Open Access Open Access  Restricted Access Subscription Access

Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients based on Connectivity


Affiliations
1 Department of Electronic, Electrical and Computer Engineering, Sungkyunkwan University, Suwon 16419, Korea, Republic of
2 School of Electronic and Electrical Engineering, Sungkyunkwan University, Suwon 16419, Korea, Republic of
 

Background: It is critical to distinguish between Parkinson’s disease (PD) and scans without evidence of dopaminergic deficit (SWEDD), because the two groups are different and require different therapeutic approaches. Objective: The aim of this study was to distinguish SWEDD patients from PD patients using connectivity information derived from diffusion tensor imaging tractography. Methods: Diffusion magnetic resonance images of SWEDD (n = 37) and PD (n = 40) were obtained from a research database. Tractography, the process of obtaining neural fiber information, was performed using custom software. Group-wise differences between PD and SWEDD patients were quantified using the number of connected fibers between two regions, and correlation analyses were performed based on clinical scores. A support vector machine classifier (SVM) was applied to distinguish PD and SWEDD based on group-wise differences. Results: Four connections showed significant group-wise differences and correlated with the Unified Parkinson’s Disease Rating Scale sponsored by the Movement Disorder Society. The SVM classifier attained 77.92% accuracy in distinguishing between SWEDD and PD using these identified connections. Conclusions: The connections and regions identified represent candidates for future research investigations.
User
Notifications
Font Size

Abstract Views: 120

PDF Views: 1




  • Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients based on Connectivity

Abstract Views: 120  |  PDF Views: 1

Authors

Mansu Kim
Department of Electronic, Electrical and Computer Engineering, Sungkyunkwan University, Suwon 16419, Korea, Republic of
Hyunjin Park
School of Electronic and Electrical Engineering, Sungkyunkwan University, Suwon 16419, Korea, Republic of

Abstract


Background: It is critical to distinguish between Parkinson’s disease (PD) and scans without evidence of dopaminergic deficit (SWEDD), because the two groups are different and require different therapeutic approaches. Objective: The aim of this study was to distinguish SWEDD patients from PD patients using connectivity information derived from diffusion tensor imaging tractography. Methods: Diffusion magnetic resonance images of SWEDD (n = 37) and PD (n = 40) were obtained from a research database. Tractography, the process of obtaining neural fiber information, was performed using custom software. Group-wise differences between PD and SWEDD patients were quantified using the number of connected fibers between two regions, and correlation analyses were performed based on clinical scores. A support vector machine classifier (SVM) was applied to distinguish PD and SWEDD based on group-wise differences. Results: Four connections showed significant group-wise differences and correlated with the Unified Parkinson’s Disease Rating Scale sponsored by the Movement Disorder Society. The SVM classifier attained 77.92% accuracy in distinguishing between SWEDD and PD using these identified connections. Conclusions: The connections and regions identified represent candidates for future research investigations.