Using machine learning to classify temporal lobe epilepsy based on diffusion MRI

It is common for patients diagnosed with medial temporal lobe epilepsy (TLE) to have extrahippocampal damage. However, it is unclear whether microstructural extrahippocampal abnormalities are consistent enough to enable classification using diffusion MRI imaging. Therefore, we implemented a support vector machine (SVM)‐based method to predict TLE from three different imaging modalities: mean kurtosis (MK), mean diffusivity (MD), and fractional anisotropy (FA). While MD and FA can be calculated from traditional diffusion tensor imaging (DTI), MK requires diffusion kurtosis imaging (DKI).

[1]  Karim Jerbi,et al.  Exceeding chance level by chance: The caveat of theoretical chance levels in brain signal classification and statistical assessment of decoding accuracy , 2015, Journal of Neuroscience Methods.

[2]  Radford M. Neal Pattern Recognition and Machine Learning , 2007, Technometrics.

[3]  Jorge Eslava‐Cobos,et al.  Experience with the International League Against Epilepsy Proposals for Classification of Epileptic Seizures and the Epilepsies and Epileptic Syndromes in a Pediatric Outpatient Epilepsy Clinic , 1989, Epilepsia.

[4]  J. H. Cross,et al.  Revised terminology and concepts for organization of seizures and epilepsies: Report of the ILAE Commission on Classification and Terminology, 2005–2009 , 2010, Epilepsia.

[5]  Eric Halgren,et al.  MRI analysis in temporal lobe epilepsy: Cortical thinning and white matter disruptions are related to side of seizure onset , 2011, Epilepsia.

[6]  Junling Gao,et al.  Diffusion abnormalities in temporal lobes of children with temporal lobe epilepsy: a preliminary diffusional kurtosis imaging study and comparison with diffusion tensor imaging , 2012, NMR in biomedicine.

[7]  J. Helpern,et al.  Diffusional kurtosis imaging: The quantification of non‐gaussian water diffusion by means of magnetic resonance imaging , 2005, Magnetic resonance in medicine.

[8]  T S Walczak,et al.  Predicting long-term seizure outcome after resective epilepsy surgery , 2005, Neurology.

[9]  J J Halford,et al.  Asymmetrical extra-hippocampal grey matter loss related to hippocampal atrophy in patients with medial temporal lobe epilepsy , 2006, Journal of Neurology, Neurosurgery & Psychiatry.

[10]  E. Halgren,et al.  Side Matters: Diffusion Tensor Imaging Tractography in Left and Right Temporal Lobe Epilepsy , 2009, American Journal of Neuroradiology.

[11]  R. Mattson,et al.  Proposal for revised classification of epilepsies and epileptic syndromes. Commission on Classification and Terminology of the International League Against Epilepsy. , 1989, Epilepsia.

[12]  N. Roberts,et al.  Voxel‐based morphometry of temporal lobe epilepsy: An introduction and review of the literature , 2008, Epilepsia.

[13]  Catherine Zahn,et al.  Practice parameter: Temporal lobe and localized neocortical resections for epilepsy , 2003, Neurology.

[14]  T. Kurashige,et al.  Proposal for Revised Classification of Epilepsies and Epileptic Syndromes , 1989, No to hattatsu = Brain and development.

[15]  Jerome Engel,et al.  The etiologic classification of epilepsy , 2011, Epilepsia.

[16]  D. Spencer,et al.  Practice parameter: Temporal lobe and localized neocortical resections for epilepsy: Report of the Quality Standards Subcommittee of the American Academy of Neurology, in Association with the American Epilepsy Society and the American Association of Neurological Surgeons , 2003, Neurology.

[17]  Ashwini Sharan,et al.  Increased microstructural white matter correlations in left, but not right, temporal lobe epilepsy , 2015, Human brain mapping.

[18]  J. Helpern,et al.  Altered Microstructure in Temporal Lobe Epilepsy: A Diffusional Kurtosis Imaging Study , 2015, American Journal of Neuroradiology.

[19]  Gavin P Winston,et al.  The potential role of novel diffusion imaging techniques in the understanding and treatment of epilepsy. , 2015, Quantitative imaging in medicine and surgery.

[20]  Jeffrey D. Rudie,et al.  Machine learning classification of mesial temporal sclerosis in epilepsy patients , 2015, Epilepsy Research.