Deep Generative Medical Image Harmonization for Improving Cross-Site Generalization in Deep Learning Predictors.


Journal

Journal of magnetic resonance imaging : JMRI
ISSN: 1522-2586
Titre abrégé: J Magn Reson Imaging
Pays: United States
ID NLM: 9105850

Informations de publication

Date de publication:
03 2022
Historique:
revised: 22 08 2021
received: 07 06 2021
accepted: 23 08 2021
pubmed: 27 9 2021
medline: 27 4 2022
entrez: 26 9 2021
Statut: ppublish

Résumé

In the medical imaging domain, deep learning-based methods have yet to see widespread clinical adoption, in part due to limited generalization performance across different imaging devices and acquisition protocols. The deviation between estimated brain age and biological age is an established biomarker of brain health and such models may benefit from increased cross-site generalizability. To develop and evaluate a deep learning-based image harmonization method to improve cross-site generalizability of deep learning age prediction. Retrospective. Eight thousand eight hundred and seventy-six subjects from six sites. Harmonization models were trained using all subjects. Age prediction models were trained using 2739 subjects from a single site and tested using the remaining 6137 subjects from various other sites. Brain imaging with magnetization prepared rapid acquisition with gradient echo or spoiled gradient echo sequences at 1.5 T and 3 T. StarGAN v2, was used to perform a canonical mapping from diverse datasets to a reference domain to reduce site-based variation while preserving semantic information. Generalization performance of deep learning age prediction was evaluated using harmonized, histogram matched, and unharmonized data. Mean absolute error (MAE) and Pearson correlation between estimated age and biological age quantified the performance of the age prediction model. Our results indicated a substantial improvement in age prediction in out-of-sample data, with the overall MAE improving from 15.81 (±0.21) years to 11.86 (±0.11) with histogram matching to 7.21 (±0.22) years with generative adversarial network (GAN)-based harmonization. In the multisite case, across the 5 out-of-sample sites, MAE improved from 9.78 (±6.69) years to 7.74 (±3.03) years with histogram normalization to 5.32 (±4.07) years with GAN-based harmonization. While further research is needed, GAN-based medical image harmonization appears to be a promising tool for improving cross-site deep learning generalization. 4 TECHNICAL EFFICACY: Stage 1.

Sections du résumé

BACKGROUND
In the medical imaging domain, deep learning-based methods have yet to see widespread clinical adoption, in part due to limited generalization performance across different imaging devices and acquisition protocols. The deviation between estimated brain age and biological age is an established biomarker of brain health and such models may benefit from increased cross-site generalizability.
PURPOSE
To develop and evaluate a deep learning-based image harmonization method to improve cross-site generalizability of deep learning age prediction.
STUDY TYPE
Retrospective.
POPULATION
Eight thousand eight hundred and seventy-six subjects from six sites. Harmonization models were trained using all subjects. Age prediction models were trained using 2739 subjects from a single site and tested using the remaining 6137 subjects from various other sites.
FIELD STRENGTH/SEQUENCE
Brain imaging with magnetization prepared rapid acquisition with gradient echo or spoiled gradient echo sequences at 1.5 T and 3 T.
ASSESSMENT
StarGAN v2, was used to perform a canonical mapping from diverse datasets to a reference domain to reduce site-based variation while preserving semantic information. Generalization performance of deep learning age prediction was evaluated using harmonized, histogram matched, and unharmonized data.
STATISTICAL TESTS
Mean absolute error (MAE) and Pearson correlation between estimated age and biological age quantified the performance of the age prediction model.
RESULTS
Our results indicated a substantial improvement in age prediction in out-of-sample data, with the overall MAE improving from 15.81 (±0.21) years to 11.86 (±0.11) with histogram matching to 7.21 (±0.22) years with generative adversarial network (GAN)-based harmonization. In the multisite case, across the 5 out-of-sample sites, MAE improved from 9.78 (±6.69) years to 7.74 (±3.03) years with histogram normalization to 5.32 (±4.07) years with GAN-based harmonization.
DATA CONCLUSION
While further research is needed, GAN-based medical image harmonization appears to be a promising tool for improving cross-site deep learning generalization.
LEVEL OF EVIDENCE
4 TECHNICAL EFFICACY: Stage 1.

Identifiants

pubmed: 34564904
doi: 10.1002/jmri.27908
pmc: PMC8844038
mid: NIHMS1735730
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, N.I.H., Intramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

908-916

Subventions

Organisme : NIBIB NIH HHS
ID : R01 EB022573
Pays : United States
Organisme : NIDA NIH HHS
ID : HHSN271201600059C
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG068057
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG059869
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG054409
Pays : United States
Organisme : NIH HHS
ID : S10 OD023495
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG072979
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH113565
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH120482
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH112070
Pays : United States
Organisme : NIA NIH HHS
ID : U19 AG033655
Pays : United States

Informations de copyright

© 2021 International Society for Magnetic Resonance in Medicine.

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Auteurs

Vishnu M Bashyam (VM)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Jimit Doshi (J)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Guray Erus (G)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Dhivya Srinivasan (D)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Ahmed Abdulkadir (A)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Ashish Singh (A)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Mohamad Habes (M)

Biggs Alzheimer's Institute, University of Texas San Antonio Health Science Center, San Antonio, Texas, USA.

Yong Fan (Y)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Colin L Masters (CL)

Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria, Australia.

Paul Maruff (P)

Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria, Australia.

Chuanjun Zhuo (C)

Tianjin Mental Health Center, Nankai University Affiliated Tianjin Anding Hospital, Tianjin, China.
Department of Psychiatry, Tianjin Medical University, Tianjin, China.

Henry Völzke (H)

Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
German Centre for Cardiovascular Research, Partner Site Greifswald, Greifswald, Germany.

Sterling C Johnson (SC)

Wisconsin Alzheimer's Institute, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.

Jurgen Fripp (J)

CSIRO Health and Biosecurity, Australian e-Health Research Centre CSIRO, Brisbane, Queensland, Australia.

Nikolaos Koutsouleris (N)

Department of Psychiatry and Psychotherapy, Ludwig Maximilian University of Munich, Munich, Germany.

Theodore D Satterthwaite (TD)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Daniel H Wolf (DH)

Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Raquel E Gur (RE)

Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Ruben C Gur (RC)

Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

John C Morris (JC)

Department of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.

Marilyn S Albert (MS)

Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Hans J Grabe (HJ)

Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany.
German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany.

Susan M Resnick (SM)

Laboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, Maryland, USA.

Nick R Bryan (NR)

Department of Diagnostic Medicine, University of Texas at Austin, Austin, Texas, USA.

Katharina Wittfeld (K)

Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany.
German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany.

Robin Bülow (R)

Institute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Greifswald, Germany.

David A Wolk (DA)

Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Haochang Shou (H)

Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Ilya M Nasrallah (IM)

Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Christos Davatzikos (C)

Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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