Interpretable MRI-Based Deep Learning for Alzheimer's Risk and Progression
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Май 7, 2025
Timely
intervention
for
Alzheimer's
disease
(AD)
requires
early
detection.
The
development
of
immunotherapies
targeting
amyloid-beta
and
tau
underscores
the
need
accessible,
time-efficient
biomarkers
diagnosis.
Here,
we
directly
applied
our
previously
developed
MRI-based
deep
learning
model
AD
to
large
Chinese
SILCODE
cohort
(722
participants,
1,105
brain
MRI
scans).
-
initially
trained
on
North
American
data
demonstrated
robust
cross-ethnic
generalization,
without
any
retraining
or
fine-tuning,
achieving
an
AUC
91.3%
in
classification
with
a
sensitivity
95.2%.
It
successfully
identified
86.7%
individuals
at
risk
progression
more
than
5
years
advance.
Individuals
as
high-risk
exhibited
significantly
shorter
median
times.
By
integrating
interpretable
map
approach,
subtypes,
including
MCI
subtype
associated
rapid
cognitive
decline.
model's
scores
showed
significant
correlations
measures
plasma
biomarkers,
such
proteins
neurofilament
light
chain
(NfL).
These
findings
underscore
exceptional
generalizability
clinical
utility
models,
especially
diverse
populations,
offering
valuable
tools
therapeutic
intervention.
has
been
made
open-source
deployed
free
online
website
prediction,
assist
screening
Язык: Английский
Characterization of Portable Ultra‐Low Field MRI Scanners for Multi‐Center Structural Neuroimaging
Human Brain Mapping,
Год журнала:
2025,
Номер
46(8)
Опубликована: Май 23, 2025
ABSTRACT
The
lower
infrastructure
requirements
of
portable
ultra‐low
field
MRI
(ULF‐MRI)
systems
have
enabled
their
use
in
diverse
settings
such
as
intensive
care
units
and
remote
medical
facilities.
UNITY
Project
is
an
international
neuroimaging
network
harnessing
this
technology,
deploying
ULF‐MRI
globally
to
expand
access
for
studies
into
brain
development.
Given
the
wide
range
environments
where
may
operate,
there
are
external
factors
that
might
influence
image
quality.
This
work
aims
introduce
quality
control
(QC)
framework
used
by
investigate
how
robust
QC
metrics
compare
between
sites
over
time.
We
present
a
using
commercially
available
phantom,
scanned
with
64
mT
at
17
across
12
countries
on
four
continents.
Using
automated,
open‐source
analysis
tools,
we
quantify
signal‐to‐noise,
contrast,
geometric
distortions.
Our
results
demonstrated
varying
operational
environment,
example,
electromagnetic
noise
interference
temperature.
Larmor
frequency
was
significantly
correlated
room
temperature,
contrast.
Image
distortions
were
less
than
2.5
mm,
high
robustness
Similar
higher
field,
found
changes
pulse
sequence
parameters
from
software
updates
had
impact
metrics.
study
demonstrates
can
be
deployed
variety
multi‐center
produce
results.
Язык: Английский
DNA methylation age from peripheral blood predicts progression to Alzheimer’s disease, white matter disease burden, and cortical atrophy
Опубликована: Май 27, 2025
Abstract
Cross-sectional
studies
suggest
a
limited
relationship
between
accelerated
epigenetic
aging
derived
from
clocks,
and
Alzheimer’s
disease
(AD)
pathophysiology
or
risk.
However,
most
prior
analyses
have
not
utilized
longitudinal
whole-brain
neuroimaging
biomarkers
of
AD.
Herein,
we
employed
modeling
structural
to
test
the
hypothesis
that
would
predict
AD
progression.
Using
survival
analyses,
found
two
second-generation
DNAmPhenoAge
DNAmGrimAge,
predicted
progression
cognitively
normal
mild
cognitive
impairment
worse
outcomes.
Epigenetic
age
was
also
strongly
associated
with
cortical
thinning
in
AD-relevant
regions
white
matter
burden.
Thus,
contrast
earlier
work
suggesting
applicability
blood-based
clocks
AD,
our
novel
analytic
framework
suggests
broad
utility
may
represent
promising
predictors
risk
pathophysiology.
Язык: Английский
Positron emission tomography harmonization in the Alzheimer's Disease Neuroimaging Initiative: A scalable and rigorous approach to multisite amyloid and tau quantification
Alzheimer s & Dementia,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 19, 2024
Abstract
INTRODUCTION
A
key
goal
of
the
Alzheimer's
Disease
NeuroImaging
Initiative
(ADNI)
positron
emission
tomography
(PET)
Core
is
to
harmonize
quantification
β‐amyloid
(Aβ)
and
tau
PET
image
data
across
multiple
scanners
tracers.
