Ultra-high resolution multimodal MRI dense labelled holistic brain atlas

In this paper, we introduce holiAtlas, a holistic, multimodal and high-resolution human brain atlas. This atlas covers different levels of details of the human brain anatomy, from the organ to the substructure level, using a new dense labelled protocol generated from the fusion of multiple local protocols at different scales. This atlas has been constructed averaging images and segmentations of 75 healthy subjects from the Human Connectome Project database. Specifically, MR images of T1, T2 and WMn (White Matter nulled) contrasts at 0.125 $mm^{3}$ resolution that were nonlinearly registered and averaged using symmetric group-wise normalisation to construct the atlas. At the finest level, the holiAtlas protocol has 350 different labels derived from 10 different delineation protocols. These labels were grouped at different scales to provide a holistic view of the brain at different levels in a coherent and consistent manner. This multiscale and multimodal atlas can be used for the development of new ultra-high resolution segmentation methods that can potentially leverage the early detection of neurological disorders.

Deep grading for MRI-based differential diagnosis of Alzheimer's disease and Frontotemporal dementia

Alzheimer's disease and Frontotemporal dementia are common forms of neurodegenerative dementia. Behavioral alterations and cognitive impairments are found in the clinical courses of both diseases and their differential diagnosis is sometimes difficult for physicians. Therefore, an accurate tool dedicated to this diagnostic challenge can be valuable in clinical practice. However, current structural imaging methods mainly focus on the detection of each disease but rarely on their differential diagnosis. In this paper, we propose a deep learning based approach for both problems of disease detection and differential diagnosis. We suggest utilizing two types of biomarkers for this application: structure grading and structure atrophy. First, we propose to train a large ensemble of 3D U-Nets to locally determine the anatomical patterns of healthy people, patients with Alzheimer's disease and patients with Frontotemporal dementia using structural MRI as input. The output of the ensemble is a 2-channel disease's coordinate map able to be transformed into a 3D grading map which is easy to interpret for clinicians. This 2-channel map is coupled with a multi-layer perceptron classifier for different classification tasks. Second, we propose to combine our deep learning framework with a traditional machine learning strategy based on volume to improve the model discriminative capacity and robustness. After both cross-validation and external validation, our experiments based on 3319 MRI demonstrated competitive results of our method compared to the state-of-the-art methods for both disease detection and differential diagnosis.