Uysal Gokce, Ozturk Mahmut
Department of Biomedical Engineering, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Avcilar, 34320, Istanbul, Turkey.
Department of Electrical and Electronics Engineering, Istanbul University-Cerrahpasa, Avcilar, 34320, Istanbul, Turkey.
J Neurosci Methods. 2020 May 1;337:108669. doi: 10.1016/j.jneumeth.2020.108669. Epub 2020 Feb 29.
Alzheimer's disease is the most common form of dementia and is a serious health problem. The disease is expected to increase further in the upcoming years with the increase of the elderly population. Developing new treatments and diagnostic methods is getting more important. In this study, we focused on the early diagnosis of dementia in Alzheimer's disease via analysis of neuroimages. We analyzed the data diagnosed by the Alzheimer's Disease Neuroimaging Initiative (ADNI) protocol. The analyzed data were T1-weighted magnetic resonance images of 159 patients with Alzheimer's disease, 217 patients with mild cognitive impairment and 109 cognitively healthy older people. In this study, we propose that the volumetric reduction in the hippocampus is the most important indicator of Alzheimer's disease. There is not much research about the relationship between the volumetric reduction in the hippocampus and Alzheimer's disease. This volume information was calculated through semi-automatic segmentation software ITK-SNAP and a data set was created based on age, gender, diagnosis, and right and left hippocampal volume values. The diagnosis via hippocampal volume information was made by using machine learning techniques. By using this approach, we conclude that brain MRIs can be used to distinguish the patients with Alzheimer's Disease (AD), Mild Cognitive Impairment (MCI) and Cognitive Normal (CN) from each other; while most of the studies were only able to distinguish AD from CN. Our results have revealed that our approach improves the performance of the computer-aided diagnosis of Alzheimer's disease.
阿尔茨海默病是最常见的痴呆形式,是一个严重的健康问题。随着老年人口的增加,预计该疾病在未来几年会进一步增多。开发新的治疗方法和诊断手段变得越发重要。在本研究中,我们通过分析神经影像来专注于阿尔茨海默病中痴呆的早期诊断。我们分析了由阿尔茨海默病神经影像倡议(ADNI)方案诊断的数据。所分析的数据是159例阿尔茨海默病患者、217例轻度认知障碍患者和109名认知健康老年人的T1加权磁共振图像。在本研究中,我们提出海马体体积缩小是阿尔茨海默病最重要的指标。关于海马体体积缩小与阿尔茨海默病之间的关系,研究并不多。该体积信息通过半自动分割软件ITK-SNAP计算得出,并基于年龄、性别、诊断以及左右海马体体积值创建了一个数据集。通过使用机器学习技术,利用海马体体积信息进行诊断。通过这种方法,我们得出结论,脑部磁共振成像可用于区分阿尔茨海默病(AD)患者、轻度认知障碍(MCI)患者和认知正常(CN)者;而大多数研究仅能区分AD和CN。我们的结果表明,我们的方法提高了阿尔茨海默病计算机辅助诊断的性能。