Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease

Abstract Objectives The literature regarding the use of diffusion-tensor imaging-derived metrics in the evaluation of Parkinson’s disease (PD) is controversial. This study attempted to assess the feasibility of a deep-learning-based method for detecting alterations in diffusion kurtosis measurements...

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Main Authors: Junyan Sun, Ruike Chen, Qiqi Tong, Jinghong Ma, Linlin Gao, Jiliang Fang, Dongling Zhang, Piu Chan, Hongjian He, Tao Wu
Format: Article
Language:English
Published: SpringerOpen 2021-09-01
Series:Brain Informatics
Subjects:
Online Access:https://doi.org/10.1186/s40708-021-00139-z
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author Junyan Sun
Ruike Chen
Qiqi Tong
Jinghong Ma
Linlin Gao
Jiliang Fang
Dongling Zhang
Piu Chan
Hongjian He
Tao Wu
author_facet Junyan Sun
Ruike Chen
Qiqi Tong
Jinghong Ma
Linlin Gao
Jiliang Fang
Dongling Zhang
Piu Chan
Hongjian He
Tao Wu
author_sort Junyan Sun
collection DOAJ
description Abstract Objectives The literature regarding the use of diffusion-tensor imaging-derived metrics in the evaluation of Parkinson’s disease (PD) is controversial. This study attempted to assess the feasibility of a deep-learning-based method for detecting alterations in diffusion kurtosis measurements associated with PD. Methods A total of 68 patients with PD and 77 healthy controls were scanned using scanner-A (3 T Skyra) (DATASET-1). Meanwhile, an additional five healthy volunteers were scanned with both scanner-A and an additional scanner-B (3 T Prisma) (DATASET-2). Diffusion kurtosis imaging (DKI) of DATASET-2 had an extra b shell compared to DATASET-1. In addition, a 3D-convolutional neural network (CNN) was trained from DATASET-2 to harmonize the quality of scalar measures of scanner-A to a similar level as scanner-B. Whole-brain unpaired t test and Tract-Based Spatial Statistics (TBSS) were performed to validate the differences between the PD and control groups using the model-fitting method and CNN-based method, respectively. We further clarified the correlation between clinical assessments and DKI results. Results An increase in mean diffusivity (MD) was found in the left substantia nigra (SN) in the PD group. In the right SN, fractional anisotropy (FA) and mean kurtosis (MK) values were negatively correlated with Hoehn and Yahr (H&Y) scales. In the putamen (Put), FA values were positively correlated with the H&Y scales. It is worth noting that these findings were only observed with the deep learning method. There was neither a group difference nor a correlation with clinical assessments in the SN or striatum exceeding the significance level using the conventional model-fitting method. Conclusions The CNN-based method improves the robustness of DKI and can help to explore PD-associated imaging features.
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spelling doaj.art-edc8bb96da7942e181d52ed30dbcd8e82022-12-21T23:08:08ZengSpringerOpenBrain Informatics2198-40182198-40262021-09-018111210.1186/s40708-021-00139-zConvolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s diseaseJunyan Sun0Ruike Chen1Qiqi Tong2Jinghong Ma3Linlin Gao4Jiliang Fang5Dongling Zhang6Piu Chan7Hongjian He8Tao Wu9Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric DiseaseCenter for Brain Imaging Science and Technology, College of Biomedical Engineering and Instrumental Science, Zhejiang UniversityCenter for Brain Imaging Science and Technology, College of Biomedical Engineering and Instrumental Science, Zhejiang UniversityDepartment of Neurology, Xuanwu Hospital of Capital Medical UniversityDepartment of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric DiseaseDepartment of Radiology, Guang’anmen Hospital, China Academy of Chinese Medical SciencesDepartment of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric DiseaseDepartment of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric DiseaseCenter for Brain Imaging Science and Technology, College of Biomedical Engineering and Instrumental Science, Zhejiang UniversityDepartment of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric DiseaseAbstract Objectives The literature regarding the use of diffusion-tensor imaging-derived metrics in the evaluation of Parkinson’s disease (PD) is controversial. This study attempted to assess the feasibility of a deep-learning-based method for detecting alterations in diffusion kurtosis measurements associated with PD. Methods A total of 68 patients with PD and 77 healthy controls were scanned using scanner-A (3 T Skyra) (DATASET-1). Meanwhile, an additional five healthy volunteers were scanned with both scanner-A and an additional scanner-B (3 T Prisma) (DATASET-2). Diffusion kurtosis imaging (DKI) of DATASET-2 had an extra b shell compared to DATASET-1. In addition, a 3D-convolutional neural network (CNN) was trained from DATASET-2 to harmonize the quality of scalar measures of scanner-A to a similar level as scanner-B. Whole-brain unpaired t test and Tract-Based Spatial Statistics (TBSS) were performed to validate the differences between the PD and control groups using the model-fitting method and CNN-based method, respectively. We further clarified the correlation between clinical assessments and DKI results. Results An increase in mean diffusivity (MD) was found in the left substantia nigra (SN) in the PD group. In the right SN, fractional anisotropy (FA) and mean kurtosis (MK) values were negatively correlated with Hoehn and Yahr (H&Y) scales. In the putamen (Put), FA values were positively correlated with the H&Y scales. It is worth noting that these findings were only observed with the deep learning method. There was neither a group difference nor a correlation with clinical assessments in the SN or striatum exceeding the significance level using the conventional model-fitting method. Conclusions The CNN-based method improves the robustness of DKI and can help to explore PD-associated imaging features.https://doi.org/10.1186/s40708-021-00139-zParkinson’s diseaseDiffusion kurtosis imagingConvolutional neural networkMean kurtosisKurtosis fractional anisotropyMean diffusivity
spellingShingle Junyan Sun
Ruike Chen
Qiqi Tong
Jinghong Ma
Linlin Gao
Jiliang Fang
Dongling Zhang
Piu Chan
Hongjian He
Tao Wu
Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease
Brain Informatics
Parkinson’s disease
Diffusion kurtosis imaging
Convolutional neural network
Mean kurtosis
Kurtosis fractional anisotropy
Mean diffusivity
title Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease
title_full Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease
title_fullStr Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease
title_full_unstemmed Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease
title_short Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson’s disease
title_sort convolutional neural network optimizes the application of diffusion kurtosis imaging in parkinson s disease
topic Parkinson’s disease
Diffusion kurtosis imaging
Convolutional neural network
Mean kurtosis
Kurtosis fractional anisotropy
Mean diffusivity
url https://doi.org/10.1186/s40708-021-00139-z
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