arXiv subjects

Paul M. Thompson

Publications and source records attributed to Paul M. Thompson.

At least 37 records · Page 2Linked to original sources

arXiv2023

A Comprehensive Corpus Callosum Segmentation Tool for Detecting Callosal Abnormalities and Genetic Associations from Multi Contrast MRIs

Structural alterations of the midsagittal corpus callosum (midCC) have been associated with a wide range of brain disorders. The midCC is visible on most MRI contrasts and in many acquisitions with a limited field-of-view. Here, we present an automated tool for segmenting and assessing the shape of the midCC from T1w, T2w, and FLAIR images. We train a UNet on images from multiple public datasets to obtain midCC segmentations. A quality control algorithm is also built-in, trained on the midCC shape features. We calculate intraclass correlations (ICC) and average Dice scores in a test-retest dataset to assess segmentation reliability. We test our segmentation on poor quality and partial brain scans. We highlight the biological significance of our extracted features using data from over 40,000 individuals from the UK Biobank; we classify clinically defined shape abnormalities and perform genetic analyses.

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arXiv2023

A Surface-Based Federated Chow Test Model for Integrating APOE Status, Tau Deposition Measure, and Hippocampal Surface Morphometry

Background: Alzheimer's Disease (AD) is the most common type of age-related dementia, affecting 6.2 million people aged 65 or older according to CDC data. It is commonly agreed that discovering an effective AD diagnosis biomarker could have enormous public health benefits, potentially preventing or delaying up to 40% of dementia cases. Tau neurofibrillary tangles are the primary driver of downstream neurodegeneration and subsequent cognitive impairment in AD, resulting in structural deformations such as hippocampal atrophy that can be observed in magnetic resonance imaging (MRI) scans. Objective: To build a surface-based model to 1) detect differences between APOE subgroups in patterns of tau deposition and hippocampal atrophy, and 2) use the extracted surface-based features to predict cognitive decline. Methods: Using data obtained from different institutions, we develop a surface-based federated Chow test model to study the synergistic effects of APOE, a previously reported significant risk factor of AD, and tau on hippocampal surface morphometry. Results: We illustrate that the APOE-specific morphometry features correlate with AD progression and better predict future AD conversion than other MRI biomarkers. For example, a strong association between atrophy and abnormal tau was identified in hippocampal subregion cornu ammonis 1 (CA1 subfield) and subiculum in e4 homozygote cohort. Conclusion: Our model allows for identifying MRI biomarkers for AD and cognitive decline prediction and may uncover a corner of the neural mechanism of the influence of APOE and tau deposition on hippocampal morphology.

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arXiv2023

Efficiently Training Vision Transformers on Structural MRI Scans for Alzheimer's Disease Detection

Neuroimaging of large populations is valuable to identify factors that promote or resist brain disease, and to assist diagnosis, subtyping, and prognosis. Data-driven models such as convolutional neural networks (CNNs) have increasingly been applied to brain images to perform diagnostic and prognostic tasks by learning robust features. Vision transformers (ViT) - a new class of deep learning architectures - have emerged in recent years as an alternative to CNNs for several computer vision applications. Here we tested variants of the ViT architecture for a range of desired neuroimaging downstream tasks based on difficulty, in this case for sex and Alzheimer's disease (AD) classification based on 3D brain MRI. In our experiments, two vision transformer architecture variants achieved an AUC of 0.987 for sex and 0.892 for AD classification, respectively. We independently evaluated our models on data from two benchmark AD datasets. We achieved a performance boost of 5% and 9-10% upon fine-tuning vision transformer models pre-trained on synthetic (generated by a latent diffusion model) and real MRI scans, respectively. Our main contributions include testing the effects of different ViT training strategies including pre-training, data augmentation and learning rate warm-ups followed by annealing, as pertaining to the neuroimaging domain. These techniques are essential for training ViT-like models for neuroimaging applications where training data is usually limited. We also analyzed the effect of the amount of training data utilized on the test-time performance of the ViT via data-model scaling curves.

