Biblioteca Hospital 12 de Octubre

Discrimination between Alzheimer's Disease and Late Onset Bipolar Disorder Using Multivariate Analysis. (Registro nro. 16933)

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Campo de control de longitud fija nab a22 7a 4500
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Campo de control PC16933
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Campo de control 20220707130206.0
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Campo de control de longitud fija 220707b xxu||||| |||| 00| 0 eng d
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Centro transcriptor H12O
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Código de lengua del texto/banda sonora o título independiente eng
100 ## - PUNTO DE ACCESO PRINCIPAL - NOMBRE DE PERSONA
9 (RLIN) 2441
Nombre de persona Muñoz Madrigal, José Luis
Término indicativo de función Instituto de Investigación i+12
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9 (RLIN) 1995
Nombre de persona Leza, Juan Carlos
Término indicativo de función Instituto de Investigación i+12
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Título Discrimination between Alzheimer's Disease and Late Onset Bipolar Disorder Using Multivariate Analysis.
Tipo de material [artículo]
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Nombre del editor distribuidor etc. Frontiers in aging neuroscience,
Fecha de publicación distribución etc. 2015
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Extensión 7:231.
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Nota general Formato Vancouver:
Besga A, González I, Echeburua E, Savio A, Ayerdi B, Chyzhyk D et al. Discrimination between Alzheimer's Disease and Late Onset Bipolar Disorder Using Multivariate Analysis. Front Aging Neurosci. 2015 Dec 14;7:231.
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Nota de "Con" PMID: 26696883
PMC4677464
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Nota de bibliografía etc. Contiene 72 referencias
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Sumario etc. Background: Late onset bipolar disorder (LOBD) is often difficult to distinguish from degenerative dementias, such as Alzheimer disease (AD), due to comorbidities and common cognitive symptoms. Moreover, LOBD prevalence in the elder population is not negligible and it is increasing. Both pathologies share pathophysiological neuroinflammation features. Improvements in differential diagnosis of LOBD and AD will help to select the best personalized treatment.

Objective: The aim of this study is to assess the relative significance of clinical observations, neuropsychological tests, and specific blood plasma biomarkers (inflammatory and neurotrophic), separately and combined, in the differential diagnosis of LOBD versus AD. It was carried out evaluating the accuracy achieved by classification-based computer-aided diagnosis (CAD) systems based on these variables.
Materials: A sample of healthy controls (HC) (n = 26), AD patients (n = 37), and LOBD patients (n = 32) was recruited at the Alava University Hospital. Clinical observations, neuropsychological tests, and plasma biomarkers were measured at recruitment time.

Methods: We applied multivariate machine learning classification methods to discriminate subjects from HC, AD, and LOBD populations in the study. We analyzed, for each classification contrast, feature sets combining clinical observations, neuropsychological measures, and biological markers, including inflammation biomarkers. Furthermore, we analyzed reduced feature sets containing variables with significative differences determined by a Welch's t-test. Furthermore, a battery of classifier architectures were applied, encompassing linear and non-linear Support Vector Machines (SVM), Random Forests (RF), Classification and regression trees (CART), and their performance was evaluated in a leave-one-out (LOO) cross-validation scheme. Post hoc analysis of Gini index in CART classifiers provided a measure of each variable importance.
Results: Welch's t-test found one biomarker (Malondialdehyde) with significative differences (p < 0.001) in LOBD vs. AD contrast. Classification results with the best features are as follows: discrimination of HC vs. AD patients reaches accuracy 97.21% and AUC 98.17%. Discrimination of LOBD vs. AD patients reaches accuracy 90.26% and AUC 89.57%. Discrimination of HC vs LOBD patients achieves accuracy 95.76% and AUC 88.46%.
Conclusion: It is feasible to build CAD systems for differential diagnosis of LOBD and AD on the basis of a reduced set of clinical variables. Clinical observations provide the greatest discrimination. Neuropsychological tests are improved by the addition of biomarkers, and both contribute significantly to improve the overall predictive performance.
710 ## - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD
9 (RLIN) 625
Nombre de entidad o nombre de jurisdicción como elemento inicial Instituto de Investigación imas12
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Identificador Uniforme del Recurso (URI) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677464/
Acceso Acceso libre
942 ## - ENTRADA PARA ELEMENTOS AGREGADOS (KOHA)
Fuente de clasificación o esquema de ordenación en estanterías
Koha [por defecto] tipo de item Artículo
Suprimido en OPAC Público
Existencias
Suprimido Estado de pérdida Fuente de clasificación o esquema de ordenación en estanterías Estropeado No para préstamo Localización permanente Localización actual Fecha de adquisición Signatura completa Fecha última consulta Fecha del precio de reemplazo Tipo de item de Koha
          Hospital Universitario 12 de Octubre Hospital Universitario 12 de Octubre 2022-07-07 PC16933 2022-07-07 2022-07-07 Artículo

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