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Navin Bondade

Publications and source records attributed to Navin Bondade.

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Calibrated Alzheimer's Conversion Risk in Mild Cognitive Impairment: Persistent Homology of Clinical Trajectories with Conformal Guarantees

Background. Predicting conversion from mild cognitive impairment (MCI) to Alzheimer's disease (AD) is central to trial enrichment and care planning, yet existing models provide no individual-level uncertainty estimates and rarely include transparent leakage audits. We introduce the first application of persistent homology to longitudinal clinical trajectory point clouds for this task, and the first split-conformal individual risk guarantee for any AD-conversion model. Methods. We analysed 741 MCI subjects (240 converters, 32.4%) from ADNI with a uniform 4-year follow-up cap. Five leakage sources were corrected; without them a naive pipeline achieved AUC=0.934, inflated by +0.075. Vietoris-Rips persistent homology and sublevel-set proxies were combined with trajectory slopes and engineered features (76 total) in a stacking ensemble evaluated by 5-fold cross-validation. Results. Cox and Random Survival Forest models with TDA features achieved concordance C=0.799 and C=0.826 versus C=0.753 and C=0.812 without (+0.045 and +0.014). The primary nested AUC is 0.840 (same-fold bound 0.866); external AUC was 0.879 on a zero-overlap ADNI-2/GO/3 cohort. H0 persistence entropy was the top SHAP feature and significantly associated with APOE4 dosage (Spearman r=-0.191, p<0.0001, Bonferroni-corrected). Cross-conformal coverage was 90.4%+-2.2% (target 90%); empirical external coverage 96.9%. Maximum fairness gap in false-negative rate across seven subgroups was 0.092. Conclusions. We propose H0 persistence entropy as a topological biomarker of cognitive decline and demonstrate that a leakage-audited, conformally calibrated pipeline reaches competitive accuracy with individual-level uncertainty quantification not previously available for this task.

cs.LG

Backspace as a Natural Experiment: An Accelerated Failure Time Model of Selective Post-Error Motor Impairment in Parkinsons Disease

Parkinson's disease (PD) selectively impairs distinct stages of motor control. Using backspace events as natural error-correction episodes in the public neuroQWERTY MIT-CSXPD dataset (n=57 subjects, 27 PD with UPDRS-III scores), we test whether passively-collected keystroke timing dissociates a variability-based pre-error monitoring signal from a speed-based post-error recovery signal. Pre-error typing instability does not track PD severity (r=-0.072, p=0.721), while post-error pause duration does (r=+0.656, p=0.0002; subject-level OLS p=1.2x10^-4, n=27, primary analysis given within-subject event clustering). A mixed-effects log-normal model with a random subject intercept confirms this while retaining full event-level power (coef=0.0250, p=1.2x10^-4, n=1,563 events), closely matching the subject-level OLS despite an unrelated estimation strategy. Error-detection latency also correlates with UPDRS-III (r=+0.660), confirming the dissociation is between variability and speed, not detection and correction per se. A log-normal accelerated failure time model yields a coefficient of 0.0255 (bootstrap 95% CI [0.0146, 0.0357]), a 2.6% increase per UPDRS-III point. After controlling the immediately thecoefficient attenuates to 0.0133 (p=3.1x10^-21),consistent w timingincrement above general bradykinesia. Results reacross both S2:r=+0.645), survive jackknife exclusion of every subject, andnatingfinger-tapping and mPower smartphone tapping (group AUC=0.836). cellent(ICC(2,1)=0.945, n=20).

q-bio.NC

Inverse Reinforcement Learning for Interpretable Keystroke Biomarkers in Parkinson's Disease

Keystroke dynamics offer a passive window into motor function, but existing work extracts aggregate typing statistics and trains classifiers for PD/control discrimination, foregoing interpretability and rarely reporting reliability. We instead apply maximum-entropy inverse reinforcement learning (IRL) to raw keystroke timing, recovering a per-subject speed-preference weight (w_speed) reflecting the implicit cost assigned to fast movement, without any clinical label during fitting. On the neuroQWERTY MIT-CSXPD dataset (85 subjects, 42 PD), we diagnose and correct a feature collinearity failure in an initial four-parameter decomposition, yielding an identifiable three-parameter model. The recovered w_speed correlates with UPDRS-III motor severity at r=-0.607 (95% CI [-0.770,-0.364], p<0.001, n=42), replicates across two independent sub-cohorts (r=-0.720, r=-0.588), and retains significant partial correlation after controlling for mean and SD of flight time (r=-0.371, p=0.016). It outperforms SHAP and LASSO on the same proxy features (r=+0.362 and r=+0.410) while additionally providing per-subject, interpretable output. A model-free AUC of 0.605 and LOO-CV AUC of 0.750 (95% CI [0.644,0.847]) confirm discriminative value. Test-retest reliability across clinic sessions yields ICC(2,1)=0.903 (95% CI [0.842,0.971]); no prior keystroke-PD study has reported formal reliability. Two other recovered weights (consistency, hand-alternation) did not survive confound checks, strengthening credibility of the surviving signal. Cross-modality external validation on independent mPower smartphone tapping data (n=200) recovers the same signal (r=-0.639, p=2.52e-24, OR=14.19), confirming convergent validity across modality, device, and country.

cs.LG