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AI-Enabled 'Future' FDG-PET Brain Scans Predict Brain Changes in Alzheimer Patients

By MedImaging International staff writers
Posted on 05 Jul 2023

Image: An algorithm can forecast brain development from images obtained in FDG-PET examinations (Photo courtesy of Freepik)

Previous research has shown that artificial intelligence (AI) can predict clinical symptomatic changes in neuropsychiatric disorders based on baseline neuroimaging data. However, successful studies predicting actual longitudinal changes in the entire brain are relatively few compared to those focusing on specific longitudinal alterations like hippocampal volume. Now, a preliminary study indicates that a deep learning-based algorithm can accurately predict brain development up to six years following an initial Alzheimer’s disease assessment via FDG-PET scans.

Researchers at the German Center for Neurodegenerative Diseases (DZNE, Göttingen, Germany) employed a convolutional neural network (CNN) to train an algorithm on the first two FDG-PET scans to predict the third scan acquired in elderly (>+ 55 years) participants, who received FDG-PET imaging in three consecutive years. The algorithm successfully predicted the overall future FDG-PET signal for the entire brain—namely, the metabolic reduction, which indicates neuronal activity. The tool was also capable of anticipating a future signal decline, or metabolic reduction, reflecting a loss of neuronal activity.

The algorithm's capabilities could be extended to predict FDG-PET outcomes up to six years following the initial scan, by sequentially using model output as input for subsequent-year predictions. Additionally, the tool seemed to detect ongoing neurodegenerative processes at baseline as it predicted a significant signal decline in year 2 in Alzheimer’s disease (AD) patients, especially in AD-prone regions such as the bilateral inferior temporal and parietal regions, and the posterior cingulate cortex. Possessing a tool that forecasts longitudinal FDG-PET scans based on scans obtained at baseline and one year later could enhance patient care. This study explores new territory, as the prediction of longitudinal metabolic changes in the brain, as measured by FDG-PET, has rarely been examined before.

“Such an algorithm would allow physicians to read an anticipated ‘future’ FDG-PET brain scan as they would in their normal routine, but years in advance,” said Elena Doering, a Ph.D. student at DZNE. “We hope that our work can provide clinical benefit in two ways: improving early diagnosis or providing reliable prognosis; and allowing individual prediction of brain pathological changes over time.”

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70 (380.03921508789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (382.90023803711): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (59.127807617188): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (83.92333984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (94.175338745117): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (50.067901611328): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 1055.0022125244): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (94.175338745117): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (363.11149597168): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (502.10952758789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

105 (200.03318786621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

106 (127.07710266113): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797780 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1715.8985137939): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797780 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (815.15312194824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

109 (!!!!! 4775.0473022461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

110 (722.88513183594): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294797780 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (592.94700622559): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294797780 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (739.09759521484): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (506.16264343262): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

115 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

116 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

118 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

119 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

120 (326.87187194824): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 45516.014099121): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (178.09867858887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

123 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

124 (616.07360839844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797780 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797780 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 660555.12428284): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (87.02278137207): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (447.98851013184): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (98.943710327148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (375.03242492676): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (97.036361694336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (334.9781036377): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (716.9246673584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (622.98774719238): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (414.13307189941): SELECT name FROM jos_deeppockets WHERE id=215

136 (60.081481933594): SELECT name FROM jos_deeppockets WHERE id=215

137 (912.18948364258): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (648.97537231445): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

140 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

141 (!!!!! 11224.985122681): TRUNCATE TABLE jos_trademed_module

142 (133.99124145508): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797780 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (76.770782470703): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797780 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (614.88151550293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (81.777572631836): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

147 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

148 (!!!!! 1469.1352844238): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

150 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

151 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797780 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797780 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (51.021575927734): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

153 (48.87580871582): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

154 (48.87580871582): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

156 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797780 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797780 AND published='1' LIMIT 1

157 (159.02519226074): select jos_twitters.link from jos_twitters where cat=10

158 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

159 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

160 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

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