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1.
Artif Intell Med ; 151: 102828, 2024 May.
Article in English | MEDLINE | ID: mdl-38564879

ABSTRACT

Reliable large-scale cell detection and segmentation is the fundamental first step to understanding biological processes in the brain. The ability to phenotype cells at scale can accelerate preclinical drug evaluation and system-level brain histology studies. The impressive advances in deep learning offer a practical solution to cell image detection and segmentation. Unfortunately, categorizing cells and delineating their boundaries for training deep networks is an expensive process that requires skilled biologists. This paper presents a novel self-supervised Dual-Loss Adaptive Masked Autoencoder (DAMA) for learning rich features from multiplexed immunofluorescence brain images. DAMA's objective function minimizes the conditional entropy in pixel-level reconstruction and feature-level regression. Unlike existing self-supervised learning methods based on a random image masking strategy, DAMA employs a novel adaptive mask sampling strategy to maximize mutual information and effectively learn brain cell data. To the best of our knowledge, this is the first effort to develop a self-supervised learning method for multiplexed immunofluorescence brain images. Our extensive experiments demonstrate that DAMA features enable superior cell detection, segmentation, and classification performance without requiring many annotations. In addition, to examine the generalizability of DAMA, we also experimented on TissueNet, a multiplexed imaging dataset comprised of two-channel fluorescence images from six distinct tissue types, captured using six different imaging platforms. Our code is publicly available at https://github.com/hula-ai/DAMA.


Subject(s)
Brain , Brain/diagnostic imaging , Image Processing, Computer-Assisted/methods , Supervised Machine Learning , Humans , Deep Learning , Animals , Algorithms , Neuroimaging/methods
2.
BMJ Open ; 14(4): e082902, 2024 Apr 24.
Article in English | MEDLINE | ID: mdl-38663922

ABSTRACT

INTRODUCTION: Although limited, recent research suggests that contact sport participation might have an adverse long-term effect on brain health. Further work is required to determine whether this includes an increased risk of neurodegenerative disease and/or subsequent changes in cognition and behaviour. The Advanced BiomaRker, Advanced Imaging and Neurocognitive Health Study will prospectively examine the neurological, psychiatric, psychological and general health of retired elite-level rugby union and association football/soccer players. METHODS AND ANALYSIS: 400 retired athletes will be recruited (200 rugby union and 200 association football players, male and female). Athletes will undergo a detailed clinical assessment, advanced neuroimaging, blood testing for a range of brain health outcomes and neuropsychological assessment longitudinally. Follow-up assessments will be completed at 2 and 4 years after baseline visit. 60 healthy volunteers will be recruited and undergo an aligned assessment protocol including advanced neuroimaging, blood testing and neuropsychological assessment. We will describe the previous exposure to head injuries across the cohort and investigate relationships between biomarkers of brain injury and clinical outcomes including cognitive performance, clinical diagnoses and psychiatric symptom burden. ETHICS AND DISSEMINATION: Relevant ethical approvals have been granted by the Camberwell St Giles Research Ethics Committee (Ref: 17/LO/2066). The study findings will be disseminated through manuscripts in clinical/academic journals, presentations at professional conferences and through participant and stakeholder communications.


Subject(s)
Athletes , Biomarkers , Football , Neuroimaging , Neuropsychological Tests , Humans , Prospective Studies , Biomarkers/blood , Male , Football/injuries , Neuroimaging/methods , Female , Athletes/psychology , Retirement , Cognition , Research Design , Brain/diagnostic imaging , Soccer/injuries
3.
Alzheimers Res Ther ; 16(1): 90, 2024 Apr 25.
Article in English | MEDLINE | ID: mdl-38664843

