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Duggento, A.

Publications and source records attributed to Duggento, A..

3 recordsLinked to original sources

Multimodal image fusion via deep generative models

Recently, it has become progressively more evident that classic diagnostic labels are unable to accurately and reliably describe the complexity and variability of several clinical phenotypes. This is particularly true for a broad range of neuropsychiatric illnesses such as depression and anxiety disorders or behavioural phenotypes such as aggression and antisocial personality. Patient heterogeneity can be better described and conceptualized by grouping individuals into novel categories, which are based on empirically-derived sections of intersecting continua that span both across and beyond traditional categorical borders. In this context, neuroimaging data carry a wealth of spatiotemporally resolved information about each patients brain. However, they are usually heavily collapsed a priori through procedures which are not learned as part of model training, and consequently not optimized for the downstream prediction task. This is due to the fact that every individual participant usually comes with multiple whole-brain 3D imaging modalities often accompanied by a deep genotypic and phenotypic characterization, hence posing formidable computational challenges. In this paper we design and validate a deep learning architecture based on generative models rooted in a modular approach and separable convolutional blocks (which result in a 20-fold decrease in parameter utilization) in order to a) fuse multiple 3D neuroimaging modalities on a voxel-wise level, b) efficiently convert them into informative latent embeddings through heavy dimensionality reduction, c) maintain excellent generalizability and minimal information loss. As proof of concept, we test our architecture on the well characterized Human Connectome Project database (n=974 healthy subjects), demonstrating that our latent embeddings can be clustered into easily separable subject strata which, in turn, map to extremely different phenotypical information (including organic, neuropsychological, personality variables) which was not included in the embedding creation process. The ability to extract meaningful and separable phenotypic information from brain images alone can aid in creating multi-dimensional biomarkers able to chart spatio-temporal trajectories which may correspond to different pathophysiological mechanisms unidentifiable to traditional data analysis approaches. In turn, this may be of aid in predicting disease evolution as well as drug response, hence supporting mechanistic disease understanding and also empowering clinical trials.

neuroscience↗

Echo State Network models for nonlinear Granger causality

While Granger Causality (GC) has been often employed in network neuroscience, most GC applications are based on linear multivariate autoregressive (MVAR) models. However, real-life systems like biological networks exhibit notable non-linear behavior, hence undermining the validity of MVAR-based GC (MVAR-GC). Current nonlinear GC estimators only cater for additive nonlinearities or, alternatively, are based on recurrent neural networks (RNN) or Long short-term memory (LSTM) networks, which present considerable training difficulties and tailoring needs. We define a novel approach to estimating nonlinear, directed within-network interactions through a RNN class termed echo-state networks (ESN), where training is replaced by random initialization of an internal basis based on orthonormal matrices. We reformulate the GC framework in terms of ESN-based models, our ESN-based Granger Causality (ES-GC) estimator in a network of noisy Duffing oscillators, showing a net advantage of ES-GC in detecting nonlinear, causal links. We then explore the structure of ES-GC networks in the human brain employing functional MRI data from 1003 healthy subjects drawn from the human connectome project, demonstrating the existence of previously unknown directed within-brain interactions. ES-GC performs better than commonly used and recently developed GC approaches, making it a valuable tool for the analysis of e.g. multivariate biological networks.

neuroscience↗

A parameter-efficient deep learning approach to predict conversion from mild cognitive impairment to Alzheimer’s disease within three years

Some forms of mild cognitive impairment (MCI) can be the clinical precursor of severe dementia like Alzheimers disease (AD), while other types of MCI tend to remain stable over-time and do not progress to AD pathology. To choose an effective and personalized treatment for AD, we need to identify which MCI patients are at risk of developing AD and which are not.\n\nHere, we present a novel deep learning architecture, based on dual learning and an ad hoc layer for 3D separable convolutions, which aims at identifying those people with MCI who have a high likelihood of developing AD. Our deep learning procedures combine structural magnetic resonance imaging (MRI), demographic, neuropsychological, and APOe4 genotyping data as input measures. The most novel characteristics of our machine learning model compared to previous ones are as follows: 1) multi-tasking, in the sense that our deep learning model jointly learns to simultaneously predict both MCI to AD conversion, and AD vs healthy classification which facilitates the relevant feature extraction for prognostication; 2) the neural network classifier employs relatively few parameters compared to other deep learning architectures (we use ~550,000 network parameters, orders of magnitude lower than other network designs) without compromising network complexity and hence significantly limits data-overfitting; 3) both structural MRI images and warp field characteristics, which quantify the amount of volumetric change compared to the common template, were used as separate input streams to extract as much information as possible from the MRI data. All the analyses were performed on a subset of the Alzheimers Disease Neuroimaging Initiative (ADNI) database, for a total of n=785 participants (192 AD, 409 MCI, and184 healthy controls (HC)).\n\nWe found that the most predictive combination of inputs included the structural MRI images and the demographic, neuropsychological, and APOe4 data, while the warp field metric added little predictive value. We achieved an area under the ROC curve (AUC) of 0.925 with a 10-fold cross-validated accuracy of 86%, a sensitivity of 87.5% and specificity of 85% in classifying MCI patients who developed AD in three years time from those individuals showing stable MCI over the same time-period. To the best of our knowledge, this is the highest performance reported on a test set achieved in the literature using similar data. The same network provided an AUC of 1 and 100% accuracy, sensitivity and specificity when classifying NC from AD. We also demonstrated that our classification framework was robust to different co-registration templates and possibly irrelevant features / image sections.\n\nOur approach is flexible and can in principle integrate other imaging modalities, such as PET, and a more diverse group of clinical data. The convolutional framework is potentially applicable to any 3D image dataset and gives the flexibility to design a computer-aided diagnosis system targeting the prediction of any medical condition utilizing multi-modal imaging and tabular clinical data.

bioinformatics↗