Standardization of multivariate Gaussian mixture models and background adjustment of PET images in brain oncology

dc.citation.firstpage2197
dc.citation.issueNumber4
dc.citation.journalTitleThe Annals of Applied Statistics
dc.citation.lastpage2227
dc.citation.volumeNumber12
dc.contributor.authorLi, Meng
dc.contributor.authorSchwartzman, Armin
dc.date.accessioned2019-01-09T17:21:12Z
dc.date.available2019-01-09T17:21:12Z
dc.date.issued2018
dc.description.abstractIn brain oncology, it is routine to evaluate the progress or remission of the disease based on the differences between a pre-treatment and a post-treatment Positron Emission Tomography (PET) scan. Background adjustment is necessary to reduce confounding by tissue-dependent changes not related to the disease. When modeling the voxel intensities for the two scans as a bivariate Gaussian mixture, background adjustment translates into standardizing the mixture at each voxel, while tumor lesions present themselves as outliers to be detected. In this paper, we address the question of how to standardize the mixture to a standard multivariate normal distribution, so that the outliers (i.e., tumor lesions) can be detected using a statistical test. We show theoretically and numerically that the tail distribution of the standardized scores is favorably close to standard normal in a wide range of scenarios while being conservative at the tails, validating voxelwise hypothesis testing based on standardized scores. To address standardization in spatially heterogeneous image data, we propose a spatial and robust multivariate expectation-maximization (EM) algorithm, where prior class membership probabilities are provided by transformation of spatial probability template maps and the estimation of the class mean and covariances are robust to outliers. Simulations in both univariate and bivariate cases suggest that standardized scores with soft assignment have tail probabilities that are either very close to or more conservative than standard normal. The proposed methods are applied to a real data set from a PET phantom experiment, yet they are generic and can be used in other contexts.
dc.identifier.citationLi, Meng and Schwartzman, Armin. "Standardization of multivariate Gaussian mixture models and background adjustment of PET images in brain oncology." <i>The Annals of Applied Statistics,</i> 12, no. 4 (2018) The Institute of Mathematical Statistics: 2197-2227. https://doi.org/10.1214/18-AOAS1149.
dc.identifier.digitalSTANDARDIZATION
dc.identifier.doihttps://doi.org/10.1214/18-AOAS1149
dc.identifier.urihttps://hdl.handle.net/1911/105025
dc.language.isoeng
dc.publisherThe Institute of Mathematical Statistics
dc.rightsArticle is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use.
dc.titleStandardization of multivariate Gaussian mixture models and background adjustment of PET images in brain oncology
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpublisher version
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