ABSTRACT

BACKGROUND: Plasma neurofilament light chain (NfL) is a promising biomarker of neurodegeneration with potential clinical utility in monitoring the progression of neurodegenerative diseases. However, the cross-sectional associations of plasma NfL with measures of cognition and brain have been inconsistent in community-dwelling populations. METHODS: We examined these associations in a large community-dwelling sample of early old age men (N = 969, mean age = 67.57 years, range = 61-73 years), who are either cognitively unimpaired (CU) or with mild cognitive impairment (MCI). Specifically, we investigated five cognitive domains (executive function, episodic memory, verbal fluency, processing speed, visual-spatial ability), as well as neuroimaging measures of gray and white matter. RESULTS: After adjusting for age, health status, and young adult general cognitive ability, plasma NfL level was only significantly associated with processing speed and white matter hyperintensity (WMH) volume, but not with other cognitive or neuroimaging measures. The association with processing speed was driven by individuals with MCI, as it was not detected in CU individuals. CONCLUSIONS: These results suggest that in early old age men without dementia, plasma NfL does not appear to be sensitive to cross-sectional individual differences in most domains of cognition or neuroimaging measures of gray and white matter. The revealed plasma NfL associations were limited to WMH for all participants and processing speed only within the MCI cohort. Importantly, considering cognitive status in community-based samples will better inform the interpretation of the relationships of plasma NfL with cognition and brain and may help resolve mixed findings in the literature.


Subject(s)
Biomarkers , Cognition , Cognitive Dysfunction , Independent Living , Neurofilament Proteins , Neuroimaging , Neuropsychological Tests , Humans , Male , Neurofilament Proteins/blood , Aged , Middle Aged , Cross-Sectional Studies , Cognitive Dysfunction/blood , Cognitive Dysfunction/diagnostic imaging , Neuroimaging/methods , Cognition/physiology , Biomarkers/blood , Magnetic Resonance Imaging , Brain/diagnostic imaging , White Matter/diagnostic imaging , White Matter/pathology , Aging/blood
4.
PLoS One ; 19(4): e0302358, 2024.
Article in English | MEDLINE | ID: mdl-38640105

ABSTRACT

This study aims to develop an optimally performing convolutional neural network to classify Alzheimer's disease into mild cognitive impairment, normal controls, or Alzheimer's disease classes using a magnetic resonance imaging dataset. To achieve this, we focused the study on addressing the challenge of image noise, which impacts the performance of deep learning models. The study introduced a scheme for enhancing images to improve the quality of the datasets. Specifically, an image enhancement algorithm based on histogram equalization and bilateral filtering techniques was deployed to reduce noise and enhance the quality of the images. Subsequently, a convolutional neural network model comprising four convolutional layers and two hidden layers was devised for classifying Alzheimer's disease into three (3) distinct categories, namely mild cognitive impairment, Alzheimer's disease, and normal controls. The model was trained and evaluated using a 10-fold cross-validation sampling approach with a learning rate of 0.001 and 200 training epochs at each instance. The proposed model yielded notable results, such as an accuracy of 93.45% and an area under the curve value of 0.99 when trained on the three classes. The model further showed superior results on binary classification compared with existing methods. The model recorded 94.39%, 94.92%, and 95.62% accuracies for Alzheimer's disease versus normal controls, Alzheimer's disease versus mild cognitive impairment, and mild cognitive impairment versus normal controls classes, respectively.


Subject(s)
Alzheimer Disease , Cognitive Dysfunction , Humans , Alzheimer Disease/diagnostic imaging , Magnetic Resonance Imaging/methods , Neural Networks, Computer , Algorithms , Image Enhancement , Cognitive Dysfunction/diagnostic imaging , Neuroimaging/methods
5.
Hum Brain Mapp ; 45(6): e26674, 2024 Apr 15.
Article in English | MEDLINE | ID: mdl-38651625

ABSTRACT

Brain segmentation from neonatal MRI images is a very challenging task due to large changes in the shape of cerebral structures and variations in signal intensities reflecting the gestational process. In this context, there is a clear need for segmentation techniques that are robust to variations in image contrast and to the spatial configuration of anatomical structures. In this work, we evaluate the potential of synthetic learning, a contrast-independent model trained using synthetic images generated from the ground truth labels of very few subjects. We base our experiments on the dataset released by the developmental Human Connectome Project, for which high-quality images are available for more than 700 babies aged between 26 and 45 weeks postconception. First, we confirm the impressive performance of a standard UNet trained on a few volumes, but also confirm that such models learn intensity-related features specific to the training domain. We then confirm the robustness of the synthetic learning approach to variations in image contrast. However, we observe a clear influence of the age of the baby on the predictions. We improve the performance of this model by enriching the synthetic training set with realistic motion artifacts and over-segmentation of the white matter. Based on extensive visual assessment, we argue that the better performance of the model trained on real T2w data may be due to systematic errors in the ground truth. We propose an original experiment allowing us to show that learning from real data will reproduce any systematic bias affecting the training set, while synthetic models can avoid this limitation. Overall, our experiments confirm that synthetic learning is an effective solution for segmenting neonatal brain MRI. Our adapted synthetic learning approach combines key features that will be instrumental for large multisite studies and clinical applications.


