Machine learning approaches are increasingly being used to identify discriminative features derived from functional connectome data that best separate a diseased group from healthy cohorts. Here, we propose a novel framework for longitudinal prediction of disease outcome, using a combination of unsupervised and supervised learning approaches. Using this framework, we achieve 81% accuracy for prediction of mild traumatic brain injury outcome at 3-months by learning features from functional connectomes at the acute stage of injury (<1 week).
MRI Data: After obtaining informed consent, rs-fMRI was recorded from 55 patients at four time points (3 days, 7 days, 3 weeks, and 3 months) post mTBI. Using GE 3T MRI scanner, multi-band (acceleration factor 3) 2D-EPI, TR/TE = 900/30 ms was acquired for 6 minutes (395 volumes), with 1.875mm isotropic in-plane resolution and 3mm slice thickness to cover the whole brain. T1-weighted scan (1mm resolution) was acquired at each time point. rs-fMRI data were motion corrected, (rigid) registered to corresponding T1-weighted image, (non-rigid) registered to MNI atlas, nuisance removed using aCompCor3, spatially smoothed using Gaussian filter (FWHM 4mm) and temporally band-pass filtered (0.01- 0.1 Hz) using custom-built software. Mean time-courses using all voxels within each of the 90 functional ROIs4 were computed. Correlation coefficients were computed between every pair of mean time courses, producing a 90x90 functional connectome matrix. The correlation matrix was binarized using a threshold of 75th percentile of edge weights. Based on the symptom component of the SCAT2 exam and physician assessment at 3-months, each patient was labelled as recovered (R) or not-recovered (NR). For classification and prediction, rs-fMRI data from only the acute time points (<7 days) were used in this study.
Classification and Prediction: The framework consists of two steps: (1) Unsupervised dimensionality reduction, using generative deep learning algorithm RBM1 that performs a nonlinear compression of the input features followed by (2) Supervised machine learning method, using RF2 for classification of the disease (Fig. 1). RBM provides an energy-compact and de-noised mapping of the feature matrix to a lower dimensional space, overcoming the issue of overfitting. RBM network architecture (Fig.1) consists of a bipartite graphical model where the input layer does a probabilistic activation of the output layer using a nonlinear energy function. Reconstruction of the input layer follows the same logic. Weights were optimized over several iterations of the construction and reconstruction of the two layers. The number of hidden units was always set to be lower than the number of input nodes for dimensionality reduction. The compressed features from RBM along with the class labels (R or NR) were given as inputs to the RF classifier, for predicting labels (R or NR) for a test patient cohort at 3-months post-injury.
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