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Docteur de l'université Automatic Segmentation and Shape Analysis ...

Docteur de l'université Automatic Segmentation and Shape Analysis ...

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110 Chapter 5 Quantitative shape analysis of hippocampus in AD<br />

separation between AD <strong>and</strong> NC increases the discrimination power of SSM. The<br />

predictors extracted on the subregions also showed stronger correlation with the<br />

memory-related measurements such as Logical Memory, Auditory Verbal Learning<br />

Test (AVLT) <strong>and</strong> the memory subscores of Alzheimer Disease Assessment Scale<br />

(ADAS).<br />

The results of the localization of the SSM improving the discrimination of shape<br />

analysis have been previously partially published in “Increasing the discrimina-<br />

tion power of shape analysis in Alzheimer’s disease <strong>de</strong>tection by localized statistical<br />

shape mo<strong>de</strong>l,” in Alzheimer’s Association International Conference on Alzheimer’s<br />

Disease (ICAD), 2011, <strong>and</strong> “Detecting hippocampal shape changes in Alzheimer’s<br />

disease using statistical shape mo<strong>de</strong>ls,” in Medical Imaging 2011: Image Process-<br />

ing. Full results have been submitted to the journal NeuroImage for publication.<br />

5.1 Overview of the method<br />

We aim to extract hippocampal shape <strong>de</strong>scriptors capturing both global <strong>and</strong> local<br />

shape changes linked to the AD pathology by SSM, so as to improve the per-<br />

formance of disease classification using additional shape information. We try to<br />

mo<strong>de</strong>l the localized disease-related shape changes by performing the shape anal-<br />

ysis upon the regions that are found to be affected by AD. We first i<strong>de</strong>ntify the<br />

hippocampal surface subregions that are significantly different between the AD<br />

group <strong>and</strong> the controls via Hotelling’s T 2 test. Then we mo<strong>de</strong>l the variations on<br />

these subregions using SSMs. Compared to the shape analysis of hippocampi via<br />

LoCA (Xie et al., 2009) which localizes the shape components while not specifically<br />

targeting the area related to the disease, we focus our shape analysis only on the<br />

regions that we marked as different, extracting the principal shape components on<br />

these regions. With the use of machine learning techniques, classifiers are able to<br />

learn the difference between AD <strong>and</strong> NC from the shape information as quantified<br />

by shape mo<strong>de</strong>ls. Extra information concerning AD pathology can be obtained by<br />

adding hippocampal shape <strong>de</strong>scriptors in addition to the volumetry. We use the

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