Subject(s)
Connectome , Magnetic Resonance Imaging , Humans , Magnetic Resonance Imaging/methods , Infant, Newborn , Connectome/methods , Brain/diagnostic imaging , Brain/growth & development , Machine Learning , Image Processing, Computer-Assisted/methods , Female , Male , Neuroimaging/methods
6.
eNeuro ; 11(4)2024 Apr.
Article in English | MEDLINE | ID: mdl-38565295

ABSTRACT

The accumulation of amyloid-ß (Aß) and hyperphosphorylated-tau (hp-tau) are two classical histopathological biomarkers in Alzheimer's disease (AD). However, their detailed interactions with the electrophysiological changes at the meso- and macroscale are not yet fully understood. We developed a mechanistic multiscale model of AD progression, linking proteinopathy to its effects on neural activity and vice-versa. We integrated a heterodimer model of prion-like protein propagation and a brain network model of Jansen-Rit neural masses derived from human neuroimaging data whose parameters varied due to neurotoxicity. Results showed that changes in inhibition guided the electrophysiological alterations found in AD, and these changes were mainly attributed to Aß effects. Additionally, we found a causal disconnection between cellular hyperactivity and interregional hypersynchrony contrary to previous beliefs. Finally, we demonstrated that early Aß and hp-tau depositions' location determine the spatiotemporal profile of the proteinopathy. The presented model combines the molecular effects of both Aß and hp-tau together with a mechanistic protein propagation model and network effects within a closed-loop model. This holds the potential to enlighten the interplay between AD mechanisms on various scales, aiming to develop and test novel hypotheses on the contribution of different AD-related variables to the disease evolution.


Subject(s)
Alzheimer Disease , Proteostasis Deficiencies , Humans , Alzheimer Disease/pathology , Brain/metabolism , tau Proteins/metabolism , Amyloid beta-Peptides/metabolism , Neuroimaging/methods , Proteostasis Deficiencies/metabolism , Proteostasis Deficiencies/pathology , Disease Progression
7.
Sci Rep ; 14(1): 6797, 2024 04 02.
Article in English | MEDLINE | ID: mdl-38565541

ABSTRACT

Alzheimer's disease (AD) is a neurodegenerative disease that commonly causes dementia. Identifying biomarkers for the early detection of AD is an emerging need, as brain dysfunction begins two decades before the onset of clinical symptoms. To this end, we reanalyzed untargeted metabolomic mass spectrometry data from 905 patients enrolled in the AD Neuroimaging Initiative (ADNI) cohort using MS-DIAL, with 1,304,633 spectra of 39,108 unique biomolecules. Metabolic profiles of 93 hydrophilic metabolites were determined. Additionally, we integrated targeted lipidomic data (4873 samples from 1524 patients) to explore candidate biomarkers for predicting progressive mild cognitive impairment (pMCI) in patients diagnosed with AD within two years using the baseline metabolome. Patients with lower ergothioneine levels had a 12% higher rate of AD progression with the significance of P = 0.012 (Wald test). Furthermore, an increase in ganglioside (GM3) and decrease in plasmalogen lipids, many of which are associated with apolipoprotein E polymorphism, were confirmed in AD patients, and the higher levels of lysophosphatidylcholine (18:1) and GM3 d18:1/20:0 showed 19% and 17% higher rates of AD progression, respectively (Wald test: P = 3.9 × 10-8 and 4.3 × 10-7). Palmitoleamide, oleamide, diacylglycerols, and ether lipids were also identified as significantly altered metabolites at baseline in patients with pMCI. The integrated analysis of metabolites and genomics data showed that combining information on metabolites and genotypes enhances the predictive performance of AD progression, suggesting that metabolomics is essential to complement genomic data. In conclusion, the reanalysis of multiomics data provides new insights to detect early development of AD pathology and to partially understand metabolic changes in age-related onset of AD.


