Learning brain MRI quality control: a multi-factorial generalization problem

Due to the growing number of MRI data, automated quality control (QC) has become essential, especially for larger scale analysis. Several attempts have been made in order to develop reliable and scalable QC pipelines. However, the generalization of these methods on new data independent of those used for learning is a difficult problem because of the biases inherent in MRI data. This work aimed at evaluating the performances of the MRIQC pipeline on various large-scale datasets (ABIDE, N = 1102 and CATI derived datasets, N = 9037) used for both training and evaluation purposes. We focused our analysis on the MRIQC preprocessing steps and tested the pipeline with and without them. We further analyzed the site-wise and study-wise predicted classification probability distributions of the models without preprocessing trained on ABIDE and CATI data. Our main results were that a model using features extracted from MRIQC without preprocessing yielded the best results when trained and evaluated on large multi-center datasets with a heterogeneous population (an improvement of the ROC-AUC score on unseen data of 0.10 for the model trained on a subset of the CATI dataset). We concluded that a model trained with data from a heterogeneous population, such as the CATI dataset, provides the best scores on unseen data. In spite of the performance improvement, the generalization abilities of the models remain questionable when looking at the site-wise/study-wise probability predictions and the optimal classification threshold derived from them.

Multidimensional classification of hippocampal shape features discriminates Alzheimer's disease and mild cognitive impairment from normal aging

We describe a new method to automatically discriminate between patients with Alzheimer's disease (AD) or mild cognitive impairment (MCI) and elderly controls, based on multidimensional classification of hippocampal shape features. This approach uses spherical harmonics (SPHARM) coefficients to model the shape of the hippocampi, which are segmented from magnetic resonance images (MRI) using a fully automatic method that we previously developed. SPHARM coefficients are used as features in a classification procedure based on support vector machines (SVM). The most relevant features for classification are selected using a bagging strategy. We evaluate the accuracy of our method in a group of 23 patients with AD (10 males, 13 females, age $\pm$ standard-deviation (SD) = 73 $\pm$ 6 years, mini-mental score (MMS) = 24.4 $\pm$ 2.8), 23 patients with amnestic MCI (10 males, 13 females, age $\pm$ SD = 74 $\pm$ 8 years, MMS = 27.3 $\pm$ 1.4) and 25 elderly healthy controls (13 males, 12 females, age $\pm$ SD = 64 $\pm$ 8 years), using leave-one-out cross-validation. For AD vs controls, we obtain a correct classification rate of 94%, a sensitivity of 96%, and a specificity of 92%. For MCI vs controls, we obtain a classification rate of 83%, a sensitivity of 83%, and a specificity of 84%. This accuracy is superior to that of hippocampal volumetry and is comparable to recently published SVM-based whole-brain classification methods, which relied on a different strategy. This new method may become a useful tool to assist in the diagnosis of Alzheimer's disease.

Robust imaging of hippocampal inner structure at 7T: in vivo acquisition protocol and methodological choices

OBJECTIVE:Motion-robust multi-slab imaging of hippocampal inner structure in vivo at 7T.MATERIALS AND METHODS:Motion is a crucial issue for ultra-high resolution imaging, such as can be achieved with 7T MRI. An acquisition protocol was designed for imaging hippocampal inner structure at 7T. It relies on a compromise between anatomical details visibility and robustness to motion. In order to reduce acquisition time and motion artifacts, the full slab covering the hippocampus was split into separate slabs with lower acquisition time. A robust registration approach was implemented to combine the acquired slabs within a final 3D-consistent high-resolution slab covering the whole hippocampus. Evaluation was performed on 50 subjects overall, made of three groups of subjects acquired using three acquisition settings; it focused on three issues: visibility of hippocampal inner structure, robustness to motion artifacts and registration procedure performance.RESULTS:Overall, T2-weighted acquisitions with interleaved slabs proved robust. Multi-slab registration yielded high quality datasets in 96 % of the subjects, thus compatible with further analyses of hippocampal inner structure.CONCLUSION:Multi-slab acquisition and registration setting is efficient for reducing acquisition time and consequently motion artifacts for ultra-high resolution imaging of the inner structure of the hippocampus.