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Convolutional neural network optimizes the application of diffusion kurtosis imaging in Parkinson's disease.

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机构: [1]Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Disease, Beijing 100053, China [2]Center for Brain Imaging Science and Technology, College of Biomedical Engineering and Instrumental Science, Zhejiang University, Hangzhou 310027, Zhejiang, China [3]Research Center for Healthcare Data Science, Zhejiang Lab, Hangzhou, Zhejiang, China [4]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China [5]Department of Radiology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China [6]Clinical Center for Parkinson’s Disease, Capital Medical University, Beijing, China [7]Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson’s Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China [8]National Clinical Research Center for Geriatric Disorders, Beijing, China [9]Key Laboratory for Biomedical Engineering of Ministry of Education, Zhejiang University, Hangzhou 310027, Zhejiang, China
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关键词: Parkinson’s disease Difusion kurtosis imaging Convolutional neural network Mean kurtosis Kurtosis fractional anisotropy Mean difusivity

摘要:
The literature regarding the use of diffusion-tensor imaging-derived metrics in the evaluation of Parkinson's disease (PD) is controversial. This study attempted to assess the feasibility of a deep-learning-based method for detecting alterations in diffusion kurtosis measurements associated with PD.A total of 68 patients with PD and 77 healthy controls were scanned using scanner-A (3 T Skyra) (DATASET-1). Meanwhile, an additional five healthy volunteers were scanned with both scanner-A and an additional scanner-B (3 T Prisma) (DATASET-2). Diffusion kurtosis imaging (DKI) of DATASET-2 had an extra b shell compared to DATASET-1. In addition, a 3D-convolutional neural network (CNN) was trained from DATASET-2 to harmonize the quality of scalar measures of scanner-A to a similar level as scanner-B. Whole-brain unpaired t test and Tract-Based Spatial Statistics (TBSS) were performed to validate the differences between the PD and control groups using the model-fitting method and CNN-based method, respectively. We further clarified the correlation between clinical assessments and DKI results.An increase in mean diffusivity (MD) was found in the left substantia nigra (SN) in the PD group. In the right SN, fractional anisotropy (FA) and mean kurtosis (MK) values were negatively correlated with Hoehn and Yahr (H&Y) scales. In the putamen (Put), FA values were positively correlated with the H&Y scales. It is worth noting that these findings were only observed with the deep learning method. There was neither a group difference nor a correlation with clinical assessments in the SN or striatum exceeding the significance level using the conventional model-fitting method.The CNN-based method improves the robustness of DKI and can help to explore PD-associated imaging features.© 2021. The Author(s).

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第一作者机构: [1]Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Disease, Beijing 100053, China
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通讯机构: [1]Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Disease, Beijing 100053, China [2]Center for Brain Imaging Science and Technology, College of Biomedical Engineering and Instrumental Science, Zhejiang University, Hangzhou 310027, Zhejiang, China [6]Clinical Center for Parkinson’s Disease, Capital Medical University, Beijing, China [7]Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson’s Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China [8]National Clinical Research Center for Geriatric Disorders, Beijing, China [9]Key Laboratory for Biomedical Engineering of Ministry of Education, Zhejiang University, Hangzhou 310027, Zhejiang, China
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