Incorporating attention mechanism in enhancing classification of Alzheimers disease

Abstract

Alzheimer's disease (AD) is a progressive and irreversible neurodegenerative disease that requires attentive medical evaluation therefore, diagnosing of AD accurately is crucial to provide the patients with appropriate treatment to slow down the progression of AD as well to facilitate the treatment interventions. To date, deep learning by means of convolutional neural networks (CNNs) has been widely used in diagnosing of AD there are several well-established CNNs architectures that have been used in the image classification domain for magnetic resonance imaging (MRI) images analysis such as LeNet-5, Inception-V4, VGG-16 and Residual Network. However, these existing deep learning-based methods have lack of ability to be spatial invariance to the input data, due to overlooking some salient local features of the region of interest (ROI) (i.e., hippocampal). In medical image analysis, local features of MRI images are hard to exploit due to the small pixel size of ROI. On the other hand, CNNs requires large dataset sample to perform well, but we have limited number of MRI images to train, thus, leading to overfitting therefore, we propose a novel deep learning-based model without pre-processing techniques by incorporating attention mechanism and global average pooling (GAP) layer to VGG-16 architecture to capture the salient features of the MRI image for subtle discriminating of AD and normal control (NC). Also, we utilize transfer learning to surpass the overfitting issue. Experiment is performed on data collected from Open Access Series of Imaging Studies (OASIS) database the accuracy performance of binary classification (AD vs NC) using proposed method significantly outperforms the existing methods, 12-layered CNNs (trained from scratch) and Inception-V4 (transfer learning) by increasing 1.93% and 3.43% of the accuracy. In conclusion, Attention-GAP model capable of improving and achieving notable classification accuracy in diagnosing AD.