Scott A. Small

Junhao Zhang, Vishwanatha M. Rao, Ye Tian et al.

Schizophrenia is a chronic neuropsychiatric disorder that causes distinct structural alterations within the brain. We hypothesize that deep learning applied to a structural neuroimaging dataset could detect disease-related alteration and improve classification and diagnostic accuracy. We tested this hypothesis using a single, widely available, and conventional T1-weighted MRI scan, from which we extracted the 3D whole-brain structure using standard post-processing methods. A deep learning model was then developed, optimized, and evaluated on three open datasets with T1-weighted MRI scans of patients with schizophrenia. Our proposed model outperformed the benchmark model, which was also trained with structural MR images using a 3D CNN architecture. Our model is capable of almost perfectly (area under the ROC curve = 0.987) distinguishing schizophrenia patients from healthy controls on unseen structural MRI scans. Regional analysis localized subcortical regions and ventricles as the most predictive brain regions. Subcortical structures serve a pivotal role in cognitive, affective, and social functions in humans, and structural abnormalities of these regions have been associated with schizophrenia. Our finding corroborates that schizophrenia is associated with widespread alterations in subcortical brain structure and the subcortical structural information provides prominent features in diagnostic classification. Together, these results further demonstrate the potential of deep learning to improve schizophrenia diagnosis and identify its structural neuroimaging signatures from a single, standard T1-weighted brain MRI.

Haoran Sun, Xueqing Liu, Xinyang Feng et al.

Cerebral blood volume (CBV) is a hemodynamic correlate of oxygen metabolism and reflects brain activity and function. High-resolution CBV maps can be generated using the steady-state gadolinium-enhanced MRI technique. Such a technique requires an intravenous injection of exogenous gadolinium based contrast agent (GBCA) and recent studies suggest that the GBCA can accumulate in the brain after frequent use. We hypothesize that endogenous sources of contrast might exist within the most conventional and commonly acquired structural MRI, potentially obviating the need for exogenous contrast. Here, we test this hypothesis by developing and optimizing a deep learning algorithm, which we call DeepContrast, in mice. We find that DeepContrast performs equally well as exogenous GBCA in mapping CBV of the normal brain tissue and enhancing glioblastoma. Together, these studies validate our hypothesis that a deep learning approach can potentially replace the need for GBCAs in brain MRI.

Xinyang Feng, Zachary C. Lipton, Jie Yang et al.

Numerous studies have established that estimated brain age, as derived from statistical models trained on healthy populations, constitutes a valuable biomarker that is predictive of cognitive decline and various neurological diseases. In this work, we curate a large-scale heterogeneous dataset (N = 10,158, age range 18 - 97) of structural brain MRIs in a healthy population from multiple publicly-available sources, upon which we train a deep learning model for brain age estimation. The availability of the large-scale dataset enables a more uniform age distribution across adult life-span for effective age estimation with no bias toward certain age groups. We demonstrate that the age estimation accuracy, evaluated with mean absolute error (MAE) and correlation coefficient (r), outperforms previously reported methods in both a hold-out test set reflective of the custom population (MAE = 4.06 years, r = 0.970) and an independent life-span evaluation dataset (MAE = 4.21 years, r = 0.960) on which a previous study has evaluated. We further demonstrate the utility of the estimated age in life-span aging analysis of cognitive functions. Furthermore, we conduct extensive ablation tests and employ feature-attribution techniques to analyze which regions contribute the most predictive value, demonstrating the prominence of the frontal lobe as well as pattern shift across life-span. In summary, we achieve superior age estimation performance confirming the efficacy of deep learning and the added utility of training with data both in larger number and more uniformly distributed than in previous studies. We demonstrate the regional contribution to our brain age predictions through multiple routes and confirm the association of divergence between estimated and chronological brain age with neuropsychological measures.