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Main Authors: Ghosh, Soumen, Vegh, Viktor, Moinian, Shahrzad, Moradi, Hamed, Sullivan, Alice-Ann, Phamnguyen, John, Reutens, David
Format: Preprint
Published: 2024
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Online Access:https://arxiv.org/abs/2404.10290
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author Ghosh, Soumen
Vegh, Viktor
Moinian, Shahrzad
Moradi, Hamed
Sullivan, Alice-Ann
Phamnguyen, John
Reutens, David
author_facet Ghosh, Soumen
Vegh, Viktor
Moinian, Shahrzad
Moradi, Hamed
Sullivan, Alice-Ann
Phamnguyen, John
Reutens, David
contents Seizure recurrence is an important concern after an initial unprovoked seizure; without drug treatment, it occurs within 2 years in 40-50% of cases. The decision to treat currently relies on predictors of seizure recurrence risk that are inaccurate, resulting in unnecessary, possibly harmful, treatment in some patients and potentially preventable seizures in others. Because of the link between brain lesions and seizure recurrence, we developed a recurrence prediction tool using machine learning and clinical 3T brain MRI. We developed NeuroMorphix, a feature construction approach based on MRI brain anatomy. Each of seven NeuroMorphix features measures the absolute or relative difference between corresponding regions in each cerebral hemisphere. FreeSurfer was used to segment brain regions and to generate values for morphometric parameters (8 for each cortical region and 5 for each subcortical region). The parameters were then mapped to whole brain NeuroMorphix features, yielding a total of 91 features per subject. Features were generated for a first seizure patient cohort (n = 169) categorised into seizure recurrence and non-recurrence subgroups. State-of-the-art classification algorithms were trained and tested using NeuroMorphix features to predict seizure recurrence. Classification models using the top 5 features, ranked by sequential forward selection, demonstrated excellent performance in predicting seizure recurrence, with area under the ROC curve of 88-93%, accuracy of 83-89%, and F1 score of 83-90%. Highly ranked features aligned with structural alterations known to be associated with epilepsy. This study highlights the potential for targeted, data-driven approaches to aid clinical decision-making in brain disorders.
format Preprint
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institution arXiv
publishDate 2024
record_format arxiv
spellingShingle NeuroMorphix: A Novel Brain MRI Asymmetry-specific Feature Construction Approach For Seizure Recurrence Prediction
Ghosh, Soumen
Vegh, Viktor
Moinian, Shahrzad
Moradi, Hamed
Sullivan, Alice-Ann
Phamnguyen, John
Reutens, David
Image and Video Processing
Computer Vision and Pattern Recognition
Seizure recurrence is an important concern after an initial unprovoked seizure; without drug treatment, it occurs within 2 years in 40-50% of cases. The decision to treat currently relies on predictors of seizure recurrence risk that are inaccurate, resulting in unnecessary, possibly harmful, treatment in some patients and potentially preventable seizures in others. Because of the link between brain lesions and seizure recurrence, we developed a recurrence prediction tool using machine learning and clinical 3T brain MRI. We developed NeuroMorphix, a feature construction approach based on MRI brain anatomy. Each of seven NeuroMorphix features measures the absolute or relative difference between corresponding regions in each cerebral hemisphere. FreeSurfer was used to segment brain regions and to generate values for morphometric parameters (8 for each cortical region and 5 for each subcortical region). The parameters were then mapped to whole brain NeuroMorphix features, yielding a total of 91 features per subject. Features were generated for a first seizure patient cohort (n = 169) categorised into seizure recurrence and non-recurrence subgroups. State-of-the-art classification algorithms were trained and tested using NeuroMorphix features to predict seizure recurrence. Classification models using the top 5 features, ranked by sequential forward selection, demonstrated excellent performance in predicting seizure recurrence, with area under the ROC curve of 88-93%, accuracy of 83-89%, and F1 score of 83-90%. Highly ranked features aligned with structural alterations known to be associated with epilepsy. This study highlights the potential for targeted, data-driven approaches to aid clinical decision-making in brain disorders.
title NeuroMorphix: A Novel Brain MRI Asymmetry-specific Feature Construction Approach For Seizure Recurrence Prediction
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2404.10290