An event-based disease progression model and its application to familial Alzheimer's disease

Inf Process Med Imaging. 2011:22:748-59. doi: 10.1007/978-3-642-22092-0_61.

Abstract

This study introduces a novel event-based model for disease progression. The model describes disease progression as a series of events. An event can consist of a significant change in symptoms or in tissue. We construct a forward model that relates heterogeneous measurements from a whole cohort of patients and controls to the event sequence and fit the model with a Bayesian estimation framework. The model does not rely on a priori classification of patients and therefore has the potential to describe disease progression in much greater detail than previous approaches. We demonstrate our model on serial T1 MRI data from a familial Alzheimer's disease cohort. We show progression of neuronal atrophy on a much finer level than previous studies, while confirming progression patterns from pathological studies, and integrate clinical events into the model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Alzheimer Disease / genetics*
  • Alzheimer Disease / pathology*
  • Brain / pathology*
  • Computer Simulation
  • Disease Progression
  • Humans
  • Image Enhancement / methods
  • Image Interpretation, Computer-Assisted / methods*
  • Magnetic Resonance Imaging / methods*
  • Models, Biological*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Subtraction Technique*