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arXiv2023

Few-Shot Classification of Autism Spectrum Disorder using Site-Agnostic Meta-Learning and Brain MRI

For machine learning applications in medical imaging, the availability of training data is often limited, which hampers the design of radiological classifiers for subtle conditions such as autism spectrum disorder (ASD). Transfer learning is one method to counter this problem of low training data regimes. Here we explore the use of meta-learning for very low data regimes in the context of having prior data from multiple sites - an approach we term site-agnostic meta-learning. Inspired by the effectiveness of meta-learning for optimizing a model across multiple tasks, here we propose a framework to adapt it to learn across multiple sites. We tested our meta-learning model for classifying ASD versus typically developing controls in 2,201 T1-weighted (T1-w) MRI scans collected from 38 imaging sites as part of Autism Brain Imaging Data Exchange (ABIDE) [age: 5.2-64.0 years]. The method was trained to find a good initialization state for our model that can quickly adapt to data from new unseen sites by fine-tuning on the limited data that is available. The proposed method achieved an ROC-AUC=0.857 on 370 scans from 7 unseen sites in ABIDE using a few-shot setting of 2-way 20-shot i.e., 20 training samples per site. Our results outperformed a transfer learning baseline by generalizing across a wider range of sites as well as other related prior work. We also tested our model in a zero-shot setting on an independent test site without any additional fine-tuning. Our experiments show the promise of the proposed site-agnostic meta-learning framework for challenging neuroimaging tasks involving multi-site heterogeneity with limited availability of training data.

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arXiv2023

Transferring Models Trained on Natural Images to 3D MRI via Position Encoded Slice Models

Transfer learning has remarkably improved computer vision. These advances also promise improvements in neuroimaging, where training set sizes are often small. However, various difficulties arise in directly applying models pretrained on natural images to radiologic images, such as MRIs. In particular, a mismatch in the input space (2D images vs. 3D MRIs) restricts the direct transfer of models, often forcing us to consider only a few MRI slices as input. To this end, we leverage the 2D-Slice-CNN architecture of Gupta et al. (2021), which embeds all the MRI slices with 2D encoders (neural networks that take 2D image input) and combines them via permutation-invariant layers. With the insight that the pretrained model can serve as the 2D encoder, we initialize the 2D encoder with ImageNet pretrained weights that outperform those initialized and trained from scratch on two neuroimaging tasks -- brain age prediction on the UK Biobank dataset and Alzheimer's disease detection on the ADNI dataset. Further, we improve the modeling capabilities of 2D-Slice models by incorporating spatial information through position embeddings, which can improve the performance in some cases.

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arXiv2023

Curriculum Based Multi-Task Learning for Parkinson's Disease Detection

There is great interest in developing radiological classifiers for diagnosis, staging, and predictive modeling in progressive diseases such as Parkinson's disease (PD), a neurodegenerative disease that is difficult to detect in its early stages. Here we leverage severity-based meta-data on the stages of disease to define a curriculum for training a deep convolutional neural network (CNN). Typically, deep learning networks are trained by randomly selecting samples in each mini-batch. By contrast, curriculum learning is a training strategy that aims to boost classifier performance by starting with examples that are easier to classify. Here we define a curriculum to progressively increase the difficulty of the training data corresponding to the Hoehn and Yahr (H&Y) staging system for PD (total N=1,012; 653 PD patients, 359 controls; age range: 20.0-84.9 years). Even with our multi-task setting using pre-trained CNNs and transfer learning, PD classification based on T1-weighted (T1-w) MRI was challenging (ROC AUC: 0.59-0.65), but curriculum training boosted performance (by 3.9%) compared to our baseline model. Future work with multimodal imaging may further boost performance.

