Multilevel Clustering-Evolutionary Random Support Vector Machine Cluster Algorithm-Based Blood Oxygenation Level-Dependent Functional Magnetic Resonance Imaging Images in Analysis of Therapeutic Effects on Cerebral Ischemic Stroke

Abstract

The study aimed to explore the relationship between cerebral ischemic stroke (CIS) and the patient’s limb movement through the blood oxygenation level-dependent functional magnetic resonance imaging (BOLD-fMRI) based on multilevel clustering-evolutionary random support vector machine cluster (MCRSVMC). Specifically, 20 CIS patients were defined as the experimental group; another 20 healthy volunteers were defined as the control group. All subjects performed finger movement and verb association task. The performance of support vector machine (SVM) and MCRSVMC algorithm was compared and applied to functional magnetic resonance imaging (fMRI) of blood oxygen level in all subjects. The results showed that the average accuracy of MCRSVMC algorithm was significantly higher than that of support vector machine (86.75%, 65.84%; $P<0.05$ ). The sensitivity of MCRSVMC algorithm was significantly higher than that of support vector machine (92.52%, 75.41%; $P<0.05$ ). In addition, the specificity of MCRSVMC algorithm was significantly higher than that of support vector machine (86.39%, 68.24%; $P<0.05$ ). When CIS patients performed finger exercise, the sensory motor areas on both sides were significantly activated, and the activated sensory motor areas on both sides were significantly bigger than the ipsilateral area. The activation rate of the left-sensory motor area (L-SM1) was 87.5%, the activation rate of the right-sensory motor area (R-SM1) was 25%, the activation rate of the left-side auxiliary motor area (L-SMA) was 62.5%, and the activation rate of the right-side auxiliary motor area (R-SMA) was 37.5%. In conclusion, the MCRSVMC algorithm proposed in this study is highly efficient and stable. BOLD-fMRI diagnosis of motor function in CIS patients is mainly related to compensation around the lesion, which occurs on the healthy side after recovery.