Department of Biomedical Engineering, Johns Hopkins University
Abstract:Resting State Networks (RSNs) of the brain extracted from Resting State functional Magnetic Resonance Imaging (RS-fMRI) are used in the pre-surgical planning to guide the neurosurgeon. This is difficult, though, as expert knowledge is required to label each of the RSNs. There is a lack of efficient and standardized methods to be used in clinical workflows. Additionally, these methods need to be generalizable since the method needs to work well regardless of the acquisition technique. We propose an accurate, fast, and lightweight deep learning approach to label RSNs. Group Independent Component Analysis (ICA) was used to extract large scale functional connectivity patterns in the cohort and dual regression was used to back project them on individual subject RSNs. We compare a Multi-Layer Perceptron (MLP) based method with 2D and 3D Convolutional Neural Networks (CNNs) and find that the MLP is faster and more accurate. The MLP method performs as good or better than other works despite its compact size. We prove the generalizability of our method by showing that the MLP performs at 100% accuracy in the holdout dataset and 98.3% accuracy in three other sites' fMRI acquisitions.
Abstract:Resting state fMRI is an imaging modality which reveals brain activity localization through signal changes, in what is known as Resting State Networks (RSNs). This technique is gaining popularity in neurosurgical pre-planning to visualize the functional regions and assess regional activity. Labeling of rs-fMRI networks require subject-matter expertise and is time consuming, creating a need for an automated classification algorithm. While the impact of AI in medical diagnosis has shown great progress; deploying and maintaining these in a clinical setting is an unmet need. We propose an end-to-end reproducible pipeline which incorporates image processing of rs-fMRI in a cloud-based workflow while using deep learning to automate the classification of RSNs. We have architected a reproducible Azure Machine Learning cloud-based medical imaging concept pipeline for fMRI analysis integrating the popular FMRIB Software Library (FSL) toolkit. To demonstrate a clinical application using a large dataset, we compare three neural network architectures for classification of deeper RSNs derived from processed rs-fMRI. The three algorithms are: an MLP, a 2D projection-based CNN, and a fully 3D CNN classification networks. Each of the net-works was trained on the rs-fMRI back-projected independent components giving >98% accuracy for each classification method.