论文标题
基于MRI的诊断和预测阿尔茨海默氏病的跨跨核心概括性概括
Cross-Cohort Generalizability of Deep and Conventional Machine Learning for MRI-based Diagnosis and Prediction of Alzheimer's Disease
论文作者
论文摘要
这项工作验证了基于MRI的阿尔茨海默氏病(AD)患者和对照组(CN)对外部数据集的普遍性,以及预测轻度认知障碍(MCI)中的AD转化为AD的任务。我们基于结构性MRI扫描,使用了常规的支持向量机(SVM)和深度卷积神经网络(CNN)方法,该方法经过了最少的预处理或更广泛的预处理,以调制灰质(GM)地图。使用ADNI(334 AD,520 CN)中的交叉验证对分类器进行了优化和评估。随后将训练有素的分类器用于预测ADNI MCI患者(231个转换器,628个非转换器)和独立的Health-Ri Parelsnoer数据集中的AD转换。通过这项代表三级记忆诊所人群的多中心研究,我们包括199名AD患者,139名主观认知能力下降的参与者,48名MCI患者转化为痴呆症患者以及91名未转化为痴呆症的MCI患者。基于调制GM地图的AD-CN分类导致SVM(0.940)和CNN(0.933)的AUC类似。在MCI中的转化预测应用于SVM(0.756)的性能明显高于CNN(0.742)。在外部验证中,性能略有下降。对于AD-CN,它再次为SVM(0.896)和CNN(0.876)提供了类似的AUC。对于MCI的预测,SVM(0.665)和CNN(0.702)的性能均下降。无论是使用SVM和CNN,基于调制的GM图的分类都显着超过了基于最低处理图像的分类。深层和常规的分类器对AD分类的表现同样出色,并且当应用于外部队列时,其性能仅略有下降。我们希望这项关于外部验证的工作有助于将机器学习转化为临床实践。
This work validates the generalizability of MRI-based classification of Alzheimer's disease (AD) patients and controls (CN) to an external data set and to the task of prediction of conversion to AD in individuals with mild cognitive impairment (MCI). We used a conventional support vector machine (SVM) and a deep convolutional neural network (CNN) approach based on structural MRI scans that underwent either minimal pre-processing or more extensive pre-processing into modulated gray matter (GM) maps. Classifiers were optimized and evaluated using cross-validation in the ADNI (334 AD, 520 CN). Trained classifiers were subsequently applied to predict conversion to AD in ADNI MCI patients (231 converters, 628 non-converters) and in the independent Health-RI Parelsnoer data set. From this multi-center study representing a tertiary memory clinic population, we included 199 AD patients, 139 participants with subjective cognitive decline, 48 MCI patients converting to dementia, and 91 MCI patients who did not convert to dementia. AD-CN classification based on modulated GM maps resulted in a similar AUC for SVM (0.940) and CNN (0.933). Application to conversion prediction in MCI yielded significantly higher performance for SVM (0.756) than for CNN (0.742). In external validation, performance was slightly decreased. For AD-CN, it again gave similar AUCs for SVM (0.896) and CNN (0.876). For prediction in MCI, performances decreased for both SVM (0.665) and CNN (0.702). Both with SVM and CNN, classification based on modulated GM maps significantly outperformed classification based on minimally processed images. Deep and conventional classifiers performed equally well for AD classification and their performance decreased only slightly when applied to the external cohort. We expect that this work on external validation contributes towards translation of machine learning to clinical practice.