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      On Improved 3D-CNN-Based Binary and Multiclass Classification of Alzheimer's Disease Using Neuroimaging Modalities and Data Augmentation Methods

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          Abstract

          Alzheimer's disease (AD) is an irreversible illness of the brain impacting the functional and daily activities of elderly population worldwide. Neuroimaging sensory systems such as Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET) measure the pathological changes in the brain associated with this disorder especially in its early stages. Deep learning (DL) architectures such as Convolutional Neural Networks (CNNs) are successfully used in recognition, classification, segmentation, detection, and other domains for data interpretation. Data augmentation schemes work alongside DL techniques and may impact the final task performance positively or negatively. In this work, we have studied and compared the impact of three data augmentation techniques on the final performances of CNN architectures in the 3D domain for the early diagnosis of AD. We have studied both binary and multiclass classification problems using MRI and PET neuroimaging modalities. We have found the performance of random zoomed in/out augmentation to be the best among all the augmentation methods. It is also observed that combining different augmentation methods may result in deteriorating performances on the classification tasks. Furthermore, we have seen that architecture engineering has less impact on the final classification performance in comparison to the data manipulation schemes. We have also observed that deeper architectures may not provide performance advantages in comparison to their shallower counterparts. We have further observed that these augmentation schemes do not alleviate the class imbalance issue.

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          Automatic classification of patients with Alzheimer's disease from structural MRI: a comparison of ten methods using the ADNI database.

          Recently, several high dimensional classification methods have been proposed to automatically discriminate between patients with Alzheimer's disease (AD) or mild cognitive impairment (MCI) and elderly controls (CN) based on T1-weighted MRI. However, these methods were assessed on different populations, making it difficult to compare their performance. In this paper, we evaluated the performance of ten approaches (five voxel-based methods, three methods based on cortical thickness and two methods based on the hippocampus) using 509 subjects from the ADNI database. Three classification experiments were performed: CN vs AD, CN vs MCIc (MCI who had converted to AD within 18 months, MCI converters - MCIc) and MCIc vs MCInc (MCI who had not converted to AD within 18 months, MCI non-converters - MCInc). Data from 81 CN, 67 MCInc, 39 MCIc and 69 AD were used for training and hyperparameters optimization. The remaining independent samples of 81 CN, 67 MCInc, 37 MCIc and 68 AD were used to obtain an unbiased estimate of the performance of the methods. For AD vs CN, whole-brain methods (voxel-based or cortical thickness-based) achieved high accuracies (up to 81% sensitivity and 95% specificity). For the detection of prodromal AD (CN vs MCIc), the sensitivity was substantially lower. For the prediction of conversion, no classifier obtained significantly better results than chance. We also compared the results obtained using the DARTEL registration to that using SPM5 unified segmentation. DARTEL significantly improved six out of 20 classification experiments and led to lower results in only two cases. Overall, the use of feature selection did not improve the performance but substantially increased the computation times. Copyright © 2010 Elsevier Inc. All rights reserved.
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            Hierarchical feature representation and multimodal fusion with deep learning for AD/MCI diagnosis.

            For the last decade, it has been shown that neuroimaging can be a potential tool for the diagnosis of Alzheimer's Disease (AD) and its prodromal stage, Mild Cognitive Impairment (MCI), and also fusion of different modalities can further provide the complementary information to enhance diagnostic accuracy. Here, we focus on the problems of both feature representation and fusion of multimodal information from Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET). To our best knowledge, the previous methods in the literature mostly used hand-crafted features such as cortical thickness, gray matter densities from MRI, or voxel intensities from PET, and then combined these multimodal features by simply concatenating into a long vector or transforming into a higher-dimensional kernel space. In this paper, we propose a novel method for a high-level latent and shared feature representation from neuroimaging modalities via deep learning. Specifically, we use Deep Boltzmann Machine (DBM)(2), a deep network with a restricted Boltzmann machine as a building block, to find a latent hierarchical feature representation from a 3D patch, and then devise a systematic method for a joint feature representation from the paired patches of MRI and PET with a multimodal DBM. To validate the effectiveness of the proposed method, we performed experiments on ADNI dataset and compared with the state-of-the-art methods. In three binary classification problems of AD vs. healthy Normal Control (NC), MCI vs. NC, and MCI converter vs. MCI non-converter, we obtained the maximal accuracies of 95.35%, 85.67%, and 74.58%, respectively, outperforming the competing methods. By visual inspection of the trained model, we observed that the proposed method could hierarchically discover the complex latent patterns inherent in both MRI and PET.
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              A Deep Learning Model to Predict a Diagnosis of Alzheimer Disease by Using 18F-FDG PET of the Brain

