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Abstract #4706

Macromolecules from short echo time 7 Tesla brain 1HMRS as biomarkers of the Alzheimer’s disease continuum

Andrea Dell'Orco1,2,3,4, Laura Göschel2,3, Layla Tabea Riemann4,5, Semiha Aydin4, Bernd Ittermann4, Anna Tietze1, Michael Scheel1, and Ariane Fillmer4
1Department of Neuroradiology, Charité – Universitätsmedizin Berlin, Berlin, Germany, 2Department of Neurology, Charité – Universitätsmedizin Berlin, Berlin, Germany, 3NeuroScience Clinical Research Center, Charité – Universitätsmedizin Berlin, Berlin, Germany, 4Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany, 5Institute for Applied Medical Informatics, University Hospital Hamburg-Eppendorf (UKE), Hamburg, Germany

Synopsis

Keywords: Diagnosis/Prediction, Spectroscopy

Motivation: To investigate the potential of macromolecule (MM) from 1HMRS as biomarkers for Alzheimer's Disease (AD).

Goal(s): Enhance the MRS-only diagnostic prediction for the AD continuum by incorporating MM data.

Approach: We predict the diagnosis of 143 individuals ranging from cognitively healthy to AD using only 1HMRS data, employing OPLSDA. We compare the model's performance with/without MM and validate the results with a second ML classifier. We also evaluate variable importance in classification.

Results: The inclusion of MM signals improves AD diagnosis prediction when OPLSDA is used. Various MM peaks contribute to the classification. However, the transitional stage of MCI cannot be accurately classified.

Impact: When combined with the appropriate method, MM signals can enhance the diagnosis of AD using MRS as a stand-alone marker, and important MM peaks belonging to the AD neurochemical fingerprint were identified.

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