Table 2.
Prediction of risk of AD progression: model results (controlled for age, APOE in the longitudinal model and controlled for age, gender, years of education and APOE in the survival model)
| Cross-sectional prediction (Cox Model) | Longitudinal prediction (Joint Model) | ||||||||
|---|---|---|---|---|---|---|---|---|---|
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| Variable* | Participants | Observations | Events† | α | Z value | HR‡ or HR−1 (95% CI) | α | Z value | HR‡ or HR−1 (95% CI) |
| ADAS-Cog 13 | 384 | 1872 | 200 | 0.95 | 9.08 | 2.57 (2.10 – 3.16) | 1.07 | 9.33 | 2.92 (2.33 – 3.66) |
| ADAS-Cog 11 | 384 | 1890 | 200 | 0.81 | 8.18 | 2.25 (1.85 – 2.74) | 0.92 | 8.40 | 2.52 (2.03 – 3.12) |
| RAVLT.immediate | 384 | 1883 | 200 | −0.85 | −8.26 | 2.34 (1.92–2.85) | −1.15 | −8.32 | 3.16 (2.41 – 4.15) |
| FAQ | 384 | 1895 | 200 | 0.59 | 8.06 | 1.80 (1.56 – 2.07) | 0.67 | 7.38 | 1.95 (1.64 – 2.34) |
| MidTemp | 362 | 1290 | 184 | −0.64 | −7.22 | 1.90 (1.59 – 2.26) | −0.68 | −7.31 | 1.96 (1.65 – 2.37) |
| RAVLT.learning | 384 | 1883 | 200 | −0.37 | −4.61 | 1.44 (1.23 – 1.68) | −1.24 | −6.45 | 3.47 (2.38 – 5.06) |
| MMSE | 384 | 1888 | 200 | −0.57 | −4.78 | 1.76 (1.40 – 2.23) | −0.58 | −6.43 | 1.79 (1.50 – 2.13) |
| Hippocampus | 362 | 1296 | 184 | −0.60 | −6.49 | 1.83 (1.52 – 2.20) | −0.60 | −6.30 | 1.82 (1.51 – 2.19) |
| CDR-SB | 384 | 1892 | 200 | 0.75 | 6.08 | 2.11 (1.66 – 2.69) | 0.66 | 6.30 | 1.93 (1.57 – 2.37) |
| FDG-PET | 220 | 905 | 100 | −0.56 | −4.65 | 1.76 (1.38 – 2.22) | −0.74 | −6.08 | 2.11 (1.66 – 2.68) |
| Entorhinal | 362 | 1290 | 184 | −0.49 | −5.62 | 1.64 (1.38 – 1.95) | −0.61 | −6.00 | 1.84 (1.51 – 2.25) |
| Fusiform | 362 | 1290 | 184 | −0.43 | −4.83 | 1.53 (1.29 – 2.26) | −0.50 | −5.33 | 1.64 (1.37 – 1.98) |
| EcogSPTotal | 79 | 282 | 13 | 1.01 | 2.85 | 2.75 (1.37 – 5.51) | 1.34 | 3.24 | 3.83 (1.70 – 8.63) |
| WholeBrain | 383 | 1612 | 199 | −0.33 | −3.46 | 1.40 (1.16 – 1.69) | −0.32 | −3.21 | 1.38 (1.13 – 1.68) |
| EcogSPMem | 80 | 283 | 13 | 0.99 | 3.02 | 2.70 (1.42 – 5.14) | 1.37 | 3.14 | 3.93 (1.67 – 9.22) |
| EcogSPLang | 80 | 285 | 13 | 0.55 | 1.82 | 1.73 (0.96 – 3.11) | 1.11 | 2.96 | 3.03 (1.46 – 6.32) |
| EcogSPDivatt | 79 | 264 | 13 | 0.97 | 2.59 | 2.63 (1.27 – 5.49) | 1.54 | 2.93 | 4.67 (1.67 – 13.09) |
| EcogSPOrgan | 78 | 273 | 13 | 0.72 | 2.29 | 2.06 (1.11 – 3.81) | 0.98 | 2.85 | 2.66 (1.36 – 5.22) |
