Das Subhrangshu, Panigrahi Priyanka, Chakrabarti Saikat
Structural Biology and Bioinformatics Division, Council for Scientific and Industrial Research (CSIR) - Indian Institute of Chemical Biology (IICB), Kolkata, West Bengal, India.
Academy of Scientific and Innovative Research, Ghaziabad, Uttar Pradesh, India.
J Alzheimers Dis Rep. 2021 Oct 25;5(1):771-788. doi: 10.3233/ADR-210314. eCollection 2021.
The total number of people with dementia is projected to reach 82 million in 2030 and 152 in 2050. Early and accurate identification of the underlying causes of dementia, such as Alzheimer's disease (AD) is of utmost importance. A large body of research has shown that imaging techniques are most promising technologies to improve subclinical and early diagnosis of dementia. Morphological changes, especially atrophy in various structures like cingulate gyri, caudate nucleus, hippocampus, frontotemporal lobe, etc., have been established as markers for AD. Being the largest white matter structure with a high demand of blood supply from several main arterial systems, anatomical alterations of the corpus callosum (CC) may serve as potential indication neurodegenerative disease.
To detect mild and moderate AD using brain magnetic resonance image (MRI) processing and machine learning techniques.
We have performed automatic detection and segmentation of the CC and calculated its morphological features to feed into a multivariate pattern analysis using support vector machine (SVM) learning techniques.
Our results using large patients' cohort show CC atrophy-based features are capable of distinguishing healthy and mild/moderate AD patients. Our classifiers obtain more than 90%sensitivity and specificity in differentiating demented patients from healthy cohorts and importantly, achieved more than 90%sensitivity and > 80%specificity in detecting mild AD patients.
Results from this analysis are encouraging and advocate development of an image analysis software package to detect dementia from brain MRI using morphological alterations of the CC.
预计到2030年,痴呆症患者总数将达到8200万,到2050年将达到1.52亿。尽早准确识别痴呆症的潜在病因,如阿尔茨海默病(AD)至关重要。大量研究表明,成像技术是改善痴呆症亚临床和早期诊断最具前景的技术。形态学变化,尤其是扣带回、尾状核、海马体、额颞叶等各种结构的萎缩,已被确立为AD的标志物。胼胝体(CC)作为最大的白质结构,对多个主要动脉系统的血液供应需求很高,其解剖学改变可能是神经退行性疾病的潜在指征。
使用脑磁共振成像(MRI)处理和机器学习技术检测轻度和中度AD。
我们对CC进行了自动检测和分割,并计算了其形态学特征,以输入支持向量机(SVM)学习技术进行多变量模式分析。
我们对大量患者队列的研究结果表明,基于CC萎缩的特征能够区分健康患者和轻度/中度AD患者。我们的分类器在区分痴呆患者和健康队列时,灵敏度和特异性均超过90%,重要的是,在检测轻度AD患者时,灵敏度超过90%,特异性大于80%。
该分析结果令人鼓舞,提倡开发一种图像分析软件包,利用CC的形态学改变从脑MRI中检测痴呆症。