A multi-modal and multi-stage region of interest-based fusion network convolutional neural network model to differentiate progressive mild cognitive impairment from stable mild cognitive impairment
机构:[1]School of Biomedical Engineering, Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical university, Beijing, Beijing, China.[2]Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Beijing, China.首都医科大学附属北京同仁医院首都医科大学附属同仁医院
Accurately differentiating stable mild cognitive impairment (sMCI) from progressive MCI (pMCI) is clinically relevant, and identification of pMCI is crucial for timely treatment before it evolves into Alzheimer's disease (AD).To construct a convolutional neural network (CNN) model to differentiate pMCI from sMCI integrating features from structural magnetic resonance imaging (sMRI) and positron emission tomography (PET) images.We proposed a multi-modal and multi-stage region of interest (ROI)-based fusion network (m2ROI-FN) CNN model to differentiate pMCI from sMCI, adopting a multi-stage fusion strategy to integrate deep semantic features and multiple morphological metrics derived from ROIs of sMRI and PET images. Specifically, ten AD-related ROIs of each modality images were selected as patches inputting into 3D hierarchical CNNs. The deep semantic features extracted by the CNNs were fused through the multi-modal integration module and further combined with the multiple morphological metrics extracted by FreeSurfer. Finally, the multilayer perceptron classifier was utilized for subject-level MCI recognition.The proposed model achieved accuracy of 77.4% to differentiate pMCI from sMCI with 5-fold cross validation on the entire ADNI database. Further, ADNI-1&2 were formed into an independent sample for model training and validation, and ADNI-3&GO were formed into another independent sample for multi-center testing. The model achieved 73.2% accuracy in distinguishing pMCI and sMCI on ADNI-1&2 and 75% accuracy on ADNI-3&GO.An effective m2ROI-FN model to distinguish pMCI from sMCI was proposed, which was capable of capturing distinctive features in ROIs of sMRI and PET images. The experimental results demonstrated that the model has the potential to differentiate pMCI from sMCI.
基金:
This study was supported by Beijing Natural Science
Foundation no. L192044; The open fund project of Beijing Key
Laboratory of Fundamental Research on Biomechanics in 364
Clinical Application (2023KF05); and sponsored by Beijing
Nova Program (20220484211).
第一作者机构:[1]School of Biomedical Engineering, Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical university, Beijing, Beijing, China.
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推荐引用方式(GB/T 7714):
Chen Zhenpeng,Qi Beier,Jing Bin,et al.A multi-modal and multi-stage region of interest-based fusion network convolutional neural network model to differentiate progressive mild cognitive impairment from stable mild cognitive impairment[J].Journal Of Alzheimer's Disease : JAD.2024,13872877241295287.doi:10.1177/13872877241295287.
APA:
Chen Zhenpeng,Qi Beier,Jing Bin,Dong Ruijuan,Chen Rong...&Li Haiyun.(2024).A multi-modal and multi-stage region of interest-based fusion network convolutional neural network model to differentiate progressive mild cognitive impairment from stable mild cognitive impairment.Journal Of Alzheimer's Disease : JAD,,
MLA:
Chen Zhenpeng,et al."A multi-modal and multi-stage region of interest-based fusion network convolutional neural network model to differentiate progressive mild cognitive impairment from stable mild cognitive impairment".Journal Of Alzheimer's Disease : JAD .(2024):13872877241295287