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November 11, 2025Frontiers in Aging Neuroscience0 citationsOpen Access

Interpretable Machine Learning for Cognitive Impairment Prediction in Parkinson’s Disease

Interpretable machine learning for cognitive impairment prediction in Parkinson’s disease: a multicenter validation study with SHAP analysis

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Authors

ZWZiyuan WangJYJunqiang YanJYJunqiang Yan

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Overview

Machine learning models predict cognitive impairment in Parkinson’s disease, suggesting neuroinflammation impacts outcomes.

Key Points

  • To develop a machine learning framework for predicting cognitive impairment in Parkinson’s disease using routine clinical data.
  • Analyzed 1,279 participants from the Parkinson’s Progression Markers Initiative as the discovery cohort.
  • Defined cognitive impairment via Montreal Cognitive Assessment score and Unified Parkinson’s Disease Rating Scale score.
  • Employed synthetic minority over-sampling for preprocessing clinical features.
  • Trained and optimized four machine learning models using nested 5-fold cross-validation.
  • The Random Forest algorithm achieved an AUC of 0.83 in the discovery cohort, outperforming other models.
  • External validation retained 71.57% accuracy in identifying cognitive impairment.
  • SHAP analysis identified age, NLR, and serum uric acid as critical predictors of cognitive impairment.

Cite This Study

Wang et al. (2025) studied this question.

synapsesocial.com/papers/69252e96c0ce034ddc35624ahttps://doi.org/10.3389/fnagi.2025.1688653
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