Predicting primary progressive aphasias with support vector machine approaches in structural MRI data

Primary progressive aphasia (PPA) encompasses the three subtypes nonfluent/agrammatic variant PPA, semantic variant PPA, and the logopenic variant PPA, which are characterized by distinct patterns of language difficulties and regional brain atrophy. To validate the potential of structural magnetic r...

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Main Authors: Sandrine Bisenius, Karsten Mueller, Janine Diehl-Schmid, Klaus Fassbender, Timo Grimmer, Frank Jessen, Jan Kassubek, Johannes Kornhuber, Bernhard Landwehrmeyer, Albert Ludolph, Anja Schneider, Sarah Anderl-Straub, Katharina Stuke, Adrian Danek, Markus Otto, Matthias L. Schroeter
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158217300372
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author Sandrine Bisenius
Karsten Mueller
Janine Diehl-Schmid
Klaus Fassbender
Timo Grimmer
Frank Jessen
Jan Kassubek
Johannes Kornhuber
Bernhard Landwehrmeyer
Albert Ludolph
Anja Schneider
Sarah Anderl-Straub
Katharina Stuke
Adrian Danek
Markus Otto
Matthias L. Schroeter
author_facet Sandrine Bisenius
Karsten Mueller
Janine Diehl-Schmid
Klaus Fassbender
Timo Grimmer
Frank Jessen
Jan Kassubek
Johannes Kornhuber
Bernhard Landwehrmeyer
Albert Ludolph
Anja Schneider
Sarah Anderl-Straub
Katharina Stuke
Adrian Danek
Markus Otto
Matthias L. Schroeter
author_sort Sandrine Bisenius
collection DOAJ
description Primary progressive aphasia (PPA) encompasses the three subtypes nonfluent/agrammatic variant PPA, semantic variant PPA, and the logopenic variant PPA, which are characterized by distinct patterns of language difficulties and regional brain atrophy. To validate the potential of structural magnetic resonance imaging data for early individual diagnosis, we used support vector machine classification on grey matter density maps obtained by voxel-based morphometry analysis to discriminate PPA subtypes (44 patients: 16 nonfluent/agrammatic variant PPA, 17 semantic variant PPA, 11 logopenic variant PPA) from 20 healthy controls (matched for sample size, age, and gender) in the cohort of the multi-center study of the German consortium for frontotemporal lobar degeneration. Here, we compared a whole-brain with a meta-analysis-based disease-specific regions-of-interest approach for support vector machine classification. We also used support vector machine classification to discriminate the three PPA subtypes from each other. Whole brain support vector machine classification enabled a very high accuracy between 91 and 97% for identifying specific PPA subtypes vs. healthy controls, and 78/95% for the discrimination between semantic variant vs. nonfluent/agrammatic or logopenic PPA variants. Only for the discrimination between nonfluent/agrammatic and logopenic PPA variants accuracy was low with 55%. Interestingly, the regions that contributed the most to the support vector machine classification of patients corresponded largely to the regions that were atrophic in these patients as revealed by group comparisons. Although the whole brain approach took also into account regions that were not covered in the regions-of-interest approach, both approaches showed similar accuracies due to the disease-specificity of the selected networks. Conclusion, support vector machine classification of multi-center structural magnetic resonance imaging data enables prediction of PPA subtypes with a very high accuracy paving the road for its application in clinical settings.
