Abstract
Early human intervention is crucial for diagnosing Alzheimer’s Disease (AD), since AD is irreversible and leads to progressive impairment of memory. In recent years, Convolutional Neural Networks (CNNs) have achieved dramatic breakthroughs in AD diagnosis. However, existing CNNs have difficulties in extracting subtle contextual information because of their structural limitations, i.e., it is difficult to extract discriminative features of several regions, such as hippocampus, parietal, temporal lobe tissues, and so on. In addition, current networks have difficulty in classifying imaging features with imbalanced data categories. Some loss functions can alleviate the above problems to some extent, but they are affected by outliers and trapped in local optimum easily. To address this issue, a Distilled Multi-Residual Network (DMRNet) is proposed for the early diagnosis of AD. The DMRNet consists of three main components: 1) Dense Connection Block, 2) Focus Attention Block, and 3) Multi-scale Fusion Module. The dense features are extracted by the Dense Connection Block while the local abnormal regions are refined by the Focus Attention Block and Multi-scale Fusion Module. Besides, to explore the hidden knowledge between each feature, a dilated classifier with self-distillation is proposed to ensemble several items pertaining to feature knowledge from feature space. Finally, the Remix Balance Sampler (RBS) is proposed to alleviate the influences of outliers. The proposed DMRNet is evaluated on baseline sMRI scans of the ADNI dataset. The result of experiments demonstrated that the proposed DMRNet not only achieves 7.15% greater accuracy than state-of-the-art methods but also successfully identifies some AD-related regions.
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References
Association A (2019) 2019 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia 15 (3):321–387
Chaves R, Ramírez J, Górriz J, López M, Salas-Gonzalez D, Alvarez I, Segovia F (2009) Svm-based computer-aided diagnosis of the alzheimer’s disease using t-test nmse feature selection with feature correlation weighting. Neurosci Lett 461(3):293–297
Yang ST, Lee JD, Chang TC, Huang CH, Wang JJ, Hsu WC, Chan HL, Wai YY, Li KY (2013) Discrimination between alzheimer’s disease and mild cognitive impairment using som and pso-svm. Comput Math Methods Med 2013:253670
Xu Y, Pan X, Zhou Z, Yang Z, Zhang Y (2015) Structural least square twin support vector machine for classification. Appl Intell 42(3):527–536
Nanni L, Brahnam S, Salvatore C, Castiglioni I, Initiative ADN (2019) Texture descriptors and voxels for the early diagnosis of alzheimer’s disease. Artif Intell Med 97:19–26
Gupta Y, Lee KH, Choi KY, Lee JJ, Kim BC, Kwon GR (2019) For dementia, n.r.c., initiative, a.d.n early diagnosis of alzheimer’s disease using combined features from voxel-based morphometry and cortical, subcortical, and hippocampus regions of mri t1 brain images. PLoS One 14(10):0222446
Zhu T, Cao C, Wang Z, Xu G, Qiao J (2020) Anatomical landmarks and dag network learning for alzheimer’s disease diagnosis. IEEE Access 8:206063–206073
Moosaei H, Bazikar F, Ketabchi S, Hladík M (2022) Universum parametric-margin ν-support vector machine for classification using the difference of convex functions algorithm. appl intell 52 (3):2634–2654
Kaplan E, Dogan S, Tuncer T, Baygin M, Altunisik E (2021) Feed-forward lpqnet based automatic alzheimer’s disease detection model. Comput Biol Med 137:104828
Dolz J, Desrosiers C, Ayed IB (2018) 3D fully convolutional networks for subcortical segmentation in mri: a large-scale study. Neuroimage 170:456–470
Gunawardena K, Rajapakse R, Kodikara N (2017) Applying convolutional neural networks for pre-detection of alzheimer’s disease from structural mri data. In: 2017 24th International conference on mechatronics and machine vision in practice (M2VIP), pp 1–7. IEE
