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Abstract Details

OCT Measures as Predictors of Cognitive Function in MS Using Artificial Intelligence
Multiple Sclerosis
P10 - Poster Session 10 (5:30 PM-6:30 PM)
9-015
To investigate the relationship of optical coherence tomography (OCT) measures with cognitive function by developing a shallow artificial neural network (ANN) in a prospective longitudinal study.
Cognitive dysfunction can present early in Multiple Sclerosis (MS) and affect the quality of life. Recent evidence demonstrated the association between inner retinal layer (IRL) atrophy and cognitive impairment. The symbol digit modalities test (SDMT) is a reliable test for processing speed and a proven predictor of cognitive deterioration. The relationship between OCT measures and cognitive function is suitable to be modeled with an ANN.

Thirty relapsing-remitting MS patients on glatiramer acetate were enrolled in a 1-year study. OCT and SDMT were measured at baseline and Year-1. A single hidden-layer feedforward ANN is constructed with 4 input and one output nodes. The inputs included the patient´s age, thickness of the retinal nerve fiber layer (RNFL), ganglion cell layer and inner plexiform layer. The output included the SDMT. The ANN underwent supervised learning using Bayesian regularization. The data consisted of 53 time-points and 15% of this data was reserved for testing the network to ensure adequate generalization.

SDMT and RNFL thickness were significantly correlated at baseline (r=0.427, p=0.026) and Year-1 (r=0.529, p=0.005). An optimized ANN with 7 parameters was designed. The accuracy of this network on the testing (and training) sets was 72.7% (83.5%). The model´s output was found to be statistically equivalent to the actual SDMT score proving that the estimation is accurate with t-test p=0.173 (p=0.989). The model converged independently of disease and therapy duration.

This work corroborates the role of OCT in the assessment of MS-related cognitive dysfunction. Furthermore, it demonstrates a successful proof-of-concept application of a robust ANN to accurately predict the cognitive function based on OCT measures that are simple and economical to obtain compared to advanced imaging metrics.
Authors/Disclosures
David Chaar, MD
PRESENTER
Dr. Chaar has nothing to disclose.
Mihir Kakara, MD Dr. Kakara has nothing to disclose.
Sara Razmjou-Schwarz, MD (Mclaren Macomb hospital) No disclosure on file
Evanthia Bernitsas, MD, FÂé¶¹´«Ã½Ó³»­ (Wayne State School of Medicine) Dr. Bernitsas has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Amgen. Dr. Bernitsas has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Vanda. The institution of Dr. Bernitsas has received research support from Roche/Genentech.