Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images

Background: The challenge of differentiating, at an early stage, Parkinson’s disease from parkinsonism caused by other disorders remains unsolved. We proposed using an artificial neural network (ANN) to process images of dopamine transporter single-photon emission computed tomography (DAT-SPECT). Me...

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Main Authors: Chung-Yao Chien, Szu-Wei Hsu, Tsung-Lin Lee, Pi-Shan Sung, Chou-Ching Lin
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/1/12
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author Chung-Yao Chien
Szu-Wei Hsu
Tsung-Lin Lee
Pi-Shan Sung
Chou-Ching Lin
author_facet Chung-Yao Chien
Szu-Wei Hsu
Tsung-Lin Lee
Pi-Shan Sung
Chou-Ching Lin
author_sort Chung-Yao Chien
collection DOAJ
description Background: The challenge of differentiating, at an early stage, Parkinson’s disease from parkinsonism caused by other disorders remains unsolved. We proposed using an artificial neural network (ANN) to process images of dopamine transporter single-photon emission computed tomography (DAT-SPECT). Methods: Abnormal DAT-SPECT images of subjects with Parkinson’s disease and parkinsonism caused by other disorders were divided into training and test sets. Striatal regions of the images were segmented by using an active contour model and were used as the data to perform transfer learning on a pre-trained ANN to discriminate Parkinson’s disease from parkinsonism caused by other disorders. A support vector machine trained using parameters of semi-quantitative measurements including specific binding ratio and asymmetry index was used for comparison. Results: The predictive accuracy of the ANN classifier (86%) was higher than that of the support vector machine classifier (68%). The sensitivity and specificity of the ANN classifier in predicting Parkinson’s disease were 81.8% and 88.6%, respectively. Conclusions: The ANN classifier outperformed classical biomarkers in differentiating Parkinson’s disease from parkinsonism caused by other disorders. This classifier can be readily included into standalone computer software for clinical application.
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spelling doaj.art-424791556d5c428bac119a44c7b4ecd22023-11-21T02:27:56ZengMDPI AGBiomedicines2227-90592020-12-01911210.3390/biomedicines9010012Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT ImagesChung-Yao Chien0Szu-Wei Hsu1Tsung-Lin Lee2Pi-Shan Sung3Chou-Ching Lin4Department of Biomedical Engineering, National Cheng Kung University, Tainan 704, TaiwanDepartment of Nuclear Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, TaiwanDepartment of Neurology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, TaiwanDepartment of Neurology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, TaiwanDepartment of Biomedical Engineering, National Cheng Kung University, Tainan 704, TaiwanBackground: The challenge of differentiating, at an early stage, Parkinson’s disease from parkinsonism caused by other disorders remains unsolved. We proposed using an artificial neural network (ANN) to process images of dopamine transporter single-photon emission computed tomography (DAT-SPECT). Methods: Abnormal DAT-SPECT images of subjects with Parkinson’s disease and parkinsonism caused by other disorders were divided into training and test sets. Striatal regions of the images were segmented by using an active contour model and were used as the data to perform transfer learning on a pre-trained ANN to discriminate Parkinson’s disease from parkinsonism caused by other disorders. A support vector machine trained using parameters of semi-quantitative measurements including specific binding ratio and asymmetry index was used for comparison. Results: The predictive accuracy of the ANN classifier (86%) was higher than that of the support vector machine classifier (68%). The sensitivity and specificity of the ANN classifier in predicting Parkinson’s disease were 81.8% and 88.6%, respectively. Conclusions: The ANN classifier outperformed classical biomarkers in differentiating Parkinson’s disease from parkinsonism caused by other disorders. This classifier can be readily included into standalone computer software for clinical application.https://www.mdpi.com/2227-9059/9/1/12artificial neural networkdeep learningParkinson’s diseaseatypical parkinsonian syndromedopamine transporter SPECT
spellingShingle Chung-Yao Chien
Szu-Wei Hsu
Tsung-Lin Lee
Pi-Shan Sung
Chou-Ching Lin
Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images
Biomedicines
artificial neural network
deep learning
Parkinson’s disease
atypical parkinsonian syndrome
dopamine transporter SPECT
title Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images
title_full Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images
title_fullStr Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images
title_full_unstemmed Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images
title_short Using Artificial Neural Network to Discriminate Parkinson’s Disease from Other Parkinsonisms by Focusing on Putamen of Dopamine Transporter SPECT Images
title_sort using artificial neural network to discriminate parkinson s disease from other parkinsonisms by focusing on putamen of dopamine transporter spect images
topic artificial neural network
deep learning
Parkinson’s disease
atypical parkinsonian syndrome
dopamine transporter SPECT
url https://www.mdpi.com/2227-9059/9/1/12
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