Automated Detection of mild Cognitive impairment through MRI Data Analysis

The early identification of mild cognitive impairment (MCI) has the potential for timely therapeutic interventions that would limit the advancement of MCI to Alzheimer's disease (AD). This paper presents an automated approach for early detection of MCI through pattern classification of magnetic resonance imaging (MRI) data. The approach is based on image feature selection and support vector machine (SVM) classification. Subjects were selected from the Open Access Series of Imaging Studies (OASIS) database and included 89 MCI subjects and 80 controls. Voxel-by-voxel differences in gray matter (GM) intensity between the MCI and control groups were identified. Then regions of interest (ROIs) and the most discriminative image features that represented the patterns in MCI subjects were determined for training a classifier. The classifier demonstrated a high classification accuracy (90%) when a behavioral estimate of MCI and the ROIs were included as features in comparison to the behavioral estimate or the ROIs alone, which is one scientific contribution of our work. Another contribution is that the classifier can be integrated with the image processing functions through an online interface with significant medical capability that can be used for automated image pre-processing, obtaining MCI probability estimates for individual cases, and visualization of affected regions.

[1]  Alberto Beltramello,et al.  A comparison between the accuracy of voxel‐based morphometry and hippocampal volumetry in Alzheimer's disease , 2004, Journal of magnetic resonance imaging : JMRI.

[2]  J T O'Brien,et al.  Medial temporal lobe atrophy on MRI differentiates Alzheimer's disease from dementia with Lewy bodies and vascular cognitive impairment: a prospective study with pathological verification of diagnosis. , 2009, Brain : a journal of neurology.

[3]  P. Scheltens,et al.  Medial temporal lobe atrophy predicts Alzheimer's disease in patients with minor cognitive impairment , 2002, Journal of neurology, neurosurgery, and psychiatry.

[4]  C. Jack,et al.  Usefulness of MRI measures of entorhinal cortex versus hippocampus in AD , 2000, Neurology.

[5]  Nick C. Fox,et al.  Global and local gray matter loss in mild cognitive impairment and Alzheimer's disease , 2004, NeuroImage.

[6]  C. Bottino,et al.  Volumetric MRI Measurements Can Differentiate Alzheimer's Disease, Mild Cognitive Impairment, and Normal Aging , 2002, International Psychogeriatrics.

[7]  Isabelle Guyon,et al.  An Introduction to Variable and Feature Selection , 2003, J. Mach. Learn. Res..

[8]  John G. Csernansky,et al.  Open Access Series of Imaging Studies: Longitudinal MRI Data in Nondemented and Demented Older Adults , 2010, Journal of Cognitive Neuroscience.

[9]  John G. Csernansky,et al.  Open Access Series of Imaging Studies (OASIS): Cross-sectional MRI Data in Young, Middle Aged, Nondemented, and Demented Older Adults , 2007, Journal of Cognitive Neuroscience.

[10]  J. Morris The Clinical Dementia Rating (CDR) , 1993, Neurology.

[11]  J. Baron,et al.  Mapping gray matter loss with voxel-based morphometry in mild cognitive impairment , 2002, Neuroreport.

[12]  N. Schuff,et al.  Magnetic resonance imaging of the entorhinal cortex and hippocampus in mild cognitive impairment and Alzheimer's disease , 2001, Journal of neurology, neurosurgery, and psychiatry.

[13]  G. Frisoni,et al.  A voxel based morphometry study on mild cognitive impairment , 2004, Journal of Neurology, Neurosurgery & Psychiatry.

[14]  Christos Davatzikos,et al.  Baseline and longitudinal patterns of brain atrophy in MCI patients, and their use in prediction of short-term conversion to AD: Results from ADNI , 2009, NeuroImage.

[15]  C. Jack,et al.  3D maps from multiple MRI illustrate changing atrophy patterns as subjects progress from mild cognitive impairment to Alzheimer's disease. , 2007, Brain : a journal of neurology.

[16]  S. R. Kannan,et al.  A new segmentation system for brain MR images based on fuzzy techniques , 2008, Appl. Soft Comput..

[17]  et al.,et al.  Spatial patterns of brain atrophy in MCI patients, identified via high-dimensional pattern classification, predict subsequent cognitive decline , 2008, NeuroImage.

[18]  J. Mugler,et al.  Three‐dimensional magnetization‐prepared rapid gradient‐echo imaging (3D MP RAGE) , 1990, Magnetic resonance in medicine.

[19]  S. Resnick,et al.  Detection of prodromal Alzheimer's disease via pattern classification of magnetic resonance imaging , 2008, Neurobiology of Aging.

[20]  Takashi Asada,et al.  Voxel-based morphometry to discriminate early Alzheimer's disease from controls , 2005, Neuroscience Letters.

[21]  Brigitte Landeau,et al.  Using voxel-based morphometry to map the structural changes associated with rapid conversion in MCI: A longitudinal MRI study , 2005, NeuroImage.

[22]  Xiaoying Wu,et al.  Structural and functional biomarkers of prodromal Alzheimer's disease: A high-dimensional pattern classification study , 2008, NeuroImage.

[23]  G. Frisoni,et al.  MRI of hippocampus and entorhinal cortex in mild cognitive impairment: A follow-up study , 2008, Neurobiology of Aging.

[24]  Nick C Fox,et al.  Automatic classification of MR scans in Alzheimer's disease. , 2008, Brain : a journal of neurology.

[25]  J. C. Dunn,et al.  A Fuzzy Relative of the ISODATA Process and Its Use in Detecting Compact Well-Separated Clusters , 1973 .

[26]  B. Reisberg,et al.  Longitudinal CSF and MRI biomarkers improve the diagnosis of mild cognitive impairment , 2006, Neurobiology of Aging.

[27]  Eini Niskanen,et al.  Voxel-based morphometry to detect brain atrophy in progressive mild cognitive impairment , 2007, NeuroImage.

[28]  M. Filippi,et al.  The contribution of voxel-based morphometry in staging patients with mild cognitive impairment , 2006, Neurology.