DeepTract: A Probabilistic Deep Learning Framework for White Matter Fiber Tractography

We present DeepTract, a deep-learning framework for estimating white matter fibers orientation and streamline tractography. We adopt a data-driven approach for fiber reconstruction from diffusion weighted images (DWI), which does not assume a specific diffusion model. We use a recurrent neural network for mapping sequences of DWI values into probabilistic fiber orientation distributions. Based on these estimations, our model facilitates both deterministic and probabilistic streamline tractography. We quantitatively evaluate our method using the Tractometer tool, demonstrating competitive performance with state-of-the art classical and machine learning based tractography algorithms. We further present qualitative results of bundle-specific probabilistic tractography obtained using our method. The code is publicly available at: https://github.com/itaybenou/DeepTract.git

Tractographie de la matière blanche par réseaux de neurones récurrents

La matière blanche du cerveau fait encore l'objet de nombreuses études. Grâce à l'IRM de diffusion, on peut étudier de façon non invasive la connectivité du cerveau avec une précision sans précédent. La reconstruction de la matière blanche --- la tractographie --- n'est pas parfaite cependant. En effet, la tractographie tend à reconstruire tous les chemins possibles au sein de la matière blanche; l'expertise des neuroanatomistes est donc requise pour distinguer les chemins qui sont possibles anatomiquement de ceux qui résultent d'une mauvaise reconstruction. Cette connaissance est difficile à exprimer et à codifier sous forme de règles logiques. L'intelligence artificielle a refait surface dans les années 1990 --- suite à une amélioration remarquable de la vitesse des processeurs --- en tant que solution viable à plusieurs problèmes qui étaient considérés comme fondamentalement > et quasi impossibles à résoudre pour une machine. Celle-ci représente un outil unique pour intégrer l'expertise des neuroanatomistes dans le processus de reconstruction de la matière blanche, sans avoir à fournir de règles explicitement. Un modèle peut ainsi apprendre la définition d'un chemin valide à partir d'exemples valides, pour ensuite reproduire ce qu'il a appris, sans répéter les erreurs classiques. Plus particulièrement, les réseaux de neurones récurrents sont une famille de modèles créés spécifiquement pour le traitement de séquences de données. Comme une fibre de matière blanche est représentée par une séquence de points, le lien se fait naturellement. Malgré leur potentiel énorme, l'application des réseaux récurrents à la tractographie fait face à plusieurs problèmes techniques. Cette thèse se veut très exploratoire, et détaille donc les débuts de l'utilisation des réseaux de neurones récurrents pour la tractographie par apprentissage, des problèmes qui sont apparus suite à la création d'une multitude d'algorithmes basés sur l'intelligence artificielle, ainsi que des solutions développées pour répondre à ces problèmes. Les résultats de cette thèse ont démontré le potentiel des réseaux de neurones récurrents pour la reconstruction de la matière blanche, en plus de contribuer à l’avancement du domaine grâce à la création d’une base de données publique pour la tractographie par apprentissage

Tractography Methods in Preoperative Neurosurgical Planning, Journal of Telecommunications and Information Technology, 2021, nr 3

Knowledge of the location of nerve tracts during the surgical preoperative planning stage and during the surgery itself may help neurosurgeons limit the risk of causing neurological deficits affecting the patient’s essential abilities. Development of MRI techniques has helped profoundly with in vivo visualization of the brain’s anatomy, enabling to obtain images within minutes. Different methodologies are relied upon to identify anatomical or functional details and to determine the movement of water molecules, thus allowing to track nerve fibers. However, precise determination of their location continues to be a labor-intensive task that requires the participation of highly-trained medical experts. With the development of computational methods, machine learning and artificial intelligence, many approaches have been proposed to automate and streamline that process, consequently facilitating image-based diagnostics. This paper reviews these methods focusing on their potential use in neurosurgery for better planning and intraoperative navigatio

Ensemble Classification of Alzheimer's Disease and Mild Cognitive Impairment Based on Complex Graph Measures from Diffusion Tensor Images

