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A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy
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A multimodal deep learning framework for functional brain network classification in rs-fMRI.

Belfin Robinson1, William Reuther1, Olivia Leggio1

  • 1Clinical Resting State fMRI Service, Department of Neurology, University of North Carolina at Chapel Hill, Chapel Hill, NC USA.

Cognitive Neurodynamics
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Summary
This summary is machine-generated.

This study automates epilepsy brain network classification using deep learning on resting-state fMRI data. The framework accurately identifies seizure onset zones, improving clinical review and epilepsy surgery planning.

Keywords:
Brain mappingComputer-Assisted diagnosisConnectomeFunctional connectivityMagnetic resonance imagingNeural networksSeizure onset zone

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Area of Science:

  • Neuroscience
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Epilepsy diagnosis and surgical planning rely on accurate identification of functional brain networks.
  • Resting-state functional magnetic resonance imaging (rs-fMRI) provides valuable data for analyzing brain connectivity.
  • Automating the classification of rs-fMRI-derived networks can reduce subjectivity and workload in clinical practice.

Purpose of the Study:

  • To develop and validate a deep learning framework for automated classification of functional brain networks in epilepsy patients using rs-fMRI.
  • To differentiate between seizure onset zones (SoZ), resting-state networks (RSNs), and artifact/noise components.
  • To assess the contribution of spatial, temporal, and spectral features in network classification.

Main Methods:

  • A hybrid deep learning architecture combining a 3D Convolutional Neural Network (3D-CNN) for spatial features (SF) and a Long Short-Term Memory (LSTM) network for temporal (TS) and frequency-domain (FS) signals was employed.
  • Independent Component Analysis (ICA) was used to derive functional brain networks from rs-fMRI data.
  • An ablation study evaluated the impact of different feature types (SF, TS, FS) on classification performance.
  • Expert neurologists provided qualitative validation of the model's interpretability and clinical relevance.

Main Results:

  • The hybrid model achieved up to 70% accuracy in classifying 11 distinct ICA component types, including SoZ.
  • Incorporating frequency-domain signals (SF+FS) improved ROC AUC to 0.78, while combining all features (SF+TS+FS) yielded the highest accuracy.
  • The 'Noise' class showed high performance (up to 0.94), whereas the 'Temporal' lobe network class had lower scores (0.14-0.24).

Conclusions:

  • The developed data-driven deep learning framework effectively automates the classification of rs-fMRI-derived functional brain networks in epilepsy.
  • The integration of spatial, temporal, and spectral features enhances classification accuracy and supports clinical applications like epilepsy surgical planning.
  • This approach has the potential to reduce subjectivity and improve efficiency in the clinical review of brain imaging data for epilepsy patients.