Development of a Calculator for Alzheimer's Disease Risk Lead Investigator: Shanna Cooper Institution : UC San Diego E-Mail : stcooper@ucsd.edu Proposal ID : 1132 Proposal Description: Given the growing aging population and related increase in proportion of older adults diagnosed with Alzheimer?s disease (AD), there is considerable interest in developing preventative approaches. Accurate identification of people at greatest risk is critical to these efforts. The scientific literature has identified many factors conferring risk for AD at group levels however, little is known of the application of these risk factors in determining overall risk of developing AD at an individual level. Individualized risk calculation of AD is possible when a large reference data set is available from which risks can be calculated. Applying machine learning techniques to the large National Alzheimer?s Coordinating Center (NACC) database, we propose a precision medicine approach to calculate risk where individual variability across risk metrics are considered to allow for a multifactorial, data-driven, individualized approach for detection of AD in those at risk for disease progression. Specific aims of the proposed project The NACC dataset offers an ideal breadth and depth of information on which machine learning techniques can easily be applied to determine individualized risk of AD. As such, we aim to 1.) Apply machine learning techniques to build a predictive model that includes the most robust risk factors across numerous available metrics (e.g., cognitive, medical/biological, social/lifestyle), with both individual and combinatorial impact, that increase risk for AD. 2.) Evaluate the performance of our risk prediction model on a separate cross-validation sample. 3.) Translate our risk calculator to an easy-to-use open source online platform and/or mobile application for researchers. Innovation/novelty of the proposed p