Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, November 1, 2023

Machine learning model most accurately predicts levels of cognitive impairment

With your risk of dementia I would expect a competent doctor to be doing this for you. DO YOU HAVE A COMPETENT DOCTOR?

Your chances of getting dementia.

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.

2. Then this study came out and seems to have a range from 17-66%. December 2013.`    

3. A 20% chance in this research.   July 2013.

4. Dementia Risk Doubled in Patients Following Stroke September 2018 

The latest here:

 

Machine learning model most accurately predicts levels of cognitive impairment

Key takeaways:

  • Researchers analyzed speech from 91 community-dwelling adults with symptoms of Alzheimer’s disease.
  • AI-based machine learning model predicted level of cognitive impairment with 75% accuracy.

An artificial intelligence-based machine learning model that diagnosed cognitive impairment in Alzheimer’s disease extracted information more accurately than standard screening or human analysis, according to a poster presentation at CTAD.

“Timely recognition and monitoring of early cognitive decline is crucial for Alzheimer's disease clinical trials to facilitate accurate diagnosis, establish baselines, track disease progression, and measure treatment efficacy,” Catherine Diaz-Asper, PhD, associate professor of psychology at Marymount University, and colleagues wrote. “However, early cognitive decline can be difficult to diagnose and requires a comprehensive clinical examination, which is both time consuming and expensive.”

Robot finger typing on a laptop
An AI-based machine learning model most accurately predicted levels of cognitive impairment as signs of Alzheimer’s disease. Image: Adobe Stock

Diaz-Asper and colleagues aimed to examine effectiveness of a machine learning model, created from remote speech collection of community-dwelling adults, which may provide accurate metrics for clinical trial inclusion.

Their study included 91 native English-speaking individuals who were diagnosed as cognitively healthy (n = 29), with mild Alzheimer’s disease (n = 30) or with amnestic mild cognitive impairment (n = 32). All participants, who were evaluated using the Mini Mental State Exam (MMSE) within 6 months of inclusion, were called at their residence and completed a 20-minute interview that was digitally recorded. The researchers analyzed content based on modified Telephone Interview for Cognitive Status (TICS) criteria, as well as generating as many animal names as possible in one minute, speech patterns, autobiographical recall as well as satisfaction ratings. Additionally, language (including lexeme, syntactic and semantic) and acoustic features from the interviews were extracted to formulate a multimodal machine learning model to classify diagnostic groups.

The researchers reported that multimodal accuracy among groups were as follows: cognitively healthy vs. MCI vs. AD (75%); MCI vs. AD (79%); cognitively healthy vs. MCI (80%); cognitively healthy vs. cognitive decline (87%); cognitively healthy vs. AD (88%).

Data further showed that a machine learning model outperformed other metrics in terms of diagnostic accuracy (75%) compared with MMSE (55%), clinician analysis (49.5%) and modified TICS (45%). Additionally, 40% of clinicians expressed strong interest in adopting the AI-based telephone screening test, while an additional 33% agreed that the tool would be valuable in practice.

“Combining advances in AI with the convenience of the telephone allows for regular, accurate and unbiased screening and monitoring of early cognitive decline,” Diaz-Asper and colleagues wrote.

Sources/Disclosures

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Source:

Diaz-Asper C, et al. Leveraging AI methods to detect cognitive decline and dementia over the telephone:
A promising new screening tool. Presented at: CTAD; Oct. 24-27, 2023; Boston.

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