Identification of the Early Stage of Alzheimer's Disease Using Structural MRI and Resting-State fMRI.

Autor: Hojjati SH; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States.; Department of Electrical Engineering, Babol University of Technology, Babol, Iran.; Neuroscience Institute and Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, United States., Ebrahimzadeh A; Department of Electrical Engineering, Babol University of Technology, Babol, Iran., Babajani-Feremi A; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States.; Neuroscience Institute and Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.; Department of Anatomy and Neurobiology, University of Tennessee Health Science Center, Memphis, TN, United States.
Jazyk: angličtina
Zdroj: Frontiers in neurology [Front Neurol] 2019 Aug 30; Vol. 10, pp. 904. Date of Electronic Publication: 2019 Aug 30 (Print Publication: 2019).
DOI: 10.3389/fneur.2019.00904
Abstrakt: Accurate prediction of the early stage of Alzheimer's disease (AD) is important but very challenging. The goal of this study was to utilize predictors for diagnosis conversion to AD based on integrating resting-state functional MRI (rs-fMRI) connectivity analysis and structural MRI (sMRI). We included 177 subjects in this study and aimed at identifying patients with mild cognitive impairment (MCI) who progress to AD, MCI converter (MCI-C), patients with MCI who do not progress to AD, MCI non-converter (MCI-NC), patients with AD, and healthy controls (HC). The graph theory was used to characterize different aspects of the rs-fMRI brain network by calculating measures of integration and segregation. The cortical and subcortical measurements, e.g., cortical thickness, were extracted from sMRI data. The rs-fMRI graph measures were combined with the sMRI measures to construct input features of a support vector machine (SVM) and classify different groups of subjects. Two feature selection algorithms [i.e., the discriminant correlation analysis (DCA) and sequential feature collection (SFC)] were used for feature reduction and selecting a subset of optimal features. Maximum accuracy of 67 and 56% for three-group ("AD, MCI-C, and MCI-NC" or "MCI-C, MCI-NC, and HC") and four-group ("AD, MCI-C, MCI-NC, and HC") classification, respectively, were obtained with the SFC feature selection algorithm. We also identified hub nodes in the rs-fMRI brain network which were associated with the early stage of AD. Our results demonstrated the potential of the proposed method based on integration of the functional and structural MRI for identification of the early stage of AD.
Databáze: MEDLINE