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spelling doaj.art-ee88fbdebdb84ab6b10f738d441e7b4c2022-12-22T03:53:41ZengElsevierNeuroImage: Clinical2213-15822017-01-0114C33434310.1016/j.nicl.2017.02.003Predicting primary progressive aphasias with support vector machine approaches in structural MRI dataSandrine Bisenius0Karsten Mueller1Janine Diehl-Schmid2Klaus Fassbender3Timo Grimmer4Frank Jessen5Jan Kassubek6Johannes Kornhuber7Bernhard Landwehrmeyer8Albert Ludolph9Anja Schneider10Sarah Anderl-Straub11Katharina Stuke12Adrian Danek13Markus Otto14Matthias L. Schroeter15Max Planck Institute for Human Cognitive and Brain Sciences & Clinic for Cognitive Neurology, University Hospital Leipzig, GermanyMax Planck Institute for Human Cognitive and Brain Sciences & Clinic for Cognitive Neurology, University Hospital Leipzig, GermanyClinic and Polyclinic for Psychiatry & Psychotherapy, Technical University Munich, GermanyClinic and Polyclinic for Neurology, Saarland University Homburg, GermanyClinic and Polyclinic for Psychiatry & Psychotherapy, Technical University Munich, GermanyClinic and Polyclinic for Psychiatry and Psychotherapy, University of Bonn, GermanyDepartment of Neurology, University of Ulm, GermanyClinic for Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nuremberg, GermanyDepartment of Neurology, University of Ulm, GermanyDepartment of Neurology, University of Ulm, GermanyClinic for Psychiatry and Psychotherapy, University of Goettingen, GermanyDepartment of Neurology, University of Ulm, GermanyMax Planck Institute for Human Cognitive and Brain Sciences & Clinic for Cognitive Neurology, University Hospital Leipzig, GermanyClinic of Neurology, Ludwig Maximilian University of Munich, GermanyDepartment of Neurology, University of Ulm, GermanyMax Planck Institute for Human Cognitive and Brain Sciences & Clinic for Cognitive Neurology, University Hospital Leipzig, GermanyPrimary progressive aphasia (PPA) encompasses the three subtypes nonfluent/agrammatic variant PPA, semantic variant PPA, and the logopenic variant PPA, which are characterized by distinct patterns of language difficulties and regional brain atrophy. To validate the potential of structural magnetic resonance imaging data for early individual diagnosis, we used support vector machine classification on grey matter density maps obtained by voxel-based morphometry analysis to discriminate PPA subtypes (44 patients: 16 nonfluent/agrammatic variant PPA, 17 semantic variant PPA, 11 logopenic variant PPA) from 20 healthy controls (matched for sample size, age, and gender) in the cohort of the multi-center study of the German consortium for frontotemporal lobar degeneration. Here, we compared a whole-brain with a meta-analysis-based disease-specific regions-of-interest approach for support vector machine classification. We also used support vector machine classification to discriminate the three PPA subtypes from each other. Whole brain support vector machine classification enabled a very high accuracy between 91 and 97% for identifying specific PPA subtypes vs. healthy controls, and 78/95% for the discrimination between semantic variant vs. nonfluent/agrammatic or logopenic PPA variants. Only for the discrimination between nonfluent/agrammatic and logopenic PPA variants accuracy was low with 55%. Interestingly, the regions that contributed the most to the support vector machine classification of patients corresponded largely to the regions that were atrophic in these patients as revealed by group comparisons. Although the whole brain approach took also into account regions that were not covered in the regions-of-interest approach, both approaches showed similar accuracies due to the disease-specificity of the selected networks. Conclusion, support vector machine classification of multi-center structural magnetic resonance imaging data enables prediction of PPA subtypes with a very high accuracy paving the road for its application in clinical settings.http://www.sciencedirect.com/science/article/pii/S2213158217300372Grey matterMulti-centerPrimary progressive aphasiaSupport vector machine classificationWhole brain approach
spellingShingle Sandrine Bisenius
Karsten Mueller
Janine Diehl-Schmid
Klaus Fassbender
Timo Grimmer
Frank Jessen
Jan Kassubek
Johannes Kornhuber
Bernhard Landwehrmeyer
Albert Ludolph
Anja Schneider
Sarah Anderl-Straub
Katharina Stuke
Adrian Danek
Markus Otto
Matthias L. Schroeter
Predicting primary progressive aphasias with support vector machine approaches in structural MRI data
NeuroImage: Clinical
Grey matter
Multi-center
Primary progressive aphasia
Support vector machine classification
Whole brain approach
title Predicting primary progressive aphasias with support vector machine approaches in structural MRI data
title_full Predicting primary progressive aphasias with support vector machine approaches in structural MRI data
title_fullStr Predicting primary progressive aphasias with support vector machine approaches in structural MRI data
title_full_unstemmed Predicting primary progressive aphasias with support vector machine approaches in structural MRI data
title_short Predicting primary progressive aphasias with support vector machine approaches in structural MRI data
title_sort predicting primary progressive aphasias with support vector machine approaches in structural mri data
topic Grey matter
Multi-center
Primary progressive aphasia
Support vector machine classification
Whole brain approach
url http://www.sciencedirect.com/science/article/pii/S2213158217300372
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