Abstract

Autism spectrum disorder (ASD) is a range of neurodevelopmental disorders, which brings enormous burdens to the families of patients and society. However, due to the lack of representation of variance for diseases and the absence of biomarkers for diagnosis, the early detection and intervention of ASD are remarkably challenging. In this study, we proposed a self-attention deep learning framework based on the transformer model on structural MR images from the ABIDE consortium to classify ASD patients from normal controls and simultaneously identify the structural biomarkers. In our work, the individual structural covariance networks are used to perform ASD/NC classification via a self-attention deep learning framework, instead of the original structural MR data, to take full advantage of the coordination patterns of morphological features between brain regions. The self-attention deep learning framework based on the transformer model can extract both local and global information from the input data, making it more suitable for the brain network data than the CNN- structural model. Meanwhile, the potential diagnosis structural biomarkers are identified by the self-attention coefficients map. The experimental results showed that our proposed method outperforms most of the current methods for classifying ASD patients with the ABIDE data and achieves a classification accuracy of 72.5% across different sites. Furthermore, the potential diagnosis biomarkers were found mainly located in the prefrontal cortex, temporal cortex, and cerebellum, which may be treated as the early biomarkers for the ASD diagnosis. Our study demonstrated that the self-attention deep learning framework is an effective way to diagnose ASD and establish the potential biomarkers for ASD.

Highlights

  • Autism spectrum disorder (ASD) is a developmental disability that can affect significant communications, behavior, and social interactions

  • After initializing the weights randomly, the binary cross-entropy loss is chosen to supervise the training for the ASD/normal control subjects (NC) classification. In this group of experiments, we compare our framework with six competing methods in the task of ASD versus NC classification

  • We propose a new framework for ASD detection and structural biomarkers identification from multisite sMRI datasets by individual brain networks and selfattention deep neural networks

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Summary

Introduction

Autism spectrum disorder (ASD) is a developmental disability that can affect significant communications, behavior, and social interactions. The main symptoms of ASD are abnormal emotional regulation and social interaction, limited interest, repetitive behavior, ASD Detection and Biomarkers Identification and hypo- or hyper reactivity to sensory stimuli (Guze, 1995). Symptoms will hurt their ability to function properly in school, work, and other areas of life. The current clinical diagnosis of ASD is mainly based on the doctor’s subjective scale assessment and lacks objective diagnostic methods. The diagnosis based on medical images, especially MRI images, has a certain degree of objectivity, but lacks credible imaging markers. Objective imaging-based diagnosis of ASD and the provision of reliable imaging markers are significant research trends

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