TY - JOUR A1 - Lampe, Leonie A1 - Niehaus, Sebastian A1 - Huppertz, Hans-Jürgen A1 - Merola, Alberto A1 - Reinelt, Janis Dominik A1 - Mueller, Karsten A1 - Straub, Sarah A1 - Fassbender, Klaus A1 - Fliessbach, Klaus A1 - Jahn, Holger A1 - Kornhuber, Johannes A1 - Lauer, Martin Konrad A1 - Prudlo, Johannes A1 - Schneider, Anja A1 - Synofzik, Matthis A1 - Danek, Adrian A1 - Diehl-Schmid, Janine A1 - Otto, Markus A1 - Villringer, Arno A1 - Egger, Karl A1 - Hattingen, Elke A1 - Hilker-Roggendorf, Rüdiger A1 - Schnitzler, Alfons A1 - Südmeyer, Martin A1 - Oertel, Wolfgang H. A1 - Kassubek, Jan Rainer A1 - Höglinger, Günter A1 - Schroeter, Matthias T1 - Comparative analysis of machine learning algorithms for multi-syndrome classification of neurodegenerative syndromes T2 - Alzheimer's research & therapy N2 - Importance: The entry of artificial intelligence into medicine is pending. Several methods have been used for the predictions of structured neuroimaging data, yet nobody compared them in this context. Objective: Multi-class prediction is key for building computational aid systems for differential diagnosis. We compared support vector machine, random forest, gradient boosting, and deep feed-forward neural networks for the classification of different neurodegenerative syndromes based on structural magnetic resonance imaging. Design, setting, and participants: Atlas-based volumetry was performed on multi-centric T1-weighted MRI data from 940 subjects, i.e., 124 healthy controls and 816 patients with ten different neurodegenerative diseases, leading to a multi-diagnostic multi-class classification task with eleven different classes. Interventions: N.A. Main outcomes and measures: Cohen’s kappa, accuracy, and F1-score to assess model performance. Results: Overall, the neural network produced both the best performance measures and the most robust results. The smaller classes however were better classified by either the ensemble learning methods or the support vector machine, while performance measures for small classes were comparatively low, as expected. Diseases with regionally specific and pronounced atrophy patterns were generally better classified than diseases with widespread and rather weak atrophy. Conclusions and relevance: Our study furthermore underlines the necessity of larger data sets but also calls for a careful consideration of different machine learning methods that can handle the type of data and the classification task best. KW - Comparative analysis KW - Deep neural network KW - Gradient boosting KW - Multi-syndrome classification KW - Neurodegenerative syndromes KW - Random forest KW - Support vector machine Y1 - 2022 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/83634 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-836347 SN - 1758-9193 N1 - This work was supported by the German Federal Ministry of Education and Research (BMBF) by a grant given to the German FTLD Consortium (FKZ O1GI1007A), by the German Research Foundation DFG (SCHR 774/5-1), by the Parkinson’s Disease Foundation (PDF-IRG-1307), and by the Michael J. Fox Foundation (MJFF-11362). N1 - Project repository: https://github.com/Leoniela/Comparison-ML-Algorithms-Neurodegen VL - 14.2022 IS - art. 62 SP - 1 EP - 13 PB - BioMed Central CY - London ER -