Identifying the white matter impairments among ART-naïve HIV patients: a multivariate pattern analysis of DTI data.

Objective: To identify the white matter (WM) impairments of the antiretroviral therapy (ART)-naïve HIV patients by conducting a multivariate pattern analysis (MVPA) of Diffusion Tensor Imaging (DTI) data METHODS: We enrolled 33 ART-naïve HIV patients and 32 Normal controls in the current study. Firs...

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Publicado en:European Radiology Vol. 27; no. 10; pp. 4153 - 4163
Autores principales: Tang, Zhenchao, Liu, Zhenyu, Li, Ruili, Yang, Xin, Cui, Xingwei, Wang, Shuo, Yu, Dongdong, Li, Hongjun, Dong, Enqing, Tian, Jie
Formato: Journal Article
Publicado: Springer Nature Oct2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Identifying the white matter impairments among ART-naïve HIV patients: a multivariate pattern analysis of DTI data.
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          Tang, Zhenchao
          Liu, Zhenyu
          Li, Ruili
          Yang, Xin
          Cui, Xingwei
          Wang, Shuo
          Yu, Dongdong
          Li, Hongjun
          Dong, Enqing
          Tian, Jie
        affil: CAS Key Laboratory of Molecular Imaging , Institute of Automation , Beijing 100190 China
      sug:
        subj:
          HIV Infections
          Brain
          Male
          Magnetic Resonance Imaging Methods
          Frontal Lobe
          HIV Infections Complications
          Female
          Telencephalon
          Neural Pathways
          Adult
          Multivariate Analysis
          Antiretroviral Therapy, Highly Active
          Case Control Studies
          HIV Infections Drug Therapy
          Scales
          Adult: 19-44 years
          Male
          Female
      ab: Objective: To identify the white matter (WM) impairments of the antiretroviral therapy (ART)-naïve HIV patients by conducting a multivariate pattern analysis (MVPA) of Diffusion Tensor Imaging (DTI) data METHODS: We enrolled 33 ART-naïve HIV patients and 32 Normal controls in the current study. Firstly, the DTI metrics in whole brain WM tracts were extracted for each subject and feed into the Least Absolute Shrinkage and Selection Operators procedure (LASSO)-Logistic regression model to identify the impaired WM tracts. Then, Support Vector Machines (SVM) model was constructed based on the DTI metrics in the impaired WM tracts to make HIV-control group classification. Pearson correlations between the WM impairments and HIV clinical statics were also investigated.Results: Extensive HIV-related impairments were observed in the WM tracts associated with motor function, the corpus callosum (CC) and the frontal WM. With leave-one-out cross validation, accuracy of 83.08% (P=0.002) and the area under the Receiver Operating Characteristic curve of 0.9110 were obtained in the SVM classification model. The impairments of the CC were significantly correlated with the HIV clinic statics.Conclusion: The MVPA was sensitive to detect the HIV-related WM changes. Our findings indicated that the MVPA had considerable potential in exploring the HIV-related WM impairments.Key Points: • WM impairments along motor pathway were detected among the ART-naïve HIV patients • Prominent HIV-related WM impairments were observed in CC and frontal WM • The impairments of CC were significantly related to the HIV clinic statics • The CC might be susceptible to immune dysfunction and HIV replication • Multivariate pattern analysis had potential for studying the HIV-related white matter impairments.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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