scholarly journals A Machine Learning Enhanced Mechanistic Simulation Framework for Functional Deficit Prediction in TBI

Author(s):  
Anna Schroder ◽  
Tim Lawrence ◽  
Natalie Voets ◽  
Daniel Garcia-Gonzalez ◽  
Mike Jones ◽  
...  

Resting state functional magnetic resonance imaging (rsfMRI), and the underlying brain networks identified with it, have recently appeared as a promising avenue for the evaluation of functional deficits without the need for active patient participation. We hypothesize here that such alteration can be inferred from tissue damage within the network. From an engineering perspective, the numerical prediction of tissue mechanical damage following an impact remains computationally expensive. To this end, we propose a numerical framework aimed at predicting resting state network disruption for an arbitrary head impact, as described by the head velocity, location and angle of impact, and impactor shape. The proposed method uses a library of precalculated cases leveraged by a machine learning layer for efficient and quick prediction. The accuracy of the machine learning layer is illustrated with a dummy fall case, where the machine learning prediction is shown to closely match the full simulation results. The resulting framework is finally tested against the rsfMRI data of nine TBI patients scanned within 24 h of injury, for which paramedical information was used to reconstruct in silico the accident. While more clinical data are required for full validation, this approach opens the door to (i) on-the-fly prediction of rsfMRI alterations, readily measurable on clinical premises from paramedical data, and (ii) reverse-engineered accident reconstruction through rsfMRI measurements.

2021 ◽  
Vol 30 ◽  
pp. 102617
Author(s):  
Kaia Sargent ◽  
UnYoung Chavez-Baldini ◽  
Sarah L. Master ◽  
Karin J.H. Verweij ◽  
Anja Lok ◽  
...  

2021 ◽  
Vol 352 ◽  
pp. 109084
Author(s):  
Valeria Saccà ◽  
Alessia Sarica ◽  
Andrea Quattrone ◽  
Federico Rocca ◽  
Aldo Quattrone ◽  
...  

Data in Brief ◽  
2020 ◽  
Vol 29 ◽  
pp. 105213 ◽  
Author(s):  
Pradyumna Lanka ◽  
D. Rangaprakash ◽  
Sai Sheshan Roy Gotoor ◽  
Michael N. Dretsch ◽  
Jeffrey S. Katz ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Bidhan Lamichhane ◽  
Andy G. S. Daniel ◽  
John J. Lee ◽  
Daniel S. Marcus ◽  
Joshua S. Shimony ◽  
...  

Glioblastoma multiforme (GBM) is the most frequently occurring brain malignancy. Due to its poor prognosis with currently available treatments, there is a pressing need for easily accessible, non-invasive techniques to help inform pre-treatment planning, patient counseling, and improve outcomes. In this study we determined the feasibility of resting-state functional connectivity (rsFC) to classify GBM patients into short-term and long-term survival groups with respect to reported median survival (14.6 months). We used a support vector machine with rsFC between regions of interest as predictive features. We employed a novel hybrid feature selection method whereby features were first filtered using correlations between rsFC and OS, and then using the established method of recursive feature elimination (RFE) to select the optimal feature subset. Leave-one-subject-out cross-validation evaluated the performance of models. Classification between short- and long-term survival accuracy was 71.9%. Sensitivity and specificity were 77.1 and 65.5%, respectively. The area under the receiver operating characteristic curve was 0.752 (95% CI, 0.62–0.88). These findings suggest that highly specific features of rsFC may predict GBM survival. Taken together, the findings of this study support that resting-state fMRI and machine learning analytics could enable a radiomic biomarker for GBM, augmenting care and planning for individual patients.


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