The Application of Deep Learning for Classification of Alzheimer's Disease Stages by Magnetic Resonance Imaging Data

Detecting Alzheimer’s disease (AD) in its early stages is essential for effective management, and screening for Mild Cognitive Impairment (MCI) is common practice. Among many deep learning techniques applied to assess brain structural changes, Magnetic Resonance Imaging (MRI) and Convolutional Neural Networks (CNN) have grabbed research attention because of their excellent efficiency in automated feature learning of a variety of multilayer perceptron. In this study, various CNNs are trained to predict AD on three different views of MRI images, including Sagittal, Transverse, and Coronal views. This research use T1-Weighted MRI data of 3 years composed of 2182 NIFTI files. Each NIFTI file presents a single patient's Sagittal, Transverse, and Coronal views. T1-Weighted MRI images from the ADNI database are first preprocessed to achieve better representation. After MRI preprocessing, large slice numbers require a substantial computational cost during CNN training. To reduce the slice numbers for each view, this research proposes an intelligent probabilistic approach to select slice numbers such that the total computational cost per MRI is minimized. With hyperparameter tuning, batch normalization, and intelligent slice selection and cropping, an accuracy of 90.05% achieve with the Transverse, 82.4% with Sagittal, and 78.5% with Coronal view, respectively. Moreover, the views are stacked together and an accuracy of 92.21% is achived for the combined views. In addition, results are compared with other studies to show the performance of the proposed approach for AD detection

A canonical theory of dynamic decision-making

Decision-making behavior is studied in many very different fields, from medicine and eco- nomics to psychology and neuroscience, with major contributions from mathematics and statistics, computer science, AI, and other technical disciplines. However the conceptual- ization of what decision-making is and methods for studying it vary greatly and this has resulted in fragmentation of the field. A theory that can accommodate various perspectives may facilitate interdisciplinary working. We present such a theory in which decision-making is articulated as a set of canonical functions that are sufficiently general to accommodate diverse viewpoints, yet sufficiently precise that they can be instantiated in different ways for specific theoretical or practical purposes. The canons cover the whole decision cycle, from the framing of a decision based on the goals, beliefs, and background knowledge of the decision-maker to the formulation of decision options, establishing preferences over them, and making commitments. Commitments can lead to the initiation of new decisions and any step in the cycle can incorporate reasoning about previous decisions and the rationales for them, and lead to revising or abandoning existing commitments. The theory situates decision-making with respect to other high-level cognitive capabilities like problem solving, planning, and collaborative decision-making. The canonical approach is assessed in three domains: cognitive and neuropsychology, artificial intelligence, and decision engineering

Exploring variability in medical imaging

Although recent successes of deep learning and novel machine learning techniques improved the perfor- mance of classification and (anomaly) detection in computer vision problems, the application of these methods in medical imaging pipeline remains a very challenging task. One of the main reasons for this is the amount of variability that is encountered and encapsulated in human anatomy and subsequently reflected in medical images. This fundamental factor impacts most stages in modern medical imaging processing pipelines. Variability of human anatomy makes it virtually impossible to build large datasets for each disease with labels and annotation for fully supervised machine learning. An efficient way to cope with this is to try and learn only from normal samples. Such data is much easier to collect. A case study of such an automatic anomaly detection system based on normative learning is presented in this work. We present a framework for detecting fetal cardiac anomalies during ultrasound screening using generative models, which are trained only utilising normal/healthy subjects. However, despite the significant improvement in automatic abnormality detection systems, clinical routine continues to rely exclusively on the contribution of overburdened medical experts to diagnosis and localise abnormalities. Integrating human expert knowledge into the medical imaging processing pipeline entails uncertainty which is mainly correlated with inter-observer variability. From the per- spective of building an automated medical imaging system, it is still an open issue, to what extent this kind of variability and the resulting uncertainty are introduced during the training of a model and how it affects the final performance of the task. Consequently, it is very important to explore the effect of inter-observer variability both, on the reliable estimation of model’s uncertainty, as well as on the model’s performance in a specific machine learning task. A thorough investigation of this issue is presented in this work by leveraging automated estimates for machine learning model uncertainty, inter-observer variability and segmentation task performance in lung CT scan images. Finally, a presentation of an overview of the existing anomaly detection methods in medical imaging was attempted. This state-of-the-art survey includes both conventional pattern recognition methods and deep learning based methods. It is one of the first literature surveys attempted in the specific research area.Open Acces

