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Fig 1.

EEG signal pre-processing and feature extraction pipeline.

Schematic representation of the standardized EEG pre-processing workflow applied in this study, including detrending, referencing, artifact removal using ICA and wavelet-ICA, normalization, feature extraction, and harmonization. The pipeline generates spectral, connectivity, and entropy-based features across multiple frequency bands and independent components.

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Fig 1 Expand

Table 1.

Demographic and clinical characteristics of the EEG datasets.

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Fig 2.

Propensity score matching across multicenter EEG datasets.

Age- and sex-matched records from healthy non-carrier subjects (HC) and E280A mutation Alzheimer’s disease carriers without clinically detectable cognitive impairment (ACr) were combined across four cohorts and matched using propensity score matching at 2:1, 5:1, and 10:1 ratios.

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Fig 2 Expand

Fig 3.

Feature selection and model evaluation workflow.

Diagram illustrating the iterative feature selection process applied to harmonized EEG data, including correlation-based feature reduction, decision tree-based importance ranking, model training, and performance evaluation using confusion matrices.

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Fig 4.

Relative power in the Alpha 2 band across cohorts.

Boxplots showing the distribution of relative power values for independent components in the Alpha 2 frequency band across four cohorts, separated by healthy non-carrier subjects (HC) and asymptomatic E280A mutation carriers (ACr).

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Fig 5.

Area of common support after propensity score matching.

Distribution of propensity scores for healthy non-carrier subjects (HC) and E280A mutation Alzheimer’s disease carriers without clinically detectable cognitive impairment (ACr), illustrating the region of common support used for matching.

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Fig 6.

Distribution of EEG feature effect sizes.

Kernel density plots illustrating the distributions of Cohen’s d for selected EEG features, including spectral power, functional connectivity, synchronization likelihood, entropy, and cross-frequency coupling measures. Positive or negative values indicate the direction of differences between healthy non-carrier subjects (HC) and asymptomatic E280A mutation carriers (ACr). Statistical significance was assessed using the Mann–Whitney U test.

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Table 2.

Key EEG features differentiating ACr and HC subjects across sample ratios (Cohen’s d and Bonferroni p-values).

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Table 2 Expand

Table 3.

Classification performance metrics across matching ratios.

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Fig 7.

Learning curves for different class distribution ratios.

Training and validation accuracy curves for decision tree models trained using 2:1, 5:1, and 10:1 ratios of healthy non-carrier subjects (HC) to asymptomatic E280A mutation carriers (ACr).

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Fig 8.

Confusion matrices for classification performance.

Confusion matrices obtained from the test datasets for decision tree models trained using 2:1, 5:1, and 10:1 HC-to-ACr ratios. Performance was evaluated on 20% of the total data.

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