Subject(s)
Alzheimer Disease , Cognitive Dysfunction , Neurodegenerative Diseases , Humans , Alzheimer Disease/diagnostic imaging , Alzheimer Disease/genetics , Multiomics , Neuroimaging/methods , Biomarkers , Lipids , Cognitive Dysfunction/pathology , Disease Progression
9.
Sci Rep ; 14(1): 8848, 2024 04 17.
Article in English | MEDLINE | ID: mdl-38632390

ABSTRACT

UK Biobank is a large-scale epidemiological resource for investigating prospective correlations between various lifestyle, environmental, and genetic factors with health and disease progression. In addition to individual subject information obtained through surveys and physical examinations, a comprehensive neuroimaging battery consisting of multiple modalities provides imaging-derived phenotypes (IDPs) that can serve as biomarkers in neuroscience research. In this study, we augment the existing set of UK Biobank neuroimaging structural IDPs, obtained from well-established software libraries such as FSL and FreeSurfer, with related measurements acquired through the Advanced Normalization Tools Ecosystem. This includes previously established cortical and subcortical measurements defined, in part, based on the Desikan-Killiany-Tourville atlas. Also included are morphological measurements from two recent developments: medial temporal lobe parcellation of hippocampal and extra-hippocampal regions in addition to cerebellum parcellation and thickness based on the Schmahmann anatomical labeling. Through predictive modeling, we assess the clinical utility of these IDP measurements, individually and in combination, using commonly studied phenotypic correlates including age, fluid intelligence, numeric memory, and several other sociodemographic variables. The predictive accuracy of these IDP-based models, in terms of root-mean-squared-error or area-under-the-curve for continuous and categorical variables, respectively, provides comparative insights between software libraries as well as potential clinical interpretability. Results demonstrate varied performance between package-based IDP sets and their combination, emphasizing the need for careful consideration in their selection and utilization.


Subject(s)
Biological Specimen Banks , 60682 , Ecosystem , Prospective Studies , Neuroimaging/methods , Phenotype , Magnetic Resonance Imaging/methods , Brain
10.
IEEE J Transl Eng Health Med ; 12: 371-381, 2024.
Article in English | MEDLINE | ID: mdl-38633564

ABSTRACT

Brain state classification by applying deep learning techniques on neuroimaging data has become a recent topic of research. However, unlike domains where the data is low dimensional or there are large number of available training samples, neuroimaging data is high dimensional and has few training samples. To tackle these issues, we present a sparse feedforward deep neural architecture for encoding and decoding the structural connectome of the human brain. We use a sparsely connected element-wise multiplication as the first hidden layer and a fixed transform layer as the output layer. The number of trainable parameters and the training time is significantly reduced compared to feedforward networks. We demonstrate superior performance of this architecture in encoding the structural connectome implicated in Alzheimer's disease (AD) and Parkinson's disease (PD) from DTI brain scans. For decoding, we propose recursive feature elimination (RFE) algorithm based on DeepLIFT, layer-wise relevance propagation (LRP), and Integrated Gradients (IG) algorithms to remove irrelevant features and thereby identify key biomarkers associated with AD and PD. We show that the proposed architecture reduces 45.1% and 47.1% of the trainable parameters compared to a feedforward DNN with an increase in accuracy by 2.6 % and 3.1% for cognitively normal (CN) vs AD and CN vs PD classification, respectively. We also show that the proposed RFE method leads to a further increase in accuracy by 2.1% and 4% for CN vs AD and CN vs PD classification, while removing approximately 90% to 95% irrelevant features. Furthermore, we argue that the biomarkers (i.e., key brain regions and connections) identified are consistent with previous literature. We show that relevancy score-based methods can yield high discriminative power and are suitable for brain decoding. We also show that the proposed approach led to a reduction in the number of trainable network parameters, an increase in classification accuracy, and a detection of brain connections and regions that were consistent with earlier studies.