Supervised Relevance-Redundancy assessments for feature selection in omics-based classification scenarios

Background and objective: Many classification tasks in translational bioinformatics and genomics are characterized by the high dimensionality of potential features and unbalanced sample distribution among classes. This can affect classifier robustness and increase the risk of overfitting, curse of dimensionality and generalization leaks; furthermore and most importantly, this can prevent obtaining adequate patient stratification required for precision medicine in facing complex diseases, like cancer. Setting up a feature selection strategy able to extract only proper predictive features by removing irrelevant, redundant, and noisy ones is crucial to achieving valuable results on the desired task. Methods: We propose a new feature selection approach, called ReRa, based on supervised Relevance-Redundancy assessments. ReRa consists of a customized step of relevance-based filtering, to identify a reduced subset of meaningful features, followed by a supervised similarity-based procedure to minimize redundancy. This latter step innovatively uses a combination of global and class-specific similarity assessments to remove redundant features while preserving those differentiated across classes, even when these classes are strongly unbalanced. Results: We compared ReRa with several existing feature selection methods to obtain feature spaces on which performing breast cancer patient subtyping using several classifiers: we considered two use cases based on gene or transcript isoform expression. In the vast majority of the assessed scenarios, when using ReRa-selected feature spaces, the performances were significantly increased compared to simple feature filtering, LASSO regularization, or even MRmr - another Relevance-Redundancy method. The two use cases represent an insightful example of translational application, taking advantage of ReRa capabilities to investigate and enhance a clinically-relevant patient stratification task, which could be easily applied also to other cancer types and diseases. Conclusions: ReRa approach has the potential to improve the performance of machine learning models used in an unbalanced classification scenario. Compared to another Relevance-Redundancy approach like MRmr, ReRa does not require tuning the number of preserved features, ensures efficiency and scalability over huge initial dimensionalities and allows re-evaluation of all previously selected features at each iteration of the redundancy assessment, to ultimately preserve only the most relevant and class-differentiated features

Machine learning based data pre-processing for the purpose of medical data mining and decision support

Building an accurate and reliable model for prediction for different application domains, is one of the most significant challenges in knowledge discovery and data mining. Sometimes, improved data quality is itself the goal of the analysis, usually to improve processes in a production database and the designing of decision support. As medicine moves forward there is a need for sophisticated decision support systems that make use of data mining to support more orthodox knowledge engineering and Health Informatics practice. However, the real-life medical data rarely complies with the requirements of various data mining tools. It is often inconsistent, noisy, containing redundant attributes, in an unsuitable format, containing missing values and imbalanced with regards to the outcome class label.Many real-life data sets are incomplete, with missing values. In medical data mining the problem with missing values has become a challenging issue. In many clinical trials, the medical report pro-forma allow some attributes to be left blank, because they are inappropriate for some class of illness or the person providing the information feels that it is not appropriate to record the values for some attributes. The research reported in this thesis has explored the use of machine learning techniques as missing value imputation methods. The thesis also proposed a new way of imputing missing value by supervised learning. A classifier was used to learn the data patterns from a complete data sub-set and the model was later used to predict the missing values for the full dataset. The proposed machine learning based missing value imputation was applied on the thesis data and the results are compared with traditional Mean/Mode imputation. Experimental results show that all the machine learning methods which we explored outperformed the statistical method (Mean/Mode).The class imbalance problem has been found to hinder the performance of learning systems. In fact, most of the medical datasets are found to be highly imbalance in their class label. The solution to this problem is to reduce the gap between the minority class samples and the majority class samples. Over-sampling can be applied to increase the number of minority class sample to balance the data. The alternative to over-sampling is under-sampling where the size of majority class sample is reduced. The thesis proposed one cluster based under-sampling technique to reduce the gap between the majority and minority samples. Different under-sampling and over-sampling techniques were explored as ways to balance the data. The experimental results show that for the thesis data the new proposed modified cluster based under-sampling technique performed better than other class balancing techniques.In further research it is found that the class imbalance problem not only affects the classification performance but also has an adverse effect on feature selection. The thesis proposed a new framework for feature selection for class imbalanced datasets. The research found that, using the proposed framework the classifier needs less attributes to show high accuracy, and more attributes are needed if the data is highly imbalanced.The research described in the thesis contains the flowing four novel main contributions.a) Improved data mining methodology for mining medical datab) Machine learning based missing value imputation methodc) Cluster Based semi-supervised class balancing methodd) Feature selection framework for class imbalance datasetsThe performance analysis and comparative study show that the use of proposed method of missing value imputation, class balancing and feature selection framework can provide an effective approach to data preparation for building medical decision support

