Multiclass prediction of different dementia syndromes based on multi-centric volumetric MRI imaging
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Multiclass prediction of different dementia syndromes based on multi-centric volumetric MRI imaging. / Lampe, Leonie; Huppertz, Hans-Jürgen; Anderl-Straub, Sarah; Albrecht, Franziska; Ballarini, Tommaso; Bisenius, Sandrine; Mueller, Karsten; Niehaus, Sebastian; Fassbender, Klaus; Fliessbach, Klaus; Jahn, Holger; Kornhuber, Johannes; Lauer, Martin; Prudlo, Johannes; Schneider, Anja; Synofzik, Matthis; Kassubek, Jan; Danek, Adrian; Villringer, Arno; Diehl-Schmid, Janine; Otto, Markus; Schroeter, Matthias L; Deutsches FTLD-Konsortium.
in: NEUROIMAGE-CLIN, Jahrgang 37, 2023, S. 103320.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Multiclass prediction of different dementia syndromes based on multi-centric volumetric MRI imaging
AU - Lampe, Leonie
AU - Huppertz, Hans-Jürgen
AU - Anderl-Straub, Sarah
AU - Albrecht, Franziska
AU - Ballarini, Tommaso
AU - Bisenius, Sandrine
AU - Mueller, Karsten
AU - Niehaus, Sebastian
AU - Fassbender, Klaus
AU - Fliessbach, Klaus
AU - Jahn, Holger
AU - Kornhuber, Johannes
AU - Lauer, Martin
AU - Prudlo, Johannes
AU - Schneider, Anja
AU - Synofzik, Matthis
AU - Kassubek, Jan
AU - Danek, Adrian
AU - Villringer, Arno
AU - Diehl-Schmid, Janine
AU - Otto, Markus
AU - Schroeter, Matthias L
AU - FTLD Consortium Germany
N1 - Copyright © 2023. Published by Elsevier Inc.
PY - 2023
Y1 - 2023
N2 - INTRODUCTION: Dementia syndromes can be difficult to diagnose. We aimed at building a classifier for multiple dementia syndromes using magnetic resonance imaging (MRI).METHODS: Atlas-based volumetry was performed on T1-weighted MRI data of 426 patients and 51 controls from the multi-centric German Research Consortium of Frontotemporal Lobar Degeneration including patients with behavioral variant frontotemporal dementia, Alzheimer's disease, the three subtypes of primary progressive aphasia, i.e., semantic, logopenic and nonfluent-agrammatic variant, and the atypical parkinsonian syndromes progressive supranuclear palsy and corticobasal syndrome. Support vector machine classification was used to classify each patient group against controls (binary classification) and all seven diagnostic groups against each other in a multi-syndrome classifier (multiclass classification).RESULTS: The binary classification models reached high prediction accuracies between 71 and 95% with a chance level of 50%. Feature importance reflected disease-specific atrophy patterns. The multi-syndrome model reached accuracies of more than three times higher than chance level but was far from 100%. Multi-syndrome model performance was not homogenous across dementia syndromes, with better performance in syndromes characterized by regionally specific atrophy patterns. Whereas diseases generally could be classified vs controls more correctly with increasing severity and duration, differentiation between diseases was optimal in disease-specific windows of severity and duration.DISCUSSION: Results suggest that automated methods applied to MR imaging data can support physicians in diagnosis of dementia syndromes. It is particularly relevant for orphan diseases beside frequent syndromes such as Alzheimer's disease.
AB - INTRODUCTION: Dementia syndromes can be difficult to diagnose. We aimed at building a classifier for multiple dementia syndromes using magnetic resonance imaging (MRI).METHODS: Atlas-based volumetry was performed on T1-weighted MRI data of 426 patients and 51 controls from the multi-centric German Research Consortium of Frontotemporal Lobar Degeneration including patients with behavioral variant frontotemporal dementia, Alzheimer's disease, the three subtypes of primary progressive aphasia, i.e., semantic, logopenic and nonfluent-agrammatic variant, and the atypical parkinsonian syndromes progressive supranuclear palsy and corticobasal syndrome. Support vector machine classification was used to classify each patient group against controls (binary classification) and all seven diagnostic groups against each other in a multi-syndrome classifier (multiclass classification).RESULTS: The binary classification models reached high prediction accuracies between 71 and 95% with a chance level of 50%. Feature importance reflected disease-specific atrophy patterns. The multi-syndrome model reached accuracies of more than three times higher than chance level but was far from 100%. Multi-syndrome model performance was not homogenous across dementia syndromes, with better performance in syndromes characterized by regionally specific atrophy patterns. Whereas diseases generally could be classified vs controls more correctly with increasing severity and duration, differentiation between diseases was optimal in disease-specific windows of severity and duration.DISCUSSION: Results suggest that automated methods applied to MR imaging data can support physicians in diagnosis of dementia syndromes. It is particularly relevant for orphan diseases beside frequent syndromes such as Alzheimer's disease.
U2 - 10.1016/j.nicl.2023.103320
DO - 10.1016/j.nicl.2023.103320
M3 - SCORING: Journal article
C2 - 36623349
VL - 37
SP - 103320
JO - NEUROIMAGE-CLIN
JF - NEUROIMAGE-CLIN
SN - 2213-1582
ER -