基于联合脑白质和 T1wMRI 特征的深度学习区分多发性硬化患者与健康对照者。

Deep learning of joint myelin and T1w MRI features in normal-appearing brain tissue to distinguish between multiple sclerosis patients and healthy controls.

机构信息

Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada; Biomedical Engineering Program, University of British Columbia, Vancouver, BC, Canada; MS/MRI Research Group, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada.

Department of Radiology, University of British Columbia, Vancouver, BC, Canada; MS/MRI Research Group, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada.

出版信息

Neuroimage Clin. 2017 Oct 14;17:169-178. doi: 10.1016/j.nicl.2017.10.015. eCollection 2018.

Abstract

Myelin imaging is a form of quantitative magnetic resonance imaging (MRI) that measures myelin content and can potentially allow demyelinating diseases such as multiple sclerosis (MS) to be detected earlier. Although focal lesions are the most visible signs of MS pathology on conventional MRI, it has been shown that even tissues that appear normal may exhibit decreased myelin content as revealed by myelin-specific images (i.e., myelin maps). Current methods for analyzing myelin maps typically use global or regional mean myelin measurements to detect abnormalities, but ignore finer spatial patterns that may be characteristic of MS. In this paper, we present a machine learning method to automatically learn, from multimodal MR images, latent spatial features that can potentially improve the detection of MS pathology at early stage. More specifically, 3D image patches are extracted from myelin maps and the corresponding T1-weighted (T1w) MRIs, and are used to learn a latent joint myelin-T1w feature representation via unsupervised deep learning. Using a data set of images from MS patients and healthy controls, a common set of patches are selected via a voxel-wise -test performed between the two groups. In each MS image, any patches overlapping with focal lesions are excluded, and a feature imputation method is used to fill in the missing values. A feature selection process (LASSO) is then utilized to construct a sparse representation. The resulting normal-appearing features are used to train a random forest classifier. Using the myelin and T1w images of 55 relapse-remitting MS patients and 44 healthy controls in an 11-fold cross-validation experiment, the proposed method achieved an average classification accuracy of 87.9% (SD = 8.4%), which is higher and more consistent across folds than those attained by regional mean myelin (73.7%, SD = 13.7%) and T1w measurements (66.7%, SD = 10.6%), or deep-learned features in either the myelin (83.8%, SD = 11.0%) or T1w (70.1%, SD = 13.6%) images alone, suggesting that the proposed method has strong potential for identifying image features that are more sensitive and specific to MS pathology in normal-appearing brain tissues.

摘要

髓鞘成像(myelin imaging)是一种定量磁共振成像(MRI)形式,可测量髓鞘含量,并有可能更早地检测到脱髓鞘疾病,如多发性硬化症(MS)。虽然病灶是 MS 病理学在常规 MRI 上最明显的标志,但已经表明,即使外观正常的组织,其髓鞘含量也可能会降低,这可以通过髓鞘特异性图像(即髓鞘图)显示出来。目前分析髓鞘图的方法通常使用全局或区域性平均髓鞘测量值来检测异常,但忽略了可能是 MS 特征的更精细的空间模式。在本文中,我们提出了一种机器学习方法,从多模态 MRI 图像中自动学习潜在的空间特征,这些特征有可能提高早期 MS 病理学的检测能力。具体来说,从髓鞘图和相应的 T1 加权(T1w)MRI 中提取 3D 图像补丁,并通过无监督深度学习学习潜在的联合髓鞘-T1w 特征表示。使用来自 MS 患者和健康对照者的图像数据集,通过两组之间的体素-wise t 检验选择常见的补丁集。在每个 MS 图像中,与病灶重叠的任何补丁都被排除在外,并使用特征插补方法填充缺失值。然后利用特征选择过程(LASSO)构建稀疏表示。所得到的正常外观特征用于训练随机森林分类器。在 11 折交叉验证实验中,使用 55 例复发缓解型 MS 患者和 44 例健康对照者的髓鞘和 T1w 图像,该方法的平均分类准确率为 87.9%(SD=8.4%),比区域性平均髓鞘(73.7%,SD=13.7%)和 T1w 测量值(66.7%,SD=10.6%),以及单独在髓鞘(83.8%,SD=11.0%)或 T1w(70.1%,SD=13.6%)图像中进行深度学习的特征都更高且更一致,这表明该方法具有很强的潜力来识别更敏感和特异于正常脑组织中 MS 病理学的图像特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca92/5651626/287887df07e7/fx1.jpg

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