Cognitive Maps

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Computational methods for the analysis of functional 4D-CT chest images.

Medical imaging is an important emerging technology that has been intensively used in the last few decades for disease diagnosis and monitoring as well as for the assessment of treatment effectiveness. Medical images provide a very large amount of valuable information that is too huge to be exploited by radiologists and physicians. Therefore, the design of computer-aided diagnostic (CAD) system, which can be used as an assistive tool for the medical community, is of a great importance. This dissertation deals with the development of a complete CAD system for lung cancer patients, which remains the leading cause of cancer-related death in the USA. In 2014, there were approximately 224,210 new cases of lung cancer and 159,260 related deaths. The process begins with the detection of lung cancer which is detected through the diagnosis of lung nodules (a manifestation of lung cancer). These nodules are approximately spherical regions of primarily high density tissue that are visible in computed tomography (CT) images of the lung. The treatment of these lung cancer nodules is complex, nearly 70% of lung cancer patients require radiation therapy as part of their treatment. Radiation-induced lung injury is a limiting toxicity that may decrease cure rates and increase morbidity and mortality treatment. By finding ways to accurately detect, at early stage, and hence prevent lung injury, it will have significant positive consequences for lung cancer patients. The ultimate goal of this dissertation is to develop a clinically usable CAD system that can improve the sensitivity and specificity of early detection of radiation-induced lung injury based on the hypotheses that radiated lung tissues may get affected and suffer decrease of their functionality as a side effect of radiation therapy treatment. These hypotheses have been validated by demonstrating that automatic segmentation of the lung regions and registration of consecutive respiratory phases to estimate their elasticity, ventilation, and texture features to provide discriminatory descriptors that can be used for early detection of radiation-induced lung injury. The proposed methodologies will lead to novel indexes for distinguishing normal/healthy and injured lung tissues in clinical decision-making. To achieve this goal, a CAD system for accurate detection of radiation-induced lung injury that requires three basic components has been developed. These components are the lung fields segmentation, lung registration, and features extraction and tissue classification. This dissertation starts with an exploration of the available medical imaging modalities to present the importance of medical imaging in today’s clinical applications. Secondly, the methodologies, challenges, and limitations of recent CAD systems for lung cancer detection are covered. This is followed by introducing an accurate segmentation methodology of the lung parenchyma with the focus of pathological lungs to extract the volume of interest (VOI) to be analyzed for potential existence of lung injuries stemmed from the radiation therapy. After the segmentation of the VOI, a lung registration framework is introduced to perform a crucial and important step that ensures the co-alignment of the intra-patient scans. This step eliminates the effects of orientation differences, motion, breathing, heart beats, and differences in scanning parameters to be able to accurately extract the functionality features for the lung fields. The developed registration framework also helps in the evaluation and gated control of the radiotherapy through the motion estimation analysis before and after the therapy dose. Finally, the radiation-induced lung injury is introduced, which combines the previous two medical image processing and analysis steps with the features estimation and classification step. This framework estimates and combines both texture and functional features. The texture features are modeled using the novel 7th-order Markov Gibbs random field (MGRF) model that has the ability to accurately models the texture of healthy and injured lung tissues through simultaneously accounting for both vertical and horizontal relative dependencies between voxel-wise signals. While the functionality features calculations are based on the calculated deformation fields, obtained from the 4D-CT lung registration, that maps lung voxels between successive CT scans in the respiratory cycle. These functionality features describe the ventilation, the air flow rate, of the lung tissues using the Jacobian of the deformation field and the tissues’ elasticity using the strain components calculated from the gradient of the deformation field. Finally, these features are combined in the classification model to detect the injured parts of the lung at an early stage and enables an earlier intervention

Segmentation, tracking, and kinematics of lung parenchyma and lung tumors from 4D CT with application to radiation treatment planning.

