Quantitative evaluation of unsupervised clustering algorithms for dynamic total-body PET image analysis

Background. Recently, dynamic total-body positron emission tomography (PET) imaging has become possible due to new scanner devices. While clustering algorithms have been proposed for PET analysis already earlier, there is still little research systematically evaluating these algorithms for processing of dynamic total-body PET images. Materials and methods. Here, we compare the performance of 15 unsupervised clustering methods, including K-means either by itself or after principal component analysis (PCA) or independent component analysis (ICA), Gaussian mixture model (GMM), fuzzy c-means (FCM), agglomerative clustering, spectral clustering, and several newer clustering algorithms, for classifying time activity curves (TACs) in dynamic PET images. We use dynamic total-body $^{15}$O-water PET images collected from 30 patients with suspected or confirmed coronary artery disease. To evaluate the clustering algorithms in a quantitative way, we use them to classify 5000 TACs from each image based on whether the curve is taken from brain, right heart ventricle, right kidney, lower right lung lobe, or urinary bladder. Results. According to our results, the best methods are GMM, FCM, and ICA combined with mini batch K-means, which classified the TACs with a median accuracies of 89\%, 83\%, and 81\%, respectively, in a processing time of half a second or less on average for each image. Conclusion. GMM, FCM, and ICA with mini batch K-means show promise for dynamic total-body PET analysis.

AI for the prediction of early stages of Alzheimer's disease from neuroimaging biomarkers -- A narrative review of a growing field

Objectives: The objectives of this narrative review are to summarize the current state of AI applications in neuroimaging for early Alzheimer's disease (AD) prediction and to highlight the potential of AI techniques in improving early AD diagnosis, prognosis, and management. Methods: We conducted a narrative review of studies using AI techniques applied to neuroimaging data for early AD prediction. We examined single-modality studies using structural MRI and PET imaging, as well as multi-modality studies integrating multiple neuroimaging techniques and biomarkers. Furthermore, they reviewed longitudinal studies that model AD progression and identify individuals at risk of rapid decline. Results: Single-modality studies using structural MRI and PET imaging have demonstrated high accuracy in classifying AD and predicting progression from mild cognitive impairment (MCI) to AD. Multi-modality studies, integrating multiple neuroimaging techniques and biomarkers, have shown improved performance and robustness compared to single-modality approaches. Longitudinal studies have highlighted the value of AI in modeling AD progression and identifying individuals at risk of rapid decline. However, challenges remain in data standardization, model interpretability, generalizability, clinical integration, and ethical considerations. Conclusion: AI techniques applied to neuroimaging data have the potential to improve early AD diagnosis, prognosis, and management. Addressing challenges related to data standardization, model interpretability, generalizability, clinical integration, and ethical considerations is crucial for realizing the full potential of AI in AD research and clinical practice. Collaborative efforts among researchers, clinicians, and regulatory agencies are needed to develop reliable, robust, and ethical AI tools that can benefit AD patients and society.

Image augmentation with conformal mappings for a convolutional neural network

For augmentation of the square-shaped image data of a convolutional neural network (CNN), we introduce a new method, in which the original images are mapped onto a disk with a conformal mapping, rotated around the center of this disk and mapped under such a M\"obius transformation that preserves the disk, and then mapped back onto their original square shape. This process does not result the loss of information caused by removing areas from near the edges of the original images unlike the typical transformations used in the data augmentation for a CNN. We offer here the formulas of all the mappings needed together with detailed instructions how to write a code for transforming the images. The new method is also tested with simulated data and, according the results, using this method to augment the training data of 10 images into 40 images decreases the amount of the error in the predictions by a CNN for a test set of 160 images in a statistically significant way (p-value=0.0360).