Abstract

Owning to its clinical accessibility, T1-weighted MRI (Magnetic Resonance Imaging) has been extensively studied in the past decades for prediction of Alzheimer's disease (AD) and mild cognitive impairment (MCI). The volumes of gray matter (GM), white matter (WM) and cerebrospinal fluid (CSF) are the most commonly used measurements, resulting in many successful applications. It has been widely observed that disease-induced structural changes may not occur at isolated spots, but in several inter-related regions. Therefore, for better characterization of brain pathology, we propose in this paper a means to extract inter-regional correlation based features from local volumetric measurements. Specifically, our approach involves constructing an anatomical brain network for each subject, with each node representing a Region of Interest (ROI) and each edge representing Pearson correlation of tissue volumetric measurements between ROI pairs. As second order volumetric measurements, network features are more descriptive but also more sensitive to noise. To overcome this limitation, a hierarchy of ROIs is used to suppress noise at different scales. Pairwise interactions are considered not only for ROIs with the same scale in the same layer of the hierarchy, but also for ROIs across different scales in different layers. To address the high dimensionality problem resulting from the large number of network features, a supervised dimensionality reduction method is further employed to embed a selected subset of features into a low dimensional feature space, while at the same time preserving discriminative information. We demonstrate with experimental results the efficacy of this embedding strategy in comparison with some other commonly used approaches. In addition, although the proposed method can be easily generalized to incorporate other metrics of regional similarities, the benefits of using Pearson correlation in our application are reinforced by the experimental results. Without requiring new sources of information, our proposed approach improves the accuracy of MCI prediction from (of conventional volumetric features) to (of hierarchical network features), evaluated using data sets randomly drawn from the ADNI (Alzheimer's Disease Neuroimaging Initiative) dataset.

Highlights

  • Alzheimer’s disease (AD) is a progressive and eventually fatal disease of the brain, characterized by memory failure and degeneration of other cognitive functions

  • Without requiring any new information in addition to the baseline T1-weighted images, the proposed approach improves the prediction accuracy of mild cognitive impairment (MCI) from 80:83% to 84:35%, evaluated by data sets randomly drawn from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) dataset [23]

  • In this paper, we have presented how hierarchical anatomical brain networks based on T1-weighted MRI can be used to model brain regional correlation

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Summary

Introduction

Alzheimer’s disease (AD) is a progressive and eventually fatal disease of the brain, characterized by memory failure and degeneration of other cognitive functions. Pathology may begin long before the patient experiences any symptom and often lead to structural changes of brain anatomies. With the aid of medical imaging techniques, it is possible to study in vivo the relationship between brain structural changes and the mental disorder, providing a diagnosis tool for early detection of AD. Current studies focus on MCI (mild cognitive impairment), a transitional state between normal aging and AD. These subjects suffer from memory impairment that is greater than expected for their age, but retain general cognitive functions to maintain daily living. Identifying MCI subjects is important, especially for those that will eventually convert to AD (referred to as Progressive-MCI, or in short P-MCI), because they may benefit from therapies that could slow down the disease progression

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