This thesis is concerned with development of techniques for efficient computerized analysis of 4-D CT data. The goal is to have a highly automated approach to segmentation of the lung boundary and lung nodules inside the lung. The determination of exact lung tumor location over space and time by image segmentation is an essential step to track thoracic malignancies. Accurate image segmentation helps clinical experts examine the anatomy and structure and determine the disease progress. Since 4-D CT provides structural and anatomical information during tidal breathing, we use the same data to also measure mechanical properties related to deformation of the lung tissue including Jacobian and strain at high resolutions and as a function of time. Radiation Treatment of patients with lung cancer can benefit from knowledge of these measures of regional ventilation. Graph-cuts techniques have been popular for image segmentation since they are able to treat highly textured data via robust global optimization, avoiding local minima in graph based optimization. The graph-cuts methods have been used to extract globally optimal boundaries from images by s/t cut, with energy function based on model-specific visual cues, and useful topological constraints. The method makes N-dimensional globally optimal segmentation possible with good computational efficiency. Even though the graph-cuts method can extract objects where there is a clear intensity difference, segmentation of organs or tumors pose a challenge. For organ segmentation, many segmentation methods using a shape prior have been proposed. However, in the case of lung tumors, the shape varies from patient to patient, and with location. In this thesis, we use a shape prior for tumors through a training step and PCA analysis based on the Active Shape Model (ASM). The method has been tested on real patient data from the Brown Cancer Center at the University of Louisville. We performed temporal B-spline deformable registration of the 4-D CT data - this yielded 3-D deformation fields between successive respiratory phases from which measures of regional lung function were determined. During the respiratory cycle, the lung volume changes and five different lobes of the lung (two in the left and three in the right lung) show different deformation yielding different strain and Jacobian maps. In this thesis, we determine the regional lung mechanics in the Lagrangian frame of reference through different respiratory phases, for example, Phase10 to 20, Phase10 to 30, Phase10 to 40, and Phase10 to 50. Single photon emission computed tomography (SPECT) lung imaging using radioactive tracers with SPECT ventilation and SPECT perfusion imaging also provides functional information. As part of an IRB-approved study therefore, we registered the max-inhale CT volume to both VSPECT and QSPECT data sets using the Demon\u27s non-rigid registration algorithm in patient subjects. Subsequently, statistical correlation between CT ventilation images (Jacobian and strain values), with both VSPECT and QSPECT was undertaken. Through statistical analysis with the Spearman\u27s rank correlation coefficient, we found that Jacobian values have the highest correlation with both VSPECT and QSPECT

The doctoral research abstracts. Vol:6 2014 / Institute of Graduate Studies, UiTM

Congratulations to Institute of Graduate Studies on the continuous efforts to publish the 6th issue of the Doctoral Research Abstracts which ranged from the discipline of science and technology, business and administration to social science and humanities. This issue captures the novelty of research from 52 PhD doctorates receiving their scrolls in the UiTM’s 81st Convocation. This convocation is very significant especially for UiTM since we are celebrating the success of 52 PhD graduands – the highest number ever conferred at any one time. To the 52 doctorates, I would like it to be known that you have most certainly done UiTM proud by journeying through the scholastic path with its endless challenges and impediments, and by persevering right till the very end. This convocation should not be regarded as the end of your highest scholarly achievement and contribution to the body of knowledge but rather as the beginning of embarking into more innovative research from knowledge gained during this academic journey, for the community and country. As alumni of UiTM, we hold you dear to our hearts. The relationship that was once between a student and supervisor has now matured into comrades, forging and exploring together beyond the frontier of knowledge. We wish you all the best in your endeavour and may I offer my congratulations to all the graduands. ‘UiTM sentiasa dihati ku’ Tan Sri Dato’ Sri Prof Ir Dr Sahol Hamid Abu Bakar , FASc, PEng Vice Chancellor Universiti Teknologi MAR