Early Prediction of Alzheimer's Disease Dementia Based on Baseline Hippocampal MRI and 1-Year Follow-Up Cognitive Measures Using Deep Recurrent Neural Networks

Multi-modal biological, imaging, and neuropsychological markers have demonstrated promising performance for distinguishing Alzheimer's disease (AD) patients from cognitively normal elders. However, it remains difficult to early predict when and which mild cognitive impairment (MCI) individuals will convert to AD dementia. Informed by pattern classification studies which have demonstrated that pattern classifiers built on longitudinal data could achieve better classification performance than those built on cross-sectional data, we develop a deep learning model based on recurrent neural networks (RNNs) to learn informative representation and temporal dynamics of longitudinal cognitive measures of individual subjects and combine them with baseline hippocampal MRI for building a prognostic model of AD dementia progression. Experimental results on a large cohort of MCI subjects have demonstrated that the deep learning model could learn informative measures from longitudinal data for characterizing the progression of MCI subjects to AD dementia, and the prognostic model could early predict AD progression with high accuracy.Comment: Accepted by ISBI 201

A Multi-Task Deep Learning Framework to Localize the Eloquent Cortex in Brain Tumor Patients Using Dynamic Functional Connectivity

We present a novel deep learning framework that uses dynamic functional connectivity to simultaneously localize the language and motor areas of the eloquent cortex in brain tumor patients. Our method leverages convolutional layers to extract graph-based features from the dynamic connectivity matrices and a long-short term memory (LSTM) attention network to weight the relevant time points during classification. The final stage of our model employs multi-task learning to identify different eloquent subsystems. Our unique training strategy finds a shared representation between the cognitive networks of interest, which enables us to handle missing patient data. We evaluate our method on resting-state fMRI data from 56 brain tumor patients while using task fMRI activations as surrogate ground-truth labels for training and testing. Our model achieves higher localization accuracies than conventional deep learning approaches and can identify bilateral language areas even when trained on left-hemisphere lateralized cases. Hence, our method may ultimately be useful for preoperative mapping in tumor patients.Comment: Presented at MLCN 2020 workshop, as a part of MICCAI 202

Spatio-Temporal Graph Convolution for Functional MRI Analysis

The BOLD signal of resting-state fMRI (rs-fMRI) records the functional brain connectivity in a rich dynamic spatio-temporal setting. However, existing methods applied to rs-fMRI often fail to consider both spatial and temporal characteristics of the data. They either neglect the functional dependency between different brain regions in a network or discard the information in the temporal dynamics of brain activity. To overcome those shortcomings, we propose to formulate functional connectivity networks within the context of spatio-temporal graphs. We then train a spatio-temporal graph convolutional network (ST-GCN) on short sub-sequences of the BOLD time series to model the non-stationary nature of functional connectivity. We simultaneously learn the graph edge importance within ST-GCN to enable interpretation of functional connectivities contributing to the prediction model. In analyzing the rs-fMRI of the Human Connectome Project (HCP, N=1,091) and the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA, N=773), ST-GCN is significantly more accurate than common approaches in predicting gender and age based on BOLD signals. The matrix recording edge importance localizes brain regions and functional connections with significant aging and sex effects, which are verified by the neuroscience literature