Objective Artificial neural network is first used in the measurement study of brain of Alzheimer's disease using MRI, and a completely new pattern discriminating method is adopted, so as to take advantage of MRI ...Objective Artificial neural network is first used in the measurement study of brain of Alzheimer's disease using MRI, and a completely new pattern discriminating method is adopted, so as to take advantage of MRI to diagnose and identify AD patients. Methods 12 patients with probable AD (aged 65.33±8.62 years) and 36 normal controls matched with age and gender (aged 65.81±7.37 years) were studied. MRI are performed on Siemens Magnetom IMPACT 1.0 T; eight interesting brain structures including sixteen regions (left and right) indices are measured and studied; SPSS software and BP network software made by authors respectively were used to process and analyze the measured data. Results Using artificial neural network to the same regions and data, both the sensitivity and accuracy were found higher than using the traditional discrimination function analysis method; the indices of amygdala, hippocampus, parahippocampal gyrus, temporal lobe, and temporal horn, these five structures could completely differentiate AD from normal controls; new cases were successfully diagnosed. Conclusions Artificial neural network combining with MRI is probable to become a useful and reliable clinical tool to diagnose AD patients.展开更多
Diffusion kurtosis imaging can be used to assess pathophysiological changes in tissue structure and to diagnose central nervous system diseases. However, its sensitivity in assessing hippocampal differences between pa...Diffusion kurtosis imaging can be used to assess pathophysiological changes in tissue structure and to diagnose central nervous system diseases. However, its sensitivity in assessing hippocampal differences between patients with Alzheimer’s disease and those with amnestic mild cognitive impairment has not been characterized. Here, we examined 20 individuals with Alzheimer’s disease (11 men and 9 women, mean 73.2 ± 4.49 years), 20 with amnestic mild cognitive impairment (10 men and 10 women, mean 71.55 ± 4.77 years), and 20 normal controls (11 men and 9 women, mean 70.45 ± 5.04 years). We conducted diffusion kurtosis imaging, using a 3.0 T magnetic resonance scanner, to compare hippocampal differences among the three groups. The results demonstrated that the right hippocampal volume and bilateral mean kurtosis were remarkably smaller in individuals with Alzheimer’s disease compared with those with amnestic mild cognitive impairment and normal controls. Further, the mean kurtosis was lower in the amnestic mild cognitive impairment group compared with the normal control group. The mean diffusion in the left hippocampus was lower in the Alzheimer’s disease group than in the amnestic mild cognitive impairment and normal control groups, while the mean diffusion in the right hippocampus was lower in the Alzheimer’s disease group than in the normal control group. Fractional anisotropy was similar among the three groups. These results verify that bilateral mean kurtosis and mean diffusion are sensitive to the diagnosis of Alzheimer’s disease and amnestic mild cognitive impairment. This study was approved by the Ethics Review Board of Affiliated Sixth People’s Hospital of Shanghai Jiao Tong University, China on May 4, 2010 (approval No. 2010(C)-6).展开更多
