MRI characterization of temporal lobe epilepsy using rapidly measurable spatial indices with hemisphere asymmetries and gender features.

INTRODUCTION: The paucity of morphometric markers for hemispheric asymmetries and gender variations in hippocampi and amygdalae in temporal lobe epilepsy (TLE) calls for better characterization of TLE by finding more useful prognostic MRI parameter(s). METHODS: T1-weighted MRI (3 T) morphometry using multiple parameters of hippocampus-parahippocampus (angular and linear measures, volumetry) and amygdalae (volumetry) including their hemispheric asymmetry indices (AI) were evaluated in both genders. The cutoff values of parameters were statistically estimated from measurements of healthy subjects to characterize TLE (57 patients, 55% male) alterations. RESULTS: TLE had differential categories with hippocampal atrophy, parahippocampal angle (PHA) acuteness, and several other parametric changes. Bilateral TLE categories were much more prevalent compared to unilateral TLE categories. Female patients were considerably more disposed to bilateral TLE categories than male patients. Male patients displayed diverse categories of unilateral abnormalities. Few patients (both genders) had combined bilateral appearances of hippocampal atrophy, amygdala atrophy, PHA acuteness, and increase in hippocampal angle (HA) where medial distance ratio (MDR) varied among genders. TLE had gender-specific and hemispheric dominant alterations in AI of parameters. Maximum magnitude of parametric changes in TLE includes (a) AI increase in HA of both genders, (b) HA increase (bilateral) in female patients, and (c) increase in ratio of amygdale/hippocampal volume (unilateral, right hemispheric), and AI decrease in MDR, in male patients. CONCLUSION: Multiparametric MRI studies of hippocampus and amygdalae, including their hemispheric asymmetry, underscore better characterization of TLE. Rapidly measurable single-slice parameters (HA, PHA, MDR) can readily delineate TLE in a time-constrained clinical setting, which contrasts with customary three-dimensional hippocampal volumetry that requires many slice computation.

Stochastic resonance-based tomographic transform for computed tomographic image enhancement of brain lesions.

Motivated by statistical thermodynamics, we develop a technique using stochastic resonance-based tomographic transform for enhancement of noisy or indistinct computer-assisted tomographic images of the brain lesions for radiological diagnosis. The proposed method makes the edges of the lesion prominent, delineates the edematous zones more clearly, enhances the active zone in tumors, and clarifies the latent structure of the lesions, the mean enhancement index being 165%. The advantages of this method are that it can simultaneously operate both as an enhancement process and as a noise-reduction operation, and that the method can also optimally enhance an image even if the noise level is considerable. A general approach of thermodynamics-based image enhancement for computed tomographic diagnosis is outlined.

The dynamic programming high-order Dynamic Bayesian Networks learning for identifying effective connectivity in human brain from fMRI.

BACKGROUND: Determination of effective connectivity (EC) among brain regions using fMRI is helpful in understanding the underlying neural mechanisms. Dynamic Bayesian Networks (DBNs) are an appropriate class of probabilistic graphical temporal-models that have been used in past to model EC from fMRI, specifically order-one. NEW-METHOD: High-order DBNs (HO-DBNs) have still not been explored for fMRI data. A fundamental problem faced in the structure-learning of HO-DBN is high computational-burden and low accuracy by the existing heuristic search techniques used for EC detection from fMRI. In this paper, we propose using dynamic programming (DP) principle along with integration of properties of scoring-function in a way to reduce search space for structure-learning of HO-DBNs and finally, for identifying EC from fMRI which has not been done yet to the best of our knowledge. The proposed exact search-&-score learning approach HO-DBN-DP is an extension of the technique which was originally devised for learning a BN's structure from static data (Singh and Moore, 2005). RESULTS: The effectiveness in structure-learning is shown on synthetic fMRI dataset. The algorithm reaches globally-optimal solution in appreciably reduced time-complexity than the static counterpart due to integration of properties. The proof of optimality is provided. COMPARISON: The results demonstrate that HO-DBN-DP is comparably more accurate and faster than currently used structure-learning algorithms used for identifying EC from fMRI. The real data EC from HO-DBN-DP shows consistency with previous literature than the classical Granger Causality method. CONCLUSION: Hence, the DP algorithm can be employed for reliable EC estimates from experimental fMRI data.

Learning effective connectivity from fMRI using autoregressive hidden Markov model with missing data.

BACKGROUND: Effective connectivity (EC) analysis of neuronal groups using fMRI delivers insights about functional-integration. However, fMRI signal has low-temporal resolution due to down-sampling and indirectly measures underlying neuronal activity. NEW METHOD: The aim is to address above issues for more reliable EC estimates. This paper proposes use of autoregressive hidden Markov model with missing data (AR-HMM-md) in dynamically multi-linked (DML) framework for learning EC using multiple fMRI time series. In our recent work (Dang et al., 2016), we have shown how AR-HMM-md for modelling single fMRI time series outperforms the existing methods. AR-HMM-md models unobserved neuronal activity and lost data over time as variables and estimates their values by joint optimization given fMRI observation sequence. RESULTS: The effectiveness in learning EC is shown using simulated experiments. Also the effects of sampling and noise are studied on EC. Moreover, classification-experiments are performed for Attention-Deficit/Hyperactivity Disorder subjects and age-matched controls for performance evaluation of real data. Using Bayesian model selection, we see that the proposed model converged to higher log-likelihood and demonstrated that group-classification can be performed with higher cross-validation accuracy of above 94% using distinctive network EC which characterizes patients vs. CONTROLS: The full data EC obtained from DML-AR-HMM-md is more consistent with previous literature than the classical multivariate Granger causality method. COMPARISON: The proposed architecture leads to reliable estimates of EC than the existing latent models. CONCLUSIONS: This framework overcomes the disadvantage of low-temporal resolution and improves cross-validation accuracy significantly due to presence of missing data variables and autoregressive process.

