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Background: Alzheimer’s disease (AD) is a neurodegenerative condition driven by multifactorial etiology. Mild cognitive impairment (MCI) is a transitional condition between healthy aging and dementia. No reliable biomarkers are available to predict the conversion from MCI to AD. Objective: To evaluate the use of machine learning (ML) on a wealth of data offered by the Alzheimer’s Disease Neuroimaging Initiative (ADNI) and Alzheimer’s Disease Metabolomics Consortium (ADMC) database in the prediction of the MCI to AD conversion. Methods: We implemented an ML-based Random Forest (RF) algorithm to predict conversion from MCI to AD. Data related to the study population (587 MCI subjects) were analyzed by RF as separate or combined features and assessed for classification power. Four classes of variables were considered: neuropsychological test scores, AD-related cerebrospinal fluid (CSF) biomarkers, peripheral biomarkers, and structural magnetic resonance imaging (MRI) variables. Results: The ML-based algorithm exhibited 86% accuracy in predicting the AD conversion of MCI subjects. When assessing the features that helped the most, neuropsychological test scores, MRI data, and CSF biomarkers were the most relevant in the MCI to AD prediction. Peripheral parameters were effective when employed in association with neuropsychological test scores. Age and sex differences modulated the prediction accuracy. AD conversion was more effectively predicted in females and younger subjects. Conclusion: Our findings support the notion that AD-related neurodegenerative processes result from the concerted activity of multiple pathological mechanisms and factors that act inside and outside the brain and are dynamically affected by age and sex.

Facial Neuromuscular Electrical Stimulation (fNMES) allows for a controlled influence of contractions of facial muscles, and may be used to advance our understanding of the impact of facial muscle activations on the experience and perception of affect (facial feedback effects), especially when combined with brain-recording methods such as Electroencephalography (EEG). However, electrical stimulation introduces significant electromagnetic interference into the EEG signal that can mask underlying brain dynamics.Whether established signal processing methods can allow for a reduction of said interference whilst retaining effects of interest, remains unexplored. We addressed these questions focusing on the classic N170 visual evoked potential, a face-sensitive brain component: 20 participants viewed images of houses, and of sad, happy, and neutral faces, whilst performing an irrelevant target detection task. On half of the trials, fNMES was delivered for 500 milliseconds to bilateral lower-face muscles during the presentation of visual stimuli. As expected, a larger N170 amplitude was found for faces relative to houses. Interestingly, this was the case both without and during fNMES, regardless of whether the fNMES artefact was removed or not. Moreover, sad facial expressions elicited a larger N170 amplitude relative to neutral facial expressions, both with and without fNMES. We show that the combining of fNMES and EEG can be achieved and may serve as a powerful means of exploring the impact of controlled proprioceptive inputs on various types of cognitive processing.

Online coadaptive training has been successfully employed to enable people to control motor imagery (MI)-based brain-computer interfaces (BCIs), allowing to completely skip the lengthy and demotivating open-loop calibration stage traditionally applied before closed-loop control. However, practical reasons may often dictate to eventually switch off decoder adaptation and proceed with BCI control under a fixed BCI model, a situation that remains rather unexplored. This work studies the existence and magnitude of potential post-adaptation effects on system performance, subject learning and brain signal modulation stability in a state-of-the-art, coadaptive training regime inspired by a game-like design. The results extracted in a cohort of 20 able-bodied individuals reveal that ceasing classifier adaptation after three runs (approx. 30 min) of a single-session training protocol had no significant impact on any of the examined BCI control and learning aspects in the remaining two runs (about 20 min) with a fixed classifier. Fifteen individuals achieved accuracies that are better than chance level and allowed them to successfully execute the given task. These findings alleviate a major concern regarding the applicability of coadaptive MI BCI training, thus helping to further establish this training approach and allow full exploitation of its benefits.