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Apr 19, 2019
We introduce a novel personalized Gaussian Process Experts (pGPE) model for predicting per-subject ADAS-Cog13 cognitive scores -- a significant predictor of Alzheimer's Disease (AD) in the cognitive domain -- over the future 6, 12, 18, and 24 months. We start by training a population-level model using multi-modal data from previously seen subjects using a base Gaussian Process (GP) regression. Then, we personalize this model by adapting the base GP sequentially over time to a new (target) subject using domain adaptive GPs, and also by training subject-specific GP. While we show that these models achieve improved performance when selectively applied to the forecasting task (one performs better than the other on different subjects/visits), the average performance per model is suboptimal. To this end, we used the notion of meta learning in the proposed pGPE to design a regression-based weighting of these expert models, where the expert weights are optimized for each subject and his/her future visit. The results on a cohort of subjects from the ADNI dataset show that this newly introduced personalized weighting of the expert models leads to large improvements in accurately forecasting future ADAS-Cog13 scores and their fine-grained changes associated with the AD progression. This approach has potential to help identify at-risk patients early and improve the construction of clinical trials for AD.
Personalized Gaussian Processes for Forecasting of Alzheimer's Disease Assessment Scale-Cognition Sub-Scale (ADAS-Cog13)
May 04, 2018
In this paper, we introduce the use of a personalized Gaussian Process model (pGP) to predict per-patient changes in ADAS-Cog13 -- a significant predictor of Alzheimer's Disease (AD) in the cognitive domain -- using data from each patient's previous visits, and testing on future (held-out) data. We start by learning a population-level model using multi-modal data from previously seen patients using a base Gaussian Process (GP) regression. The personalized GP (pGP) is formed by adapting the base GP sequentially over time to a new (target) patient using domain adaptive GPs. We extend this personalized approach to predict the values of ADAS-Cog13 over the future 6, 12, 18, and 24 months. We compare this approach to a GP model trained only on past data of the target patients (tGP), as well as to a new approach that combines pGP with tGP. We find that the new approach, combining pGP with tGP, leads to large improvements in accurately forecasting future ADAS-Cog13 scores.
Personalized Gaussian Processes for Future Prediction of Alzheimer's Disease Progression
May 04, 2018
In this paper, we introduce the use of a personalized Gaussian Process model (pGP) to predict the key metrics of Alzheimer's Disease progression (MMSE, ADAS-Cog13, CDRSB and CS) based on each patient's previous visits. We start by learning a population-level model using multi-modal data from previously seen patients using the base Gaussian Process (GP) regression. Then, this model is adapted sequentially over time to a new patient using domain adaptive GPs to form the patient's pGP. We show that this new approach, together with an auto-regressive formulation, leads to significant improvements in forecasting future clinical status and cognitive scores for target patients when compared to modeling the population with traditional GPs.