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arXiv2022

Improved Prediction of Beta-Amyloid and Tau Burden Using Hippocampal Surface Multivariate Morphometry Statistics and Sparse Coding

Background: Beta-amyloid (A$β$) plaques and tau protein tangles in the brain are the defining 'A' and 'T' hallmarks of Alzheimer's disease (AD), and together with structural atrophy detectable on brain magnetic resonance imaging (MRI) scans as one of the neurodegenerative ('N') biomarkers comprise the ''ATN framework'' of AD. Current methods to detect A$β$/tau pathology include cerebrospinal fluid (CSF; invasive), positron emission tomography (PET; costly and not widely available), and blood-based biomarkers (BBBM; promising but mainly still in development). Objective: To develop a non-invasive and widely available structural MRI-based framework to quantitatively predict the amyloid and tau measurements. Methods: With MRI-based hippocampal multivariate morphometry statistics (MMS) features, we apply our Patch Analysis-based Surface Correntropy-induced Sparse coding and max-pooling (PASCS-MP) method combined with the ridge regression model to individual amyloid/tau measure prediction. Results: We evaluate our framework on amyloid PET/MRI and tau PET/MRI datasets from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Each subject has one pair consisting of a PET image and MRI scan, collected at about the same time. Experimental results suggest that amyloid/tau measurements predicted with our PASCP-MP representations are closer to the real values than the measures derived from other approaches, such as hippocampal surface area, volume, and shape morphometry features based on spherical harmonics (SPHARM). Conclusion: The MMS-based PASCP-MP is an efficient tool that can bridge hippocampal atrophy with amyloid and tau pathology and thus help assess disease burden, progression, and treatment effects.

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arXiv2022

Multi-site benchmark classification of major depressive disorder using machine learning on cortical and subcortical measures

Machine learning (ML) techniques have gained popularity in the neuroimaging field due to their potential for classifying neuropsychiatric disorders. However, the diagnostic predictive power of the existing algorithms has been limited by small sample sizes, lack of representativeness, data leakage, and/or overfitting. Here, we overcome these limitations with the largest multi-site sample size to date (n=5,356) to provide a generalizable ML classification benchmark of major depressive disorder (MDD). Using brain measures from standardized ENIGMA analysis pipelines in FreeSurfer, we were able to classify MDD vs healthy controls (HC) with around 62% balanced accuracy, but when harmonizing the data using ComBat balanced accuracy dropped to approximately 52%. Similar results were observed in stratified groups according to age of onset, antidepressant use, number of episodes and sex. Future studies incorporating higher dimensional brain imaging/phenotype features, and/or using more advanced machine and deep learning methods may achieve more encouraging prospects.

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arXiv2021

Secure Neuroimaging Analysis using Federated Learning with Homomorphic Encryption

Federated learning (FL) enables distributed computation of machine learning models over various disparate, remote data sources, without requiring to transfer any individual data to a centralized location. This results in an improved generalizability of models and efficient scaling of computation as more sources and larger datasets are added to the federation. Nevertheless, recent membership attacks show that private or sensitive personal data can sometimes be leaked or inferred when model parameters or summary statistics are shared with a central site, requiring improved security solutions. In this work, we propose a framework for secure FL using fully-homomorphic encryption (FHE). Specifically, we use the CKKS construction, an approximate, floating point compatible scheme that benefits from ciphertext packing and rescaling. In our evaluation on large-scale brain MRI datasets, we use our proposed secure FL framework to train a deep learning model to predict a person's age from distributed MRI scans, a common benchmarking task, and demonstrate that there is no degradation in the learning performance between the encrypted and non-encrypted federated models.

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arXiv2021

Predicting Tau Accumulation in Cerebral Cortex with Multivariate MRI Morphometry Measurements, Sparse Coding, and Correntropy

Biomarker-assisted diagnosis and intervention in Alzheimer's disease (AD) may be the key to prevention breakthroughs. One of the hallmarks of AD is the accumulation of tau plaques in the human brain. However, current methods to detect tau pathology are either invasive (lumbar puncture) or quite costly and not widely available (Tau PET). In our previous work, structural MRI-based hippocampal multivariate morphometry statistics (MMS) showed superior performance as an effective neurodegenerative biomarker for preclinical AD and Patch Analysis-based Surface Correntropy-induced Sparse coding and max-pooling (PASCS-MP) has excellent ability to generate low-dimensional representations with strong statistical power for brain amyloid prediction. In this work, we apply this framework together with ridge regression models to predict Tau deposition in Braak12 and Braak34 brain regions separately. We evaluate our framework on 925 subjects from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Each subject has one pair consisting of a PET image and MRI scan which were collected at about the same times. Experimental results suggest that the representations from our MMS and PASCS-MP have stronger predictive power and their predicted Braak12 and Braak34 are closer to the real values compared to the measures derived from other approaches such as hippocampal surface area and volume, and shape morphometry features based on spherical harmonics (SPHARM).

