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Variable Interactions in Risk
Factors for Dementia
Jim O’ Donoghue, Mark Roantree and Andrew McCarren
Research funded by:
European Union Seventh Framework Programme, grant agreement number 304979
and Science Foundation Ireland, grant agreement number SFI/12/RC/2289.
25% Introduction
50% Approach
90% Experiments
100% Conclusions 2
3
Dementia
4
Dementia
1 Alzheimer Europe, The prevalence of Dementia in Europe, Online: http://www.alzheimer-
europe.org/Policy-in-Practice2/Country-comparisons/The-prevalence-of-dementia-in-
Europe; Last Accessed 30-05-16 .
5
Dementia
2 Alzheimer Society, Dementia 2014 Report: Opportunity for Change; Online:
https://www.alzheimers.org.uk/dementia2014; Last Accessed 30-05-16.
6
Dementia
2 Alzheimer Society, Dementia 2014 Report: Opportunity for Change; Online:
https://www.alzheimers.org.uk/dementia2014; Last Accessed 30-05-16.
7
In-Mindd
8
In-Mindd
9
FP7
Project
In-Mindd
10
In novative
Mi d-life
In tervention for
D ementia
D eterrence
FP7
Project
In-Mindd
11
In-Mindd
12
In-Mindd
13
Lower dementia risk
in middle-age (40-60)
In-Mindd
14
Lower dementia risk
in middle age (40-60)
Modifiable Dementia
Risk+Protective Factors
In-Mindd
15
Evaluate dementia factors
16
Evaluate dementia factors
Improve dementia survival
predictions
17
Evaluate dementia factors
Improve survival predictions
Determine factor
interactions
18
19
:7 factor combinations
tested
20
:7 factor combinations tested
:Neural network surivival
analysis
21
:7 factor combinations tested
:Neural network surivival analysis
:Candidate interactions
found
22
Test dementia factors
:7 combinations tested
Improve survival predictions
:Neural networks
Determine factor interactions
:Hidden layer analysis
23
Process
1. Hyper-Parameter Configuration
24
Process
1. Hyper-Parameter Configuration
2. Parameter optimisation
25
Process
2. Parameter optimisation
1.
2.
3.
4.
5.
26
Process
2. Parameter optimisation
1. initialise architecture
2.
3.
4.
5.
27
Process
2. Parameter optimisation
1. initialise architecture
2. construct hypothesis
3.
4.
5.
28
Process
2. Parameter optimisation
1. initialise architecture
2. construct hypothesis
3. build cost
4.
5.
29
Process
2. Parameter optimisation
1. initialise architecture
2. construct hypothesis
3. build cost
4. construct model
5.
30
Process
2. Parameter optimisation
1. initialise architecture
2. construct hypothesis
3. build cost
4. construct model
5. train
31
32
Input
Visible Layer
h(1)Hidden
Layer
𝑥
Output
Visible Layer 𝑜
33
Input
Visible Layer
h(1)
……𝑥2
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
Output
Visible Layer 𝑜
W(1)
34
Input
Visible Layer
h(1)
……𝑥2
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
Output
Visible Layer 𝑜
W(1)
35
Input
Visible Layer
h(1)
……𝑥2
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
Output
Visible Layer 𝑜
W(1)
36
Input
Visible Layer
h(1)
……𝑥2
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
Output
Visible Layer 𝑜
W(1)
37
a(1)
0
Input
Visible Layer
h(1)
……𝑥2
a(1)
o…a(1)
2a(1)
1
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
Output
Visible Layer 𝑜
W(1)
38
a(1)
0
Input
Visible Layer
W(1)
h(1)
……𝑥2
a(1)
o…a(1)
2a(1)
1
W(2)
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
D1
Output
Visible Layer
CD2S
𝑜
Classifications
S -> Surivival
D1 ->Dementia
D2 -> Death (without dementia)
C -> Censorship (study drop-out)
39
a(1)
0
Input
Visible Layer
W(1)
h(1)
……𝑥2
a(1)
o…a(1)
2a(1)
1
W(2)
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
D1
Output
Visible Layer
CD2S
𝑜
40
a(1)
0
Input
Visible Layer
W(1)
h(1)
……𝑥2
a(1)
o…a(1)
2a(1)
1
W(2)
Hidden
𝑥1 𝑥 𝑛𝑥0
Layer
𝑥
D1
Output
Visible Layer
CD2S
𝑜
41
42
Variables
Maastricht Ageing Study (MAAS)
840x25 subset
-> 15 binary
-> 9 continuous/discrete
-> 1 derived
43
Combinations
14 factors
-> 3 non-modifiable
-> 11 modifiable
