Artificial intelligence approaches to predicting and detecting cognitive decline in older adults: A conceptual review

Psychiatry Res. 2020 Feb:284:112732. doi: 10.1016/j.psychres.2019.112732. Epub 2019 Dec 9.

Abstract

Preserving cognition and mental capacity is critical to aging with autonomy. Early detection of pathological cognitive decline facilitates the greatest impact of restorative or preventative treatments. Artificial Intelligence (AI) in healthcare is the use of computational algorithms that mimic human cognitive functions to analyze complex medical data. AI technologies like machine learning (ML) support the integration of biological, psychological, and social factors when approaching diagnosis, prognosis, and treatment of disease. This paper serves to acquaint clinicians and other stakeholders with the use, benefits, and limitations of AI for predicting, diagnosing, and classifying mild and major neurocognitive impairments, by providing a conceptual overview of this topic with emphasis on the features explored and AI techniques employed. We present studies that fell into six categories of features used for these purposes: (1) sociodemographics; (2) clinical and psychometric assessments; (3) neuroimaging and neurophysiology; (4) electronic health records and claims; (5) novel assessments (e.g., sensors for digital data); and (6) genomics/other omics. For each category we provide examples of AI approaches, including supervised and unsupervised ML, deep learning, and natural language processing. AI technology, still nascent in healthcare, has great potential to transform the way we diagnose and treat patients with neurocognitive disorders.

Keywords: Dementia; Machine learning; Mild cognitive impairment; Natural language processing; Sensors.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Algorithms*
  • Artificial Intelligence / trends*
  • Cognitive Dysfunction / diagnosis*
  • Cognitive Dysfunction / psychology
  • Data Interpretation, Statistical
  • Electronic Health Records / statistics & numerical data
  • Electronic Health Records / trends*
  • Genomics / methods
  • Genomics / trends
  • Humans
  • Machine Learning / trends
  • Natural Language Processing