Zhou Kai, Li Jie, Huang Rui, Yu Jiali, Li Rong, Liao Wei, Lu Fengmei, Hu Xiaofei, Chen Huafu, Gao Qing
School of Mathematical Sciences, The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Chengdu, 611731, P.R. China.
Department of Neurology, Sichuan Provincial People's Hospital, Sichuan Academy of Medical Science, University of Electronic Science and Technology of China, Chengdu, China.
Sci Rep. 2025 Jul 1;15(1):21310. doi: 10.1038/s41598-025-04969-3.
Clinical two-dimensional (2D) MRI data has seen limited application in the early diagnosis of Parkinson's disease (PD) and multiple system atrophy (MSA) due to quality limitations, yet its diagnostic and therapeutic potential remains underexplored. This study presents a novel machine learning framework using reconstructed clinical images to accurately distinguish PD from MSA and identify disease-specific neuroimaging biomarkers. The structure constrained super-resolution network (SCSRN) algorithm was employed to reconstruct clinical 2D MRI data for 56 PD and 58 MSA patients. Features were derived from a functional template, and hierarchical SHAP-based feature selection improved model accuracy and interpretability. In the test set, the Extra Trees and logistic regression models based on the functional template demonstrated an improved accuracy rate of 95.65% and an AUC of 99%. The positive and negative impacts of various features predicting PD and MSA were clarified, with larger fourth ventricular and smaller brainstem volumes being most significant. The proposed framework provides new insights into the comprehensive utilization of clinical 2D MRI images to explore underlying neuroimaging biomarkers that can distinguish between PD and MSA, highlighting disease-specific alterations in brain morphology observed in these conditions.
由于质量限制,临床二维(2D)MRI数据在帕金森病(PD)和多系统萎缩(MSA)的早期诊断中应用有限,但其诊断和治疗潜力仍未得到充分探索。本研究提出了一种新颖的机器学习框架,该框架使用重建的临床图像来准确区分PD和MSA,并识别疾病特异性的神经影像学生物标志物。采用结构约束超分辨率网络(SCSRN)算法对56例PD患者和58例MSA患者的临床2D MRI数据进行重建。从功能模板中提取特征,并基于分层SHAP的特征选择提高了模型的准确性和可解释性。在测试集中,基于功能模板的Extra Trees和逻辑回归模型的准确率提高到95.65%,曲线下面积(AUC)为99%。明确了各种预测PD和MSA的特征的正负影响,其中第四脑室较大和脑干体积较小最为显著。所提出的框架为临床2D MRI图像的综合利用提供了新的见解,以探索能够区分PD和MSA的潜在神经影像学生物标志物,突出了在这些疾病中观察到的脑形态学的疾病特异性改变。