METHODS
We
developed
an
analysis
pipeline
(Berkeley
Imaging
Pipeline,
B‐PIP)
for
ADNI
Aβ
images
applied
it
from
other
multisite
studies.
Steps
include
pre‐processing,
refacing,
magnetic
resonance
imaging
(MRI)/PET
co‐registration,
visual
quality
control
(QC),
tracer
uptake,
standardization
standardized
uptake
value
ratios
(SUVrs)
RESULTS
Measurements
10,105
cross‐sectional
longitudinal
scans
acquired
in
several
studies
between
2010
2024
can
be
processed,
harmonized,
directly
merged
tracers
cohorts.
DISCUSSION
The
B‐PIP
a
scalable
harmonization
approach
used
observational
clinical
trials
that
facilitates
rigorous
sharing.
Highlights
Quantitative
results
are
generated
using
rigorous,
processing
This
has
been
large,
outcomes
harmonizable
shared
with
scientific
community
Язык: Английский
Cerebrovascular markers of WMH and infarcts in ADNI: A historical perspective and future directions
Alzheimer s & Dementia,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 13, 2024
Abstract
White
matter
hyperintensities
(WMH)
and
infarcts
found
on
magnetic
resonance
imaging
(MR
infarcts)
are
common
biomarkers
of
cerebrovascular
disease.
In
this
review,
we
summarize
the
methods,
publications,
conclusions
stemming
from
Alzheimer's
Disease
Neuroimaging
Initiative
(ADNI)
related
to
these
measures.
We
combine
analysis
WMH
MR
infarct
data
across
three
main
ADNI
cohorts
with
a
review
existing
literature
discussing
new
methodologies
scientific
findings
derived
data.
Although
inclusion
criteria
were
designed
minimize
vascular
risk
factors
disease,
all
consistent
trends
increasing
volumes
associated
advancing
age,
female
sex,
cognitive
impairment.
ADNI,
initially
proposed
as
study
investigate
AD
pathology,
has
also
helped
elucidate
impact
asymptomatic
brain
injury
cognition
within
cohort
relatively
free
Future
work
will
emphasize
additional
biomarkers.
Highlights
(WMHs)
age
likely
reflect
among
older
individuals.
lesser
extent,
(MR)
infarcts,
affect
for
transition
WMHs
present,
even
participants
highly
selected
have
disease
(AD)
primary
pathology.
burden
in
is
greater
individuals
impairment
been
neurodegenerative
markers
cerebral
amyloidosis.
The
negative
additive
effects
appear
select
populations,
future
biomarker
needs
further
explore
relationship.
Язык: Английский
Subregional Biomarkers in FDG PET for Alzheimer’s Diagnosis and Staging: An Interpretable and Explainable model
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 27, 2024
Abstract
Objective
To
investigate
the
radiomics
features
of
hippocampus
and
amygdala
subregions
in
FDG-PET
images
that
can
best
differentiate
Mild
Cognitive
Impairment
(MCI),
Alzheimer’s
Disease
(AD),
healthy
patients.
Methods
Baseline
data
from
555
participants
ADNI
dataset
were
analyzed,
comprising
189
cognitively
normal
(CN)
individuals,
201
with
MCI,
165
AD.
The
segmented
based
on
DKT-Atlas,
additional
subdivisions
guided
by
probabilistic
atlases
Freesurfer.
Then
radiomic
(n=120)
extracted
38
hippocampal
18
nuclei
using
PyRadiomics.
Various
feature
selection
techniques,
including
ANOVA,
PCA,
Chi-square,
LASSO,
applied
alongside
nine
machine
learning
classifiers.
Results
Multi-Layer
Perceptron
(MLP)
model
combined
LASSO
demonstrated
excellent
classification
performance:
ROC
AUC
0.957
for
CN
vs.
AD,
0.867
MCI
0.782
MCI.
Key
regions,
accessory
basal
nucleus,
presubiculum
head,
CA4
identified
as
critical
biomarkers.
Features
GLRLM
(Long
Run
Emphasis)
Small
Dependence
Emphasis
(GLDM)
showed
strong
diagnostic
potential,
reflecting
subtle
metabolic
microstructural
changes
often
preceding
anatomical
alterations.
Conclusion
Specific
their
four
found
to
have
a
significant
role
early
diagnosis
its
staging,
severity
assessment
capturing
shifts
patterns.
Furthermore,
these
offer
potential
insights
into
disease’s
underlying
mechanisms
interpretability.
Язык: Английский