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Original Article
Dementia and Neurocognitive Disorders 2023: 22: 2: 61-68

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Classification of Aβ State From Brain Amyloid PET Images Using Machine Learning Algorithm
Chanda Simfukwe , 1 Reeree Lee , 2 Young Chul Youn , 1 Alzheimer’s Disease and Related Dementias in Zambia (ADDIZ) Group
1 Department of Neurology, Chung-Ang University College of Medicine, Seoul, Korea 2 Department of Nuclear Medicine, Chung-Ang University College of Medicine, Seoul, Korea
Classification of Aβ State From Brain Amyloid PET Images Using Machine Learning Algorithm
Chanda Simfukwe , 1 Reeree Lee , 2 Young Chul Youn , 1 Alzheimer’s Disease and Related Dementias in Zambia (ADDIZ) Group
1 Department of Neurology, Chung-Ang University College of Medicine, Seoul, Korea 2 Department of Nuclear Medicine, Chung-Ang University College of Medicine, Seoul, Korea
Background and Purpose: Analyzing brain amyloid positron emission tomography (PET)
images to access the occurrence of β-amyloid (Aβ) deposition in Alzheimer’s patients
requires much time and effort from physicians, while the variation of each interpreter may
differ. For these reasons, a machine learning model was developed using a convolutional
neural network (CNN) as an objective decision to classify the Aβ positive and Aβ negative
status from brain amyloid PET images.
Methods: A total of 7,344 PET images of 144 subjects were used in this study. The
18F-florbetaben PET was administered to all participants, and the criteria for differentiating
Aβ positive and Aβ negative state was based on brain amyloid plaque load score (BAPL)
that depended on the visual assessment of PET images by the physicians. We applied the
CNN algorithm trained in batches of 51 PET images per subject directory from 2 classes: Aβ
positive and Aβ negative states, based on the BAPL scores.
Results: The binary classification of the model average performance matrices was evaluated
after 40 epochs of three trials based on test datasets. The model accuracy for classifying Aβ
positivity and Aβ negativity was (95.00±0.02) in the test dataset. The sensitivity and specificity
were (96.00±0.02) and (94.00±0.02), respectively, with an area under the curve of (87.00±0.03).
Conclusions: Based on this study, the designed CNN model has the potential to be used
clinically to screen amyloid PET images.
Key Words: Amyloid; Supervised Machine Learning; Algorithms; PET Scan
대한치매학회지 (Dementia and Neurocognitive Disorders)