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arXiv2021

Membership Inference Attacks on Deep Regression Models for Neuroimaging

Ensuring the privacy of research participants is vital, even more so in healthcare environments. Deep learning approaches to neuroimaging require large datasets, and this often necessitates sharing data between multiple sites, which is antithetical to the privacy objectives. Federated learning is a commonly proposed solution to this problem. It circumvents the need for data sharing by sharing parameters during the training process. However, we demonstrate that allowing access to parameters may leak private information even if data is never directly shared. In particular, we show that it is possible to infer if a sample was used to train the model given only access to the model prediction (black-box) or access to the model itself (white-box) and some leaked samples from the training data distribution. Such attacks are commonly referred to as Membership Inference attacks. We show realistic Membership Inference attacks on deep learning models trained for 3D neuroimaging tasks in a centralized as well as decentralized setup. We demonstrate feasible attacks on brain age prediction models (deep learning models that predict a person's age from their brain MRI scan). We correctly identified whether an MRI scan was used in model training with a 60% to over 80% success rate depending on model complexity and security assumptions.

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arXiv2021

Improved Brain Age Estimation with Slice-based Set Networks

Deep Learning for neuroimaging data is a promising but challenging direction. The high dimensionality of 3D MRI scans makes this endeavor compute and data-intensive. Most conventional 3D neuroimaging methods use 3D-CNN-based architectures with a large number of parameters and require more time and data to train. Recently, 2D-slice-based models have received increasing attention as they have fewer parameters and may require fewer samples to achieve comparable performance. In this paper, we propose a new architecture for BrainAGE prediction. The proposed architecture works by encoding each 2D slice in an MRI with a deep 2D-CNN model. Next, it combines the information from these 2D-slice encodings using set networks or permutation invariant layers. Experiments on the BrainAGE prediction problem, using the UK Biobank dataset, showed that the model with the permutation invariant layers trains faster and provides better predictions compared to other state-of-the-art approaches.

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arXiv2020

3D Grid-Attention Networks for Interpretable Age and Alzheimer's Disease Prediction from Structural MRI

We propose an interpretable 3D Grid-Attention deep neural network that can accurately predict a person's age and whether they have Alzheimer's disease (AD) from a structural brain MRI scan. Building on a 3D convolutional neural network, we added two attention modules at different layers of abstraction, so that features learned are spatially related to the global features for the task. The attention layers allow the network to focus on brain regions relevant to the task, while masking out irrelevant or noisy regions. In evaluations based on 4,561 3-Tesla T1-weighted MRI scans from 4 phases of the Alzheimer's Disease Neuroimaging Initiative (ADNI), salience maps for age and AD prediction partially overlapped, but lower-level features overlapped more than higher-level features. The brain age prediction network also distinguished AD and healthy control groups better than another state-of-the-art method. The resulting visual analyses can distinguish interpretable feature patterns that are important for predicting clinical diagnosis. Future work is needed to test performance across scanners and populations.

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arXiv2020

Overview of Scanner Invariant Representations

Pooled imaging data from multiple sources is subject to bias from each source. Studies that do not correct for these scanner/site biases at best lose statistical power, and at worst leave spurious correlations in their data. Estimation of the bias effects is non-trivial due to the paucity of data with correspondence across sites, so called "traveling phantom" data, which is expensive to collect. Nevertheless, numerous solutions leveraging direct correspondence have been proposed. In contrast to this, Moyer et al. (2019) proposes an unsupervised solution using invariant representations, one which does not require correspondence and thus does not require paired images. By leveraging the data processing inequality, an invariant representation can then be used to create an image reconstruction that is uninformative of its original source, yet still faithful to the underlying structure. In the present abstract we provide an overview of this method.

