There is ongoing research for the automatic diagnosis of Alzheimer's disease (AD) based on traditional machine learning techniques, and deep learning-based approaches are becoming a popular choice for AD diagnosis. The state-of-the-art techniques that consider multimodal diagnosis have been shown to have accuracy better than a manual diagnosis. However, collecting data from different modalities is time-consuming and expensive, and some modalities may have radioactive side effects. Our study is confined to structural magnetic resonance imaging (sMRI). The objectives of our attempt are as follows: 1) to increase the accuracy level that is comparable to the state-of-the-art methods; 2) to overcome the overfitting problem, and; 3) to analyze proven landmarks of the brain that provide discernible features for AD diagnosis. Here, we focused specifically on both the left and right hippocampus areas. To achieve the objectives, at first, we incorporate ensembles of simple convolutional neural networks (CNNs) as feature extractors and softmax cross-entropy as the classifier. Then, considering the scarcity of data, we deployed a patch-based approach. We have performed our experiment on the Gwangju Alzheimer's and Related Dementia (GARD) cohort dataset prepared by the National Research Center for Dementia (GARD), Gwangju, South Korea. We manually localized the left and right hippocampus and fed three view patches (TVPs) to the CNN after the preprocessing steps. We achieve 90.05% accuracy. We have compared our model with the state-of-the-art methods on the same dataset they have used and found our result comparable. INDEX TERMS Alzheimer disease classification, ALZHEIMER disease detection, Alzheimer disease diagnosis, convolutional neural network, deep learning, machine learning, medical imaging.
Patches from three orthogonal views of selected cerebral regions can be utilized to learn convolutional neural network (CNN) models for staging the Alzheimer disease (AD) spectrum including preclinical AD, mild cognitive impairment due to AD, and dementia due to AD and normal controls. Hippocampi, amygdalae and insulae were selected from the volumetric analysis of structured magnetic resonance images (MRIs). Three-view patches (TVPs) from these regions were fed to the CNN for training. MRIs were classified with the SoftMax-normalized scores of individual model predictions on TVPs. The significance of each region of interest (ROI) for staging the AD spectrum was evaluated and reported. The results of the ensemble classifier are compared with state-of-the-art methods using the same evaluation metrics. Patch-based ROI ensembles provide comparable diagnostic performance for AD staging. In this work, TVP-based ROI analysis using a CNN provides informative landmarks in cerebral MRIs and may have significance in clinical studies and computer-aided diagnosis system design.
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