Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease

Background: Alterations of the gray and white matter have been identified in Alzheimer’s disease (AD) by structural MRI and diffusion tensor imaging (DTI). However, whether the combination of these modalities could increase the diagnostic performance is unknown.Methods: Participants included 19 AD p...

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Main Authors: Kenichi eOishi, Kazi eAkhter, Michelle eMielke, Can eCeritoglu, Jiangyang eZhang, Hangyi eJiang, Xin eLi, Laurent eYounes, Michael I Miller, Peter evan Zijl, Marilyn eAlbert, Constantine eLyketsos, Susumu eMori
Format: Article
Language:English
Published: Frontiers Media S.A. 2011-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2011.00054/full
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author Kenichi eOishi
Kazi eAkhter
Michelle eMielke
Can eCeritoglu
Jiangyang eZhang
Hangyi eJiang
Xin eLi
Laurent eYounes
Michael I Miller
Peter evan Zijl
Peter evan Zijl
Marilyn eAlbert
Constantine eLyketsos
Susumu eMori
Susumu eMori
author_facet Kenichi eOishi
Kazi eAkhter
Michelle eMielke
Can eCeritoglu
Jiangyang eZhang
Hangyi eJiang
Xin eLi
Laurent eYounes
Michael I Miller
Peter evan Zijl
Peter evan Zijl
Marilyn eAlbert
Constantine eLyketsos
Susumu eMori
Susumu eMori
author_sort Kenichi eOishi
collection DOAJ
description Background: Alterations of the gray and white matter have been identified in Alzheimer’s disease (AD) by structural MRI and diffusion tensor imaging (DTI). However, whether the combination of these modalities could increase the diagnostic performance is unknown.Methods: Participants included 19 AD patients, 22 amnestic mild cognitive impairment (aMCI) patients, and 22 cognitively normal elderly (NC). The aMCI group was further divided into an aMCI-converter group (converted to AD dementia within three years), and an aMCI-stable group who did not convert in this time period. A T1-weighted image, a T2 map, and a DTI of each participant were normalized, and voxel-based comparisons between AD and NC groups were performed. Regions-of-interest, which defined the areas with significant differences between AD and NC, were created for each modality and named disease-specific spatial filters (DSF). Linear discriminant analysis was used to optimize the combination of multiple MRI measurements extracted by DSF to effectively differentiate AD from NC. The resultant DSF and the discriminant function were applied to the aMCI group to investigate the power to differentiate the aMCI-converters from the aMCI-stable patients. Results: The multi-modal approach with AD-specific filters led to a predictive model with an area under the receiver operating characteristic curve (AUC) of 0.93, in differentiating aMCI-converters from aMCI-stable patients. This AUC was better than that of a single-contrast-based approach, such as T1-based morphometry or diffusion anisotropy analysis. Conclusion: The multi-modal approach has the potential to increase the value of MRI in predicting conversion from aMCI to AD.
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spelling doaj.art-08fed9d26a804eb5a689e93510cb6b0c2022-12-22T01:14:10ZengFrontiers Media S.A.Frontiers in Neurology1664-22952011-08-01210.3389/fneur.2011.0005413750Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s diseaseKenichi eOishi0Kazi eAkhter1Michelle eMielke2Can eCeritoglu3Jiangyang eZhang4Hangyi eJiang5Xin eLi6Laurent eYounes7Michael I Miller8Peter evan Zijl9Peter evan Zijl10Marilyn eAlbert11Constantine eLyketsos12Susumu eMori13Susumu eMori14Johns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityKennedy Krieger InstituteJohns Hopkins UniversityJohns Hopkins UniversityJohns Hopkins UniversityKennedy Krieger InstituteBackground: Alterations of the gray and white matter have been identified in Alzheimer’s disease (AD) by structural MRI and diffusion tensor imaging (DTI). However, whether the combination of these modalities could increase the diagnostic performance is unknown.Methods: Participants included 19 AD patients, 22 amnestic mild cognitive impairment (aMCI) patients, and 22 cognitively normal elderly (NC). The aMCI group was further divided into an aMCI-converter group (converted to AD dementia within three years), and an aMCI-stable group who did not convert in this time period. A T1-weighted image, a T2 map, and a DTI of each participant were normalized, and voxel-based comparisons between AD and NC groups were performed. Regions-of-interest, which defined the areas with significant differences between AD and NC, were created for each modality and named disease-specific spatial filters (DSF). Linear discriminant analysis was used to optimize the combination of multiple MRI measurements extracted by DSF to effectively differentiate AD from NC. The resultant DSF and the discriminant function were applied to the aMCI group to investigate the power to differentiate the aMCI-converters from the aMCI-stable patients. Results: The multi-modal approach with AD-specific filters led to a predictive model with an area under the receiver operating characteristic curve (AUC) of 0.93, in differentiating aMCI-converters from aMCI-stable patients. This AUC was better than that of a single-contrast-based approach, such as T1-based morphometry or diffusion anisotropy analysis. Conclusion: The multi-modal approach has the potential to increase the value of MRI in predicting conversion from aMCI to AD.http://journal.frontiersin.org/Journal/10.3389/fneur.2011.00054/fullDiffusion Tensor ImagingMagnetic Resonance ImagingMild Cognitive ImpairmentAlzheimer’s diseasewhite mattermulti-modal disease specific spatial filtering
spellingShingle Kenichi eOishi
Kazi eAkhter
Michelle eMielke
Can eCeritoglu
Jiangyang eZhang
Hangyi eJiang
Xin eLi
Laurent eYounes
Michael I Miller
Peter evan Zijl
Peter evan Zijl
Marilyn eAlbert
Constantine eLyketsos
Susumu eMori
Susumu eMori
Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease
Frontiers in Neurology
Diffusion Tensor Imaging
Magnetic Resonance Imaging
Mild Cognitive Impairment
Alzheimer’s disease
white matter
multi-modal disease specific spatial filtering
title Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease
title_full Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease
title_fullStr Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease
title_full_unstemmed Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease
title_short Multi-modal MRI analysis with disease-specific spatial filtering: initial testing to predict mild cognitive impairment patients who convert to Alzheimer’s disease
title_sort multi modal mri analysis with disease specific spatial filtering initial testing to predict mild cognitive impairment patients who convert to alzheimer s disease
topic Diffusion Tensor Imaging
Magnetic Resonance Imaging
Mild Cognitive Impairment
Alzheimer’s disease
white matter
multi-modal disease specific spatial filtering
url http://journal.frontiersin.org/Journal/10.3389/fneur.2011.00054/full
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