TY - JOUR PY - 2021// TI - Resting-state magnetoencephalography source magnitude imaging with deep-learning neural network for classification of symptomatic combat-related mild traumatic brain injury JO - Human brain mapping A1 - Nichols, Sharon A1 - Dynes, Robert A1 - Naviaux, Robert K. A1 - Hansen, Hayden B. A1 - Yurgil, Kate A. A1 - Lerman, Imanuel A1 - Foote, Ericka A1 - Shen, Qian A1 - Cheng, Chung-Kuan A1 - Ji, Zhengwei A1 - Baker, Dewleen G. A1 - Lee, Roland R. A1 - Harrington, Deborah L. A1 - Huang, Charles W. A1 - Huang, Ming-Xiong A1 - Angeles-Quinto, Annemarie A1 - Song, Tao A1 - Drake, Angela A1 - Matthews, Scott A1 - Rimmele, Carl A1 - Le, Lu A1 - Huang, Jeffrey W. A1 - Robb-Swan, Ashley SP - ePub EP - ePub VL - ePub IS - ePub N2 - Combat-related mild traumatic brain injury (cmTBI) is a leading cause of sustained physical, cognitive, emotional, and behavioral disabilities in Veterans and active-duty military personnel. Accurate diagnosis of cmTBI is challenging since the symptom spectrum is broad and conventional neuroimaging techniques are insensitive to the underlying neuropathology. The present study developed a novel deep-learning neural network method, 3D-MEGNET, and applied it to resting-state magnetoencephalography (rs-MEG) source-magnitude imaging data from 59 symptomatic cmTBI individuals and 42 combat-deployed healthy controls (HCs). Analytic models of individual frequency bands and all bands together were tested. The All-frequency model, which combined delta-theta (1-7 Hz), alpha (8-12 Hz), beta (15-30 Hz), and gamma (30-80 Hz) frequency bands, outperformed models based on individual bands. The optimized 3D-MEGNET method distinguished cmTBI individuals from HCs with excellent sensitivity (99.9 ± 0.38%) and specificity (98.9 ± 1.54%). Receiver-operator-characteristic curve analysis showed that diagnostic accuracy was 0.99. The gamma and delta-theta band models outperformed alpha and beta band models. Among cmTBI individuals, but not controls, hyper delta-theta and gamma-band activity correlated with lower performance on neuropsychological tests, whereas hypo alpha and beta-band activity also correlated with lower neuropsychological test performance. This study provides an integrated framework for condensing large source-imaging variable sets into optimal combinations of regions and frequencies with high diagnostic accuracy and cognitive relevance in cmTBI. The all-frequency model offered more discriminative power than each frequency-band model alone. This approach offers an effective path for optimal characterization of behaviorally relevant neuroimaging features in neurological and psychiatric disorders.
Language: en
LA - en SN - 1065-9471 UR - http://dx.doi.org/10.1002/hbm.25340 ID - ref1 ER -