling tools are not used in clinical practice. Causal insights are needed to understand risk factors over the lifespan. AI will help personalize risk‐management tools for dementia prevention. AI could target specific patient groups that will benefit most for clinical trials.

Funder

Medical Research Council

European Research Council

Barts Charity

Publisher

Wiley

Subject

Psychiatry and Mental health,Cellular and Molecular Neuroscience,Geriatrics and Gerontology,Neurology (clinical),Developmental Neuroscience,Health Policy,Epidemiology

Reference206 articles.

1. A two decade dementia incidence comparison from the Cognitive Function and Ageing Studies I and II

2. Incidence of Dementia over Three Decades in the Framingham Heart Study

3. Martin PrinceA WimoA GuerchetM et al.World Alzheimer Report 2015. The global impact of dementia an analysis of prevalence incidence cost and trends.2015.https://www.alzint.org/u/WorldAlzheimerReport2015.pdf

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