Volume 23 Issue 11
Nov.  2025
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QI Hongyang, LIN Xiuqin, ZHOU Jie. Evaluated the value of MRI multi-sequence in brain lesions among AD patients based on hidden structure model and data mining[J]. Chinese Journal of General Practice, 2025, 23(11): 1920-1924. doi: 10.16766/j.cnki.issn.1674-4152.004260
Citation: QI Hongyang, LIN Xiuqin, ZHOU Jie. Evaluated the value of MRI multi-sequence in brain lesions among AD patients based on hidden structure model and data mining[J]. Chinese Journal of General Practice, 2025, 23(11): 1920-1924. doi: 10.16766/j.cnki.issn.1674-4152.004260

Evaluated the value of MRI multi-sequence in brain lesions among AD patients based on hidden structure model and data mining

doi: 10.16766/j.cnki.issn.1674-4152.004260
Funds:

 2023KY1271

  • Received Date: 2025-05-27
    Available Online: 2026-01-07
  •   Objective  Evaluate the diagnostic value of MRI multi-sequence combined examination for the degree of cognitive dysfunction in patients with Alzheimer' s disease (AD) based on hidden structure models and data mining.  Methods  A total of 203 AD patients (AD group) and 102 non-AD patients (control group) diagnosed and treated at Shaoxing 7th People' s Hospital from January 2021 to August 2024 were selected as the subjects in this study. The AD patients were divided into the following three groups according to their degree of cognitive dysfunction: mild, moderate and severe.  Results  The hippocampal volume and SN phase shift values in the AD group were lower than those in the control group, while the ADC value was higher (P < 0.05). The implicit structure model demonstrates a close relationship between AD, ADC, hippocampal volume, and the phase shift value of substantia nigra structure. The results of the Modeler data mining show that patients in the "high-risk brain lesion feature cluster" have a higher MMSE score, however, there is a potential risk of lesion. Patients in the "significant brain lesion feature cluster" exhibit more pronounced lesion features and lower MMSE scores. The severity group exhibited reduced volumes of the left and right hippocampus and the SN phase shift value when compared to the mild and moderate groups, and the ADC value in the severity group was higher than observed in the mild and moderate groups (P < 0.05). The cognitive function of AD patients was found to be negatively correlated with hippocampal volume and SN phase shift value, and positively correlated with ADC (P < 0.05). ROC curve analysis demonstrated that the AUC values of hippocampal volume, ADC, SN phase shift, and multi-sequence combined diagnosis of severe cognitive dysfunction in AD patients were 0.748, 0.673, 0.802 and 0.892.  Conclusion  MRI multi-sequence combined examination has been shown to have a certain value in the evaluation of cognitive dysfunction in AD patients, and the combination of hidden structure models and data mining techniques has been demonstrated to be conducive to providing an important reference basis for the early diagnosis and condition assessment of AD.

     

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  • [1]
    ORNISH D, MADISON C, KIVIPELTO M, et al. Effects of intensive lifestyle changes on the progression of mild cognitive impairment or early dementia due to Alzheimer' s disease: a randomized, controlled clinical trial[J]. Alzheimers Res Ther, 2024, 16(1): 122. DOI: 10.1186/s13195-024-01482-z.
    [2]
    李伟英, 林青, 傅攀. 血浆Aβ1-40及血脂与炎性指标在阿尔茨海默病患者中的表达及意义[J]. 中华全科医学, 2021, 19(12): 2048-2050, 2118. doi: 10.16766/j.cnki.issn.1674-4152.002233

    LI W Y, LIN Q, FU P. Expression and significance of plasma aβ1-40, blood lipid and inflammatory indexes in Alzheimer's disease[J]. Chinese Journal of General Practice, 2021, 19(12): 2048-2050, 2118. doi: 10.16766/j.cnki.issn.1674-4152.002233
    [3]
    YE J R, WU C X, CHEN J, et al. Effectiveness of nurse-delivered stepwise swallowing training on dysphagia in patients with Alzheimer' s disease: a multi-center randomized controlled trial[J]. Int J Nurs Stud, 2024, 150: 104649. DOI: 10.1016/j.ijnurstu.2023.104649.
    [4]
    陈昱, 陈大才, 陈薪宇, 等. MRI应用于阿尔茨海默病、血管性痴呆、混合型痴呆患者中血管损伤与脑萎缩评估的研究[J]. 中国CT和MRI杂志, 2024, 22(2): 18-21.

    CHEN Y, CHEN D C, CHEN X Y, et al. Vascular lesions and brain atrophy in dementia: an optimized mri protocol reveals distinctive radiological profiles[J]Chinese Journal of CT and MRI, 2024, 22(2): 18-21.
    [5]
    侯伟丽, 马兰. 阿尔茨海默病诊断研究进展[J]. 中华实用诊断与治疗杂志, 2020, 34(4): 417-419.

    HOU W L, MA L. Diagnosis of Alzheimer's disease[J]. Journal of Chinese Practical Diagnosis and Therapy, 2020, 34(4): 417-419.
    [6]
    中国老年保健协会阿尔茨海默病分会, 中国中药协会脑病药物研究专业委员会. 阿尔茨海默病中西医结合诊疗中国专家共识[J]. 中华行为医学与脑科学杂志, 2024, 33(2): 97-108.

    Alzheimer' s Disease Committee of Chinese Aging Well Association, Encephalopathy Drug Research Committee of China Association of Traditional Chinese Medicine. Chinese expert consensus on integrated traditional Chinese and Western medicine diagnosis and treatment of Alzheimer' s disease[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2024, 33(2): 97-108.
    [7]
    岑伟. 简易精神状态检查法与修订的长谷川痴呆量表的临床应用[J]. 神经病学与神经康复学杂志, 2006, 3(4): 207-209.

