Parameters derived from diffusion tensor imaging (DTI) have been found to be significantly altered in the optic tracts, optic nerves, and optic radiations in patients with primary open-angle glaucoma (POAG). In this study, DTI-derived parameters were further constructed into fiber connectivity, and we investigated anatomical fiber connectivity changes within and beyond the visual pathway in POAG patients. DTI and TI-weighted magnetic resonance images were acquired in 18 POAG patients and 26 healthy controls (HC). White matter tracts based on the Brodmann atlases (BA) were constructed using the deterministic fiber tracking method. The mean fractional anisotropy (FA), fiber number (FN), and mean fiber length (FL) were measured and then evaluated using two sample t-tests between POAG and HC. The fiber connectivity between regions was taken as the features for classifying HC and POAG using a machine learning method known as na ve Bayesian classification. The mean FA decreased in connections between visual cortex BA17/BA18 and cortex BA23/BA25/BA35/BA36, while it increased in the connections between cortex BA3/BA7/BA9 and BA5/BA6/BA4S/BA2S in POAG. Classification using fibers where a significant difference in FN had been identified produced better accuracy (ACC = 0.89) than using FA or FL (ACC = 0.77 and 0.75, respectively). The FN of individual fiber connections with higher accuracy and significant changes in POAG involved brain regions associated with vision (BA19), depression (BA10/BA46/BA25), and memory (BA29). These findings strengthen the hypothesis that POAG involves changes in anatomical connectivity within and beyond the visual pathway. Classification using the machine learning method reveals that mean FN has the potential to be used as a biomarker for detecting white matter microstructure changes in POAG.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81571649, 81701666, 81400391]; Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support [ZYLX201704]; High Level Health Technical Personnel of Bureau of Health in Beijing [2014-2-005]; Beijing Municipal Administration of Hospital's Youth Program [QML20160203]; priming scientific research foundation for the junior research in Beijing Tongren Hospital, Capital Medical University [2018-YJJ-ZZL-0111]
第一作者机构:[1]Capital Med Univ, Beijing Tongren Hosp, Dept Radiol, Beijing, Peoples R China
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推荐引用方式(GB/T 7714):
Qu Xiaoxia,Wang Qian,Chen Weiwei,et al.Combined machine learning and diffusion tensor imaging reveals altered anatomic fiber connectivity of the brain in primary open-angle glaucoma[J].BRAIN RESEARCH.2019,1718:83-90.doi:10.1016/j.brainres.2019.05.006.
APA:
Qu, Xiaoxia,Wang, Qian,Chen, Weiwei,Li, Ting,Guo, Jian...&Xian, Junfang.(2019).Combined machine learning and diffusion tensor imaging reveals altered anatomic fiber connectivity of the brain in primary open-angle glaucoma.BRAIN RESEARCH,1718,
MLA:
Qu, Xiaoxia,et al."Combined machine learning and diffusion tensor imaging reveals altered anatomic fiber connectivity of the brain in primary open-angle glaucoma".BRAIN RESEARCH 1718.(2019):83-90