The human brain is a complex network of interacting regions. The gray matter regions of brain are interconnected by white matter tracts, together forming one integrative complex network. In this article, we report our investigation about the potential of applying brain connectivity patterns as an aid in diagnosing Alzheimer's disease and Mild Cognitive Impairment (MCI). We performed pattern analysis of graph theoretical measures derived from Diffusion Tensor Imaging (DTI) data representing structural brain networks of 45 subjects, consisting of 15 patients of Alzheimer's disease (AD), 15 patients of MCI, and 15 healthy subjects (CT). We considered pair-wise class combinations of subjects, defining three separate classification tasks, i.e., AD-CT, AD-MCI, and CT-MCI, and used an ensemble classification module to perform the classification tasks. Our ensemble framework with feature selection shows a promising performance with classification accuracy of 83.3% for AD vs. MCI, 80% for AD vs. CT, and 70% for MCI vs. CT. Moreover, our findings suggest that AD can be related to graph measures abnormalities at Brodmann areas in the sensorimotor cortex and piriform cortex. In this way, node redundancy coefficient and load centrality in the primary motor cortex were recognized as good indicators of AD in contrast to MCI. In general, load centrality, betweenness centrality, and closeness centrality were found to be the most relevant network measures, as they were the top identified features at different nodes. The present study can be regarded as a “proof of concept” about a procedure for the classification of MRI markers between AD dementia, MCI, and normal old individuals, due to the small and not well-defined groups of AD and MCI patients. Future studies with larger samples of subjects and more sophisticated patient exclusion criteria are necessary toward the development of a more precise technique for clinical diagnosis

Machine learning-based prediction of motor status in glioma patients using diffusion MRI metrics along the corticospinal tract

Shams et al. report that glioma patients' motor status is predicted accurately by diffusion MRI metrics along the corticospinal tract based on support vector machine method, reaching an overall accuracy of 77%. They show that these metrics are more effective than demographic and clinical variables. Along tract statistics enables white matter characterization using various diffusion MRI metrics. These diffusion models reveal detailed insights into white matter microstructural changes with development, pathology and function. Here, we aim at assessing the clinical utility of diffusion MRI metrics along the corticospinal tract, investigating whether motor glioma patients can be classified with respect to their motor status. We retrospectively included 116 brain tumour patients suffering from either left or right supratentorial, unilateral World Health Organization Grades II, III and IV gliomas with a mean age of 53.51 +/- 16.32 years. Around 37% of patients presented with preoperative motor function deficits according to the Medical Research Council scale. At group level comparison, the highest non-overlapping diffusion MRI differences were detected in the superior portion of the tracts' profiles. Fractional anisotropy and fibre density decrease, apparent diffusion coefficient axial diffusivity and radial diffusivity increase. To predict motor deficits, we developed a method based on a support vector machine using histogram-based features of diffusion MRI tract profiles (e.g. mean, standard deviation, kurtosis and skewness), following a recursive feature elimination method. Our model achieved high performance (74% sensitivity, 75% specificity, 74% overall accuracy and 77% area under the curve). We found that apparent diffusion coefficient, fractional anisotropy and radial diffusivity contributed more than other features to the model. Incorporating the patient demographics and clinical features such as age, tumour World Health Organization grade, tumour location, gender and resting motor threshold did not affect the model's performance, revealing that these features were not as effective as microstructural measures. These results shed light on the potential patterns of tumour-related microstructural white matter changes in the prediction of functional deficits.Peer reviewe

Comparison of nine tractography algorithms for detecting abnormal structural brain networks in Alzheimer’s disease

abstract: Alzheimer’s disease (AD) involves a gradual breakdown of brain connectivity, and network analyses offer a promising new approach to track and understand disease progression. Even so, our ability to detect degenerative changes in brain networks depends on the methods used. Here we compared several tractography and feature extraction methods to see which ones gave best diagnostic classification for 202 people with AD, mild cognitive impairment or normal cognition, scanned with 41-gradient diffusion-weighted magnetic resonance imaging as part of the Alzheimer’s Disease Neuroimaging Initiative (ADNI) project. We computed brain networks based on whole brain tractography with nine different methods – four of them tensor-based deterministic (FACT, RK2, SL, and TL), two orientation distribution function (ODF)-based deterministic (FACT, RK2), two ODF-based probabilistic approaches (Hough and PICo), and one “ball-and-stick” approach (Probtrackx). Brain networks derived from different tractography algorithms did not differ in terms of classification performance on ADNI, but performing principal components analysis on networks helped classification in some cases. Small differences may still be detectable in a truly vast cohort, but these experiments help assess the relative advantages of different tractography algorithms, and different post-processing choices, when used for classification.View the article as published at http://journal.frontiersin.org/article/10.3389/fnagi.2015.00048/ful