Alzheimer’s disease is a primary age-related neurodegenerative disorder that can result in impaired cognitive and memory functions.Although connections between changes in brain networks of Alzheimer’s disease patien...Alzheimer’s disease is a primary age-related neurodegenerative disorder that can result in impaired cognitive and memory functions.Although connections between changes in brain networks of Alzheimer’s disease patients have been established,the mechanisms that drive these alterations remain incompletely understood.This study,which was conducted in 2018 at Northeastern University in China,included data from 97 participants of the Alzheimer’s Disease Neuroimaging Initiative(ADNI)dataset covering genetics,imaging,and clinical data.All participants were divided into two groups:normal control(n=52;20 males and 32 females;mean age 73.90±4.72 years)and Alzheimer’s disease(n=45,23 males and 22 females;mean age 74.85±5.66).To uncover the wiring mechanisms that shaped changes in the topology of human brain networks of Alzheimer’s disease patients,we proposed a local naive Bayes brain network model based on graph theory.Our results showed that the proposed model provided an excellent fit to observe networks in all properties examined,including clustering coefficient,modularity,characteristic path length,network efficiency,betweenness,and degree distribution compared with empirical methods.This proposed model simulated the wiring changes in human brain networks between controls and Alzheimer’s disease patients.Our results demonstrate its utility in understanding relationships between brain tissue structure and cognitive or behavioral functions.The ADNI was performed in accordance with the Good Clinical Practice guidelines,US 21 CFR Part 50-Protection of Human Subjects,and Part 56-Institutional Review Boards(IRBs)/Research Good Clinical Practice guidelines Institutional Review Boards(IRBs)/Research Ethics Boards(REBs).展开更多
目的通过研究和搭建人工智能深度学习网络,实现多模态心脏磁共振(cardiac magnetic resonance,CMR)图像分割,并提升Dice系数。材料与方法回顾性分析来自2019年多序列CMR分割挑战赛的公开数据集,它包含了45例患者平衡稳态自由进动(balanc...目的通过研究和搭建人工智能深度学习网络,实现多模态心脏磁共振(cardiac magnetic resonance,CMR)图像分割,并提升Dice系数。材料与方法回顾性分析来自2019年多序列CMR分割挑战赛的公开数据集,它包含了45例患者平衡稳态自由进动(balanced-steady state free precession,bSSFP)模态,晚期钆增强(late gadolinium enhancement,LGE)模态与T2WI模态的CMR图像数据。本文构建了一种新的双流U型网络框架,实现bSSFP与LGE两种模态以及bSSFP与T2WI两种模态的CMR图像分割。在编码阶段,未配准各模态图像被交替地送入各自分支进行特征学习,所获取的特征图接着都流入共享层,实现多模态信息的交互补充,最终共享特征分开流出到各自分支进行解码输出。通过在45例患者的CMR图像数据集上进行五折交叉验证实验,分别对bSSFP与LGE模态、bSSFP与T2WI模态进行了分割,以Dice系数对提出的模型进行性能评估,Wilcoxon符号秩检验被用来检验模型差异性。结果在bSSFP与LGE模态的分割实验中,本文方法在bSSFP模态的平均Dice系数相较于传统UNet模型和最新的Swin-Unet模型都有显著提升(P<0.001);在LGE模态的平均Dice系数较传统UNet模型(P<0.001)、Swin-Unet模型(P=0.001)、双流UNet(P=0.021)均有显著提升。在bSSFP与T2WI模态的分割实验中,本文方法在bSSFP模态的平均Dice系数较UNet模型、Swin-Unet模型与双流UNet均有显著提升(P<0.001);在T2WI模态的平均Dice系数较UNet模型有显著提升(P<0.001),较Swin-Unet模型有提升(P=0.025)。结论本研究提出的双流U型网络框架为CMR图像多模态分割提供有效方法,且该网络提高了CMR图像bSSFP模态与LGE模态及bSSFP模态与T2WI模态的Dice系数,很好地解决了多模态CMR图像个体解剖学差异大和图像间存在灰度不一致问题,提升了模型的泛化能力。展开更多
Functional magnetic resonance imaging has been widely used to investigate the effects of acupuncture on neural activity. However, most functional magnetic resonance imaging studies have focused on acute changes in bra...Functional magnetic resonance imaging has been widely used to investigate the effects of acupuncture on neural activity. However, most functional magnetic resonance imaging studies have focused on acute changes in brain activation induced by acupuncture. Thus, the time course of the therapeutic effects of acupuncture remains unclear. In this study, 32 patients with amnestic mild cognitive impairment were randomly divided into two groups, where they received either Tiaoshen Yizhi acupuncture or sham acupoint acupuncture. The needles were either twirled at Tiaoshen Yizhi