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Refinement of Neuro-psychological Tests for Dementia Screening in a Cross Cultural Population Using Machine Learning

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Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 1620))

Abstract

This work focused on refining the Cognitive Abilities Screening Instrument (CASI) by selecting a clinically significant subset of tests, and generating simple and useful models for dementia screening in a cross cultural populace. This is a retrospective study of 57 mild-to-moderately demented patients of African-American, Caucasian, Chinese, Hispanic, and Vietnamese origin and an equal number of age matched controls from a cross cultural pool. We used a Knowledge Discovery from Databases (KDD) approach. Decision tree learners (C4.5, CART), rule inducers (C4.5Rules, FOCL) and a reference classifier (Naive Bayes) were the machine learning algorithms used for model building. This study iden- tified a clinically useful subset of CASI, consisting of only twenty Mini Mental State Examination (MMSE) attributes—CASI-MMSE-M, saving test time and cost, while maintaining or improving dementia screening accuracy. Also, the machine learning algorithms (in particular C4.5 and CART) gave stable clinically relevant models for the task of screening with CASI-MMSE-M. …

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References

  1. D. A. Evans, H. H. Funkenstein, M. S. Albert, P. A. Scherr, N. R. Cook, M. J. Chown, L. E. Hebert, C. H. Hennekens, and J. O. Taylor. Prevalence of alzheimer’s disease in a community population of older persons. Journal of the American Medical Association, 262:2551–2556, 1989.

    Article  Google Scholar 

  2. Losing a million minds: Confronting the tragedy of alzheimer’s disease and other dementias. U.S. Congress, Office of Technology Assessment, Washington D.C., 1987. Publication OTABA-323.

    Google Scholar 

  3. G. Cowley and A Underwood. Our latest health obsession: Memory. Newsweek, pages 49–54, June 15 1998.

    Google Scholar 

  4. G. Yeo, D. Gallegher-Thompson, and M. Lieberman. Variations in dementia characteristics by ethnic category. In G. Yeo and D. Gallagher-Thompson, editors, Ethicity and the dementias, pages 21–30. Taylor & Francis, Washington, D.C., 1996.

    Google Scholar 

  5. M. B. Dick, E. L. Teng, D. Kempler, D. S. Davis, and I. M. Taussig. The cross-cultural neuropsychological test battery (ccnb): Effects of age, education, and ethnicity on performance. submitted, 1998.

    Google Scholar 

  6. E. L. Teng, K. Hasegawa, A. Homma, Y. Imai, A. Larson, E. and Graves K. Sugimoto, T. Yamaguchi, H. Sasaki, D. Chiu, and L. R. White. The cognitive abilities screening instrument (casi): A practical test for cross-cultural epidemiological studies of dementia. International Psychogeriatrics, 6:45–58, 1994.

    Article  Google Scholar 

  7. MF Folstein, SE Folstein, and PR McHugh. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3):189–98, Nov 1975.

    Article  Google Scholar 

  8. E. L. Teng and H. C. Chui. The modified mini-mental state (3ms) examination. Journal of Clinical Psychiatry, 48:314–318, 1987.

    Google Scholar 

  9. K. Hasewaga. The clinical assessment of dementia in the aged: A dementia screening scale for psychogeriatric patients. In M. Bergener, U. Lehr, E. Lang, and R. Schmitz-Scherzer, editors, Aging in the eighties and beyond, pages 207–218. Springer, New York, 1983.

    Google Scholar 

  10. R Caruana and D Freitag. Greedy attribute selection. In W Cohen and H Hirsh, editors, Machine Learning: Proceedings of the Eleventh International Conference. Morgan Kaufmann, 1994.

    Google Scholar 

  11. Usama M. Fayyad, Gregory Piatetsky-Shapiro, and Padhraic Smyth. From data mining to knowledge discovery: An overview. In Usama M. Fayyad, Gregory Piatetsky-Shapiro, Padhraic Smyth, and Ramasamy Uthurusamy, editors, Advances in Knowledge Discovery and Data Mining, pages 1–36. AAAI Press, Menlo Park, California 94025, 1996.