              Purpose To develop and validate a deep learning algorithm that predicts the final diagnosis of Alzheimer disease (AD), mild cognitive impairment, or neither at fluorine 18 (18F) fluorodeoxyglucose (FDG) PET of the brain and compare its performance to that of radiologic readers. Materials and Methods Prospective 18F-FDG PET brain images from the Alzheimer's Disease Neuroimaging Initiative (ADNI) (2109 imaging studies from 2005 to 2017, 1002 patients) and retrospective independent test set (40 imaging studies from 2006 to 2016, 40 patients) were collected. Final clinical diagnosis at follow-up was recorded. Convolutional neural network of InceptionV3 architecture was trained on 90% of ADNI data set and tested on the remaining 10%, as well as the independent test set, with performance compared to radiologic readers. Model was analyzed with sensitivity, specificity, receiver operating characteristic (ROC), saliency map, and t-distributed stochastic neighbor embedding. Results The algorithm achieved area under the ROC curve of 0.98 (95% confidence interval: 0.94, 1.00) when evaluated on predicting the final clinical diagnosis of AD in the independent test set (82% specificity at 100% sensitivity), an average of 75.8 months prior to the final diagnosis, which in ROC space outperformed reader performance (57% [four of seven] sensitivity, 91% [30 of 33] specificity; P < .05). Saliency map demonstrated attention to known areas of interest but with focus on the entire brain. Conclusion By using fluorine 18 fluorodeoxyglucose PET of the brain, a deep learning algorithm developed for early prediction of Alzheimer disease achieved 82% specificity at 100% sensitivity, an average of 75.8 months prior to the final diagnosis. © RSNA, 2018 Online supplemental material is available for this article. See also the editorial by Larvie in this issue.
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                Author and article information

                Contributors
                Journal
                J Healthc Eng
                J Healthc Eng
                JHE
                Journal of Healthcare Engineering
                Hindawi
                2040-2295
                2040-2309
                2022
                11 February 2022
                : 2022
                : 1302170
                Affiliations
                1School of Electronics and Information Engineering, Harbin Institute of Technology, Harbin 150001, China
                2Department of Electrical and Computer Engineering, COMSATS University Islamabad Sahiwal Campus, Sahiwal, Pakistan
                3Department of Zoology, Kohat University of Science and Technology, Kohat 26000, Pakistan
                4Department of Electrical Engineering, University of Science and Technology Bannu, Bannu 28100, Pakistan
                5Department of Electrical Engineering, Superior University, Lahore 54000, Pakistan
                6Department of Electrical Engineering, Balochistan University of Information Technology,Engineering and Management Sciences, Quetta,Balochistan 87300, Pakistan
                7College of Internet of Things (IoT) Engineering, Hohai University (HHU), Changzhou Campus 213022, China
                8Communication Research Laboratory, Department of Information and Communication Technology, Islamic University, Kushtia-7003, Bangladesh
                Author notes

                Academic Editor: Ali Kashif Bashir

                Author information
                https://orcid.org/0000-0002-1371-7647
                https://orcid.org/0000-0002-5879-569X
                https://orcid.org/0000-0002-9535-5167
                https://orcid.org/0000-0001-6253-5519
                Article
                10.1155/2022/1302170
                8856791
                35186220
                332a45b7-a933-419e-bce5-8c11a9643a0f
                Copyright © 2022 Ahsan Bin Tufail et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 December 2021
                : 17 January 2022
                : 20 January 2022
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