Subject(s)
Alzheimer Disease , Connectome , Humans , Magnetic Resonance Imaging/methods , Connectome/methods , Neural Networks, Computer , Neuroimaging/methods , Biomarkers
11.
Alzheimers Res Ther ; 16(1): 88, 2024 Apr 23.
Article in English | MEDLINE | ID: mdl-38654366

ABSTRACT

BACKGROUND: Alzheimer's disease is characterized by large-scale structural changes in a specific pattern. Recent studies developed morphological similarity networks constructed by brain regions similar in structural features to represent brain structural organization. However, few studies have used local morphological properties to explore inter-regional structural similarity in Alzheimer's disease. METHODS: Here, we sourced T1-weighted MRI images of 342 cognitively normal participants and 276 individuals with Alzheimer's disease from the Alzheimer's Disease Neuroimaging Initiative database. The relationships of grey matter intensity between adjacent voxels were defined and converted to the structural pattern indices. We conducted the information-based similarity method to evaluate the structural similarity of structural pattern organization between brain regions. Besides, we examined the structural randomness on brain regions. Finally, the relationship between the structural randomness and cognitive performance of individuals with Alzheimer's disease was assessed by stepwise regression. RESULTS: Compared to cognitively normal participants, individuals with Alzheimer's disease showed significant structural pattern changes in the bilateral posterior cingulate gyrus, hippocampus, and olfactory cortex. Additionally, individuals with Alzheimer's disease showed that the bilateral insula had decreased inter-regional structural similarity with frontal regions, while the bilateral hippocampus had increased inter-regional structural similarity with temporal and subcortical regions. For the structural randomness, we found significant decreases in the temporal and subcortical areas and significant increases in the occipital and frontal regions. The regression analysis showed that the structural randomness of five brain regions was correlated with the Mini-Mental State Examination scores of individuals with Alzheimer's disease. CONCLUSIONS: Our study suggested that individuals with Alzheimer's disease alter micro-structural patterns and morphological similarity with the insula and hippocampus. Structural randomness of individuals with Alzheimer's disease changed in temporal, frontal, and occipital brain regions. Morphological similarity and randomness provide valuable insight into brain structural organization in Alzheimer's disease.


Subject(s)
Alzheimer Disease , Gray Matter , Magnetic Resonance Imaging , Humans , Alzheimer Disease/pathology , Alzheimer Disease/diagnostic imaging , Male , Female , Magnetic Resonance Imaging/methods , Aged , Gray Matter/diagnostic imaging , Gray Matter/pathology , Brain/diagnostic imaging , Brain/pathology , Aged, 80 and over , Image Processing, Computer-Assisted , Neuroimaging/methods
12.
Neuroimage ; 291: 120600, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38569979

ABSTRACT

Our knowledge of the organisation of the human brain at the population-level is yet to translate into power to predict functional differences at the individual-level, limiting clinical applications and casting doubt on the generalisability of inferred mechanisms. It remains unknown whether the difficulty arises from the absence of individuating biological patterns within the brain, or from limited power to access them with the models and compute at our disposal. Here we comprehensively investigate the resolvability of such patterns with data and compute at unprecedented scale. Across 23 810 unique participants from UK Biobank, we systematically evaluate the predictability of 25 individual biological characteristics, from all available combinations of structural and functional neuroimaging data. Over 4526 GPU*hours of computation, we train, optimize, and evaluate out-of-sample 700 individual predictive models, including fully-connected feed-forward neural networks of demographic, psychological, serological, chronic disease, and functional connectivity characteristics, and both uni- and multi-modal 3D convolutional neural network models of macro- and micro-structural brain imaging. We find a marked discrepancy between the high predictability of sex (balanced accuracy 99.7%), age (mean absolute error 2.048 years, R2 0.859), and weight (mean absolute error 2.609Kg, R2 0.625), for which we set new state-of-the-art performance, and the surprisingly low predictability of other characteristics. Neither structural nor functional imaging predicted an individual's psychology better than the coincidence of common chronic disease (p < 0.05). Serology predicted chronic disease (p < 0.05) and was best predicted by it (p < 0.001), followed by structural neuroimaging (p < 0.05). Our findings suggest either more informative imaging or more powerful models will be needed to decipher individual level characteristics from the human brain. We make our models and code openly available.


