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基于多图谱多核图卷积的创伤后应激障碍分类研究

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创伤后应激障碍(PTSD)临床表现复杂多样,仅依靠临床评估进行诊断缺乏准确性和客观性.因此,迫切需要建立可靠客观的辅助诊断模型,为PTSD患者提供有效的诊断.目前,利用图神经网络表征PTSD受限于已有模型的表达能力,并不能取得较好的分类诊断结果.为此,本文提出多图谱多核图卷积模型对PTSD数据进行分类.首先,采用不同图谱构建同一受试者不同尺度下的功能连接矩阵,并通过K最近邻算法构建为图.其次,对同一受试者不同尺度的脑图结构,提出多图谱多核图卷积方法来提高模型特征的提取能力.最后,将提取到的不同尺度下多种受试者特征融合后进行分类,并使用图类激活映射确定Top 10的分类贡献脑区.在地震后PTSD数据上的实验结果表明,本文模型在地震后PTSD患者和未患病受试者分类任务上获得了84.75%的准确率、84.02%的特异性及85%的曲线下面积.本文结果为地震后PTSD辅助诊断提供了有力证据,并有望在其他PTSD疾病分类诊断中也能可靠地识别特异性的大脑区域,为临床医生提供参考.
A study on post-traumatic stress disorder classification based on multi-atlas multi-kernel graph convolutional network
Post-traumatic stress disorder(PTSD)presents with complex and diverse clinical manifestations,making accurate and objective diagnosis challenging when relying solely on clinical assessments.Therefore,there is an urgent need to develop reliable and objective auxiliary diagnostic models to provide effective diagnosis for PTSD patients.Currently,the application of graph neural networks for representing PTSD is limited by the expressiveness of existing models,which does not yield optimal classification results.To address this,we proposed a multi-graph multi-kernel graph convolutional network(MK-GCN)model for classifying PTSD data.First,we constructed functional connectivity matrices at different scales for the same subjects using different atlases,followed by employing the k-nearest neighbors algorithm to build the graphs.Second,we introduced the MK-GCN methodology to enhance the feature extraction capability of brain structures at different scales for the same subjects.Finally,we classified the extracted features from multiple scales and utilized graph class activation mapping to identify the top 10 brain regions contributing to classification.Experimental results on seismic-induced PTSD data demonstrated that our model achieved an accuracy of 84.75%,a specificity of 84.02%,and an AUC of 85%in the classification task distinguishing between PTSD patients and non-affected subjects.The findings provide robust evidence for the auxiliary diagnosis of PTSD following earthquakes and hold promise for reliably identifying specific brain regions in other PTSD diagnostic contexts,offering valuable references for clinicians.

Post-traumatic stress disorderFunctional connectivityMulti-atlasMulti-kernel graph convolutionClassification

周丽君、朱鸿儒、刘云飞、莫贤、袁军、罗昌宇、张俊然

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四川大学电气工程学院(成都 610065)

西北民族大学电气工程学院(兰州 730030)

四川大学华西医院心理卫生中心(成都 610041)

四川大学"医学+信息"中心(成都 610041)

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创伤后应激障碍 功能连接 多图谱 多核图卷积 分类

2024

生物医学工程学杂志
四川大学华西医院 四川省生物医学工程学会

生物医学工程学杂志

CSTPCD北大核心
影响因子:0.432
ISSN:1001-5515
年,卷(期):2024.41(6)