An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy

PurposeFunctional near-infrared spectroscopy (fNIRS) has shown feasibility in evaluating cognitive function and brain functional connectivity (FC). Therefore, this fNIRS study aimed to develop a screening method for subjective cognitive decline (SCD) and mild cognitive impairment (MCI) based on rest...

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Main Authors: Zhengping Pu, Hongna Huang, Man Li, Hongyan Li, Xiaoyan Shen, Qingfeng Wu, Qin Ni, Yong Lin, Donghong Cui
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Aging Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2024.1468246/full
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author Zhengping Pu
Zhengping Pu
Hongna Huang
Man Li
Hongyan Li
Xiaoyan Shen
Qingfeng Wu
Qin Ni
Yong Lin
Donghong Cui
author_facet Zhengping Pu
Zhengping Pu
Hongna Huang
Man Li
Hongyan Li
Xiaoyan Shen
Qingfeng Wu
Qin Ni
Yong Lin
Donghong Cui
author_sort Zhengping Pu
collection DOAJ
description PurposeFunctional near-infrared spectroscopy (fNIRS) has shown feasibility in evaluating cognitive function and brain functional connectivity (FC). Therefore, this fNIRS study aimed to develop a screening method for subjective cognitive decline (SCD) and mild cognitive impairment (MCI) based on resting-state prefrontal FC and neuropsychological tests via machine learning.MethodsFunctional connectivity data measured by fNIRS were collected from 55 normal controls (NCs), 80 SCD individuals, and 111 MCI individuals. Differences in FC were analyzed among the groups. FC strength and neuropsychological test scores were extracted as features to build classification and predictive models through machine learning. Model performance was assessed based on accuracy, specificity, sensitivity, and area under the curve (AUC) with 95% confidence interval (CI) values.ResultsStatistical analysis revealed a trend toward compensatory enhanced prefrontal FC in SCD and MCI individuals. The models showed a satisfactory ability to differentiate among the three groups, especially those employing linear discriminant analysis, logistic regression, and support vector machine. Accuracies of 94.9% for MCI vs. NC, 79.4% for MCI vs. SCD, and 77.0% for SCD vs. NC were achieved, and the highest AUC values were 97.5% (95% CI: 95.0%–100.0%) for MCI vs. NC, 83.7% (95% CI: 77.5%–89.8%) for MCI vs. SCD, and 80.6% (95% CI: 72.7%–88.4%) for SCD vs. NC.ConclusionThe developed screening method based on resting-state prefrontal FC measured by fNIRS and machine learning may help predict early-stage cognitive impairment.
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spelling doaj-art-f8d2e5d5cb6141749264340318f8b29e2025-01-08T06:12:04ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652025-01-011610.3389/fnagi.2024.14682461468246An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopyZhengping Pu0Zhengping Pu1Hongna Huang2Man Li3Hongyan Li4Xiaoyan Shen5Qingfeng Wu6Qin Ni7Yong Lin8Donghong Cui9Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaDepartment of Psychogeriatrics, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPurposeFunctional near-infrared spectroscopy (fNIRS) has shown feasibility in evaluating cognitive function and brain functional connectivity (FC). Therefore, this fNIRS study aimed to develop a screening method for subjective cognitive decline (SCD) and mild cognitive impairment (MCI) based on resting-state prefrontal FC and neuropsychological tests via machine learning.MethodsFunctional connectivity data measured by fNIRS were collected from 55 normal controls (NCs), 80 SCD individuals, and 111 MCI individuals. Differences in FC were analyzed among the groups. FC strength and neuropsychological test scores were extracted as features to build classification and predictive models through machine learning. Model performance was assessed based on accuracy, specificity, sensitivity, and area under the curve (AUC) with 95% confidence interval (CI) values.ResultsStatistical analysis revealed a trend toward compensatory enhanced prefrontal FC in SCD and MCI individuals. The models showed a satisfactory ability to differentiate among the three groups, especially those employing linear discriminant analysis, logistic regression, and support vector machine. Accuracies of 94.9% for MCI vs. NC, 79.4% for MCI vs. SCD, and 77.0% for SCD vs. NC were achieved, and the highest AUC values were 97.5% (95% CI: 95.0%–100.0%) for MCI vs. NC, 83.7% (95% CI: 77.5%–89.8%) for MCI vs. SCD, and 80.6% (95% CI: 72.7%–88.4%) for SCD vs. NC.ConclusionThe developed screening method based on resting-state prefrontal FC measured by fNIRS and machine learning may help predict early-stage cognitive impairment.https://www.frontiersin.org/articles/10.3389/fnagi.2024.1468246/fullsubjective cognitive declinemild cognitive impairmentfunctional near-infrared spectroscopymachine learningprefrontal cortexresting-state functional connectivity
spellingShingle Zhengping Pu
Zhengping Pu
Hongna Huang
Man Li
Hongyan Li
Xiaoyan Shen
Qingfeng Wu
Qin Ni
Yong Lin
Donghong Cui
An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy
Frontiers in Aging Neuroscience
subjective cognitive decline
mild cognitive impairment
functional near-infrared spectroscopy
machine learning
prefrontal cortex
resting-state functional connectivity
title An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy
title_full An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy
title_fullStr An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy
title_full_unstemmed An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy
title_short An exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting-state prefrontal functional connectivity assessed by functional near-infrared spectroscopy
title_sort exploration of distinguishing subjective cognitive decline and mild cognitive impairment based on resting state prefrontal functional connectivity assessed by functional near infrared spectroscopy
topic subjective cognitive decline
mild cognitive impairment
functional near-infrared spectroscopy
machine learning
prefrontal cortex
resting-state functional connectivity
url https://www.frontiersin.org/articles/10.3389/fnagi.2024.1468246/full
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