| EcogSPPlan | 79 | 277 | 13 | 0.49 | 1.45 | 1.64 (0.84 – 3.20) | 1.20 | 2.66 | 3.33 (1.37 – 8.08) |
| RAVLT.forgetting | 384 | 1878 | 200 | 0.12 | 1.62 | 1.13 (0.97 – 1.30) | 0.45 | 2.65 | 1.57 (1.13 – 2.20) |
| EcogSPVisspat | 77 | 274 | 12 | 0.64 | 1.92 | 1.90 (0.99 – 3.66) | 0.93 | 2.49 | 2.53 (1.22 – 5.25) |
| Ventricles | 383 | 1597 | 199 | 0.20 | 2.57 | 1.22 (1.05 – 1.42) | 0.18 | 2.37 | 1.19 (1.03 – 1.38) |
| AV45-PET | 58 | 104 | 10 | 0.74 | 2.00 | 2.09 (1.02 – 4.31) | 0.76 | 2.01 | 2.14 (1.02 – 4.48) |
| EcogPtOrgan | 79 | 285 | 13 | 0.44 | 1.81 | 1.56 (0.96 – 2.52) | 0.65 | 1.95 | 1.91 (1.00 – 3.68) |
| EcogPtMem | 80 | 290 | 13 | 0.48 | 1.81 | 1.61 (0.96 – 2.70) | 0.71 | 1.92 | 2.03 (0.99 – 4.16) |
| EcogPtTotal | 80 | 290 | 13 | 0.34 | 1.35 | 1.41 (0.86 – 2.33) | 0.52 | 1.66 | 1.69 (0.91 – 3.13) |
| EcogPtDivatt | 80 | 289 | 13 | 0.21 | 0.80 | 1.23 (0.74 – 2.04) | 0.47 | 1.36 | 1.61 (0.81 – 3.17) |
| MOCA | 77 | 274 | 13 | −0.22 | −0.64 | 1.25 (0.63 – 2.46) | −0.50 | −1.34 | 1.66 (0.79 – 3.46) |
| PIB-PET | 60 | 113 | 27 | 0.24 | 1.05 | 1.27 (0.81 – 1.99) | 0.32 | 1.31 | 1.37 (0.85 – 2.21) |
| EcogPtLang | 80 | 289 | 13 | 0.26 | 0.94 | 1.30 (0.75 – 2.25) | 0.39 | 1.08 | 1.48 (0.73 – 3.01) |
| EcogPtPlan | 80 | 290 | 13 | 0.07 | 0.29 | 1.08 (0.65 – 1.77) | 0.42 | 0.99 | 1.52 (0.66 – 3.48) |
| EcogPtVisspat | 80 | 286 | 13 | 0.04 | 0.12 | 1.04 (0.56 – 1.93) | 0.30 | 0.93 | 1.34 (0.72 – 2.50) |
| ICV | 384 | 1632 | 200 | 0.01 | 0.10 | 1.01 (0.84 – 1.21) | 0.00 | 0.05 | 1.00 (0.83 – 1.21) |
Abbreviations: ADAS-Cog, Alzheimer’s Disease Assessment Scale - Cognitive Subscale test; RAVLT, Rey Auditory Verbal Learning Test; FAQ, Functional Assessment Questionnaire; MidTemp, Middle temporal gyrus; MMSE, Mini Mental State Examination; CDR-SB, Clinical Dementia Rating Sum of Boxes; FDG-PET, Sum of mean glucose metabolism uptake in regions of angular, temporal, and posterior cingulate; ECogPt, Everyday Cognition questionnaire filled out by the patient. ECogSP, Everyday Cognition questionnaire filled out by the patient’s study partner; MOCA, Montreal Cognitive Assessment; ICV, Intracerebral volume.
Measures are ranked by absolute Z-value for the association parameter (α) of the Joint Model.
Events are the number of conversions to AD.
Hazard ratio (HR) or inverse hazard ratio (HR−1) show the hazard for AD diagnosis associated with a difference of one SD in each measure.