Abstract

Multimodal features of structural and functional magnetic resonance imaging (MRI) of the human brain can assist in the diagnosis of schizophrenia. We performed a classification study on age, sex, and handedness-matched subjects. The dataset we used is publicly available from the Center for Biomedical Research Excellence (COBRE) and it consists of two groups: patients with schizophrenia and healthy controls. We performed an independent component analysis and calculated global averaged functional connectivity-based features from the resting-state functional MRI data for all the cortical and subcortical anatomical parcellation. Cortical thickness along with standard deviation, surface area, volume, curvature, white matter volume, and intensity measures from the cortical parcellation, as well as volume and intensity from sub-cortical parcellation and overall volume of cortex features were extracted from the structural MRI data. A novel hybrid weighted feature concatenation method was used to acquire maximal 99.29% (P < 0.0001) accuracy which preserves high discriminatory power through the weight of the individual feature type. The classification was performed by an extreme learning machine, and its efficiency was compared to linear and non-linear (radial basis function) support vector machines, linear discriminant analysis, and random forest bagged tree ensemble algorithms. This article reports the predictive accuracy of both unimodal and multimodal features after 10-by-10-fold nested cross-validation. A permutation test followed the classification experiment to assess the statistical significance of the classification results. It was concluded that, from a clinical perspective, this feature concatenation approach may assist the clinicians in schizophrenia diagnosis.

Highlights

  • Schizophrenia is a major psychiatric disorder that reportedly affects one percent of the population (Mao et al, 2009)

  • Previous studies have mainly utilized unimodal data acquired by structural magnetic resonance imaging (MRI), resting state functional MRI, task related functional MRI, or diffusion MRI, some studies have included multimodal neuroimaging data

  • Center for Biomedical Research Excellence (COBRE) is a publically available dataset distributed with “Creative Commons License: Attribution— Non-Commercial” and written informed consent was obtained from all subjects in accordance with the institutional review board (IRB) protocols of the University of New Mexico (UNM) (Cabral et al, 2016)

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Summary

Introduction

Schizophrenia is a major psychiatric disorder that reportedly affects one percent of the population (Mao et al, 2009). Psychiatric disorders, including schizophrenia, have been the focus of research on automatic diagnosis by machine learning techniques and neuroimaging data (Davatzikos et al, 2005; Fan et al, 2008; Nieuwenhuis et al, 2012; Schnack et al, 2014). Considering that patients with schizophrenia have both structural and functional abnormalities, multimodal image data can provide more information, enhancing the accuracy of diagnosis. Multimodal data can provide information for classification that is unavailable when using unimodal data It is still unclear whether multimodal data can boost accuracy effectively as previous multimodal classification studies included relatively small samples with less than 35 participants in each group (Du et al, 2012; Ota et al, 2013; Sui et al, 2013)

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