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      Explainable Deep Learning for Personalized Age Prediction With Brain Morphology

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          Abstract

          Predicting brain age has become one of the most attractive challenges in computational neuroscience due to the role of the predicted age as an effective biomarker for different brain diseases and conditions. A great variety of machine learning (ML) approaches and deep learning (DL) techniques have been proposed to predict age from brain magnetic resonance imaging scans. If on one hand, DL models could improve performance and reduce model bias compared to other less complex ML methods, on the other hand, they are typically black boxes as do not provide an in-depth understanding of the underlying mechanisms. Explainable Artificial Intelligence (XAI) methods have been recently introduced to provide interpretable decisions of ML and DL algorithms both at local and global level. In this work, we present an explainable DL framework to predict the age of a healthy cohort of subjects from ABIDE I database by using the morphological features extracted from their MRI scans. We embed the two local XAI methods SHAP and LIME to explain the outcomes of the DL models, determine the contribution of each brain morphological descriptor to the final predicted age of each subject and investigate the reliability of the two methods. Our findings indicate that the SHAP method can provide more reliable explanations for the morphological aging mechanisms and be exploited to identify personalized age-related imaging biomarker.

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          Most cited references76

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          An automated labeling system for subdividing the human cerebral cortex on MRI scans into gyral based regions of interest.

          In this study, we have assessed the validity and reliability of an automated labeling system that we have developed for subdividing the human cerebral cortex on magnetic resonance images into gyral based regions of interest (ROIs). Using a dataset of 40 MRI scans we manually identified 34 cortical ROIs in each of the individual hemispheres. This information was then encoded in the form of an atlas that was utilized to automatically label ROIs. To examine the validity, as well as the intra- and inter-rater reliability of the automated system, we used both intraclass correlation coefficients (ICC), and a new method known as mean distance maps, to assess the degree of mismatch between the manual and the automated sets of ROIs. When compared with the manual ROIs, the automated ROIs were highly accurate, with an average ICC of 0.835 across all of the ROIs, and a mean distance error of less than 1 mm. Intra- and inter-rater comparisons yielded little to no difference between the sets of ROIs. These findings suggest that the automated method we have developed for subdividing the human cerebral cortex into standard gyral-based neuroanatomical regions is both anatomically valid and reliable. This method may be useful for both morphometric and functional studies of the cerebral cortex as well as for clinical investigations aimed at tracking the evolution of disease-induced changes over time, including clinical trials in which MRI-based measures are used to examine response to treatment.
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            Cortical surface-based analysis. I. Segmentation and surface reconstruction.

            Several properties of the cerebral cortex, including its columnar and laminar organization, as well as the topographic organization of cortical areas, can only be properly understood in the context of the intrinsic two-dimensional structure of the cortical surface. In order to study such cortical properties in humans, it is necessary to obtain an accurate and explicit representation of the cortical surface in individual subjects. Here we describe a set of automated procedures for obtaining accurate reconstructions of the cortical surface, which have been applied to data from more than 100 subjects, requiring little or no manual intervention. Automated routines for unfolding and flattening the cortical surface are described in a companion paper. These procedures allow for the routine use of cortical surface-based analysis and visualization methods in functional brain imaging. Copyright 1999 Academic Press.
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              Grad-CAM: Visual Explanations from Deep Networks via Gradient-Based Localization

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                Author and article information

                Contributors
                Journal
                Front Neurosci
                Front Neurosci
                Front. Neurosci.
                Frontiers in Neuroscience
                Frontiers Media S.A.
                1662-4548
                1662-453X
                28 May 2021
                2021
                : 15
                : 674055
                Affiliations
                [1] 1Dipartimento di Fisica, Universitá degli Studi di Bari Aldo Moro , Bari, Italy
                [2] 2Istituto Nazionale di Fisica Nucleare, Sezione di Bari , Bari, Italy
                [3] 3Dipartimento di Farmacia - Scienze del Farmaco, Università degli Studi di Bari Aldo Moro , Bari, Italy
                [4] 4Instituto de Ciência e Inovação em Engenharia Mecânica e Engenharia Industrial, Departamento de Engenharia Mecânica, Faculdade de Engenharia, Universidade Do Porto , Porto, Portugal
                [5] 5Dipartimento di Scienze del Suolo, della Pianta e degli Alimenti, Università degli Studi di Bari Aldo Moro , Bari, Italy
                Author notes

                Edited by: John Ashburner, University College London, United Kingdom

                Reviewed by: Islem Rekik, Istanbul Technical University, Turkey; James H. Cole, University College London, United Kingdom; Gidon Levakov, Ben-Gurion University of the Negev, Israel

                *Correspondence: Domenico Diacono domenico.diacono@ 123456ba.infn.it

                This article was submitted to Brain Imaging Methods, a section of the journal Frontiers in Neuroscience

                †These authors share last authorship

                Article
                10.3389/fnins.2021.674055
                8192966
                34122000
                66343270-aa61-45a7-bfd2-81d13abc7397
                Copyright © 2021 Lombardi, Diacono, Amoroso, Monaco, Tavares, Bellotti and Tangaro.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 10 March 2021
                : 26 April 2021
                Page count
                Figures: 9, Tables: 3, Equations: 9, References: 76, Pages: 17, Words: 10309
                Categories
                Neuroscience
                Original Research

                Neurosciences
                explainable artificial intelligence,xai,brain aging,deep neural networks,machine learning,mri,freesurfer,morphological features

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