@article {995, title = {Validation of deep learning techniques for quality augmentation in diffusion MRI for clinical studies}, journal = {NeuroImage: Clinical}, volume = {39}, year = {2023}, pages = {103483}, abstract = {

The objective of this study is to evaluate the efficacy of deep learning (DL) techniques in improving the quality of diffusion MRI (dMRI) data in clinical applications. The study aims to determine whether the use of artificial intelligence (AI) methods in medical images may result in the loss of critical clinical information and/or the appearance of false information. To assess this, the focus was on the angular resolution of dMRI and a clinical trial was conducted on migraine, specifically between episodic and chronic migraine patients. The number of gradient directions had an impact on white matter analysis results, with statistically significant differences between groups being drastically reduced when using 21 gradient directions instead of the original 61. Fourteen teams from different institutions were tasked to use DL to enhance three diffusion metrics (FA, AD and MD) calculated from data acquired with 21 gradient directions and a b-value of 1000 s/mm2. The goal was to produce results that were comparable to those calculated from 61 gradient directions. The results were evaluated using both standard image quality metrics and Tract-Based Spatial Statistics (TBSS) to compare episodic and chronic migraine patients. The study results suggest that while most DL techniques improved the ability to detect statistical differences between groups, they also led to an increase in false positive. The results showed that there was a constant growth rate of false positives linearly proportional to the new true positives, which highlights the risk of generalization of AI-based tasks when assessing diverse clinical cohorts and training using data from a single group. The methods also showed divergent performance when replicating the original distribution of the data and some exhibited significant bias. In conclusion, extreme caution should be exercised when using AI methods for harmonization or synthesis in clinical studies when processing heterogeneous data in clinical studies, as important information may be altered, even when global metrics such as structural similarity or peak signal-to-noise ratio appear to suggest otherwise.

}, keywords = {Angular resolution, Artificial Intelligence, Deep learning, Diffusion tensor, diffusion MRI, machine learning}, issn = {2213-1582}, doi = {https://doi.org/10.1016/j.nicl.2023.103483}, url = {https://www.sciencedirect.com/science/article/pii/S2213158223001742}, author = {Santiago Aja-Fern{\'a}ndez and Carmen Mart{\'\i}n-Mart{\'\i}n and {\'A}lvaro Planchuelo-G{\'o}mez and Abrar Faiyaz and Md Nasir Uddin and Giovanni Schifitto and Abhishek Tiwari and Saurabh J. Shigwan and Rajeev Kumar Singh and Tianshu Zheng and Zuozhen Cao and Dan Wu and Stefano B. Blumberg and Snigdha Sen and Tobias Goodwin-Allcock and Paddy J. Slator and Mehmet Yigit Avci and Zihan Li and Berkin Bilgic and Qiyuan Tian and Xinyi Wang and Zihao Tang and Mariano Cabezas and Amelie Rauland and Dorit Merhof and Renata Manzano Maria and Vin{\'\i}cius Paran{\'\i}ba Campos and Tales Santini and Marcelo Andrade da Costa Vieira and SeyyedKazem HashemizadehKolowri and Edward DiBella and Chenxu Peng and Zhimin Shen and Zan Chen and Irfan Ullah and Merry Mani and Hesam Abdolmotalleby and Samuel Eckstrom and Steven H. Baete and Patryk Filipiak and Tanxin Dong and Qiuyun Fan and Rodrigo de Luis-Garc{\'\i}a and Antonio Trist{\'a}n-Vega and Tomasz Pieciak} } @article {423, title = {Automatic bayesian classification of healthy controls, bipolar disorder, and schizophrenia using intrinsic connectivity maps from fMRI data}, journal = {IEEE Transactions on Biomedical Engineering}, volume = {57}, year = {2010}, pages = {2850-2860}, abstract = {

