Lai Chunren, Guo Shengwen, Cheng Lina, Wang Wensheng
Department of Biomedical Engineering, South China University of Technology, Guangzhou, China.
Department of Radiation Oncology, The People's Hospital of Gaozhou, Gaozhou, China.
Front Neurol. 2017 Dec 6;8:633. doi: 10.3389/fneur.2017.00633. eCollection 2017.
It is crucial to differentiate patients with temporal lobe epilepsy (TLE) from the healthy population and determine abnormal brain regions in TLE. The cortical features and changes can reveal the unique anatomical patterns of brain regions from structural magnetic resonance (MR) images. In this study, structural MR images from 41 patients with left TLE, 34 patients with right TLE, and 58 normal controls (NC) were acquired, and four kinds of cortical measures, namely cortical thickness, cortical surface area, gray matter volume (GMV), and mean curvature, were explored for discriminative analysis. Three feature selection methods including the independent sample -test filtering, the sparse-constrained dimensionality reduction model (SCDRM), and the support vector machine-recursive feature elimination (SVM-RFE) were investigated to extract dominant features among the compared groups for classification using the support vector machine (SVM) classifier. The results showed that the SVM-RFE achieved the highest performance (most classifications with more than 84% accuracy), followed by the SCDRM, and the -test. Especially, the surface area and GMV exhibited prominent discriminative ability, and the performance of the SVM was improved significantly when the four cortical measures were combined. Additionally, the dominant regions with higher classification weights were mainly located in the temporal and the frontal lobe, including the entorhinal cortex, rostral middle frontal, parahippocampal cortex, superior frontal, insula, and cuneus. This study concluded that the cortical features provided effective information for the recognition of abnormal anatomical patterns and the proposed methods had the potential to improve the clinical diagnosis of TLE.
将颞叶癫痫(TLE)患者与健康人群区分开来,并确定TLE患者大脑中的异常区域至关重要。皮质特征和变化可以从结构磁共振(MR)图像中揭示大脑区域独特的解剖模式。在本研究中,采集了41例左侧TLE患者、34例右侧TLE患者和58例正常对照(NC)的结构MR图像,并探索了四种皮质测量方法,即皮质厚度、皮质表面积、灰质体积(GMV)和平均曲率,用于判别分析。研究了三种特征选择方法,包括独立样本t检验滤波、稀疏约束降维模型(SCDRM)和支持向量机递归特征消除(SVM-RFE),以提取比较组之间的主导特征,使用支持向量机(SVM)分类器进行分类。结果表明,SVM-RFE的性能最高(大多数分类的准确率超过84%),其次是SCDRM和t检验。特别是,表面积和GMV表现出显著的判别能力,当将四种皮质测量方法结合使用时,SVM的性能显著提高。此外,具有较高分类权重的主导区域主要位于颞叶和额叶,包括内嗅皮质、额中回前部、海马旁皮质、额上回、岛叶和楔叶。本研究得出结论,皮质特征为识别异常解剖模式提供了有效信息,所提出的方法有可能改善TLE的临床诊断。