DTI and Structural MRI Classification in Alzheimer’s Disease

In this paper, we propose a fully automated method to individually classify patients with Alzheimer’s disease (AD) and elderly control subjects based on diffusion tensor (DTI) and anatomical magnetic resonance imaging (MRI). We propose a new multimodal measure that combines anatomical and diffusivity measures at the voxel level. Our approach relies on whole-brain parcellation into 73 anatomical regions and the extraction of multimodal characteristics in these regions. Discriminative features are identified using different feature selection (FS) methods and used in a Support Vector Machine (SVM) for individual classification. Fifteen AD patients and 16 elderly controls were discriminated using mean diffusivity alone, combination of mean diffusivity and fractional anisotropy, and multimodal measures in the 73 ROIs and the overall accuracy obtained was 65.2%, 68.6% and 72% respectively. Overall accuracy reached 99% in multimodal measures when relevant regions were selected.

[1]  Peter Stoeter,et al.  Diagnostic utility of hippocampal size and mean diffusivity in amnestic MCI , 2007, Neurobiology of Aging.

[2]  M. Folstein,et al.  Clinical diagnosis of Alzheimer's disease , 1984, Neurology.

[3]  J. Riddoch,et al.  Birmingham object recognition battery , 1993 .

[4]  Anders M. Fjell,et al.  Multimodal imaging in mild cognitive impairment: Metabolism, morphometry and diffusion of the temporal–parietal memory network , 2009, NeuroImage.

[5]  G. Groth-Marnat,et al.  Specific learning disabilities and difficulties in children and adolescents: The Wechsler intelligence scales , 2001 .

[6]  Osamu Abe,et al.  Diffusion abnormality in the posterior cingulum and hippocampal volume: correlation with disease progression in Alzheimer's disease. , 2009, Magnetic resonance imaging.

[7]  Harald Hampel,et al.  Diagnostic utility of novel MRI-based biomarkers for Alzheimer's disease: diffusion tensor imaging and deformation-based morphometry. , 2010, Journal of Alzheimer's disease : JAD.

[8]  Nick C Fox,et al.  Presymptomatic hippocampal atrophy in Alzheimer's disease. A longitudinal MRI study. , 1996, Brain : a journal of neurology.

[9]  C. Jack,et al.  Prediction of AD with MRI-based hippocampal volume in mild cognitive impairment , 1999, Neurology.

[10]  H. Benali,et al.  Support vector machine-based classification of Alzheimer’s disease from whole-brain anatomical MRI , 2009, Neuroradiology.

[11]  Robert Tibshirani,et al.  An Introduction to the Bootstrap , 1994 .

[12]  S Lehéricy,et al.  VBM anticipates the rate of progression of Alzheimer disease , 2008, Neurology.

[13]  D. Royall,et al.  The FAB: A frontal assessment battery at bedside , 2001, Neurology.

[14]        Global prevalence of dementia: a Delphi consensus study , 2006 .

[15]  C. Ferri Global prevalence of dementia , 2009, Alzheimer's & Dementia.

[16]  Y. Zang,et al.  Voxel-based detection of white matter abnormalities in mild Alzheimer disease , 2006, Neurology.

[17]  A. Levey,et al.  Alterations in Cortical Thickness and White Matter Integrity in Mild Cognitive Impairment Measured by Whole-Brain Cortical Thickness Mapping and Diffusion Tensor Imaging , 2009, American Journal of Neuroradiology.

[18]  P. Scheltens,et al.  Research criteria for the diagnosis of Alzheimer's disease: revising the NINCDS–ADRDA criteria , 2007, The Lancet Neurology.

[19]  N. Tzourio-Mazoyer,et al.  Automated Anatomical Labeling of Activations in SPM Using a Macroscopic Anatomical Parcellation of the MNI MRI Single-Subject Brain , 2002, NeuroImage.

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

[21]  N. Schuff,et al.  Higher atrophy rate of entorhinal cortex than hippocampus in AD , 2004, Neurology.

[22]  Y. Agid,et al.  Neuropsychological pattern of striatonigral degeneration: comparison with Parkinson's disease and progressive supranuclear palsy. , 1995, Journal of neurology, neurosurgery, and psychiatry.

[23]  N. Schuff,et al.  Headache and cerebral venous air embolism , 2007, Neurology.

[24]  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.

[25]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[26]  Carlo Caltagirone,et al.  Combined volumetry and DTI in subcortical structures of mild cognitive impairment and Alzheimer's disease patients. , 2010, Journal of Alzheimer's disease : JAD.

[27]  A. Kamel,et al.  Address for correspondence , 2000 .

[28]  M. Yamada,et al.  [Dementia rating scale]. , 1997, Nihon rinsho. Japanese journal of clinical medicine.

[29]  S. Rose,et al.  Gray and white matter changes in Alzheimer's disease: A diffusion tensor imaging study , 2008, Journal of magnetic resonance imaging : JMRI.

[30]  Jason Weston,et al.  Gene Selection for Cancer Classification using Support Vector Machines , 2002, Machine Learning.

[31]  Ricardo Nitrini,et al.  Criteria for the diagnosis of Alzheimer’s disease: Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology , 2011, Dementia & neuropsychologia.

[32]  Mark Jenkinson,et al.  Combining shape and connectivity analysis: An MRI study of thalamic degeneration in Alzheimer's disease , 2010, NeuroImage.

[33]  Stephen T. C. Wong,et al.  76-Space Analysis of Grey Matter Diffusivity: Methods and Applications , 2005, MICCAI.

[34]  D. Bennett,et al.  MRI-derived entorhinal and hippocampal atrophy in incipient and very mild Alzheimer’s disease☆ ☆ This research was supported by grants P01 AG09466 and P30 AG10161 from the National Institute on Aging, National Institutes of Health. , 2001, Neurobiology of Aging.

[35]  M. Åsberg,et al.  A New Depression Scale Designed to be Sensitive to Change , 1979, British Journal of Psychiatry.

[36]  E. Tangalos,et al.  Comparative Diagnostic Utility of Different MR Modalities in Mild Cognitive Impairment and Alzheimer’s Disease , 2002, Dementia and Geriatric Cognitive Disorders.

[37]  Brian B. Avants,et al.  Dementia induces correlated reductions in white matter integrity and cortical thickness: A multivariate neuroimaging study with sparse canonical correlation analysis , 2010, NeuroImage.

[38]  Daoqiang Zhang,et al.  Multimodal classification of Alzheimer's disease and mild cognitive impairment , 2011, NeuroImage.

[39]  A. Sirigu,et al.  The neuropsychological pattern of corticobasal degeneration , 1995, Neurology.

[40]  The Wechsler Intelligence Scales for Children and Adults , 2013 .

[41]  Corinna Cortes,et al.  Support-Vector Networks , 1995, Machine Learning.

[42]  H. Buschke,et al.  Genuine memory deficits in dementia , 1987 .