Davatzikos Christos, Fan Yong, Wu Xiaoying, Shen Dinggang, Resnick Susan M
Section of Biomedical Image Analysis, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Neurobiol Aging. 2008 Apr;29(4):514-23. doi: 10.1016/j.neurobiolaging.2006.11.010. Epub 2006 Dec 14.
We report evidence that computer-based high-dimensional pattern classification of magnetic resonance imaging (MRI) detects patterns of brain structure characterizing mild cognitive impairment (MCI), often a prodromal phase of Alzheimer's disease (AD). Ninety percent diagnostic accuracy was achieved, using cross-validation, for 30 participants in the Baltimore Longitudinal Study of Aging. Retrospective evaluation of serial scans obtained during prior years revealed gradual increases in structural abnormality for the MCI group, often before clinical symptoms, but slower increase for individuals remaining cognitively normal. Detecting complex patterns of brain abnormality in very early stages of cognitive impairment has pivotal importance for the detection and management of AD.
基于计算机的磁共振成像(MRI)高维模式分类能够检测出表征轻度认知障碍(MCI)的脑结构模式,而MCI通常是阿尔茨海默病(AD)的前驱阶段。在巴尔的摩衰老纵向研究中,对30名参与者进行交叉验证后,诊断准确率达到了90%。对前几年获取的系列扫描进行回顾性评估发现,MCI组的结构异常逐渐增加,通常在出现临床症状之前,但认知保持正常的个体结构异常增加较慢。在认知障碍的极早期阶段检测出复杂的脑异常模式对于AD的检测和管理至关重要。