Subject(s)
Brain , Magnetic Resonance Imaging , Humans , Child, Preschool , Magnetic Resonance Imaging/methods , Brain/diagnostic imaging , Neural Networks, Computer , Emotions , Chronic Disease , Neuroimaging/methods
13.
Sci Rep ; 14(1): 6039, 2024 03 13.
Article in English | MEDLINE | ID: mdl-38472245

ABSTRACT

Alzheimer's disease (AD) is an incurable neurodegenerative disorder that leads to dementia. This study employs explainable machine learning models to detect dementia cases using blood gene expression, single nucleotide polymorphisms (SNPs), and clinical data from Alzheimer's Disease Neuroimaging Initiative (ADNI). Analyzing 623 ADNI participants, we found that the Support Vector Machine classifier with Mutual Information (MI) feature selection, trained on all three data modalities, achieved exceptional performance (accuracy = 0.95, AUC = 0.94). When using gene expression and SNP data separately, we achieved very good performance (AUC = 0.65, AUC = 0.63, respectively). Using SHapley Additive exPlanations (SHAP), we identified significant features, potentially serving as AD biomarkers. Notably, genetic-based biomarkers linked to axon myelination and synaptic vesicle membrane formation could aid early AD detection. In summary, this genetic-based biomarker approach, integrating machine learning and SHAP, shows promise for precise AD diagnosis, biomarker discovery, and offers novel insights for understanding and treating the disease. This approach addresses the challenges of accurate AD diagnosis, which is crucial given the complexities associated with the disease and the need for non-invasive diagnostic methods.


Subject(s)
Alzheimer Disease , Cognitive Dysfunction , Humans , Alzheimer Disease/genetics , Neuroimaging/methods , Biomarkers , Machine Learning , Early Diagnosis , Magnetic Resonance Imaging/methods
14.
J Neurosci ; 44(17)2024 Apr 24.
Article in English | MEDLINE | ID: mdl-38438256

ABSTRACT

Recognizing faces regardless of their viewpoint is critical for social interactions. Traditional theories hold that view-selective early visual representations gradually become tolerant to viewpoint changes along the ventral visual hierarchy. Newer theories, based on single-neuron monkey electrophysiological recordings, suggest a three-stage architecture including an intermediate face-selective patch abruptly achieving invariance to mirror-symmetric face views. Human studies combining neuroimaging and multivariate pattern analysis (MVPA) have provided convergent evidence of view selectivity in early visual areas. However, contradictory conclusions have been reached concerning the existence in humans of a mirror-symmetric representation like that observed in macaques. We believe these contradictions arise from low-level stimulus confounds and data analysis choices. To probe for low-level confounds, we analyzed images from two face databases. Analyses of image luminance and contrast revealed biases across face views described by even polynomials-i.e., mirror-symmetric. To explain major trends across neuroimaging studies, we constructed a network model incorporating three constraints: cortical magnification, convergent feedforward projections, and interhemispheric connections. Given the identified low-level biases, we show that a gradual increase of interhemispheric connections across network-layers is sufficient to replicate view-tuning in early processing stages and mirror-symmetry in later stages. Data analysis decisions-pattern dissimilarity measure and data recentering-accounted for the inconsistent observation of mirror-symmetry across prior studies. Pattern analyses of human fMRI data (of either sex) revealed biases compatible with our model. The model provides a unifying explanation of MVPA studies of viewpoint selectivity and suggests observations of mirror-symmetry originate from ineffectively normalized signal imbalances across different face views.


