Accuracy of MRI classification algorithms in a tertiary memory center clinical routine cohort
Open accessAbstract
BACKGROUND: Automated volumetry software (AVS) has recently become widely available to neuroradiologists. MRI volumetry with AVS may support the diagnosis of dementias by identifying regional atrophy. Moreover, automatic classifiers using machine learning techniques have recently emerged as promising approaches to assist diagnosis. However, the performance of both AVS and automatic classifiers have been evaluated mostly in the artificial setting of research datasets. OBJECTIVE: Our aim was to evaluate the performance of two AVS and an automatic classifier in the clinical routine condition of a memory clinic. METHODS: We studied 239 patients with cognitive troubles from a single memory center cohort. Using clinical routine T1-weighted MRI, we evaluated the classification performance of: 1) univariate volumetry using two AVS (volBrain and Neuroreader™); 2) Support Vector Machine (SVM) automatic classifier, using either the AVS volumes (SVM-AVS), or whole gray matter (SVM-WGM); 3) reading by two neuroradiologists. The performance measure was the balanced diagnostic accuracy. The reference standard was consensus diagnosis by three neurologists using clinical, biological (cerebrospinal fluid) and imaging data and following international criteria. RESULTS: Univariate AVS volumetry provided only moderate accuracies (46% to 71% with hippocampal volume). The accuracy improved when using SVM-AVS classifier (52% to 85%), becoming close to that of SVM-WGM (52 to 90%). Visual classification by neuroradiologists ranged between SVM-AVS and SVM-WGM. CONCLUSION: In the routine practice of a memory clinic, the use of volumetric measures provided by AVS yields only moderate accuracy. Automatic classifiers can improve accuracy and could be a useful tool to assist diagnosis.
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Morin et al. (2020) demonstrated that multimodal AI excels at differentiating diseases with distinct MRI signatures (AD/FTD/semantic dementia).
“Morin et al. (2020) demonstrated that multimodal AI excels at differentiating diseases with distinct MRI signatures (AD/FTD/semantic dementia)”
From Multimodal neuroimaging and AI integration in cognitive disorders: advances, challenges, and future directions for precision medicine (2026) · cites this paper as Morin et al., 2020
Morin et al. (2020) demonstrated that multimodal AI struggles with atypically presenting pathologies like DLB.
“but struggles with atypically presenting pathologies like DLB”
From Multimodal neuroimaging and AI integration in cognitive disorders: advances, challenges, and future directions for precision medicine (2026) · cites this paper as Morin et al., 2020
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Self-citation
- Authors
- Morin, A., Samper-Gonzalez, J., Bertrand, A., Ströer, S., Dormont, D., Mendes, A., Coupé, P., Ahdidan, J., Lévy, M., Samri, D., Hampel, H., Dubois, B., Teichmann, M., Epelbaum, S., & Colliot, O.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Sorbonne Universités, UPMC Univ Paris 06, Inserm, CNRS, ICM, Paris, France
- Assistance Publique – Hôpitaux de Paris (FR)
- Laboratoire Bordelais de Recherche en Informatique, Unit Mixte de Recherche CNRS (UMR 5800), PICTURA Research Group, Bordeaux, France
- Brainreader, Horsens, Denmark
- Inserm (FR)
- Corresponding author
- Colliot, Olivier
- ORCID
- Venue
- Journal of Alzheimer’s Disease
- Publisher
- SAGE Publications
- Published
- 2020-03-02
- Volume
- 74
- Issue
- 4
- Pages
- 1157-1166
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- OpenAlex
- W2767121381
- Cited by
- 25
- References
- 43
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 7 · 2022: 4 · 2021: 5 · 2020: 3 · 2019: 1
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- arXiv (Cornell University) (submittedVersion)
- HAL (submittedVersion, other-oa)
- arXiv (Cornell University)
- Funders
- National Science Foundation
- European Commission
- Agence Nationale de la Recherche (NEUC-0001., ANR-14-CE15-0016, ANR-19-P3IA-0001, ANR-11-IDEX-0004, ANR-16-NEUC-0001)
- AXA Research Fund (ANR-10-IAIHU-06)
- Université Pierre et Marie Curie
- Assistance publique-Hôpitaux de Paris
- Fondation pour la Recherche sur Alzheimer
- National Institutes of Health (-0001)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Keywords
- dementia diagnosis
- MeSH terms
- Aged, Algorithms, Alzheimer Disease, Brain, Cognition Disorders, Dementia, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Retrospective Studies, Software, Reproducibility of Results, Neuroimaging, Support Vector Machine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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