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基于深度学习的非侵入式功能近红外光谱技术对阿尔茨海默病的多级分类

Deep Learning-Based Multilevel Classification of Alzheimer's Disease Using Non-invasive Functional Near-Infrared Spectroscopy.

作者信息

Ho Thi Kieu Khanh, Kim Minhee, Jeon Younghun, Kim Byeong C, Kim Jae Gwan, Lee Kun Ho, Song Jong-In, Gwak Jeonghwan

机构信息

Department of Software, Korea National University of Transportation, Chungju, South Korea.

Department of Biomedical Science and Engineering, Gwangju Institute of Science and Technology, Gwangju, South Korea.

出版信息

Front Aging Neurosci. 2022 Apr 26;14:810125. doi: 10.3389/fnagi.2022.810125. eCollection 2022.

Abstract

The timely diagnosis of Alzheimer's disease (AD) and its prodromal stages is critically important for the patients, who manifest different neurodegenerative severity and progression risks, to take intervention and early symptomatic treatments before the brain damage is shaped. As one of the promising techniques, functional near-infrared spectroscopy (fNIRS) has been widely employed to support early-stage AD diagnosis. This study aims to validate the capability of fNIRS coupled with Deep Learning (DL) models for AD multi-class classification. First, a comprehensive experimental design, including the resting, cognitive, memory, and verbal tasks was conducted. Second, to precisely evaluate the AD progression, we thoroughly examined the change of hemodynamic responses measured in the prefrontal cortex among four subject groups and among genders. Then, we adopted a set of DL architectures on an extremely imbalanced fNIRS dataset. The results indicated that the statistical difference between subject groups did exist during memory and verbal tasks. This presented the correlation of the level of hemoglobin activation and the degree of AD severity. There was also a gender effect on the hemoglobin changes due to the functional stimulation in our study. Moreover, we demonstrated the potential of distinguished DL models, which boosted the multi-class classification performance. The highest accuracy was achieved by Convolutional Neural Network-Long Short-Term Memory (CNN-LSTM) using the original dataset of three hemoglobin types (0.909 ± 0.012 on average). Compared to conventional machine learning algorithms, DL models produced a better classification performance. These findings demonstrated the capability of DL frameworks on the imbalanced class distribution analysis and validated the great potential of fNIRS-based approaches to be further contributed to the development of AD diagnosis systems.

摘要

阿尔茨海默病(AD)及其前驱阶段的及时诊断对患者至关重要,因为患者表现出不同的神经退行性严重程度和进展风险,需要在脑损伤形成之前进行干预和早期对症治疗。作为一种有前景的技术,功能近红外光谱(fNIRS)已被广泛用于支持AD的早期诊断。本研究旨在验证fNIRS与深度学习(DL)模型用于AD多类分类的能力。首先,进行了一项全面的实验设计,包括静息、认知、记忆和语言任务。其次,为了精确评估AD的进展,我们全面检查了四个受试者组之间以及不同性别之间在前额叶皮层测量的血流动力学反应的变化。然后,我们在一个极度不平衡的fNIRS数据集上采用了一组DL架构。结果表明,在记忆和语言任务期间,受试者组之间确实存在统计学差异。这表明了血红蛋白激活水平与AD严重程度之间的相关性。在我们的研究中,由于功能刺激,血红蛋白变化也存在性别效应。此外,我们展示了不同DL模型的潜力,这些模型提高了多类分类性能。使用三种血红蛋白类型的原始数据集,卷积神经网络-长短期记忆(CNN-LSTM)实现了最高准确率(平均为0.909±0.012)。与传统机器学习算法相比,DL模型产生了更好的分类性能。这些发现证明了DL框架在不平衡类分布分析方面的能力,并验证了基于fNIRS的方法在进一步推动AD诊断系统发展方面的巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0622/9087351/c69f5041d21a/fnagi-14-810125-g001.jpg

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