Translational Neuroimaging Laboratory, The McGill University Research Centre for Studies in Aging, McGill University, Montreal, QC, Canada; Douglas Mental Health University Institute, McGill University, Montreal, QC, Canada; Department of Psychiatry, McGill University, Montreal, QC, Canada; Montreal Neurological Institute and Hospital, Montreal, QC, Canada.
Department of Psychiatry, Gangnam Severance Hospital, Yonsei University Health System, Seoul, South Korea; Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Artif Intell Med. 2019 Jul;98:10-17. doi: 10.1016/j.artmed.2019.06.003. Epub 2019 Jun 22.
This study reports a framework to discriminate patients with schizophrenia and normal healthy control subjects, based on magnetic resonance imaging (MRI) of the brain. Resting-state functional MRI data from a total of 144 subjects (72 patients with schizophrenia and 72 healthy controls) was obtained from a publicly available dataset using a three-dimensional convolution neural network 3D-CNN based deep learning classification framework and ICA based features.
We achieved 98.09 ± 1.01% ten-fold cross-validated classification accuracy with a p-value < 0.001 and an area under the curve (AUC) of 0.9982 ± 0.015. In addition, differences in functional connectivity between the two groups were statistically analyzed across multiple resting-state networks. The disconnection between the visual and frontal network was prominent in patients, while they showed higher connectivity between the default mode network and other task-positive/ cerebellar networks. These ICA functional network maps served as highly discriminative three-dimensional imaging features for the discrimination of schizophrenia in this study.
Due to the very high AUC, this research with more validation on the cross diagnosis and publicly available dataset, may be translated in future as an adjunct tool to assist clinicians in the initial screening of schizophrenia.
本研究报告了一种基于大脑磁共振成像(MRI)的区分精神分裂症患者和正常健康对照者的框架。使用基于三维卷积神经网络(3D-CNN)的深度学习分类框架和基于 ICA 的特征,从一个公开可用的数据集获得了总共 144 名受试者(72 名精神分裂症患者和 72 名健康对照者)的静息态功能 MRI 数据。
我们实现了 98.09 ± 1.01%的十折交叉验证分类准确率,p 值<0.001,曲线下面积(AUC)为 0.9982 ± 0.015。此外,还对两组之间的多个静息态网络的功能连接差异进行了统计学分析。与对照组相比,患者的视觉和额网络之间存在明显的脱节,而默认模式网络与其他任务正性/小脑网络之间的连接性更高。这些 ICA 功能网络图谱作为区分精神分裂症的高度有区分性的三维成像特征,在本研究中得到了很好的体现。
由于 AUC 非常高,这项具有更多交叉诊断和公开数据集验证的研究,将来可能会作为一种辅助工具,帮助临床医生对精神分裂症进行初步筛查。