Identifying juvenile myoclonic epilepsy via diffusion tensor imaging using machine learning analysis

The aim of this study was to evaluate the feasibility of using a machine learning approach based on dif-fusion tensor imaging (DTI) to identify patients with juvenile myoclonic epilepsy. We analyzed the use-fulness of combining conventional DTI measures and structural connectomic profiles. This retrospective study was conducted at a tertiary hospital. We enrolled 55 patients with juvenile myoclonic epilepsy. All of the subjects underwent DTI from January 2017 to March 2020. We also enrolled 58 healthy subjects as a normal control group. We extracted conventional DTI measures and structural connectomic DTI pro-files. We employed the support vector machines (SVM) algorithm to classify patients with juvenile myo-clonic epilepsy and healthy subjects based on the conventional DTI measures and structural connectomic profiles. The SVM classifier based on conventional DTI measures had an accuracy of 68.1% and an area under the curve (AUC) of 0.682. Another SVM classifier based on the structural connectomic profiles demonstrated an accuracy of 72.7% and an AUC of 0.727. The SVM classifier based on combining the con-ventional DTI measures and structural connectomic profiles had an accuracy of 81.8% and an AUC of 0.818. DTI using machine learning is useful for classifying patients with juvenile myoclonic epilepsy and healthy subjects. Combining both the conventional DTI measures and structural connectomic profiles results in a better classification performance than using conventional DTI measures or the structural con-nectomic profiles alone to identify juvenile myoclonic epilepsy. (c) 2021 Elsevier Ltd. All rights reserved.