论文标题
结构性MRI,在5年内,晚期抑郁症认知诊断的混合表示学习
Hybrid Representation Learning for Cognitive Diagnosis in Late-Life Depression Over 5 Years with Structural MRI
论文作者
论文摘要
后期抑郁症(LLD)是一种高度普遍的情绪障碍,在老年人中发生,经常伴有认知障碍(CI)。研究表明,LLD可能会增加阿尔茨海默氏病(AD)的风险。但是,老年抑郁症的表现的异质性表明,多种生物学机制可能是基础的。当前对LLD进展的生物学研究结合了将神经影像数据与临床观察结果结合起来的机器学习。基于结构MRI(SMRI),关于LLD中事件认知诊断结果的研究很少。在本文中,我们描述了基于T1加权SMRI数据在5年内预测认知诊断的混合表示学习(HRL)框架的开发。具体而言,我们首先通过深层神经网络提取面向预测的MRI特征,然后通过变压器编码器将其与手工制作的MRI特征集成在一起,以进行认知诊断预测。在这项工作中研究了两项任务,包括(1)识别具有LLD和从未抑郁的较旧的健康受试者的认知正常受试者,以及(2)识别开发CI(甚至AD)的LLD受试者以及在五年内保持正常的人。据我们所知,这是研究基于任务和手工MRI功能的LLD复杂异质进展的首次尝试。我们通过两项临床和谐研究对294名受试者进行了294名受试者的拟议HRL验证。实验结果表明,HRL在LLD识别和预测任务中胜过几种经典的机器学习和最先进的深度学习方法。
Late-life depression (LLD) is a highly prevalent mood disorder occurring in older adults and is frequently accompanied by cognitive impairment (CI). Studies have shown that LLD may increase the risk of Alzheimer's disease (AD). However, the heterogeneity of presentation of geriatric depression suggests that multiple biological mechanisms may underlie it. Current biological research on LLD progression incorporates machine learning that combines neuroimaging data with clinical observations. There are few studies on incident cognitive diagnostic outcomes in LLD based on structural MRI (sMRI). In this paper, we describe the development of a hybrid representation learning (HRL) framework for predicting cognitive diagnosis over 5 years based on T1-weighted sMRI data. Specifically, we first extract prediction-oriented MRI features via a deep neural network, and then integrate them with handcrafted MRI features via a Transformer encoder for cognitive diagnosis prediction. Two tasks are investigated in this work, including (1) identifying cognitively normal subjects with LLD and never-depressed older healthy subjects, and (2) identifying LLD subjects who developed CI (or even AD) and those who stayed cognitively normal over five years. To the best of our knowledge, this is among the first attempts to study the complex heterogeneous progression of LLD based on task-oriented and handcrafted MRI features. We validate the proposed HRL on 294 subjects with T1-weighted MRIs from two clinically harmonized studies. Experimental results suggest that the HRL outperforms several classical machine learning and state-of-the-art deep learning methods in LLD identification and prediction tasks.