Subject(s)
Facial Recognition , Humans , Male , Female , Facial Recognition/physiology , Adult , Neuroimaging/methods , Photic Stimulation/methods , Models, Neurological , Visual Cortex/physiology , Visual Cortex/diagnostic imaging , Magnetic Resonance Imaging/methods , Young Adult
15.
Pediatr Neurol ; 154: 36-43, 2024 May.
Article in English | MEDLINE | ID: mdl-38460444

ABSTRACT

BACKGROUND: This cross-sectional study aimed to report all neuroimaging findings suggestive of raised intracranial pressure in children with pseudotumor cerebri syndrome (PTCS), before and after re-review by two neuroradiologists. METHODS: We included 48 children aged <18 years diagnosed with PTCS between 2016 and 2021. Clinical and radiological data were obtained from their medical files. Two neuroradiologists independently re-reviewed all neuroimages, and the average of their assessments was compared with the initial neuroimaging reports; an additional review was done to analyze inter- and intraclass correlation. RESULTS: The initial neuroimaging reports showed under-reporting of findings, with only 26 of 48 (54.1%) patients identified with abnormal reports. After revision, the proportion of the reported findings increased to 44 of 48 (91.6%). Distention of the perioptic space was the most commonly reported finding after revision (36.5 of 48; 76%). Flattening of the posterior globe and empty sella were initially under-reported but improved after revision. Moreover, several findings suggestive of increased intracranial pressure not mandated by Friedman criteria were identified, such as narrowing of the Meckel cave, posterior displacement of the pituitary stalk, and narrowing of the cavernous sinus. Analysis of associations between neuroimaging findings and demographic and clinical characteristics yielded no statistically significant results. The inter- and intraclass correlation results demonstrated a significant agreement between raters and within each rater's assessment (P < 0.05). CONCLUSIONS: This study highlights the impact of image revision in enhancing PTCS diagnosis. Intra- and interclass correlations underscore the reliability of the review process, emphasizing the importance of meticulous image analysis in clinical practice.


Subject(s)
Intracranial Hypertension , Pseudotumor Cerebri , Humans , Child , Pseudotumor Cerebri/diagnostic imaging , Cross-Sectional Studies , Reproducibility of Results , Neuroimaging/methods
16.
Sensors (Basel) ; 24(6)2024 Mar 20.
Article in English | MEDLINE | ID: mdl-38544244

ABSTRACT

Heavily imbalanced datasets are common in lesion segmentation. Specifically, the lesions usually comprise less than 5% of the whole image volume when dealing with brain MRI. A common solution when training with a limited dataset is the use of specific loss functions that rebalance the effect of background and foreground voxels. These approaches are usually evaluated running a single cross-validation split without taking into account other possible random aspects that might affect the true improvement of the final metric (i.e., random weight initialisation or random shuffling). Furthermore, the evolution of the effect of the loss on the heavily imbalanced class is usually not analysed during the training phase. In this work, we present an analysis of different common loss metrics during training on public datasets dealing with brain lesion segmentation in heavy imbalanced datasets. In order to limit the effect of hyperparameter tuning and architecture, we chose a 3D Unet architecture due to its ability to provide good performance on different segmentation applications. We evaluated this framework on two public datasets and we observed that weighted losses have a similar performance on average, even though heavily weighting the gradient of the foreground class gives better performance in terms of true positive segmentation.


Subject(s)
Magnetic Resonance Imaging , Neural Networks, Computer , Magnetic Resonance Imaging/methods , Neuroimaging/methods , Image Processing, Computer-Assisted/methods
17.
Comput Methods Programs Biomed ; 248: 108115, 2024 May.
Article in English | MEDLINE | ID: mdl-38503072

ABSTRACT

BACKGROUND AND OBJECTIVE: As large sets of annotated MRI data are needed for training and validating deep learning based medical image analysis algorithms, the lack of sufficient annotated data is a critical problem. A possible solution is the generation of artificial data by means of physics-based simulations. Existing brain simulation data is limited in terms of anatomical models, tissue classes, fixed tissue characteristics, MR sequences and overall realism. METHODS: We propose a realistic simulation framework by incorporating patient-specific phantoms and Bloch equations-based analytical solutions for fast and accurate MRI simulations. A large number of labels are derived from open-source high-resolution T1w MRI data using a fully automated brain classification tool. The brain labels are taken as ground truth (GT) on which MR images are simulated using our framework. Moreover, we demonstrate that the T1w MR images generated from our framework along with GT annotations can be utilized directly to train a 3D brain segmentation network. To evaluate our model further on larger set of real multi-source MRI data without GT, we compared our model to existing brain segmentation tools, FSL-FAST and SynthSeg. RESULTS: Our framework generates 3D brain MRI for variable anatomy, sequence, contrast, SNR and resolution. The brain segmentation network for WM/GM/CSF trained only on T1w simulated data shows promising results on real MRI data from MRBrainS18 challenge dataset with a Dice scores of 0.818/0.832/0.828. On OASIS data, our model exhibits a close performance to FSL, both qualitatively and quantitatively with a Dice scores of 0.901/0.939/0.937. CONCLUSIONS: Our proposed simulation framework is the initial step towards achieving truly physics-based MRI image generation, providing flexibility to generate large sets of variable MRI data for desired anatomy, sequence, contrast, SNR, and resolution. Furthermore, the generated images can effectively train 3D brain segmentation networks, mitigating the reliance on real 3D annotated data.


