Automatic assistance to Parkinson's disease diagnosis in DaTSCAN SPECT imaging.

PURPOSE: In this work, an approach to computer aided diagnosis (CAD) system is proposed as a decision-making aid in Parkinsonian syndrome (PS) detection. This tool, intended for physicians, entails fully automatic preprocessing, normalization, and classification procedures for brain single-photon emission computed tomography images. METHODS: Ioflupane[(123)I]FP-CIT images are used to provide in vivo information of the dopamine transporter density. These images are preprocessed using an automated template-based registration followed by two proposed approaches for intensity normalization. A support vector machine (SVM) is used and compared to other statistical classifiers in order to achieve an effective diagnosis using whole brain images in combination with voxel selection masks. RESULTS: The CAD system is evaluated using a database consisting of 208 DaTSCAN images (100 controls, 108 PS). SVM-based classification is the most efficient choice when masked brain images are used. The generalization performance is estimated to be 89.02 (90.41-87.62)% sensitivity and 93.21 (92.24-94.18)% specificity. The area under the curve can take values of 0.9681 (0.9641-0.9722) when the image intensity is normalized to a maximum value, as derived from the receiver operating characteristics curves. CONCLUSIONS: The present analysis allows to evaluate the impact of the design elements for the development of a CAD-system when all the information encoded in the scans is considered. In this way, the proposed CAD-system shows interesting properties for clinical use, such as being fast, automatic, and robust.

Feature selection using factor analysis for Alzheimer's diagnosis using 18F-FDG PET images.

PURPOSE: This article presents a computer-aided diagnosis technique for improving the accuracy of the early diagnosis of Alzheimer's disease (AD). Two hundred and ten 18F-FDG PET images from the ADNI initiative [52 normal controls (NC), 114 mild cognitive impairment (MCI), and 53 AD subjects] are studied. METHODS: The proposed methodology is based on the selection of voxels of interest using the t-test and a posterior reduction of the feature dimension using factor analysis. Factor loadings are used as features for three different classifiers: Two multivariate Gaussian mixture model, with linear and quadratic discriminant function, and a support vector machine with linear kernel. RESULTS: An accuracy rate up to 95% when NC and AD are considered and an accuracy rate up to 88% and 86% for NC-MCI and NC-MCI,AD, respectively, are obtained using SVM with linear kernel. CONCLUSIONS: Results are compared to the voxel-as-features and a PCA- based approach and the proposed methodology achieves better classification performance.

Ensemble of random forests One vs. Rest classifiers for MCI and AD prediction using ANOVA cortical and subcortical feature selection and partial least squares.

BACKGROUND: Alzheimer's disease (AD) is the most common cause of dementia in the elderly and affects approximately 30 million individuals worldwide. Mild cognitive impairment (MCI) is very frequently a prodromal phase of AD, and existing studies have suggested that people with MCI tend to progress to AD at a rate of about 10-15% per year. However, the ability of clinicians and machine learning systems to predict AD based on MRI biomarkers at an early stage is still a challenging problem that can have a great impact in improving treatments. METHOD: The proposed system, developed by the SiPBA-UGR team for this challenge, is based on feature standardization, ANOVA feature selection, partial least squares feature dimension reduction and an ensemble of One vs. Rest random forest classifiers. With the aim of improving its performance when discriminating healthy controls (HC) from MCI, a second binary classification level was introduced that reconsiders the HC and MCI predictions of the first level. RESULTS: The system was trained and evaluated on an ADNI datasets that consist of T1-weighted MRI morphological measurements from HC, stable MCI, converter MCI and AD subjects. The proposed system yields a 56.25% classification score on the test subset which consists of 160 real subjects. COMPARISON WITH EXISTING METHOD(S): The classifier yielded the best performance when compared to: (i) One vs. One (OvO), One vs. Rest (OvR) and error correcting output codes (ECOC) as strategies for reducing the multiclass classification task to multiple binary classification problems, (ii) support vector machines, gradient boosting classifier and random forest as base binary classifiers, and (iii) bagging ensemble learning. CONCLUSIONS: A robust method has been proposed for the international challenge on MCI prediction based on MRI data. The system yielded the second best performance during the competition with an accuracy rate of 56.25% when evaluated on the real subjects of the test set.

Functional activity maps based on significance measures and Independent Component Analysis.

The use of functional imaging has been proven very helpful for the process of diagnosis of neurodegenerative diseases, such as Alzheimer's Disease (AD). In many cases, the analysis of these images is performed by manual reorientation and visual interpretation. Therefore, new statistical techniques to perform a more quantitative analysis are needed. In this work, a new statistical approximation to the analysis of functional images, based on significance measures and Independent Component Analysis (ICA) is presented. After the images preprocessing, voxels that allow better separation of the two classes are extracted, using significance measures such as the Mann-Whitney-Wilcoxon U-Test (MWW) and Relative Entropy (RE). After this feature selection step, the voxels vector is modelled by means of ICA, extracting a few independent components which will be used as an input to the classifier. Naive Bayes and Support Vector Machine (SVM) classifiers are used in this work. The proposed system has been applied to two different databases. A 96-subjects Single Photon Emission Computed Tomography (SPECT) database from the "Virgen de las Nieves" Hospital in Granada, Spain, and a 196-subjects Positron Emission Tomography (PET) database from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Values of accuracy up to 96.9% and 91.3% for SPECT and PET databases are achieved by the proposed system, which has yielded many benefits over methods proposed on recent works.

Improving the convergence rate in affine registration of PET and SPECT brain images using histogram equalization.

A procedure to improve the convergence rate for affine registration methods of medical brain images when the images differ greatly from the template is presented. The methodology is based on a histogram matching of the source images with respect to the reference brain template before proceeding with the affine registration. The preprocessed source brain images are spatially normalized to a template using a general affine model with 12 parameters. A sum of squared differences between the source images and the template is considered as objective function, and a Gauss-Newton optimization algorithm is used to find the minimum of the cost function. Using histogram equalization as a preprocessing step improves the convergence rate in the affine registration algorithm of brain images as we show in this work using SPECT and PET brain images.

Efficient mining of association rules for the early diagnosis of Alzheimer's disease.

In this paper, a novel technique based on association rules (ARs) is presented in order to find relations among activated brain areas in single photon emission computed tomography (SPECT) imaging. In this sense, the aim of this work is to discover associations among attributes which characterize the perfusion patterns of normal subjects and to make use of them for the early diagnosis of Alzheimer's disease (AD). Firstly, voxel-as-feature-based activation estimation methods are used to find the tridimensional activated brain regions of interest (ROIs) for each patient. These ROIs serve as input to secondly mine ARs with a minimum support and confidence among activation blocks by using a set of controls. In this context, support and confidence measures are related to the proportion of functional areas which are singularly and mutually activated across the brain. Finally, we perform image classification by comparing the number of ARs verified by each subject under test to a given threshold that depends on the number of previously mined rules. Several classification experiments were carried out in order to evaluate the proposed methods using a SPECT database that consists of 41 controls (NOR) and 56 AD patients labeled by trained physicians. The proposed methods were validated by means of the leave-one-out cross validation strategy, yielding up to 94.87% classification accuracy, thus outperforming recent developed methods for computer aided diagnosis of AD.