Title
Comparison of Three Automated Approaches for Classification of Amyloid-PET Images
Abstract
Automated amyloid-PET image classification can support clinical assessment and increase diagnostic confidence. Three automated approaches using global cut-points derived from Receiver Operating Characteristic (ROC) analysis, machine learning (ML) algorithms with regional SUVr values, and deep learning (DL) network with 3D image input were compared under various conditions: number of training data, radiotracers, and cohorts. 276 [C-11]PiB and 209 [F-18]AV45 PET images from ADNI database and our local cohort were used. Global mean and maximum SUVr cut-points were derived using ROC analysis. 68 ML models were built using regional SUVr values and one DL network was trained with classifications of two visual assessments - manufacturer's recommendations (gray-scale) and with visually guided reference region scaling (rainbow-scale). ML-based classification achieved similarly high accuracy as ROC classification, but had better convergence between training and unseen data, with a smaller number of training data. Naive Bayes performed the best overall among the 68 ML algorithms. Classification with maximum SUVr cut-points yielded higher accuracy than with mean SUVr cut-points, particularly for cohorts showing more focal uptake. DL networks can support the classification of definite cases accurately but performed poorly for equivocal cases. Rainbow-scale standardized image intensity scaling and improved inter-rater agreement. Gray-scale detects focal accumulation better, thus classifying more amyloid-positive scans. All three approaches generally achieved higher accuracy when trained with rainbow-scale classification. ML yielded similarly high accuracy as ROC, but with better convergence between training and unseen data, and further work may lead to even more accurate ML methods.
Year
DOI
Venue
2022
10.1007/s12021-022-09587-2
NEUROINFORMATICS
Keywords
DocType
Volume
Alzheimer's disease, Positron emission tomography (PET), Visual interpretation, Equivocal, Machine Learning, Deep Learning
Journal
20
Issue
ISSN
Citations 
4
1539-2791
0
PageRank 
References 
Authors
0.34
0
6
Name
Order
Citations
PageRank
Ying-Hwey Nai100.34
Yee-Hsin Tay200.34
Tomotaka Tanaka300.34
Christopher P Chen400.34
Edward G Robins500.34
Anthonin Reilhac6508.20