Performance Comparison of Five Machine Learning Algorithms for Early Detection of Alzheimer's Disease

Authors

  • Elsya Avivi Universitas Islam Negeri Sultan Syarif Kasim Riau, Indonesia
  • Rena Resdarima Universitas Islam Negeri Sultan Syarif Kasim Riau, Indonesia
  • Syabihul Khairy Universitas Islam Negeri Sultan Syarif Kasim Riau, Indonesia
  • Laksana Pratama Jaya Ningrat Mukalla Hadramaut, Yemen

DOI:

https://doi.org/10.57152/ijatis.v3i1.2498

Keywords:

Alzheimer's Disease, Classification, Early Detection, Machine Learning, XGBoost

Abstract

Alzheimer's disease (AD) is the most common form of dementia and is characterized by progressive cognitive decline. Early detection of AD is crucial for earlier intervention, as there is currently no cure for this disease. This study evaluates the performance of five machine learning algorithms, namely Logistic Regression, Decision Tree, Support Vector Machine (SVM), Random Forest, and XGBoost for AD classification using a dataset of demographic information, lifestyle, medical factors, and cognitive symptoms of patients. The data was processed through pre-processing steps (data cleaning, missing value imputation, and feature selection) and model evaluation using k-fold cross-validation with a 70:30, 80:20, and 90:10 data split. Unlike several previous studies that only conducted partial evaluations, this study directly tested the performance (head-to-head) of five algorithms representing various classification paradigms.The model evaluation also focused on maximizing Recall (Sensitivity) to minimize the critical risk of false negative diagnoses in the early detection process. The results showed that the XGBoost algorithm performed best across all evaluation metrics. With an 80:20 data split, XGBoost achieved the highest performance with Accuracy, Precision, and Recall of 95.1%. These findings demonstrate the effectiveness of the XGBoost algorithm in classifying patients and support the development of faster and more objective medical decision support systems. These results have practical implications that the ML model has the potential to support clinical decision support systems for the early detection of Alzheimer's disease

References

P. M. Prince, G. Ali, and G. Ali, “World Alzheimer Report 2015 The Global Impact of Dementia,” 2015.

Q. Li et al., “Early prediction of Alzheimer ’ s disease and related dementias using real-world electronic health records,” no. December 2022, pp. 3506–3518, 2023, doi: 10.1002/alz.12967.

D. M. Abdullah and A. M. Abdulazeez, “Machine Learning Applications based on SVM Classification : A Review,” pp. 81–90, doi: 10.48161/Issn.2709-8206.

D. Baier, A. Karasenko, and A. Rese, “Measuring technology acceptance over time using transfer models based on online customer reviews,” J. Retail. Consum. Serv., vol. 85, no. March, p. 104278, 2025, doi: 10.1016/j.jretconser.2025.104278.

M. G. Alsubaie, S. Luo, and K. Shaukat, “Alzheimer ’ s Disease Detection Using Deep Learning on Neuroimaging : A Systematic Review,” pp. 464–505, 2024.

C. Impairment, “Early Alzheimer ’ s Disease Detection : A Review of Machine Learning Techniques for Forecasting Transition from Mild Cognitive Impairment,” 2024.

L. R. Sitompul, A. A. Nababan, M. L. Manihuruk, and W. A. Ponsen, “Comparison of XGBoost , Random Forest , and Logistic Regression Algorithms in Stroke Disease Classification,” vol. 9, no. 2,

pp. 957–968, 2025.

B. Anggo, S. Aji, Y. Setiawan, S. D. Anggraini, D. K. Surabaya, and U. Telkom, “Analisis Perbandingan Algoritma Decision Tree , Random Forest , dan XGBoost untuk Klasifikasi Penyakit Infeksi Gigi dan Mulut,” pp. 135–148, 2020.

L. B. V. De Amorim, G. D. C. Cavalcanti, and R. M. O. Cruz, “The choice of scaling technique matters for classification performance,” pp. 1–37, 2022.

Y. Li, “Enhanced Logistic Regression Using Stacking Algorithm for Imbalanced and High- Dimensional Data,” vol. 136, pp. 1–11, 2025.

?. ?. ????????????????, “?. ?. ????????, ????-????????????? ?. ?. ??????? 1©,” vol. 69, no. 2, pp. 101–108, 2025.

F. Yi et al., “XGBoost-SHAP-based interpretable diagnostic framework for alzheimer ’ s disease,” vol. 9, pp. 1–14, 2023.

C. Coefficients, M. M. Normalization, M. Shantal, and Z. Othman, “SS symmetry A Novel Approach for Data Feature Weighting Using,” 2023.

M. Profiles, “Meta-XGBoost for Hyperspectral Image Classification Using Extended MSER-Guided Morphological Profiles”.

X. Fu, Y. Chen, J. Yan, Y. Chen, and F. Xu, “BGRF : A broad granular random forest algorithm,” vol. 44, pp. 8103–8117, 2023, doi: 10.3233/JIFS-223960.

J. Ding, J. Du, H. Wang, and S. Xiao, “OPEN A novel two-stage feature selection method based on random forest and improved genetic algorithm for enhancing classification in machine learning,” 2025.

P. D. A and S. Homayouni, “Bagging and Boosting Ensemble Classifiers for Classification of Comparative Evaluation,” 2021.

Z. Shao and M. N. Ahmad, “Comparison of Random Forest and XGBoost Classifiers Using Integrated Optical and SAR Features for Mapping Urban Impervious Surface,” 2024.

S. N. Khan, S. U. Khan, H. Aznaoui, and C. B. ?ahin, “Generalization of linear and non-linear support vector machine in multiple fields : a review,” vol. 4, no. 3, pp. 226–239, 2023, doi: 10.11591/csit.v4i3.pp226-239.

D. K. Khanduja and S. Kaur, “The Categorization of Documents Using Support Vector Machines,” vol. 11, no. 6, pp. 1–12, 2023.

A. Setiawan, F. Setivani, and T. Mahatma, “Performance Comparison Of Decision Tree And Logistic Regression Methods For Classification Of Snp Genetic,” vol. 18, no. 1, pp. 403–412, 2024.

C. Series, “Logistic Regression Models in Predicting Heart Disease Logistic Regression Models in Predicting Heart Disease,” 2021, doi: 10.1088/1742-6596/1769/1/012024.

M. Anshori and M. S. Haris, “Predicting Heart Disease using Logistic Regression,” vol. 5, no. 2, pp. 188–196, 2022.

U. Zaky, A. Naswin, and A. W. Murdiyanto, “Performance Analysis of the Decision Tree Classification Algorithm on the Water Quality and Potability Dataset,” vol. 4, no. 3, pp. 145–150, 2023.

R. Suhendra, “Comparative Analysis of the Performance of the Decision Tree and K-Nearest Neighbors Methods in Classifying Coffee Leaf Diseases,” vol. 4, no. 1, pp. 165–171, 2023.

A. Syahputra and S. Antoni, “Performance Analysis of Classification Algorithms in Decision Support Systems for Early Detection of Chronic Diseases,” vol. 2, no. 1, pp. 42–46, 2025.

P. A. Barot and H. B. Jethva, “Enhance Decision Tree Algorithm For Unbalanced Data : Raredtree,” vol. 9, no. 5, pp. 109–115, 2018.

Downloads

Published

2026-03-24