Kam Tae-Eui, Zhang Han, Shen Dinggang
Department of Radiology and BRIC, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Med Image Comput Comput Assist Interv. 2018 Sep;11072:293-301. doi: 10.1007/978-3-030-00931-1_34. Epub 2018 Sep 13.
Although alternations of brain functional networks (BFNs) derived from resting-state functional magnetic resonance imaging (rs-fMRI) have been considered as promising biomarkers for early Alzheimer's disease (AD) diagnosis, it is still challenging to perform individualized diagnosis, especially at the very early stage of preclinical stage of AD, i.e., early mild cognitive impairment (eMCI). Recently, convolutional neural networks (CNNs) show powerful ability in computer vision and image analysis applications, but there is still a gap for directly applying CNNs to rs-fMRI-based disease diagnosis. In this paper, we propose a novel multiple-BFN-based 3D CNN framework that can and learn complex, high-level, hierarchical diagnostic features from various independent component analysis-derived BFNs. More importantly, the embedded features of different BFNs could comprehensively support each other towards a more accurate eMCI diagnosis in a unified model. The performance of the proposed method is validated by a large-sample, multisite, rigorously controlled publicly accessible dataset. The proposed framework can also be conveniently and straightforwardly applied to individualized diagnosis of various neurological and psychiatric diseases.
尽管源自静息态功能磁共振成像(rs-fMRI)的脑功能网络(BFNs)改变已被视为早期阿尔茨海默病(AD)诊断的有前景的生物标志物,但进行个体化诊断仍然具有挑战性,尤其是在AD临床前阶段的极早期,即早期轻度认知障碍(eMCI)阶段。最近,卷积神经网络(CNNs)在计算机视觉和图像分析应用中显示出强大的能力,但直接将CNNs应用于基于rs-fMRI的疾病诊断仍存在差距。在本文中,我们提出了一种新颖的基于多个BFN的3D CNN框架,该框架可以从各种独立成分分析衍生的BFN中学习复杂、高级、分层的诊断特征。更重要的是,不同BFN的嵌入特征可以在统一模型中相互全面支持,以实现更准确的eMCI诊断。所提出方法的性能通过一个大样本、多站点、严格控制的公开可用数据集进行了验证。所提出的框架还可以方便、直接地应用于各种神经和精神疾病的个体化诊断。