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PLoS ONE
Article . 2026 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Article . 2026
License: CC BY
Data sources: PubMed Central
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Comprehensive methodology for sample enrichment in EEG biomarker studies for Alzheimer’s risk classification

Authors: Verónica Henao Isaza; David Aguillon; Carlos Andrés Tobón-Quintero; Francisco Lopera; John Fredy Ochoa-Gómez;

Comprehensive methodology for sample enrichment in EEG biomarker studies for Alzheimer’s risk classification

Abstract

Objective Dementia, particularly Alzheimer’s disease (AD), constitutes a major global health concern, with AD accounting for approximately 70% of all cases. EEG-based biomarkers hold promise for early identification of individuals at risk; however, small and heterogeneous samples frequently limit generalizability. Methods An EEG-based sample enrichment framework was developed by integrating advanced signal processing, component-level feature extraction, data harmonization (neuroHarmonize), and Propensity Score Matching (PSM). EEG data from four independent cohorts were harmonized to reduce site-related variability while preserving covariates such as age and sex. Features including power, entropy, coherence, synchronization likelihood, and cross-frequency coupling were extracted from independent components. PSM was applied at 2:1, 5:1, and 10:1 ratios to expand and balance the control group (HC) relative to the Alzheimer’s risk group (ACr), composed of PSEN1-E280A mutation carriers without cognitive symptoms. Results Sample enrichment through PSM improved classification accuracy, with decision tree models yielding values between 0.91 and 0.96. Higher enrichment ratios enhanced model stability and generalizability, as shown by learning curves and confusion matrices. Feature selection was based on model performance and effect sizes (Cohen’s d). Conclusions The proposed framework addresses sample size and variability constraints in EEG-based AD risk classification. Significance Harmonization and statistical balancing provide a replicable strategy for multicenter EEG studies targeting early AD detection.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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gold