Interpretable deep learning‐based hippocampal sclerosis classification

Abstract Objective To evaluate the performance of a deep learning model for hippocampal sclerosis classification on the clinical dataset and suggest plausible visual interpretation for the model prediction. Methods T2‐weighted oblique coronal images of the brain MRI epilepsy protocol performed on pa...

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Main Authors: Dohyun Kim, Jungtae Lee, Jangsup Moon, Taesup Moon
Format: Article
Language:English
Published: Wiley 2022-12-01
Series:Epilepsia Open
Subjects:
Online Access:https://doi.org/10.1002/epi4.12655
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author Dohyun Kim
Jungtae Lee
Jangsup Moon
Taesup Moon
author_facet Dohyun Kim
Jungtae Lee
Jangsup Moon
Taesup Moon
author_sort Dohyun Kim
collection DOAJ
description Abstract Objective To evaluate the performance of a deep learning model for hippocampal sclerosis classification on the clinical dataset and suggest plausible visual interpretation for the model prediction. Methods T2‐weighted oblique coronal images of the brain MRI epilepsy protocol performed on patients were used. The training set included 320 participants with 160 no, 100 left and 60 right hippocampal sclerosis, and cross‐validation was implemented. The test set consisted of 302 participants with 252 no, 25 left and 25 right hippocampal sclerosis. As the test set was imbalanced, we took an average of the accuracy achieved within each group to measure a balanced accuracy for multiclass and binary classifications. The dataset was composed to include not only healthy participants but also participants with abnormalities besides hippocampal sclerosis in the control group. We visualized the reasons for the model prediction using the layer‐wise relevance propagation method. Results When evaluated on the validation of the training set, we achieved multiclass and binary classification accuracy of 87.5% and 88.8% from the voting ensemble of six models. Evaluated on the test sets, we achieved multiclass and binary classification accuracy of 91.5% and 89.76%. The distinctly sparse visual interpretations were provided for each individual participant and group to suggest the contribution of each input voxel to the prediction on the MRI. Significance The current interpretable deep learning‐based model is promising for adapting effectively to clinical settings by utilizing commonly used data, such as MRI, with realistic abnormalities faced by neurologists to support the diagnosis of hippocampal sclerosis with plausible visual interpretation.
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spelling doaj.art-03f87baa44ec4c518c1092e5330cafcc2022-12-22T04:16:25ZengWileyEpilepsia Open2470-92392022-12-017474775710.1002/epi4.12655Interpretable deep learning‐based hippocampal sclerosis classificationDohyun Kim0Jungtae Lee1Jangsup Moon2Taesup Moon3Department of Artificial Intelligence Sungkyunkwan University Suwon South KoreaApplication Engineering Team, Memory Business Samsung Electronics Co., Ltd. Suwon South KoreaDepartment of Neurology Seoul National University Hospital Seoul South KoreaDepartment of Electrical and Computer Engineering Seoul National University Seoul South KoreaAbstract Objective To evaluate the performance of a deep learning model for hippocampal sclerosis classification on the clinical dataset and suggest plausible visual interpretation for the model prediction. Methods T2‐weighted oblique coronal images of the brain MRI epilepsy protocol performed on patients were used. The training set included 320 participants with 160 no, 100 left and 60 right hippocampal sclerosis, and cross‐validation was implemented. The test set consisted of 302 participants with 252 no, 25 left and 25 right hippocampal sclerosis. As the test set was imbalanced, we took an average of the accuracy achieved within each group to measure a balanced accuracy for multiclass and binary classifications. The dataset was composed to include not only healthy participants but also participants with abnormalities besides hippocampal sclerosis in the control group. We visualized the reasons for the model prediction using the layer‐wise relevance propagation method. Results When evaluated on the validation of the training set, we achieved multiclass and binary classification accuracy of 87.5% and 88.8% from the voting ensemble of six models. Evaluated on the test sets, we achieved multiclass and binary classification accuracy of 91.5% and 89.76%. The distinctly sparse visual interpretations were provided for each individual participant and group to suggest the contribution of each input voxel to the prediction on the MRI. Significance The current interpretable deep learning‐based model is promising for adapting effectively to clinical settings by utilizing commonly used data, such as MRI, with realistic abnormalities faced by neurologists to support the diagnosis of hippocampal sclerosis with plausible visual interpretation.https://doi.org/10.1002/epi4.12655convolutional neural networkhippocampal sclerosisinterpretable AIMRI
spellingShingle Dohyun Kim
Jungtae Lee
Jangsup Moon
Taesup Moon
Interpretable deep learning‐based hippocampal sclerosis classification
Epilepsia Open
convolutional neural network
hippocampal sclerosis
interpretable AI
MRI
title Interpretable deep learning‐based hippocampal sclerosis classification
title_full Interpretable deep learning‐based hippocampal sclerosis classification
title_fullStr Interpretable deep learning‐based hippocampal sclerosis classification
title_full_unstemmed Interpretable deep learning‐based hippocampal sclerosis classification
title_short Interpretable deep learning‐based hippocampal sclerosis classification
title_sort interpretable deep learning based hippocampal sclerosis classification
topic convolutional neural network
hippocampal sclerosis
interpretable AI
MRI
url https://doi.org/10.1002/epi4.12655
work_keys_str_mv AT dohyunkim interpretabledeeplearningbasedhippocampalsclerosisclassification
AT jungtaelee interpretabledeeplearningbasedhippocampalsclerosisclassification
AT jangsupmoon interpretabledeeplearningbasedhippocampalsclerosisclassification
AT taesupmoon interpretabledeeplearningbasedhippocampalsclerosisclassification