Subject(s)
Deep Learning , Humans , Brain/diagnostic imaging , Brain/anatomy & histology , Magnetic Resonance Imaging/methods , Algorithms , Neuroimaging/methods , Image Processing, Computer-Assisted/methods
18.
Rinsho Shinkeigaku ; 64(4): 247-251, 2024 Apr 24.
Article in Japanese | MEDLINE | ID: mdl-38508731

ABSTRACT

Effective human communication is a complex process that involves transmitting and sharing information, ideas, and attitudes between two or more individuals. Researchers need to explore both transmission and sharing concepts to understand the neural basis of communication. Face-to-face communication refers to changing someone's mental state by sharing information, ideas, or attitudes. This type of communication is characterized by "mutual predictability." Scientists are working to clarify the neural basis of communication by studying how inter-individual synchronization of behavior and neural activity occurs during face-to-face communication.


Subject(s)
Communication , Humans , Neuroimaging/methods , Brain/physiology , Brain/diagnostic imaging , Information Dissemination
19.
Med Image Anal ; 94: 103122, 2024 May.
Article in English | MEDLINE | ID: mdl-38428270

ABSTRACT

Cortical surface registration plays a crucial role in aligning cortical functional and anatomical features across individuals. However, conventional registration algorithms are computationally inefficient. Recently, learning-based registration algorithms have emerged as a promising solution, significantly improving processing efficiency. Nonetheless, there remains a gap in the development of a learning-based method that exceeds the state-of-the-art conventional methods simultaneously in computational efficiency, registration accuracy, and distortion control, despite the theoretically greater representational capabilities of deep learning approaches. To address the challenge, we present SUGAR, a unified unsupervised deep-learning framework for both rigid and non-rigid registration. SUGAR incorporates a U-Net-based spherical graph attention network and leverages the Euler angle representation for deformation. In addition to the similarity loss, we introduce fold and multiple distortion losses to preserve topology and minimize various types of distortions. Furthermore, we propose a data augmentation strategy specifically tailored for spherical surface registration to enhance the registration performance. Through extensive evaluation involving over 10,000 scans from 7 diverse datasets, we showed that our framework exhibits comparable or superior registration performance in accuracy, distortion, and test-retest reliability compared to conventional and learning-based methods. Additionally, SUGAR achieves remarkable sub-second processing times, offering a notable speed-up of approximately 12,000 times in registering 9,000 subjects from the UK Biobank dataset in just 32 min. This combination of high registration performance and accelerated processing time may greatly benefit large-scale neuroimaging studies.


Subject(s)
Image Processing, Computer-Assisted , Neuroimaging , Humans , Image Processing, Computer-Assisted/methods , Reproducibility of Results , Neuroimaging/methods , Algorithms
20.
eNeuro ; 11(3)2024 Mar.
Article in English | MEDLINE | ID: mdl-38499355

ABSTRACT

Fueled by the recent and controversial brain-wide association studies in humans, the animal neuroimaging community has also begun questioning whether using larger sample sizes is necessary for ethical and effective scientific progress. In this opinion piece, we illustrate two opposing views on sample size extremes in MRI-based animal neuroimaging.


Subject(s)
Magnetic Resonance Imaging , Neuroimaging , Animals , Humans , Neuroimaging/methods , Magnetic Resonance Imaging/methods , Brain/diagnostic imaging
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