Identifying Leukoaraiosis with Mild Cognitive Impairment by Fusing Multiple MRI Morphological Metrics and Ensemble Machine Learning.

Leukoaraiosis (LA) is strongly associated with impaired cognition and increased dementia risk. Determining effective and robust methods of identifying LA patients with mild cognitive impairment (LA-MCI) is important for clinical intervention and disease monitoring. In this study, an ensemble learnin...

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Publicado en:Journal of Digital Imaging Vol. 37; no. 2; pp. 666 - 679
Autores principales: Yang, Yifeng, Hu, Ying, Chen, Yang, Gu, Weidong, Nie, Shengdong
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Identifying Leukoaraiosis with Mild Cognitive Impairment by Fusing Multiple MRI Morphological Metrics and Ensemble Machine Learning.
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          Yang, Yifeng
          Hu, Ying
          Chen, Yang
          Gu, Weidong
          Nie, Shengdong
        affil: https://ror.org/00ay9v204 School of Health Science and Engineering, University of Shanghai for Science and Technology, 200093, Shanghai, People's Republic of China
      sug:
        subj:
          Pathologic Processes
          Cognition Disorders
          Ensemble Learning
          Magnetic Resonance Imaging
          Brain Anatomy and Histology
          Human
          Algorithms
          Descriptive Statistics
          Funding Source
      ab: Leukoaraiosis (LA) is strongly associated with impaired cognition and increased dementia risk. Determining effective and robust methods of identifying LA patients with mild cognitive impairment (LA-MCI) is important for clinical intervention and disease monitoring. In this study, an ensemble learning method that combines multiple magnetic resonance imaging (MRI) morphological features is proposed to distinguish LA-MCI patients from LA patients lacking cognitive impairment (LA-nCI). Multiple comprehensive morphological measures (including gray matter volume (GMV), cortical thickness (CT), surface area (SA), cortical volume (CV), sulcus depth (SD), fractal dimension (FD), and gyrification index (GI)) are extracted from MRI to enrich model training on disease characterization information. Then, based on the general extreme gradient boosting (XGBoost) classifier, we leverage a weighted soft-voting ensemble framework to ensemble a data-level resampling method (Fusion + XGBoost) and an algorithm-level focal loss (FL)-improved XGBoost model (FL-XGBoost) to overcome class-imbalance learning problems and provide superior classification performance and stability. The baseline XGBoost model trained on an original imbalanced dataset had a balanced accuracy (Bacc) of 78.20%. The separate Fusion + XGBoost and FL-XGBoost models achieved Bacc scores of 80.53 and 81.25%, respectively, which are clear improvements (i.e., 2.33% and 3.05%, respectively). The fused model distinguishes LA-MCI from LA-nCI with an overall accuracy of 84.82%. Sensitivity and specificity were also well improved (85.50 and 84.14%, respectively). This improved model has the potential to facilitate the clinical diagnosis of LA-MCI.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
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        Journal Article
      ougenre: Article
    language: English
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