Ji J, Yao Y (2022) A novel cnn framework to extract multi-level modular features for the classification of brain networks. Appl Intell 52(6):6835–6852
Kong B, Wang X, Li Z, Song Q, Zhang S (2017) Cancer metastasis detection via spatially structured deep network. In: International conference on information processing in medical imaging, pp 236–248. Springer
Wang SH, Zhou Q, Yang M, Zhang YD (2021) Advian: Alzheimer’s disease vgg-inspired attention network based on convolutional block attention module and multiple way data augmentation. Front Aging Neurosci 13:313–327
He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 770–778
Fulton LV, Dolezel D, Harrop J, Yan Y, Fulton CP (2019) Classification of alzheimer’s disease with and without imagery using gradient boosted machines and resnet-50. Brain Sci 9(9):212–227
Cui R, Liu M (2018) Hippocampus analysis by combination of 3-d densenet and shapes for alzheimer’s disease diagnosis. IEEE J Biomed Health Inform 23(5):2099–2107
Lu X, Wu H, Zeng Y (2019) Classification of alzheimer’s disease in mobilenet. In: Journal of physics: conference series, vol 1345, pp 042012. IOP Publishing
Murugan S, Venkatesan C, Sumithra M, Gao XZ, Elakkiya B, Akila M, Manoharan S (2021) Demnet: a deep learning model for early diagnosis of alzheimer diseases and dementia from mr images. IEEE Access 9:90319–90329
Faruqui N, Yousuf MA, Whaiduzzaman M, Azad A, Barros A, Moni MA (2021) Lungnet: a hybrid deep-cnn model for lung cancer diagnosis using ct and wearable sensor-based medical iot data. Comput Biol Med 139:104961
Wang X, Peng Y, Lu L, Lu Z, Bagheri M, Summers R.M (2017) Chestx-ray8: Hospital-scale chest x-ray database and benchmarks on weakly-supervised classification and localization of common thorax diseases. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 2097–2106
Lin TY, Goyal P, Girshick R, He K, Dollár P. (2017) Focal loss for dense object detection. IEEE Trans Pattern Anal Mach Intell PP(99):2999–3007
Li B, Liu Y, Wang X (2019) Gradient harmonized single-stage detector. In: Proceedings of the AAAI conference on artificial intelligence, vol 33, pp 8577–8584
Cui Y, Jia M, Lin TY, Song Y, Belongie S (2019) Class-balanced loss based on effective number of samples. In: Proceedings of the IEEE/CVF conference on computer vision and pattern recognition, pp 9268–9277
Rasti R, Rabbani H, Mehridehnavi A, Hajizadeh F (2017) Macular oct classification using a multi-scale convolutional neural network ensemble. IEEE Trans Med Imaging 37(4):1024–1034
Sheikh TS, Lee Y, Cho M (2020) Histopathological classification of breast cancer images using a multi-scale input and multi-feature network. Cancers 12(8):2031–2050
Ullah H, Zhao Y, Abdalla FY, Wu L (2022) Fast local laplacian filtering based enhanced medical image fusion using parameter-adaptive pcnn and local features-based fuzzy weighted matrices. Appl Intell 52 (7):7965–7984
Khvostikov A, Aderghal K, Benois-Pineau J, Krylov A, Catheline G (2018) 3d cnn-based classification using smri and md-dti images for alzheimer disease studies. arXiv:1801.05968
Fan T, Wang G, Li Y, Wang H (2020) Ma-net: A multi-scale attention network for liver and tumor segmentation. IEEE Access 8:179656–179665
Fu J, Li W, Du J, Huang Y (2021) A multiscale residual pyramid attention network for medical image fusion. Biomed Signal Process Control 66:102488
Fong JX, Shapiai MI, Tiew YY, Batool U, Fauzi H (2020) Bypassing mri pre-processing in alzheimer’s disease diagnosis using deep learning detection network. In: 2020 16th IEEE International colloquium on signal processing & its applications (CSPA), pp 219–224. IEEE
Mok TC, Chung A (2020) Large deformation diffeomorphic image registration with laplacian pyramid networks. In: International conference on medical image computing and computer-assisted intervention, pp 211–221. Springer
Fu J, Li W, Du J, Xiao B (2020) Multimodal medical image fusion via laplacian pyramid and convolutional neural network reconstruction with local gradient energy strategy. Comput Biol Med 126:104048
