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基于深度学习的阿尔茨海默病早期诊断:系统综述。

Early diagnosis of Alzheimer's disease based on deep learning: A systematic review.

机构信息

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Comput Biol Med. 2022 Jul;146:105634. doi: 10.1016/j.compbiomed.2022.105634. Epub 2022 May 17.

Abstract

BACKGROUND

The improvement of health indicators and life expectancy, especially in developed countries, has led to population growth and increased age-related diseases, including Alzheimer's disease (AD). Thus, the early detection of AD is valuable to stop its progress at an early stage.

METHOD

This study systematically reviewed the current state of using deep learning methods on neuroimaging data for timely diagnose of AD. We reviewed different deep models, modalities, feature extraction strategies, and parameter initialization methods to find out which model or strategy could offer better performance.

RESULTS

Our search in eight different databases resulted in 736 studies, from which 74 studies were included to be reviewed for data analysis. Most studies have reported the normal control (NC)/AD classification and have shown desirable results. Although recent studies showed promising results of utilizing deep models on the NC/mild cognitive impairment (MCI) and NC/early MCI (eMCI), other classification groups should be taken into consideration and improved.

DISCUSSION

The results of our review indicate that the comparative analysis is challenging in this area due to the lack of a benchmark platform; however, convolutional neural network (CNN)-based models, especially in an ensemble way, seem to perform better than other deep models. The transfer learning approach also could efficiently improve the performance and time complexity. Further research on designing a benchmark platform to facilitate the comparative analysis is recommended.

摘要

背景

健康指标和预期寿命的提高,特别是在发达国家,导致人口增长和与年龄相关的疾病增加,包括阿尔茨海默病(AD)。因此,早期发现 AD 对于在早期阻止其进展具有重要意义。

方法

本研究系统地回顾了使用深度学习方法对神经影像学数据进行及时诊断 AD 的现状。我们回顾了不同的深度学习模型、模态、特征提取策略和参数初始化方法,以找出哪种模型或策略可以提供更好的性能。

结果

我们在八个不同的数据库中进行搜索,共得到 736 项研究,其中 74 项研究被纳入数据分析。大多数研究报告了正常对照组(NC)/AD 的分类,并取得了令人满意的结果。尽管最近的研究表明利用深度模型对 NC/轻度认知障碍(MCI)和 NC/早期 MCI(eMCI)进行分类的效果很好,但其他分类组也应考虑并加以改进。

讨论

我们的综述结果表明,由于缺乏基准平台,该领域的对比分析具有挑战性;然而,基于卷积神经网络(CNN)的模型,特别是在集成方式下,似乎比其他深度模型表现更好。迁移学习方法也可以有效地提高性能和时间复杂度。建议进一步研究设计基准平台以促进对比分析。

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