Abstract

Attention deficit/hyperactivity disorder (ADHD) is one of the most common diseases in school-age children. To date, the diagnosis of ADHD is mainly subjective and studies of objective diagnostic method are of great importance. Although many efforts have been made recently to investigate the use of structural and functional brain images for the diagnosis purpose, few of them are related to ADHD. In this paper, we introduce an automatic classification framework based on brain imaging features of ADHD patients and present in detail the feature extraction, feature selection, and classifier training methods. The effects of using different features are compared against each other. In addition, we integrate multimodal image features using multi-kernel learning (MKL). The performance of our framework has been validated in the ADHD-200 Global Competition, which is a world-wide classification contest on the ADHD-200 datasets. In this competition, our classification framework using features of resting-state functional connectivity (FC) was ranked the 6th out of 21 participants under the competition scoring policy and performed the best in terms of sensitivity and J-statistic.

Highlights

  • Attention deficit/hyperactivity disorder (ADHD), one of the most commonly diagnosed childhood behavioral disorders, is characterized by inappropriate inattention, impulsivity, and hyperactivity

  • The 10-fold cross validation (CV) classification results using a single feature are listed in Table 3, in which we compare the CV accuracy using cortical thickness (CT), gray matter probability (GMP), regional homogeneity (ReHo), or ROI-based functional connectivity (FC) as the feature to train the classifier

  • J-statistic is used by the ADHD-200 Consortium to compare the competition results of participating groups, it is not generally to be recommended (Youden, 1950)

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Summary

Introduction

Attention deficit/hyperactivity disorder (ADHD), one of the most commonly diagnosed childhood behavioral disorders, is characterized by inappropriate inattention, impulsivity, and hyperactivity. ADHD affects at least 5% of school-age children, making them difficult to control their behaviors or focus their attentions. These symptoms may persist into adulthood and result in a lifelong impairment (Biederman et al, 2000). It is very difficult to draw a line between the normal levels of the ADHD symptoms and the clinically significant levels that require interventions. Further studies on objective diagnosis of ADHD are of great significance

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