acupoints, including Sishencong（EX-HN1）, Yintang（EX-HN3）, Neiguan（PC6）, Taixi（KI3）, Fenglong（ST40）, and Taichong（LR3）, or at related sham acupoints at a depth of approximately 15 mm, an angle of ± 60°, and a rate of approximately 120 times per minute. Acupuncture was conducted for 4 consecutive weeks, five times per week, on weekdays. Resting-state functional magnetic resonance imaging indicated that connections between cognition-related regions such as the insula, dorsolateral prefrontal cortex, hippocampus, thalamus, inferior parietal lobule, and anterior cingulate cortex increased after acupuncture at Tiaoshen Yizhi acupoints. The insula, dorsolateral prefrontal cortex, and hippocampus acted as central brain hubs. Patients in the Tiaoshen Yizhi group exhibited improved cognitive performance after acupuncture. In the sham acupoint acupuncture group, connections between brain regions were dispersed, and we found no differences in cognitive function following the treatment. These results indicate that acupuncture at Tiaoshen Yizhi acupoints can regulate brain networks by increasing connectivity between cognition-related regions, thereby improving cognitive function in patients with mild cognitive impairment.展开更多
Magnetic resonance imaging is a highly sensitive approach for diagnosis of multiple sclerosis, and T2-weighted images can reveal lesions in the cerebral white matter, gray matter, and spinal cord. However, the lesions...Magnetic resonance imaging is a highly sensitive approach for diagnosis of multiple sclerosis, and T2-weighted images can reveal lesions in the cerebral white matter, gray matter, and spinal cord. However, the lesions have a poor correlation with measurable clinical disability. In this study, we performed a large-scale epidemiological survey of 238 patients with multiple sclerosis in eleven districts by network member hospitals in Shanghai, China within 1 year. The involved patients were scanned for position and size of lesions by MRI. Results showed that lesions in the cerebrum, spina cord, or supratentorial position had an impact on the activities of daily living in multiple sclerosis patients, as assessed by the Bayes network. On the other hand, brainstem lesions were very unlikely to influence the activities of daily living, and were not associated with the position of lesion, patient＇s gender, and patient＇s living place.展开更多
文摘Objective Artificial neural network is first used in the measurement study of brain of Alzheimer's disease using MRI, and a completely new pattern discriminating method is adopted, so as to take advantage of MRI to diagnose and identify AD patients. Methods 12 patients with probable AD (aged 65.33±8.62 years) and 36 normal controls matched with age and gender (aged 65.81±7.37 years) were studied. MRI are performed on Siemens Magnetom IMPACT 1.0 T; eight interesting brain structures including sixteen regions (left and right) indices are measured and studied; SPSS software and BP network software made by authors respectively were used to process and analyze the measured data. Results Using artificial neural network to the same regions and data, both the sensitivity and accuracy were found higher than using the traditional discrimination function analysis method; the indices of amygdala, hippocampus, parahippocampal gyrus, temporal lobe, and temporal horn, these five structures could completely differentiate AD from normal controls; new cases were successfully diagnosed. Conclusions Artificial neural network combining with MRI is probable to become a useful and reliable clinical tool to diagnose AD patients.