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arXiv2020

Scanner Invariant Representations for Diffusion MRI Harmonization

Purpose: In the present work we describe the correction of diffusion-weighted MRI for site and scanner biases using a novel method based on invariant representation. Theory and Methods: Pooled imaging data from multiple sources are subject to variation between the sources. Correcting for these biases has become very important as imaging studies increase in size and multi-site cases become more common. We propose learning an intermediate representation invariant to site/protocol variables, a technique adapted from information theory-based algorithmic fairness; by leveraging the data processing inequality, such a representation can then be used to create an image reconstruction that is uninformative of its original source, yet still faithful to underlying structures. To implement this, we use a deep learning method based on variational auto-encoders (VAE) to construct scanner invariant encodings of the imaging data. Results: To evaluate our method, we use training data from the 2018 MICCAI Computational Diffusion MRI (CDMRI) Challenge Harmonization dataset. Our proposed method shows improvements on independent test data relative to a recently published baseline method on each subtask, mapping data from three different scanning contexts to and from one separate target scanning context. Conclusion: As imaging studies continue to grow, the use of pooled multi-site imaging will similarly increase. Invariant representation presents a strong candidate for the harmonization of these data.

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arXiv2019

A Fast, Accurate Two-Step Linear Mixed Model for Genetic Analysis Applied to Repeat MRI Measurements

Large-scale biobanks are being collected around the world in efforts to better understand human health and risk factors for disease. They often survey hundreds of thousands of individuals, combining questionnaires with clinical, genetic, demographic, and imaging assessments; some of this data may be collected longitudinally. Genetic associations analysis of such datasets requires methods to properly handle relatedness, population structure and other types of biases introduced by confounders. Most popular and accurate approaches rely on linear mixed model (LMM) algorithms, which are iterative and computational complexity of each iteration scales by the square of the sample size, slowing the pace of discoveries (up to several days for single trait analysis), and, furthermore, limiting the use of repeat phenotypic measurements. Here, we describe our new, non-iterative, much faster and accurate Two-Step Linear Mixed Model (Two-Step LMM) approach, that has a computational complexity that scales linearly with sample size. We show that the first step retains accurate estimates of the heritability (the proportion of the trait variance explained by additive genetic factors), even when increasingly complex genetic relationships between individuals are modeled. Second step provides a faster framework to obtain the effect sizes of covariates in regression model. We applied Two-Step LMM to real data from the UK Biobank, which recently released genotyping information and processed MRI data from 9,725 individuals. We used the left and right hippocampus volume (HV) as repeated measures, and observed increased and more accurate heritability estimation, consistent with simulations.

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arXiv2018

A Continuous Model of Cortical Connectivity

We present a continuous model for structural brain connectivity based on the Poisson point process. The model treats each streamline curve in a tractography as an observed event in connectome space, here a product space of cortical white matter boundaries. We approximate the model parameter via kernel density estimation. To deal with the heavy computational burden, we develop a fast parameter estimation method by pre-computing associated Legendre products of the data, leveraging properties of the spherical heat kernel. We show how our approach can be used to assess the quality of cortical parcellations with respect to connectivty. We further present empirical results that suggest the discrete connectomes derived from our model have substantially higher test-retest reliability compared to standard methods.

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arXiv2018

Deep Learning for Quality Control of Subcortical Brain 3D Shape Models

We present several deep learning models for assessing the morphometric fidelity of deep grey matter region models extracted from brain MRI. We test three different convolutional neural net architectures (VGGNet, ResNet and Inception) over 2D maps of geometric features. Further, we present a novel geometry feature augmentation technique based on a parametric spherical mapping. Finally, we present an approach for model decision visualization, allowing human raters to see the areas of subcortical shapes most likely to be deemed of failing quality by the machine. Our training data is comprised of 5200 subjects from the ENIGMA Schizophrenia MRI cohorts, and our test dataset contains 1500 subjects from the ENIGMA Major Depressive Disorder cohorts. Our final models reduce human rater time by 46-70%. ResNet outperforms VGGNet and Inception for all of our predictive tasks.

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