Scientific article
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Simulad: a dynamical model for personalized simulation and disease staging in alzheimer's disease

Published inNeurobiology of aging, vol. 113, p. 73-83
Publication date2022-05
First online date2022-02-23
Abstract

SimulAD is a computational disease progression model (DPM) originally developed on the ADNI database to simulate the evolution of clinical and imaging markers characteristic of AD, and to quantify the disease severity (DS) of a subject. In this work, we assessed the validity of this estimated DS, as well as the generalization of the DPM., by applying SimulAD on a new cohort from the Geneva Memory Center (GMC). The differences between the estimated DS of healthy, mild cognitive impairment and AD dementia groups were statistically significant (p-values < 0.05; d ≥ 0.8). DS correlated with MMSE (ρ = -0.55), hippocampal atrophy (ρ = -0.62), glucose hypometabolism (ρ = -0.67), amyloid burden (ρ = 0.31) and tau deposition (ρ = 0.62) (p-values < 0.01). Based on the dynamics estimated on the ADNI cohort, we simulated a DPM for the subjects of the GMC cohort. The difference between the temporal evolution of similar biomarkers simulated on the ADNI and GMC cohorts remained below 10%. This study illustrates the robustness and good generalization of SimulAD, highlighting its potential for clinical and pharmaceutical studies.

Keywords
  • Alzheimer’s disease
  • Biomarkers
  • Clinical trials
  • Disease progression models
  • Alzheimer Disease / diagnostic imaging
  • Alzheimer Disease / psychology
  • Amyloid beta-Peptides
  • Atrophy
  • Cognitive Dysfunction
  • Disease Progression
  • Humans
  • Tau Proteins
Funding
Citation (ISO format)
CLÉMENT, Abi Nader et al. Simulad: a dynamical model for personalized simulation and disease staging in alzheimer’s disease. In: Neurobiology of aging, 2022, vol. 113, p. 73–83. doi: 10.1016/j.neurobiolaging.2021.12.015
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Identifiers
Journal ISSN0197-4580
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Technical informations

Creation16/11/2022 13:27:10
First validation26/05/2023 15:51:32
Update26/05/2023 15:51:32
Status update26/05/2023 15:51:32
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