The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy.

Radiation therapy is one of the important treatment procedures of cancer. The day-to-day delivered dose to the tissue in radiation therapy often deviates from the planned fixed dose per fraction. This day-to-day variation of radiation dose is stochastic. Here, we have developed the mathematical formulation to represent the day-to-day stochastic dose variation effect in radiation therapy. Our analysis shows that that the fixed dose delivery approximation under-estimates the biological effective dose, even if the average delivered dose per fraction is equal to the planned dose per fraction. The magnitude of the under-estimation effect relies upon the day-to-day stochastic dose variation level, the dose fraction size and the values of the radiobiological parameters of the tissue. We have further explored the application of our mathematical formulation for adaptive dose calculation. Our analysis implies that, compared to the premise of the Linear Quadratic Linear (LQL) framework, the Linear Quadratic framework based analytical formulation under-estimates the required dose per fraction necessary to produce the same biological effective dose as originally planned. Our study provides analytical formulation to calculate iso-effect in adaptive radiation therapy considering day-to-day stochastic dose deviation from planned dose and also indicates the potential utility of LQL framework in this context.

Strategy for stochastic dose-rate induced enhanced elimination of malignant tumour without dose escalation.

The efficacy of radiation therapy, a primary modality of cancer treatment, depends in general upon the total radiation dose administered to the tumour during the course of therapy. Nevertheless, the delivered radiation also irradiates normal tissues and dose escalation procedure often increases the elimination of normal tissue as well. In this article, we have developed theoretical frameworks under the premise of linear-quadratic-linear (LQL) model using stochastic differential equation and Jensen's inequality for exploring the possibility of attending to the two therapeutic performance objectives in contraposition-increasing the elimination of prostate tumour cells and enhancing the relative sparing of normal tissue in fractionated radiation therapy, within a prescribed limit of total radiation dose. Our study predicts that stochastic temporal modulation in radiation dose-rate appreciably enhances prostate tumour cell elimination, without needing dose escalation in radiation therapy. However, constant higher dose-rate can also enhance the elimination of tumour cells. In this context, we have shown that the sparing of normal tissue with stochastic dose-rate is considerably more than the sparing of normal tissue with the equivalent constant higher dose-rate. Further, by contrasting the stochastic dose-rate effects under LQL and linear-quadratic (LQ) models, we have also shown that the LQ model over-estimates stochastic dose-rate effect in tumour and under-estimates the stochastic dose-rate effect in normal tissue. Our study indicates the possibility of utilizing stochastic modulation of radiation dose-rate for designing enhanced radiation therapy protocol for cancer.

Assessing assumptions of multivariate linear regression framework implemented for directionality analysis of fMRI.

Directionality analysis of time-series, recorded from task-activated regions-of-interest (ROIs) during functional Magnetic Resonance Imaging (fMRI), has helped in gaining insights of complex human behavior and human brain functioning. The most widely used standard method of Granger Causality for evaluating directionality employ linear regression modeling of temporal processes. Such a parameter-driven approach rests on various underlying assumptions about the data. The short-comings can arise when misleading conclusions are reached after exploration of data for which the assumptions are getting violated. In this study, we assess assumptions of Multivariate Autoregressive (MAR) framework which is employed for evaluating directionality among fMRI time-series recorded during a Sensory-Motor (SM) task. The fMRI time-series here is an averaged time-series from a user-defined ROI of multiple voxels. The "aim" is to establish a step-by-step procedure using statistical methods in conjunction with graphical methods to seek the validity of MAR models, specifically in the context of directionality analysis of fMRI data which has not been done previously to the best of our knowledge. Here, in our case of SM task (block design paradigm) there is violation of assumptions, indicating the inadequacy of MAR models to find directional interactions among different task-activated regions of brain.

Magnetic resonance image enhancement using stochastic resonance in Fourier domain.

OBJECTIVE: In general, low-field MRI scanners such as the 0.5- and 1-T ones produce images that are poor in quality. The motivation of this study was to lessen the noise and enhance the signal such that the image quality is improved. Here, we propose a new approach using stochastic resonance (SR)-based transform in Fourier space for the enhancement of magnetic resonance images of brain lesions, by utilizing an optimized level of Gaussian fluctuation that maximizes signal-to-noise ratio (SNR). MATERIALS AND METHODS: We acquired the T1-weighted MR image of the brain in DICOM format. We processed the original MR image using the proposed SR procedure. We then tested our approach on about 60 patients of different age groups with different lesions, such as arteriovenous malformation, benign lesion and malignant tumor, and illustrated the image enhancement by using just-noticeable difference visually as well as by utilizing the relative enhancement factor quantitatively. RESULTS: Our method can restore the original image from noisy image and optimally enhance the edges or boundaries of the tissues, clarify indistinct structural brain lesions without producing ringing artifacts, as well as delineate the edematous area, active tumor zone, lesion heterogeneity or morphology, and vascular abnormality. The proposed technique improves the enhancement factor better than the conventional techniques like the Wiener- and wavelet-based procedures. CONCLUSIONS: The proposed method can readily enhance the image fusing a unique constructive interaction of noise and signal, and enables improved diagnosis over conventional methods. The approach well illustrates the novel potential of using a small amount of Gaussian noise to improve the image quality.