Li Jun, Liu Juntong, Su Yang, Chang Jie, Ye Mingquan
School of Medical Information, Wannan Medical College, Wuhu, China.
PeerJ Comput Sci. 2025 May 15;11:e2897. doi: 10.7717/peerj-cs.2897. eCollection 2025.
Alzheimer's disease is a neurodegenerative disease that seriously threatens the life and health of the elderly. This study used three-dimensional lightweight neural networks to classify the stages of Alzheimer's disease and explore the relationship between the stages and the variations of brain tissue. The study used CAT12 to preprocess magnetic resonance images of the brain and got three kinds of preprocessed images: standardized images, segmented standardized gray matter images, and segmented standardized white matter images. The three kinds of images were used to train four kinds of three-dimensional lightweight neural networks respectively, and the evaluation metrics of the neural networks are calculated. The accuracies of the neural networks for classifying the stages of Alzheimer's disease (cognitively normal, mild cognitive impairment, Alzheimer's disease) in the study are above 96%, and the precisions and recalls of classifying the three stages are above 94%. The study found that for the classification of cognitively normal, the best classification results can be obtained by training with the segmented standardized gray matter images, and for mild cognitive impairment and Alzheimer's disease, the best classification results can be obtained by training with the standardized images. The study analyzed that in the process of cognitively normal to mild cognitive impairment, variations in the segmented standardized gray matter images are more obvious at the beginning, while variations in the segmented standardized white matter images are not obvious. As the disease progresses, variations in the segmented standardized white matter images tend to become more significant, and variations in the segmented standardized gray matter images and white matter images are both significant in the development of Alzheimer's disease.
阿尔茨海默病是一种严重威胁老年人生命健康的神经退行性疾病。本研究使用三维轻量级神经网络对阿尔茨海默病的阶段进行分类,并探索这些阶段与脑组织变化之间的关系。该研究使用CAT12对脑部磁共振图像进行预处理,得到三种预处理图像:标准化图像、分割后的标准化灰质图像和分割后的标准化白质图像。分别使用这三种图像训练四种三维轻量级神经网络,并计算神经网络的评估指标。该研究中神经网络对阿尔茨海默病阶段(认知正常、轻度认知障碍、阿尔茨海默病)进行分类的准确率高于96%,对三个阶段进行分类的精确率和召回率均高于94%。研究发现,对于认知正常的分类,使用分割后的标准化灰质图像进行训练可获得最佳分类结果,而对于轻度认知障碍和阿尔茨海默病,使用标准化图像进行训练可获得最佳分类结果。研究分析得出,在从认知正常到轻度认知障碍的过程中,分割后的标准化灰质图像的变化在开始时更为明显,而分割后的标准化白质图像的变化不明显。随着疾病进展,分割后的标准化白质图像的变化趋于更加显著,且分割后的标准化灰质图像和白质图像的变化在阿尔茨海默病的发展过程中均较为显著。