44
Combinations
14 factors
-> 3 non-modifiable
- Age
- Gender
- Education before 21
45
Combinations
14 factors
-> 11 modifiable
3 protective
- Cognitive ativity
- Physical activity
- Moderate alcohol use
46
Combinations
14 factors
-> 11 modifiable
8 risk
- Smoking
- Mid-life obesity
- Mid-life hypertension
- Diabetes
47
- Cholesterol
- Cardiovascular
disease
- Kidney disease
- Depression
Combinations
14 risk factors
-> 11 modifiable
-> 3 non-modifiable
7 combinations tested
-> 3 baseline no relative risk weight
-> 4 with relative risk
48
Combinations
without relative risk weights
B1 = BinaryBaseline1
B2 = BinaryBaseline2
CB = ContinuousBaseline
49
Combinations
without relative risk weights
B1 + B2:
11 binary modifiable;
adjusting for age, sex + education
50
Combinations
without relative risk weights
B1 + B2:
11 binary modifiable;
adjusting for age, sex + education
dementia yes/no vs. multi-class
51
Combinations
without relative risk weights
B1 + B2:
binary modifiable; adjusting;
dementia yes/no vs. multi-class
CB:
6 binary; ;
52
Combinations
without relative risk weights
B1 + B2:
binary modifiable; adjusting;
dementia yes/no vs. multi-class
CB:
6 binary; ;
modifiable; adjusting; multi-class
53
Combinations
with relative risk weights
BW1
BW2
BW3
CW
54
Combinations
with relative risk weights
BW1: 11 binary modifiable; adjusting
BW2
BW3
CW
55
Combinations
BW1: 11 binary modifiable; adjusting
BW2: 11 bin. mod. adj.
BW3
CW
56
Combinations
BW1: 11 binary mod. adj.
BW2: 11 bin. mod. adj.
BW3: 11 bin. mod.
CW
57
Combinations
BW1: 11 binary mod. adjusted
BW2: 11 mod. adj.
BW3: 11 mod.
CW: 6 binary; 5 continuous
58
batch size (1, 50)
n hidden nodes (2, 20)
learning rate (0.0001, 0.3)
regularisation (0.0001, 0.1)
max epochs (100, 2000)
max iterations (5000, 100000)
59
batch size (1, 50)
n hidden nodes (2, 20)
learning rate (0.0001, 0.3)
regularisation (0.0001, 0.1)
max epochs (100, 2000)
max iterations (5000, 100000)
60
61
Accuracy
0.56
0.59
0.62
0.65
0.68
0.71
B2-sd CB-sd BW1 BW2-sd BW3 CW-sd62
0.0187
0.0002
0.0221
0.003
0.0001 0.0002
B2-sd CB-sd BW1 BW2-sd BW3 CW-sd
Predictive Significance
63
64
Risk Interactions
-0.39178
-0.004
-0.003
-0.002
-0.001
0
0.001
0.002
0.003
0.004
h1 h2 h3 h4 h5 h6
age_risk educ_risk cog_act
phys_inact obese diabetes
di_alcohol smokes depressed
hyperT cholesterol cvd
kidney
65
Risk Interactions
-0.39178
-0.004
-0.003
-0.002
-0.001
0
0.001
0.002
0.003
0.004
h1 h2 h3 h4 h5 h6
age_risk educ_risk cog_act
phys_inact obese diabetes
di_alcohol smokes depressed
hyperT cholesterol cvd
kidney
66
Node Weights
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
h1 h2 h3 h4 h5 h6
67
Neural network framework
68
Neural network framework
HP optimisation
Hidden layer +
Non linear survival analysis
69
Neural network framework
Confirm and improve predictions
Candidate risk interactions
70
Neural network framework
Confirm and improve predictions
Candidate risk interactions
Continuous Data
+ Relative Risk Weight Importance
71
jim.odonoghue@insight-centre.org
72
jim.odonoghue@insight-centre.org
Research funded by:
European Union Seventh Framework Programme, grant agreement number 304979
and Science Foundation Ireland, grant agreement number SFI/12/RC/2289.
Middle-aged individuals
(40 – 60)
In-Mindd
74
Middle-aged individuals
(40 – 60)
Risk Profiler +
Support Environment
In-Mindd
75
Middle-aged individuals (40 – 60)
Risk Profiler +
Support Environment
Dementia Risk Factors
In-Mindd
76
Sensitivity/Recall
0.35
0.45
0.55
0.65
0.75
0.85
0.95
B2-sd CB-sd BW1 BW2-sd BW3 CW-sd77
Specificity
0.35
0.45
0.55
0.65
0.75
0.85
0.95
B2-sd CB-sd BW1 BW2-sd BW3 CW-sd78
Precision
0.45
0.48
0.51
0.54
0.57
0.6
0.63
0.66
B2-sd CB-sd BW1 BW2-sd BW3 CW-sd79
Area Under the Curve
0.68
0.7
0.72
0.74
0.76
0.78
B2-sd CB-sd BW1 BW2-sd BW3 CW-sd80

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