Dataset Information

Multi-site MRI harmonization via attention-guided deep domain adaptation for brain disorder identification.

ABSTRACT: Structural magnetic resonance imaging (MRI) has shown great clinical and practical values in computer-aided brain disorder identification. Multi-site MRI data increase sample size and statistical power, but are susceptible to inter-site heterogeneity caused by different scanners, scanning protocols, and subject cohorts. Multi-site MRI harmonization (MMH) helps alleviate the inter-site difference for subsequent analysis. Some MMH methods performed at imaging level or feature extraction level are concise but lack robustness and flexibility to some extent. Even though several machine/deep learning-based methods have been proposed for MMH, some of them require a portion of labeled data in the to-be-analyzed target domain or ignore the potential contributions of different brain regions to the identification of brain disorders. In this work, we propose an attention-guided deep domain adaptation (AD²A) framework for MMH and apply it to automated brain disorder identification with multi-site MRIs. The proposed framework does not need any category label information of target data, and can also automatically identify discriminative regions in whole-brain MR images. Specifically, the proposed AD²A is composed of three key modules: (1) an MRI feature encoding module to extract representations of input MRIs, (2) an attention discovery module to automatically locate discriminative dementia-related regions in each whole-brain MRI scan, and (3) a domain transfer module trained with adversarial learning for knowledge transfer between the source and target domains. Experiments have been performed on 2572 subjects from four benchmark datasets with T1-weighted structural MRIs, with results demonstrating the effectiveness of the proposed method in both tasks of brain disorder identification and disease progression prediction.

SUBMITTER: Guan H

PROVIDER: S-EPMC8184627 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Multi-site MRI harmonization via attention-guided deep domain adaptation for brain disorder identification.

Guan Hao H Guan Hao H Liu Yunbi Y Yang Erkun E Yap Pew-Thian PT Shen Dinggang D Liu Mingxia M

Medical image analysis 20210420

Structural magnetic resonance imaging (MRI) has shown great clinical and practical values in computer-aided brain disorder identification. Multi-site MRI data increase sample size and statistical power, but are susceptible to inter-site heterogeneity caused by different scanners, scanning protocols, and subject cohorts. Multi-site MRI harmonization (MMH) helps alleviate the inter-site difference for subsequent analysis. Some MMH methods performed at imaging level or feature extraction level are ...[more]

PMID: 33930828

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Project description:BackgroundIdiopathic pulmonary fibrosis (IPF) is a progressive, irreversible, and usually fatal lung disease of unknown reasons, generally affecting the elderly population. Early diagnosis of IPF is crucial for triaging patients' treatment planning into anti-fibrotic treatment or treatments for other causes of pulmonary fibrosis. However, current IPF diagnosis workflow is complicated and time-consuming, which involves collaborative efforts from radiologists, pathologists, and clinicians and it is largely subject to inter-observer variability.PurposeThe purpose of this work is to develop a deep learning-based automated system that can diagnose subjects with IPF among subjects with interstitial lung disease (ILD) using an axial chest computed tomography (CT) scan. This work can potentially enable timely diagnosis decisions and reduce inter-observer variability.MethodsOur dataset contains CT scans from 349 IPF patients and 529 non-IPF ILD patients. We used 80% of the dataset for training and validation purposes and 20% as the holdout test set. We proposed a two-stage model: at stage one, we built a multi-scale, domain knowledge-guided attention model (MSGA) that encouraged the model to focus on specific areas of interest to enhance model explainability, including both high- and medium-resolution attentions; at stage two, we collected the output from MSGA and constructed a random forest (RF) classifier for patient-level diagnosis, to further boost model accuracy. RF classifier is utilized as a final decision stage since it is interpretable, computationally fast, and can handle correlated variables. Model utility was examined by (1) accuracy, represented by the area under the receiver operating characteristic curve (AUC) with standard deviation (SD), and (2) explainability, illustrated by the visual examination of the estimated attention maps which showed the important areas for model diagnostics.ResultsDuring the training and validation stage, we observe that when we provide no guidance from domain knowledge, the IPF diagnosis model reaches acceptable performance (AUC±SD = 0.93±0.07), but lacks explainability; when including only guided high- or medium-resolution attention, the learned attention maps are not satisfactory; when including both high- and medium-resolution attention, under certain hyperparameter settings, the model reaches the highest AUC among all experiments (AUC±SD = 0.99±0.01) and the estimated attention maps concentrate on the regions of interests for this task. Three best-performing hyperparameter selections according to MSGA were applied to the holdout test set and reached comparable model performance to that of the validation set.ConclusionsOur results suggest that, for a task with only scan-level labels available, MSGA+RF can utilize the population-level domain knowledge to guide the training of the network, which increases both model accuracy and explainability.

Dataset Information

Multi-site MRI harmonization via attention-guided deep domain adaptation for brain disorder identification.

Publications

Multi-site MRI harmonization via attention-guided deep domain adaptation for brain disorder identification.

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