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Main Authors: de Jonge, Sterre, Vinke, Elisabeth J., Vernooij, Meike W., Alexander, Daniel C., Young, Alexandra L., Bron, Esther E.
Format: Preprint
Published: 2026
Subjects:
Online Access:https://arxiv.org/abs/2602.22018
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author de Jonge, Sterre
Vinke, Elisabeth J.
Vernooij, Meike W.
Alexander, Daniel C.
Young, Alexandra L.
Bron, Esther E.
author_facet de Jonge, Sterre
Vinke, Elisabeth J.
Vernooij, Meike W.
Alexander, Daniel C.
Young, Alexandra L.
Bron, Esther E.
contents Disease progression modeling provides a robust framework to identify long-term disease trajectories from short-term biomarker data. It is a valuable tool to gain a deeper understanding of diseases with a long disease trajectory, such as Alzheimer's disease. A key limitation of most disease progression models is that they are specific to a single data type (e.g., continuous data), thereby limiting their applicability to heterogeneous, real-world datasets. To address this limitation, we propose the Mixed Events model, a novel disease progression model that handles both discrete and continuous data types. This model is implemented within the Subtype and Stage Inference (SuStaIn) framework, resulting in Mixed-SuStaIn, enabling subtype and progression modeling. We demonstrate the effectiveness of Mixed-SuStaIn through simulation experiments and real-world data from the Alzheimer's Disease Neuroimaging Initiative, showing that it performs well on mixed datasets. The code is available at: https://github.com/ucl-pond/pySuStaIn.
format Preprint
id arxiv_https___arxiv_org_abs_2602_22018
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Disease Progression and Subtype Modeling for Combined Discrete and Continuous Input Data
de Jonge, Sterre
Vinke, Elisabeth J.
Vernooij, Meike W.
Alexander, Daniel C.
Young, Alexandra L.
Bron, Esther E.
Machine Learning
Disease progression modeling provides a robust framework to identify long-term disease trajectories from short-term biomarker data. It is a valuable tool to gain a deeper understanding of diseases with a long disease trajectory, such as Alzheimer's disease. A key limitation of most disease progression models is that they are specific to a single data type (e.g., continuous data), thereby limiting their applicability to heterogeneous, real-world datasets. To address this limitation, we propose the Mixed Events model, a novel disease progression model that handles both discrete and continuous data types. This model is implemented within the Subtype and Stage Inference (SuStaIn) framework, resulting in Mixed-SuStaIn, enabling subtype and progression modeling. We demonstrate the effectiveness of Mixed-SuStaIn through simulation experiments and real-world data from the Alzheimer's Disease Neuroimaging Initiative, showing that it performs well on mixed datasets. The code is available at: https://github.com/ucl-pond/pySuStaIn.
title Disease Progression and Subtype Modeling for Combined Discrete and Continuous Input Data
topic Machine Learning
url https://arxiv.org/abs/2602.22018