Texture analysis in brain T2 and diffusion MRI differentiates histology-verified grey and white matter pathology types in multiple sclerosis

BACKGROUND

Multiple sclerosis (MS) is a co mplex disease of the central nervous system involving several types of brain pathology that are difficult to characterize using conventional imaging methods.

NEW METHOD

We originated novel texture analysis and machine learning approaches for classifying MS pathology subtypes as compared with 2 common advanced MRI measures: magnetization transfer ratio (MTR) and fractional anisotropy (FA). Texture analysis used an optimized grey level co-occurrence matrix method with histology-informed 7T T2-weighted magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI) from 15 MS and 12 control brain specimens. DTI analysis took an innovative approach that assessed the texture across diffusion directions upsampled from 30 to 90. Tissue types included de- and re-myelinated lesions and normal-appearing areas in both grey and white matter, and diffusely abnormal white matter. Data analyses were stepwise, including: (1) group-wise classification using random forest algorithms based on all or individual imaging parameters; (2) parameter importance ranking; and (3) pairwise analysis using top-ranked features.

RESULTS

Texture analysis performed better than MTR and FA, with T2 texture performed the best. T2 texture measures ranked the highest in classifying most grey and white matter tissue types, including de- versus re-myelinated lesions and among grey matter lesion subtypes (accuracy=0.86-0.59; kappa=0.60-0.41). Diffusion texture best differentiated normal appearing and control white matter.

COMPARISON WITH EXISTING METHODS

There is no established method in imaging for differentiating MS pathology subtypes. In combined texture analysis and machine learning studies, there is also no direct evidence comparing conventional with advanced MRI measures for assessing MS pathology. Further, this study is unique in conducting innovative texture analysis with DTI following data-augmentation using robust methods.

CONCLUSIONS

T2 and diffusion MRI texture analysis integrated with machine learning may be valuable approaches for characterizing MS pathology.

Evaluation of discrete orthogonal versus polar Stockwell Transform for local multi-resolution texture analysis using brain MRI of multiple sclerosis patients

The Stockwell Transform has the potential to perform multi-resolution texture analysis in magnetic resonance imaging (MRI). However, it is computationally intensive and memory demanding. The polar Stockwell Transform (PST) is rotation-invariant and relatively memory efficient, but still computationally demanding. The new Discrete Orthogonal Stockwell Transform (DOST) appears to have addressed both the computation and storage challenges; however, its utility in localized texture analysis remains unclear. Our goal was to investigate the theory and texture analysis ability of the DOST versus PST using both synthetic and MR images, and explore the relative importance of the associated texture features using a simple classification example based on clinical brain MRI of six multiple sclerosis patients. MRI texture analysis focused on FLAIR images, and the classification used a machine learning algorithm, random forest, that differentiated regions of interest (ROIs) into 2 classes: white matter lesions, and the contralateral normal-appearing white matter (control). Our results showed that the PST features had a greater ability in detecting subtle changes in image structure than the DOST and polar-index DOST (PDOST). Quantitatively, based on 187 lesion and 187 control ROIs, both the PST and the rotation-invariant radial PST performed better in the classification than the DOST and PDOST, where the latter were no better than guessing (p = 0.65 and 0.98). Further analysis using a hierarchical random forest showed that combining MRI signal intensity with the PST or DOST predictions increased the classification performance, with the accuracy, sensitivity, and specificity all improved to >85% in the tests. Collectively, the DOST is less competitive than the PST in localized image texture analysis. The PST features may help with texture-based lesion classification in MS based on clinical brain MRI scans following further verification.