TY - GEN
T1 - Volume-based analysis of 6-month-old infant brain MRI for autism biomarker identification and early diagnosis
AU - Wang, Li
AU - Li, Gang
AU - Shi, Feng
AU - Cao, Xiaohuan
AU - Lian, Chunfeng
AU - Nie, Dong
AU - Liu, Mingxia
AU - Zhang, Han
AU - Li, Guannan
AU - Wu, Zhengwang
AU - Lin, Weili
AU - Shen, Dinggang
PY - 2018
Y1 - 2018
N2 - Autism spectrum disorder (ASD) is mainly diagnosed by the observation of core behavioral symptoms. Due to the absence of early biomarkers to detect infants either with or at-risk of ASD during the first postnatal year of life, diagnosis must rely on behavioral observations long after birth. As a result, the window of opportunity for effective intervention may have passed when the disorder is detected. Therefore, it is clinically urgent to identify imaging-based biomarkers for early diagnosis and intervention. In this paper, for the first time, we proposed a volume-based analysis of infant subjects with risk of ASD at very early age, i.e., as early as at 6 months of age. A critical part of volume-based analysis is to accurately segment 6-month-old infant brain MRI scans into different regions of interest, e.g., white matter, gray matter, and cerebrospinal fluid. This is actually very challenging since the tissue contrast at 6-month-old is extremely low, caused by inherent ongoing myelination and maturation. To address this challenge, we propose an anatomy-guided, densely-connected network for accurate tissue segmentation. Based on tissue segmentations, we further perform brain parcellation and statistical analysis to identify those significantly different regions between autistic and normal subjects. Experimental results on National Database for Autism Research (NDAR) show the advantages of our proposed method in terms of both segmentation accuracy and diagnosis accuracy over state-of-the-art results.
AB - Autism spectrum disorder (ASD) is mainly diagnosed by the observation of core behavioral symptoms. Due to the absence of early biomarkers to detect infants either with or at-risk of ASD during the first postnatal year of life, diagnosis must rely on behavioral observations long after birth. As a result, the window of opportunity for effective intervention may have passed when the disorder is detected. Therefore, it is clinically urgent to identify imaging-based biomarkers for early diagnosis and intervention. In this paper, for the first time, we proposed a volume-based analysis of infant subjects with risk of ASD at very early age, i.e., as early as at 6 months of age. A critical part of volume-based analysis is to accurately segment 6-month-old infant brain MRI scans into different regions of interest, e.g., white matter, gray matter, and cerebrospinal fluid. This is actually very challenging since the tissue contrast at 6-month-old is extremely low, caused by inherent ongoing myelination and maturation. To address this challenge, we propose an anatomy-guided, densely-connected network for accurate tissue segmentation. Based on tissue segmentations, we further perform brain parcellation and statistical analysis to identify those significantly different regions between autistic and normal subjects. Experimental results on National Database for Autism Research (NDAR) show the advantages of our proposed method in terms of both segmentation accuracy and diagnosis accuracy over state-of-the-art results.
KW - Autism
KW - Biomarker
KW - Diagnosis
KW - Infant
KW - Segmentation
UR - http://www.scopus.com/inward/record.url?scp=85053870289&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053870289&partnerID=8YFLogxK
U2 - 10.1007/978-3-030-00931-1_47
DO - 10.1007/978-3-030-00931-1_47
M3 - Conference contribution
AN - SCOPUS:85053870289
SN - 9783030009304
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 411
EP - 419
BT - Medical Image Computing and Computer Assisted Intervention – MICCAI 2018 - 21st International Conference, 2018, Proceedings
A2 - Frangi, Alejandro F.
A2 - Davatzikos, Christos
A2 - Fichtinger, Gabor
A2 - Alberola-López, Carlos
A2 - Schnabel, Julia A.
PB - Springer Verlag
T2 - 21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018
Y2 - 16 September 2018 through 20 September 2018
ER -