    Google Scholar 

  12. C Ohmann, Q Yang, V Moustakis, K Lang, and van PJ Elk. Machine learning techniques applied to the diagnosis of acute abdominal pain. In Pedro Barahona and Mario Stefanelli, editors, Lecture Notes in Artificial Intelligence: Artificial Intelligence in Medicine, AIME95, volume 934, pages 276–281. Springer, 1995.

    Google Scholar 

  13. WR Shankle, S Mani, M Pazzani, and P Smyth. Detecting very early stages of dementia from normal aging with machine learning methods. In Elpida Keravnou, Catherine Garbay, Robert Baud, and Jeremy Wyatt, editors, Lecture Notes in Artificial Intelligence: Artificial Intelligence in Medicine, AIME97, volume 1211, pages 73–85. Springer, 1997.

    Google Scholar 

  14. Subramani Mani, William R. Shankle, Malcolm B. Dick, and Michael J. Pazzani. Two-Stage Machine Learning Model for Guideline Development. Artificial Intelligence in Medicine, 1998. In Press.

    Google Scholar 

  15. I. Zelic, I. Kononenko, N. Lavrac, and V. Vuga. Machine learning applied to diagnosis of sport injuries. In Elpida Keravnou, Catherine Garbay, Robert Baud, and Jeremy Wyatt, editors, Lecture Notes in Artificial Intelligence: Artificial Intelligence in Medicine, AIME97, volume 1211, pages 138–144. Springer, 1997.

    Google Scholar 

  16. RO Duda and PE Hart. Pattern Classification and Scene Analysis. John Wiley, New York, 1973.

    MATH  Google Scholar 

  17. JR Quinlan. C4.5: Programs for Machine Learning. Morgan Kaufmann, Los Altos, California, 1993.

    Google Scholar 

  18. Michael Pazzani and Dennis Kibler. The Utility of Knowledge in Inductive Learning. Machine Learning, 9:57–94, 1992.

    Google Scholar 

  19. L Breiman, J.H. Friedman, R.A. Olshen, and C.J. Stone. Classification and Regression Trees. Wadsworth, Belmont, 1984.

    MATH  Google Scholar 

  20. Wray Buntine and Rich Caruana. Introduction to IND Version 2.1 and Recursive Partitioning. NASA, 1992.

    Google Scholar 

  21. R Kohavi, George John, Richard Long, David Manley, and Karl Pfleger. MLC++: A machine learning library in C++. In Tools with Artificial Intelligence, pages 740–743. IEEE Computer Society Press, 1994.

    Google Scholar 

  22. Steven L. Salzberg. On Comparing Classifiers: Pitfalls to Avoid and a Recommended Approach. Data Mining and Knowledge Discovery, 1:317–328, 1997.

    Article  Google Scholar 

  23. Michael J. Pazzani, Subramani Mani, and W.R. Shankle. Beyond concise and colorful: Learning intelligible rules. In The third international conference on Knowledge Discovery and Datamining, pages 235–238. AAAI Press, Menlo Park, California., 1997.

    Google Scholar 

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© 1999 Springer-Verlag Berlin Heidelberg

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Mani, S., Dick, M.B., Pazzani, M.J., Teng, E.L., Kempler, D., Taussig, I.M. (1999). Refinement of Neuro-psychological Tests for Dementia Screening in a Cross Cultural Population Using Machine Learning. In: Horn, W., Shahar, Y., Lindberg, G., Andreassen, S., Wyatt, J. (eds) Artificial Intelligence in Medicine. AIMDM 1999. Lecture Notes in Computer Science(), vol 1620. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-48720-4_35

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  • DOI: https://doi.org/10.1007/3-540-48720-4_35

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66162-7

  • Online ISBN: 978-3-540-48720-3

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