We present a method for supervised, automatic, and reliable classification of healthy controls, patients with bipolar disorder, and patients with schizophrenia using brain imaging data. The method uses four supervised classification learning machines trained with a stochastic gradient learning rule based on the minimization of KullbackLeibler divergence and an optimal model complexity search through posterior probability estimation. Prior to classification, given the high dimensionality of functional MRI (fMRI) data, a dimension reduction stage comprising two steps is performed: first, a one-sample univariate t-test mean-difference Tscore approach is used to reduce the number of significant discriminative functional activated voxels, and then singular value decomposition is performed to further reduce the dimension of the input patterns to a number comparable to the limited number of subjects available for each of the three classes. Experimental results using functional brain imaging (fMRI) data include receiver operation characteristic curves for the three-way classifier with area under curve values around 0.82, 0.89, and 0.90 for healthy control versus nonhealthy, bipolar disorder versus nonbipolar, and schizophrenia patients versus nonschizophrenia binary problems, respectively. The average three-way correct classification rate (CCR) is in the range of 70\%-72\%, for the test set, remaining close to the estimated Bayesian optimal CCR theoretical upper bound of about 80\%, estimated from the one nearest-neighbor classifier over the same data. {\^A}{\textcopyright} 2010 IEEE.

}, keywords = {Algorithms, Artificial Intelligence, Bayes Theorem, Bayesian learning, Bayesian networks, Biological, Brain, Case-Control Studies, Classifiers, Computer-Assisted, Diseases, Functional MRI (fMRI), Humans, Learning machines, Learning systems, Magnetic Resonance Imaging, Models, Operation characteristic, Optimization, ROC Curve, Reproducibility of Results, Signal Processing, Singular value decomposition, Statistical tests, Stochastic models, Student t test, area under the curve, article, bipolar disorder, classification, controlled study, functional magnetic resonance imaging, human, machine learning, major clinical study, neuroimaging, patient coding, receiver operating characteristic, reliability, schizophrenia}, issn = {00189294}, doi = {10.1109/TBME.2010.2080679}, url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-78649311169\&partnerID=40\&md5=d3b90f1a3ee4ef209d131ef986e142db}, author = {J I Arribas and V D Calhoun and T Adali} } @article {422, title = {A radius and ulna TW3 bone age assessment system}, journal = {IEEE Transactions on Biomedical Engineering}, volume = {55}, year = {2008}, pages = {1463-1476}, abstract = {

An end-to-end system to automate the well-known Tanner - Whitehouse (TW3) clinical procedure to estimate the skeletal age in childhood is proposed. The system comprises the detailed analysis of the two most important bones in TW3: the radius and ulna wrist bones. First, a modified version of an adaptive clustering segmentation algorithm is presented to properly semi-automatically segment the contour of the bones. Second, up to 89 features are defined and extracted from bone contours and gray scale information inside the contour, followed by some well-founded feature selection mathematical criteria, based on the ideas of maximizing the classes{\textquoteright} separability. Third, bone age is estimated with the help of a Generalized Softmax Perceptron (GSP) neural network (NN) that, after supervised learning and optimal complexity estimation via the application of the recently developed Posterior Probability Model Selection (PPMS) algorithm, is able to accurately predict the different development stages in both radius and ulna from which and with the help of the TW3 methodology, we are able to conveniently score and estimate the bone age of a patient in years, in what can be understood as a multiple-class (multiple stages) pattern recognition approach with posterior probability estimation. Finally, numerical results are presented to evaluate the system performance in predicting the bone stages and the final patient bone age over a private hand image database, with the help of the pediatricians and the radiologists expert diagnoses. {\^A}{\textcopyright} 2006 IEEE.

}, keywords = {Age Determination by Skeleton, Aging, Algorithms, Artificial Intelligence, Automated, Bone, Bone age assessment, Clustering algorithms, Computer-Assisted, Humans, Model selection, Neural networks, Pattern recognition, Radiographic Image Interpretation, Reproducibility of Results, Sensitivity and Specificity, Skeletal maturity, algorithm, article, artificial neural network, automation, bone age, bone maturation, childhood, instrumentation, radius, ulna}, issn = {00189294}, doi = {10.1109/TBME.2008.918554}, url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-42249094547\&partnerID=40\&md5=2cecfea5f75a61b048611f2391b00aed}, author = {Antonio Trist{\'a}n-Vega and J I Arribas} }