Jin Zhenhao, Gong Junjie, Deng Minghui, Zheng Piaoyi, Li Guiping
College of Electrical and Information, Northeast Agricultural University, 600 Changjiang Road, Harbin 150038, China.
J Imaging. 2024 Dec 23;10(12):333. doi: 10.3390/jimaging10120333.
Alzheimer's disease (AD), a degenerative condition affecting the central nervous system, has witnessed a notable rise in prevalence along with the increasing aging population. In recent years, the integration of cutting-edge medical imaging technologies with forefront theories in artificial intelligence has dramatically enhanced the efficiency of identifying and diagnosing brain diseases such as AD. This paper presents an innovative two-stage automatic auxiliary diagnosis algorithm for AD, based on an improved 3D DenseNet segmentation model and an improved MobileNetV3 classification model applied to brain MR images. In the segmentation network, the backbone network was simplified, the activation function and loss function were replaced, and the 3D GAM attention mechanism was introduced. In the classification network, firstly, the CA attention mechanism was added to enhance the model's ability to capture positional information of disease features; secondly, dilated convolutions were introduced to extract richer features from the input feature maps; and finally, the fully connected layer of MobileNetV3 was modified and the idea of transfer learning was adopted to improve the model's feature extraction capability. The results of the study showed that the proposed approach achieved classification accuracies of 97.85% for AD/NC, 95.31% for MCI/NC, 93.96% for AD/MCI, and 92.63% for AD/MCI/NC, respectively, which were 3.1, 2.8, 2.6, and 2.8 percentage points higher than before the improvement. Comparative and ablation experiments have validated the proposed classification performance of this method, demonstrating its capability to facilitate an accurate and efficient automated auxiliary diagnosis of AD, offering a deep learning-based solution for it.
阿尔茨海默病(AD)是一种影响中枢神经系统的退行性疾病,随着人口老龄化的加剧,其患病率显著上升。近年来,前沿医学成像技术与人工智能前沿理论的融合极大地提高了识别和诊断诸如AD等脑部疾病的效率。本文提出了一种创新的AD两阶段自动辅助诊断算法,该算法基于改进的3D DenseNet分割模型和应用于脑部磁共振图像的改进MobileNetV3分类模型。在分割网络中,简化了骨干网络,替换了激活函数和损失函数,并引入了3D GAM注意力机制。在分类网络中,首先添加了CA注意力机制以增强模型捕捉疾病特征位置信息的能力;其次引入空洞卷积以从输入特征图中提取更丰富的特征;最后修改了MobileNetV3的全连接层并采用迁移学习的思想以提高模型的特征提取能力。研究结果表明,所提出的方法在AD/NC分类准确率上达到了97.85%,在MCI/NC上为95.31%,在AD/MCI上为93.96%,在AD/MCI/NC上为92.63%,分别比改进前提高了3.1、2.8、2.6和2.8个百分点。对比实验和消融实验验证了该方法所提出的分类性能,证明了其能够促进AD的准确高效自动辅助诊断,为其提供了一种基于深度学习的解决方案。