Accuracy of glioma grading is fundamental for the diagnosis, treatment planning and prognosis of patients. The purpose of this work was to develop a low-cost and easy-to-implement classification model which distinguishes low-grade gliomas (LGGs) from high-grade gliomas (HGGs), through texture analysis applied to conventional brain MRI. Different combinations of MRI contrasts (T 1Gd and T 2) and one segmented glioma region (necrotic and non-enhancing tumor core, NCR/NET) were studied. Texture features obtained from the gray level size zone matrix (GLSZM) were calculated. An under-sampling method was proposed to divide the data into different training subsets and subsequently extract complementary information for the creation of distinct classification models. The sensitivity, specificity and accuracy of the models were calculated, and the best model explicitly reported. The best model included only three texture features and reached a sensitivity, specificity and accuracy of 94.12%, 88.24% and 91.18%, respectively. According to the features of the model, when the NCR/ NET region was studied, HGGs had a more heterogeneous texture than LGGs in the T 1Gd images, and LGGs had a more heterogeneous texture than HGGs in the T 2 images. These novel results partially contrast with results from the literature. The best model proved to be useful for the classification of gliomas. Complementary results showed that the heterogeneity of gliomas depended on the MRI contrast studied. The chosen model stands out as a simple, low-cost, easy-to-implement, reproducible and highly accurate glioma classifier. Importantly, it should be accessible to populations with reduced economic and scientific resources.
11Accuracy of glioma grading is fundamental for the diagnosis, treatment planning and 12 prognosis of patients. The purpose of this work was to develop a low cost and easy to 13 implement classification model which distinguishes low grade gliomas (LGGs) from high 14 grade gliomas (HGGs), through texture analysis applied to conventional brain MRI. 15Different combinations between MRI contrasts (T 1Gd and T 2 ) and one segmented 16 glioma region (necrotic and non-enhancing tumor core (NCR/NET)) were studied. 17 Texture features obtained from the Gray Level Size Zone Matrix (GLSZM) were 18 calculated. An under-samplig method was proposed to divide the data into different 19 training subsets and subsequently extract complementary information for the creation 20 of distinct classification models. The sensitivity, specificity and accuracy of the models 21 were calculated. The best model was explicitly reported. The best model included only 22 three texture features and reached a sensitivity, specificity and accuracy of 94.12%, 23 88.24% and 91.18% respectively. According to the features of the model, when the 24 NCR/NET region was studied, HGGs had a more heterogeneous texture than LGGs in 25 the T 1Gd images and LGGs had a more heterogeneous texture than HGGs in the T 2 26 images. These novel results partially contrast with results from literature. The best 27 model proved to be useful for the classification of gliomas. Complementary results 28 showed that heterogeneity of gliomas depended on the studied MRI contrast. The 29 model presented stands out as a simple, low cost, easy to implement, reproducible and 30 highly accurate glioma classifier. What is more important, it should be accessible to 31 populations with reduced economic and scientific resources.32
Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent psychological disorders in pediatric patients. The actual golden standard of ADHD diagnosis is based on conclusions derived from clinical questionnaires. Nowadays, there is no quantitative measurement performed with any imaging system (MRI, PET, EEG, etc.) that can be considered as a golden standard for this diagnosis. This issue, is highlighted by the existence of international competitions focused on the production of a technological (quantitative) solution capable of complementing ADHD diagnosis (ADHD-200 Global Competition). Wavelet analysis, on the other hand, is a flexible mathematical tool that can be used for information and data processing. Its advantage over other types of mathematical transformations is its ability to decompose a signal into two parameters (frequency and time). Based on the prevalence of ADHD and the extra functionality of wavelet tools, this review will try to answer the following question: How have wavelet analyses been used to complement diagnosis and characterization of ADHD? It will be shown that applications were not casual and limited to time-frequency decomposition, noise removal or down sampling of signals, but were pivotal for construction of learning networks, specific parameterization of signals or calculations of connectivity between brain nodes.
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