Analysis and visualization of the effect of multiple sclerosis on biological brain age.

Introduction: The rate of neurodegeneration in multiple sclerosis (MS) is an important biomarker for disease progression but can be challenging to quantify. The brain age gap, which quantifies the difference between a patient's chronological and their estimated biological brain age, might be a valuable biomarker of neurodegeneration in patients with MS. Thus, the aim of this study was to investigate the value of an image-based prediction of the brain age gap using a deep learning model and compare brain age gap values between healthy individuals and patients with MS.

Methods: A multi-center dataset consisting of 5,294 T1-weighted magnetic resonance images of the brain from healthy individuals aged between 19 and 89 years was used to train a convolutional neural network (CNN) for biological brain age prediction. The trained model was then used to calculate the brain age gap in 195 patients with relapsing remitting MS (20-60 years). Additionally, saliency maps were generated for healthy subjects and patients with MS to identify brain regions that were deemed important for the brain age prediction task by the CNN.

Results: Overall, the application of the CNN revealed accelerated brain aging with a larger brain age gap for patients with MS with a mean of 6.98 ± 7.18 years in comparison to healthy test set subjects (0.23 ± 4.64 years). The brain age gap for MS patients was weakly to moderately correlated with age at disease onset (ρ = -0.299, < 0.0001), EDSS score (ρ = 0.206, = 0.004), disease duration (ρ = 0.162, = 0.024), lesion volume (ρ = 0.630, < 0.0001), and brain parenchymal fraction (ρ = -0.718, < 0.0001). The saliency maps indicated significant differences in the lateral ventricle ( < 0.0001), insula ( < 0.0001), third ventricle ( < 0.0001), and fourth ventricle ( = 0.0001) in the right hemisphere. In the left hemisphere, the inferior lateral ventricle ( < 0.0001) and the third ventricle ( < 0.0001) showed significant differences. Furthermore, the Dice similarity coefficient showed the highest overlap of salient regions between the MS patients and the oldest healthy subjects, indicating that neurodegeneration is accelerated in this patient cohort.

Discussion: In conclusion, the results of this study show that the brain age gap is a valuable surrogate biomarker to measure disease progression in patients with multiple sclerosis.