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Alec Reinhardt

Publications and source records attributed to Alec Reinhardt.

4 recordsLinked to original sources

Spatially-informed Image Harmonization Results in Improved Scanner Effect Removal and Prediction

We propose a novel data harmonization approach known as Tensor-ComBat (TC) for structural neuroimaging data. Tensor-Combat is a novel spatially aware harmonization method that aims to estimate and remove unwanted technical variation between voxel-level images from different study sites or scanners. Tensor-ComBat uses a Bayesian tensor response regression (BTRR) model to estimate spatially distributed scanner effects via a low-rank PARAFAC decomposition on the model coefficients, and subsequently removes these scanner effects via a post-hoc ComBat harmonization step. Unlike the classical ComBat method that treats the ROIs or voxels in the image as interchangeable, the Tensor-ComBat approach incorporates the information about the spatial configurations of imaging voxels when estimating the model parameters, resulting an improved harmonization pipeline. The proposed Tensor-ComBat method is fit using a Markov chain Monte Carlo (MCMC) that is not only able to produce point estimates, but also able to quantify uncertainty associated with these estimates. Due to the fully Bayesian implementation of Tensor-ComBat, it is able to perform inference related to significant spatially distributed scanner effects and/or biological effects that is not straightforward under existing methods. The methods is applied to over 2100 T1w-MRI scans in ADNI-1 that illustrates greater scanner effect removal, improved biological prediction, and superior reproducibility compared to state-of-the-art approaches such as ComBat.

stat.ME

Risk Prediction in Cancer Imaging Using Enriched Radiomics Features

Background: We aim to develop enriched radiomics features that integrate classical structural radiomics with novel functional radiomics derived from liver MRI for diagnosis and risk stratification in liver cancer. The proposed framework leverages enhancement pattern mapping (EPM) images to provide an automated and robust radiomics representation that captures intratumoral heterogeneity through pixel-level functional information. Methods: Pixel-wise EPM data reflecting blood perfusion were extracted from T1-weighted MRI scans. Classical structural radiomics features were extracted via existing software such as PyRadiomics. In addition, empirical quantiles of EPM values over all pixels within the image, and then smoothed using suitable basis. The smoothed quantiles, along with the classical structural quantiles, are used as functional radiomics features for diagnostic classification and tumor grade stratification, using L1-penalized logistic model that automatically downweights the contribution of the irrelevant features. Further, we conducted longitudinal analyses using Bayesian tensor response regression, which enables spatial smoothing and parsimonious modeling of temporally evolving imaging patterns. Results: The enriched radiomics features illustrate higher diagnostic classification performance (AUC=0.96, sensitivity> 0.8) and superior tumor grade stratification accuracy (AUC=0.87, sensitivity=0.8) compared to alternate radiomics features. Moreover, we find that the proportion of lesion pixels with significant reduction in EPM values over time is considerably higher (median = 0.12) in aggressive lesions versus stable or mildly aggressive lesions (median = 0.025). Conclusion: The enriched novel radiomics features can potentially replace classical radiomics analysis and be used for imaging biomarkers in cross-sectional and in longitudinal cancer imaging studies.

stat.AP

Heterogeneous Image-based Classification Using Distributional Data Analysis

Diagnostic imaging has gained prominence as potential biomarkers for early detection and diagnosis in a diverse array of disorders including cancer. However, existing methods routinely face challenges arising from various factors such as image heterogeneity. We develop a novel imaging-based distributional data analysis (DDA) approach that incorporates the probability (quantile) distribution of the pixel-level features as covariates. The proposed approach uses a smoothed quantile distribution (via a suitable basis representation) as functional predictors in a scalar-on-functional quantile regression model. Some distinctive features of the proposed approach include the ability to: (i) account for heterogeneity within the image; (ii) incorporate granular information spanning the entire distribution; and (iii) tackle variability in image sizes for unregistered images in cancer applications. Our primary goal is risk prediction in Hepatocellular carcinoma that is achieved via predicting the change in tumor grades at post-diagnostic visits using pre-diagnostic enhancement pattern mapping (EPM) images of the liver. Along the way, the proposed DDA approach is also used for case versus control diagnosis and risk stratification objectives. Our analysis reveals that when coupled with global structural radiomics features derived from the corresponding T1-MRI scans, the proposed smoothed quantile distributions derived from EPM images showed considerable improvements in sensitivity and comparable specificity in contrast to classification based on routinely used summary measures that do not account for image heterogeneity. Given that there are limited predictive modeling approaches based on heterogeneous images in cancer, the proposed method is expected to provide considerable advantages in image-based early detection and risk prediction.

stat.AP

Bayesian longitudinal tensor response regression for modeling neuroplasticity

A major interest in longitudinal neuroimaging studies involves investigating voxel-level neuroplasticity due to treatment and other factors across visits. However, traditional voxel-wise methods are beset with several pitfalls, which can compromise the accuracy of these approaches. We propose a novel Bayesian tensor response regression approach for longitudinal imaging data, which pools information across spatially-distributed voxels to infer significant changes while adjusting for covariates. The proposed method, which is implemented using Markov chain Monte Carlo (MCMC) sampling, utilizes low-rank decomposition to reduce dimensionality and preserve spatial configurations of voxels when estimating coefficients. It also enables feature selection via joint credible regions which respect the shape of the posterior distributions for more accurate inference. In addition to group level inferences, the method is able to infer individual-level neuroplasticity, allowing for examination of personalized disease or recovery trajectories. The advantages of the proposed approach in terms of prediction and feature selection over voxel-wise regression are highlighted via extensive simulation studies. Subsequently, we apply the approach to a longitudinal Aphasia dataset consisting of task functional MRI images from a group of subjects who were administered either a control intervention or intention treatment at baseline and were followed up over subsequent visits. Our analysis revealed that while the control therapy showed long-term increases in brain activity, the intention treatment produced predominantly short-term changes, both of which were concentrated in distinct localized regions. In contrast, the voxel-wise regression failed to detect any significant neuroplasticity after multiplicity adjustments, which is biologically implausible and implies lack of power.

q-bio.NC