Lin TY, Dollár P, Girshick R, He K, Hariharan B, Belongie S (2017) Feature pyramid networks for object detection. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 2117–2125
Chawla NV, Lazarevic A, Hall LO, Bowyer KW (2003) Smoteboost: Improving prediction of the minority class in boosting. In: European conference on principles of data mining and knowledge discovery, pp 107–119. Springer
Jesson A, Guizard N, Ghalehjegh SH, Goblot D, Soudan F, Chapados N (2017) Cased: curriculum adaptive sampling for extreme data imbalance. In: International conference on medical image computing and computer-assisted intervention, pp 639–646. Springer
Torres FR, Carrasco-Ochoa JA, Martínez-Trinidad J.F (2016) Smote-d a deterministic version of smote. In: Mexican conference on pattern recognition, pp 177–188. Springer
Gao L, Zhang L, Liu C, Wu S (2020) Handling imbalanced medical image data: a deep-learning-based one-class classification approach. Artif Intell Med 108:101935
Zhang H, Zhang H, Pirbhulal S, Wu W, Albuquerque VHCD (2020) Active balancing mechanism for imbalanced medical data in deep learning–based classification models. ACM Trans Multimed Comput Commun Appl (TOMM) 16(1s):1–15
Liu Q, Liu H, Zhao Y, Liang Y (2021) Dual-branch network with dual-sampling modulated dice loss for hard exudate segmentation in color fundus images. IEEE J Biomed Health Inform 26(3):1091–1102
Jin D, Xu J, Zhao K, Hu F, Yang Z, Liu B, Jiang T, Liu Y (2019) Attention-based 3d convolutional network for alzheimer’s disease diagnosis and biomarkers exploration. In: 2019 IEEE 16th International symposium on biomedical imaging (ISBI 2019), pp 1047–1051. IEEE
Feng C, Elazab A, Yang P, Wang T, Zhou F, Hu H, Xiao X, Lei B (2019) Deep learning framework for alzheimer’s disease diagnosis via 3d-cnn and fsbi-lstm. IEEE Access 7:63605–63618
Yee E, Ma D, Popuri K, Wang L, Beg MF, Initiative ADN (2021) Construction of mri-based alzheimer’s disease score based on efficient 3d convolutional neural network: comprehensive validation on 7,902 images from a multi-center dataset. J Alzheimers Dis 79(1):47–58
Esmaeilzadeh S, Belivanis DI, Pohl KM, Adeli E (2018) End-to-end alzheimer’s disease diagnosis and biomarker identification. In: International workshop on machine learning in medical imaging, pp 337–345. Springer
Korolev S, Safiullin A, Belyaev M, Dodonova Y (2017) Residual and plain convolutional neural networks for 3d brain mri classification. In: 2017 IEEE 14th International symposium on biomedical imaging (ISBI 2017), pp 835–838. IEEE
Liu M, Zhang J, Adeli E, Shen D (2018) Landmark-based deep multi-instance learning for brain disease diagnosis. Med Image Anal 43:157–168
Cui R, Liu M, Initiative ADN (2019) Rnn-based longitudinal analysis for diagnosis of alzheimer’s disease. Comput Med Imaging Graph 73:1–10
Selvaraju RR, Cogswell M, Das A, Vedantam R, Parikh D, Batra D (2017) Grad-cam: Visual explanations from deep networks via gradient-based localization. In: Proceedings of the IEEE international conference on computer vision, pp 618–626
Funding
This work was sponsored in part by the Key-Area Research and Development Program of Guangdong Province under Grant 2019B010109001, in part by Guangdong Natural Science Foundation under Grant 2020A1515011409, in part by Construction Project of Regional Innovation Capability and Support Guarantee System in Guangdong Province under Grant 2021A1414030004, in part by Provincial Agricultural Science and technology innovation and Extension project of Guangdong Province under Grant 2022KJ147.
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Liang, X., Wang, Z., Chen, Z. et al. Alzheimer’s disease classification using distilled multi-residual network. Appl Intell 53, 11934–11950 (2023). https://doi.org/10.1007/s10489-022-04084-0
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DOI: https://doi.org/10.1007/s10489-022-04084-0