Graph Learning and Deep Neural Network Ensemble for Supporting Cognitive Decline Assessment

Gabriel Antonesi, A. Rancea, T. Cioara, I. Anghel
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Abstract

Cognitive decline represents a significant public health concern due to its severe implications on memory and general health. Early detection is crucial to initiate timely interventions and improve patient outcomes. However, traditional diagnosis methods often rely on personal interpretations or biases, may not detect the early stages of cognitive decline, or involve invasive screening procedures; thus, there is a growing interest in developing non-invasive methods benefiting also from the technological advances. Wearable devices and Internet of Things sensors can monitor various aspects of daily life together with health parameters and can provide valuable data regarding people’s behavior. In this paper, we propose a technical solution that can be useful for potentially supporting cognitive decline assessment in early stages, by employing advanced machine learning techniques for detecting higher activity fragmentation based on daily activity monitoring using wearable devices. Our approach also considers data coming from wellbeing assessment questionnaires that can offer other important insights about a monitored person. We use deep neural network models to capture complex, non-linear relationships in the daily activities data and graph learning for the structural wellbeing information in the questionnaire answers. The proposed solution is evaluated in a simulated environment on a large synthetic dataset, the results showing that our approach can offer an alternative as a support for early detection of cognitive decline during patient-assessment processes.
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支持认知衰退评估的图谱学习和深度神经网络组合
认知能力下降严重影响记忆力和全身健康,是一个重大的公共卫生问题。早期发现对于及时采取干预措施和改善患者预后至关重要。然而,传统的诊断方法往往依赖于个人的解释或偏见,可能无法检测到认知能力衰退的早期阶段,或涉及侵入性筛查程序;因此,人们对开发非侵入性方法的兴趣日益浓厚,这也得益于技术的进步。可穿戴设备和物联网传感器可以监测日常生活的各个方面以及健康参数,并能提供有关人们行为的宝贵数据。在本文中,我们提出了一种技术解决方案,通过采用先进的机器学习技术,在使用可穿戴设备进行日常活动监测的基础上检测较高的活动碎片化程度,从而为早期阶段的认知衰退评估提供潜在支持。我们的方法还考虑了来自健康评估问卷的数据,这些数据可以提供有关被监测者的其他重要信息。我们使用深度神经网络模型来捕捉日常活动数据中复杂的非线性关系,并使用图学习来获取问卷答案中的结构性健康信息。我们在一个大型合成数据集的模拟环境中对所提出的解决方案进行了评估,结果表明,我们的方法可以为患者评估过程中认知能力下降的早期检测提供替代支持。
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