4.6 Article

DTI measurements for Alzheimer's classification

Journal

PHYSICS IN MEDICINE AND BIOLOGY
Volume 62, Issue 6, Pages 2361-2375

Publisher

IOP Publishing Ltd
DOI: 10.1088/1361-6560/aa5dbe

Keywords

Alzheimer's disease; DTI; random forests; feature selection

Funding

  1. EPSRC [EP/L016478/1]
  2. ADNI (National Institutes of Health) [U01 AG024904]
  3. DOD ADNI (Department of Defense) [W81XWH-12-2-0012]
  4. National Institute on Aging, the National Institute of Biomedical Imaging and Bioengineering
  5. Alzheimer's Association
  6. Alzheimer's Drug Discovery Foundation
  7. BioClinica, Inc
  8. Biogen Idec Inc
  9. Bristol-Myers Squibb Company
  10. Eisai Inc.
  11. Elan Pharmaceuticals, Inc.
  12. Eli Lilly and Company
  13. F. Hoffmann-La Roche Ltd and its affiliated company Genentech, Inc.
  14. GE Healthcare
  15. Innogenetics, N.V.
  16. IXICO Ltd.
  17. Janssen Alzheimer Immunotherapy Research
  18. Development, LLC.
  19. Johnson
  20. Johnson Pharmaceutical Research
  21. Development LLC.
  22. Medpace, Inc.
  23. Merck
  24. Co., Inc.
  25. Meso Scale Diagnostics, LLC.
  26. NeuroRx Research
  27. Novartis Pharmaceuticals Corporation
  28. Pfizer Inc.
  29. Piramal Imaging
  30. Servier
  31. Synarc Inc.
  32. Takeda Pharmaceutical Company
  33. Canadian Institutes of Health Research
  34. Engineering and Physical Sciences Research Council [1645703, 2037873] Funding Source: researchfish

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Diffusion tensor imaging (DTI) is a promising imaging technique that provides insight into white matter microstructure integrity and it has greatly helped identifying white matter regions affected by Alzheimer's disease (AD) in its early stages. DTI can therefore be a valuable source of information when designing machine-learning strategies to discriminate between healthy control (HC) subjects, AD patients and subjects with mild cognitive impairment (MCI). Nonetheless, several studies have reported so far conflicting results, especially because of the adoption of biased feature selection strategies. In this paper we firstly analyzed DTI scans of 150 subjects from the Alzheimer's disease neuroimaging initiative (ADNI) database. We measured a significant effect of the feature selection bias on the classification performance (p-value < 0.01), leading to overoptimistic results (10% up to 30% relative increase in AUC). We observed that this effect is manifest regardless of the choice of diffusion index, specifically fractional anisotropy and mean diffusivity. Secondly, we performed a test on an independent mixed cohort consisting of 119 ADNI scans; thus, we evaluated the informative content provided by DTI measurements for AD classification. Classification performances and biological insight, concerning brain regions related to the disease, provided by cross-validation analysis were both confirmed on the independent test.

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