基金supported by the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine in China,No.2016427(to YHL)the Clinical Science and Technology Innovation Project of Shanghai Shen Kang Hospital Development Center in China,No.SHDC22015038(to YHL)the Shanghai Municipal Science and Technology Commission Medical Guide Project in China,No.16411968900(to YHL)
文摘Diffusion kurtosis imaging can be used to assess pathophysiological changes in tissue structure and to diagnose central nervous system diseases. However, its sensitivity in assessing hippocampal differences between patients with Alzheimer’s disease and those with amnestic mild cognitive impairment has not been characterized. Here, we examined 20 individuals with Alzheimer’s disease (11 men and 9 women, mean 73.2 ± 4.49 years), 20 with amnestic mild cognitive impairment (10 men and 10 women, mean 71.55 ± 4.77 years), and 20 normal controls (11 men and 9 women, mean 70.45 ± 5.04 years). We conducted diffusion kurtosis imaging, using a 3.0 T magnetic resonance scanner, to compare hippocampal differences among the three groups. The results demonstrated that the right hippocampal volume and bilateral mean kurtosis were remarkably smaller in individuals with Alzheimer’s disease compared with those with amnestic mild cognitive impairment and normal controls. Further, the mean kurtosis was lower in the amnestic mild cognitive impairment group compared with the normal control group. The mean diffusion in the left hippocampus was lower in the Alzheimer’s disease group than in the amnestic mild cognitive impairment and normal control groups, while the mean diffusion in the right hippocampus was lower in the Alzheimer’s disease group than in the normal control group. Fractional anisotropy was similar among the three groups. These results verify that bilateral mean kurtosis and mean diffusion are sensitive to the diagnosis of Alzheimer’s disease and amnestic mild cognitive impairment. This study was approved by the Ethics Review Board of Affiliated Sixth People’s Hospital of Shanghai Jiao Tong University, China on May 4, 2010 (approval No. 2010(C)-6).
基金Fundamental Research Funds for the Central Universities in China,No.N161608001 and No.N171903002
文摘Alzheimer’s disease is a primary age-related neurodegenerative disorder that can result in impaired cognitive and memory functions.Although connections between changes in brain networks of Alzheimer’s disease patients have been established,the mechanisms that drive these alterations remain incompletely understood.This study,which was conducted in 2018 at Northeastern University in China,included data from 97 participants of the Alzheimer’s Disease Neuroimaging Initiative(ADNI)dataset covering genetics,imaging,and clinical data.All participants were divided into two groups:normal control(n=52;20 males and 32 females;mean age 73.90±4.72 years)and Alzheimer’s disease(n=45,23 males and 22 females;mean age 74.85±5.66).To uncover the wiring mechanisms that shaped changes in the topology of human brain networks of Alzheimer’s disease patients,we proposed a local naive Bayes brain network model based on graph theory.Our results showed that the proposed model provided an excellent fit to observe networks in all properties examined,including clustering coefficient,modularity,characteristic path length,network efficiency,betweenness,and degree distribution compared with empirical methods.This proposed model simulated the wiring changes in human brain networks between controls and Alzheimer’s disease patients.Our results demonstrate its utility in understanding relationships between brain tissue structure and cognitive or behavioral functions.The ADNI was performed in accordance with the Good Clinical Practice guidelines,US 21 CFR Part 50-Protection of Human Subjects,and Part 56-Institutional Review Boards(IRBs)/Research Good Clinical Practice guidelines Institutional Review Boards(IRBs)/Research Ethics Boards(REBs).
