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Probing the Brain in Autism Using fMRI and Diffusion Tensor Imaging
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Autism spectrum disorder detection using diffusion tensor imaging and machine learning.

Noel A Cardenas-Hernandez1, Marlen Perez-Diaz2, Karla Batista García-Ramó3,4

  • 1Department of Physics, Universidad Central "Marta Abreu" de Las Villas, Santa Clara, Cuba.

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This study introduces a machine learning system using diffusion tensor imaging (DTI) to objectively detect autism spectrum disorder (ASD). The AI model achieved high accuracy, offering a potential tool for early ASD diagnosis.

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Area of Science:

  • Neuroscience
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Autism spectrum disorder (ASD) diagnosis is often subjective and relies on behavioral assessments.
  • Diffusion tensor imaging (DTI) shows potential for identifying microstructural biomarkers in ASD.
  • Objective and early diagnostic tools are needed for effective ASD intervention.

Purpose of the Study:

  • To develop and evaluate a machine learning (ML)-powered computer-aided diagnosis (CAD) system for detecting ASD using DTI data.
  • To assess the efficacy of ML classifiers in identifying ASD based on DTI-derived microstructural metrics.
  • To investigate the potential of DTI-based neuroimaging for objective ASD diagnosis.

Main Methods:

  • Utilized the ABIDE II database (n=150) for system development and validation.
  • Processed DTI data to extract fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), and axial diffusivity (AD) in 25 ASD-relevant white matter regions.
  • Trained and evaluated ML binary classifiers, including Support Vector Machine (SVM) and Random Forest (RF), optimizing for computational efficiency.

Main Results:

  • The optimized Random Forest (RF) model achieved 100% sensitivity, 95.65% accuracy, 91.67% precision, and 91.67% specificity on the internal dataset.
  • An external test demonstrated the model's generalization power with 94.73% sensitivity, 97.37% accuracy, and 100% precision and specificity.
  • The study highlights the utility of integrating DTI imaging information with clinical knowledge of ASD-affected white matter regions.

Conclusions:

  • The developed ML-powered CAD system shows significant promise for the objective and early detection of ASD.
  • DTI-derived microstructural metrics, when analyzed with advanced ML techniques, can serve as reliable biomarkers for ASD.
  • This approach offers a fast, objective, and potentially more accessible alternative to current subjective diagnostic methods for ASD.