    CEN W. Clinical use of mini mental status examination and revised nagatanikawa dementia scale[J]. Journal of Neurology and Neurorehabilitation, 2006, 3(4): 207-209.
    [8]
    熊雪颖, 梅豪, 叶乃力, 等. 3.0 T MRI测定海马体积、嗅球容积、嗅沟深度与早期阿尔茨海默病的相关性[J]. 磁共振成像, 2020, 11(10): 858-861.

    XIONG X Y, MEI H, YE N L, et al. 3.0 T MRI determination of hippocampus volume, olfactory bulb volume and cognitive impairment in Alzheimer' s disease patients[J]. Chinese Journal of Magnetic Resonance Imaging, 2020, 11(10): 858-861.
    [9]
    韦卓男, 樊响, 余可妍, 等. 结构MRI联合基于VR眼动追踪技术的计算机化认知评估在阿尔茨海默病早期诊断中的应用价值[J]. 磁共振成像, 2024, 15(6): 49-53.

    WEI Z N, FAN X, YU K Y, et al. Application value of structural MRI combined with computerized cognitive assessment based on VR eye-tracking technology in early diagnosis of Alzheimer' s disease[J]. Chinese Journal of Magnetic Resonance Imaging, 2024, 15(6): 49-53.
    [10]
    暴丽洁, 赵子龙, 苏宁, 等. MRI和PET显像在阿尔茨海默病早期诊断中的应用[J]. 国际放射医学核医学杂志, 2023, 47(4): 249-253.

    BAO L J, ZHAO Z L, SU N, et al. Application of MRI and PET imaging in early diagnosis of Alzheimer disease[J]. International Journal of Radiation Medicine and Nuclear Medicine, 2023, 47(4): 249-253.
    [11]
    TOMASZEWSKI FARIAS S, FOX J, DULANEY H, et al. Memory support training and lifestyle modifications to promote healthy aging in persons at risk for Alzheimer' s disease: a digital application supported intervention (Brain Boosters)[J]. BMC Geriatr, 2023, 23(1): 881. DOI: 10.1186/s12877-023-04574-x.
    [12]
    吴永彬, 焦金粉, 李萍. 阿尔茨海默病和轻度认知障碍患者海马区MRI表现及其与认知功能的关系[J]. 宁夏医科大学学报, 2022, 44(9): 898-902.

    WU Y B, JIAO J F, LI P. Comparison of mri findings in hippocampus of patients with Alzheimer's disease and mild cognitive impairment and its relationship with cognitive function[J]. Journal of Ningxia Medical University, 2022, 44(9): 898-902.
    [13]
    刘瑜, 曹志宏, 罗一烽, 等. 轻度阿尔茨海默病患者治疗前后海马亚区体积的磁共振成像研究[J]. 中国康复理论与实践, 2020, 26(5): 592-596.

    LIU Y, CAO Z H, LUO Y F, et al. Hippocampal subfield volumes before and after treatment for mild Alzheimer's disease: study with magnetic resonance imaging[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020, 26(5): 592-596.
    [14]
    潘名志, 徐晓文, 孙洪言, 等. 血清25羟维生素D水平、海马MRI与阿尔茨海默病患者认知功能相关性的研究[J]. 浙江医学, 2022, 44(23): 2559-2561.

    PAN M Z, XU X W, SUN H Y, et al. Study on the correlation between serum 25-hydroxyvitamin D levels, hippocampal mri and cognitive function in patients with Alzheimer'' s disease[J]Zhejiang Medical Journal, 2022, 44(23): 2559-2561.
    [15]
    胡晨玲, 张学平, 杨荣梅, 等. 阿尔茨海默病患者血清补体C5a水平及其与炎症因子的相关性[J]. 中华全科医学, 2020, 18(5): 760-762. doi: 10.16766/j.cnki.issn.1674-4152.001349

    HU C L, ZHANG X P, YANG R M, et al. Serum complement c5a levels and its association with inflammatory factors in patients with Alzheimer's disease[J]. Chinese Journal of General Practice, 2020, 18(5): 760-762. doi: 10.16766/j.cnki.issn.1674-4152.001349
    [16]
    王前香, 吴雪峰, 徐华, 等. 基于磁敏感加权成像探讨老年帕金森病患者脑微出血灶与认知障碍的关系[J]. 中华老年心脑血管病杂志, 2024, 26(10): 1173-1177.

    WANG Q X, WU X F, XU H, et al. Relationship between cerebral microbleeds and cognitive impairment in elderly pd patients based on MRI susceptibility weighted imaging[J]. Chinese Journal of Geriatric Heart, Brain and Vessel Diseases, 2024, 26(10): 1173-1177.
    [17]
    俞凯佳, 邬远洋, 姚麒, 等. 磁敏感加权成像在帕金森病脑深部电刺激术中定位丘脑底核的效果分析[J]. 中华神经外科杂志, 2025, 41(4): 389-394.

    YU K J, WU Y Y, YAO Q, et al. Analysis of the effectiveness of susceptibility weighted imaging in locating the subthalamic nucleus during deep brain stimulation in Parkinson' s disease[J]. Chinese Journal of Neurosurgery, 2020, 41(4): 389-394.
    [18]
    张聪, 郑阳, 王晓明. 阿尔茨海默病患者APT、SWI与MMSE相关应用研究[J]. 磁共振成像, 2020, 11(6): 406-410.

    ZHANG C, ZHENG Y, WANG X M. Correlation between MMSE and amido proton transfer, susceptibility-weighted imaging in Alzheimer' s disease[J]. Chinese Journal of Magnetic Resonance Imaging, 2020, 11(6): 406-410.
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