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The identification of healthy individuals harboring amyloid pathology represents one important challenge for secondary prevention clinical trials in Alzheimer's disease (AD). Consequently, noninvasive and cost-efficient techniques to detect preclinical AD constitute an unmet need of critical importance. In this manuscript, we apply machine learning to structural MRI (T1 and DTI) of 96 cognitively normal subjects to identify amyloid-positive ones. Models were trained on public ADNI data and validated on an independent local cohort. Used for subject classification in a simulated clinical trial setting, the proposed method is able to save 60% of unnecessary CSF/PET tests and to reduce 47% of the cost of recruitment. This recruitment strategy capitalizes on available MR scans to reduce the overall amount of invasive PET/CSF tests in prevention trials, demonstrating a potential value as a tool for preclinical AD screening. This protocol could foster the development of secondary prevention strategies for AD. [ABSTRACT FROM AUTHOR]

In this paper we present SurvLIMEpy, an open-source Python package that implements the SurvLIME algorithm. This method allows to compute local feature importance for machine learning algorithms designed for modelling Survival Analysis data. The presented implementation uses a matrix-wise formulation, which allows to speed up the execution time. Additionally, SurvLIMEpy assists the user with visualisation tools to better understand the result of the algorithm. The package supports a wide variety of survival models, from the Cox Proportional Hazards Model to deep learning models such as DeepHit or DeepSurv. Two types of experiments are presented in this paper. First, by means of simulated data, we study the ability of the algorithm to capture the importance of the features. Second, we use three open source survival datasets together with a set of survival algorithms in order to demonstrate how SurvLIMEpy behaves when applied to different models. • Python package implementing SurvLIME algorithm for computing feature importance. • It supports a wide variety of survival models, including deep learning models. • Fast and efficient implementation due to matrix-wise optimisation problems. • An open-source implementation available on GitHub. • Stable release provided to PyPI. [ABSTRACT FROM AUTHOR]