ADNI MERGE data set

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samara banno

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Feb 10, 2022, 10:03:42 AM2/10/22
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Hi experts,
I ' working on ADNI merge data sets, trying to  identify the  difference in the output between DX_bl and DX. I noticed however that the first row of each participant which is supposed to have the first round assessments in DX_bl is different  than the value of DX. My understanding is the the base line io supposed to examine the participants only once ,while the DX is supposed to have a follow-up examinations after the the first one which is supposed to have the same input of  bl . my question : is there any difference in the type of assessments' tools used for participant with Dx_bl and participant with only DX? if no, why there is a difference in the initial value of the first row  of the same participant's input?

Looking forward to hearing from you soon,
many thanks,
Samara 
Statistical machine Learning and AI models
Women Leading in AI steering committee @WLiAI
www.WLiAI.org

Danielle J Harvey

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Feb 10, 2022, 10:35:56 AM2/10/22
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Hi Samara,

 

In ADNI, we have 2 “initial” visits – the screening visit, which is a subset of information collected to ensure the individual meets all the inclusion/exclusion criteria and then a baseline visit which includes a full neuropsychological battery along with additional information. DX_bl is the diagnosis at the screening visit (note, this diagnosis also dictated the visitation schedule) while DX contains the diagnosis at each visit. For most participants, DX_bl will be the same as DX when VISCODE==”bl”. However, as you’ve noticed, there are some individuals where the diagnosis was modified once the additional information was collected. The Clinical Core has generally recommended using the diagnosis at the baseline visit (rather than the screening visit), since it is based on a more complete picture rather than just the screening instruments.

 

Danielle

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Dave E

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Feb 10, 2022, 11:08:45 AM2/10/22
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It is also worth noting the following:
1) baseline diagnosis (DX_bl) has extra factor levels compared to diagnosis status (DX), with SMC (Significant Memory Concern) and Mild Cognitive Impairment (MCI) 'split' into Early MCI and Late MCI. If you are doing follow-up analysis, DX has only three factor levels (CN, MCI and Dementia). For analysis using baseline covariates, DX_bl has 5 factor levels (CN, SMC, EMCI, LMCI, and AD) or DX with only those three.
2) the screening visit code (sc) appears in some ADNI datasets, but not - as far as I recall - in the ADNIMERGE.csv dataset that was mentioned

Danielle J Harvey

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Feb 10, 2022, 11:13:22 AM2/10/22
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Thanks Dave,

 

Yes, very important information that you have provided. SMC, EMCI and LMCI were added as recruitment groups to expand the normal and MCI groups, though again, clinically, SMC are still CN and EMCI and LMCI are both considered MCI, which is why those categories are not carried forward in the diagnosis at different visits.

 

In ADNIMERGE, the “sc” and “bl” information was all combined on a single row for each participant (VISCODE==”bl”).

 

Danielle

samara banno

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Feb 11, 2022, 6:08:42 AM2/11/22
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Thank you Daniella and Dave,
very useful input, 
However, I'm a bit confuse though and please correct me if I'm wrong,
DX_bl=screening visit+base line visit
and DX =  diagnosis at each visit ( what type of visit is that , screening or base line?)

Also I have noticed that some participants differ in the DX and DX_bl when the visit code =bl? 

you also mentioned that  clinically, SMC are still CN and EMCI and LMCI are both considered MCI, is there any documentations have officially confirmed this, so I can support my argument in my paper .
many thanks for your help and support,
Best
Samara
Dr Samara Banno, PhD

Statistical machine Learning and AI models
Women Leading in AI steering committee @WLiAI
www.WLiAI.org

Danielle J Harvey

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Feb 11, 2022, 10:55:32 AM2/11/22
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Hi Samara,

 

My apologies for not being clear. DX_bl is the diagnosis at the screening visit. DX, when VISCODE==”bl” in ADNIMERGE, will correspond to the diagnosis at the baseline visit. So the participants that have different DX and DX_bl when VISCODE==”bl” are the ones whose screening diagnosis differed from the baseline diagnosis. The Clinical Core does not consider these disease progressions (or reversions), since they consider the diagnosis at the baseline visit to be the more accurate initial diagnosis (as I said before).  Other information that was collected at the screening visit (such as MMSE or CDR or MRI) is combined with information collected at the baseline visit (such as PET or the RAVLT measures) on the row that has VISCODE==”bl”.

 

You can refer to the ADNI2 procedures manuals available for download (ADNI |  Study Documents (usc.edu)) to see the definitions of EMCI and LMCI. I didn’t see anything specific for SMC, but there is information about the different groups on the Study design page of the LONI website (ADNI |  Study Design (usc.edu)).

samara banno

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Feb 11, 2022, 11:20:20 AM2/11/22
to 'Danielle J Harvey' via Alzheimer's Disease Neuroimaging Initiative (ADNI) Data
Thank you Danielle, this is a great explanation, I can understand now where do  these difference come from? However, idlf the clinical core recommend use the DX_bl, why the DX took place? I.e what is the impact or the other usage of DX? 

Many thanks once aginn fro your help 
Best wishes 
Samara 

Sent from my Huawei phone

Danielle J Harvey

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Feb 11, 2022, 11:26:55 AM2/11/22
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Hi Samara,

 

A diagnosis was needed at the screening visit because there were different visit schedules for the different diagnostic groups – the screening diagnosis ended up determining the visitation schedule and for most individuals the screening diagnosis was the same as for the baseline diagnosis. The baseline diagnosis (so DX when VISCODE==”bl” in ADNIMERGE) is deemed the more accurate reflection of the initial diagnosis, since the screening diagnosis was based on very limited information.

 

DX at other VISCODEs reflects the diagnosis at future visits, so can be used to determine whether or not there were any progressions (or reversions) in diagnosis.

 

So, I would say DX_bl is useful primarily to understand why some people have certain visits while others do not (for example, in ADNI-1, only those that were MCI at screening had a m18 visit and individuals that were AD at the screening visit were only supposed to be followed for 2 years).

samara banno

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Feb 11, 2022, 11:31:11 AM2/11/22
to 'Danielle J Harvey' via Alzheimer's Disease Neuroimaging Initiative (ADNI) Data
Thank you Danielle, you are a star. Have a lovely weekend 

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