文摘目的通过研究和搭建人工智能深度学习网络,实现多模态心脏磁共振(cardiac magnetic resonance,CMR)图像分割,并提升Dice系数。材料与方法回顾性分析来自2019年多序列CMR分割挑战赛的公开数据集,它包含了45例患者平衡稳态自由进动(balanced-steady state free precession,bSSFP)模态,晚期钆增强(late gadolinium enhancement,LGE)模态与T2WI模态的CMR图像数据。本文构建了一种新的双流U型网络框架,实现bSSFP与LGE两种模态以及bSSFP与T2WI两种模态的CMR图像分割。在编码阶段,未配准各模态图像被交替地送入各自分支进行特征学习,所获取的特征图接着都流入共享层,实现多模态信息的交互补充,最终共享特征分开流出到各自分支进行解码输出。通过在45例患者的CMR图像数据集上进行五折交叉验证实验,分别对bSSFP与LGE模态、bSSFP与T2WI模态进行了分割,以Dice系数对提出的模型进行性能评估,Wilcoxon符号秩检验被用来检验模型差异性。结果在bSSFP与LGE模态的分割实验中,本文方法在bSSFP模态的平均Dice系数相较于传统UNet模型和最新的Swin-Unet模型都有显著提升(P<0.001);在LGE模态的平均Dice系数较传统UNet模型(P<0.001)、Swin-Unet模型(P=0.001)、双流UNet(P=0.021)均有显著提升。在bSSFP与T2WI模态的分割实验中,本文方法在bSSFP模态的平均Dice系数较UNet模型、Swin-Unet模型与双流UNet均有显著提升(P<0.001);在T2WI模态的平均Dice系数较UNet模型有显著提升(P<0.001),较Swin-Unet模型有提升(P=0.025)。结论本研究提出的双流U型网络框架为CMR图像多模态分割提供有效方法,且该网络提高了CMR图像bSSFP模态与LGE模态及bSSFP模态与T2WI模态的Dice系数,很好地解决了多模态CMR图像个体解剖学差异大和图像间存在灰度不一致问题,提升了模型的泛化能力。
基金supported by the National Natural Science Foundation of China,No.81173354a grant from the Science and Technology Plan Project of Guangdong Province of China,No.2013B021800099a grant from the Science and Technology Plan Project of Shenzhen City of China,No.JCYJ20150402152005642
文摘Functional magnetic resonance imaging has been widely used to investigate the effects of acupuncture on neural activity. However, most functional magnetic resonance imaging studies have focused on acute changes in brain activation induced by acupuncture. Thus, the time course of the therapeutic effects of acupuncture remains unclear. In this study, 32 patients with amnestic mild cognitive impairment were randomly divided into two groups, where they received either Tiaoshen Yizhi acupuncture or sham acupoint acupuncture. The needles were either twirled at Tiaoshen Yizhi acupoints, including Sishencong（EX-HN1）, Yintang（EX-HN3）, Neiguan（PC6）, Taixi（KI3）, Fenglong（ST40）, and Taichong（LR3）, or at related sham acupoints at a depth of approximately 15 mm, an angle of ± 60°, and a rate of approximately 120 times per minute. Acupuncture was conducted for 4 consecutive weeks, five times per week, on weekdays. Resting-state functional magnetic resonance imaging indicated that connections between cognition-related regions such as the insula, dorsolateral prefrontal cortex, hippocampus, thalamus, inferior parietal lobule, and anterior cingulate cortex increased after acupuncture at Tiaoshen Yizhi acupoints. The insula, dorsolateral prefrontal cortex, and hippocampus acted as central brain hubs. Patients in the Tiaoshen Yizhi group exhibited improved cognitive performance after acupuncture. In the sham acupoint acupuncture group, connections between brain regions were dispersed, and we found no differences in cognitive function following the treatment. These results indicate that acupuncture at Tiaoshen Yizhi acupoints can regulate brain networks by increasing connectivity between cognition-related regions, thereby improving cognitive function in patients with mild cognitive impairment.
基金supported by the National Natural Science Foundation of China,No.30872179 and 81070958a grant from Shanghai Science and Technology Commission,No.08410702200a grant from Shanghai Key Discipline Construction,No.08GWEX0201
文摘Magnetic resonance imaging is a highly sensitive approach for diagnosis of multiple sclerosis, and T2-weighted images can reveal lesions in the cerebral white matter, gray matter, and spinal cord. However, the lesions have a poor correlation with measurable clinical disability. In this study, we performed a large-scale epidemiological survey of 238 patients with multiple sclerosis in eleven districts by network member hospitals in Shanghai, China within 1 year. The involved patients were scanned for position and size of lesions by MRI. Results showed that lesions in the cerebrum, spina cord, or supratentorial position had an impact on the activities of daily living in multiple sclerosis patients, as assessed by the Bayes network. On the other hand, brainstem lesions were very unlikely to influence the activities of daily living, and were not associated with the position of lesion, patient＇s gender, and patient＇s living place.
