Author:
Kim Jun Sung,Han Ji Won,Bae Jong Bin,Moon Dong Gyu,Shin Jin,Kong Juhee Eliana,Lee Hyungji,Yang Hee Won,Lim Eunji,Kim Jun Yup,Sunwoo Leonard,Cho Se Jin,Lee Dongsoo,Kim Injoong,Ha Sang Won,Kang Min Ju,Suh Chong Hyun,Shim Woo Hyun,Kim Sang Joon,Kim Ki Woong
Abstract
AbstractThe limited accessibility of medical specialists for Alzheimer’s disease (AD) can make obtaining an accurate diagnosis in a timely manner challenging and may influence prognosis. We investigated whether VUNO Med-DeepBrain AD (DBAD) using a deep learning algorithm can be employed as a decision support service for the diagnosis of AD. This study included 98 elderly participants aged 60 years or older who visited the Seoul Asan Medical Center and the Korea Veterans Health Service. We administered a standard diagnostic assessment for diagnosing AD. DBAD and three panels of medical experts (ME) diagnosed participants with normal cognition (NC) or AD using T1-weighted magnetic resonance imaging. The accuracy (87.1% for DBAD and 84.3% for ME), sensitivity (93.3% for DBAD and 80.0% for ME), and specificity (85.5% for DBAD and 85.5% for ME) of both DBAD and ME for diagnosing AD were comparable; however, DBAD showed a higher trend in every analysis than ME diagnosis. DBAD may support the clinical decisions of physicians who are not specialized in AD; this may enhance the accessibility of AD diagnosis and treatment.
Funder
Institute for Information and communications Technology Promotion (IITP) grant funded by the Korea government
Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea
Publisher
Springer Science and Business Media LLC
Reference47 articles.
1. Patterson, C. World Alzheimer Report 2018. (2018).
2. Hebert, L. E., Weuve, J., Scherr, P. A. & Evans, D. A. Alzheimer disease in the United States (2010–2050) estimated using the 2010 census. Neurology 80, 1778–1783. https://doi.org/10.1212/WNL.0b013e31828726f5 (2013).
3. Bae, J. B. et al. Incidence of and risk factors for Alzheimer’s disease and mild cognitive impairment in Korean elderly. Dement. Geriatr. Cogn. Disord. 39, 105–115. https://doi.org/10.1159/000366555 (2015).
4. Johnston, K. J., Wen, H. & Joynt Maddox, K. E. Lack of access to specialists associated with mortality and preventable hospitalizations of rural medicare beneficiaries. Health Aff. (Millwood). 38, 1993–2002. https://doi.org/10.1377/hlthaff.2019.00838 (2019).
5. Budson, A. E. & Solomon, P. R. Memory Loss E-Book: A Practical Guide for Clinicians (Elsevier Health Sciences, 2011).
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