Data-driven clustering reveals a link between symptoms and functional brain connectivity in depression

Meer

et al. 2019

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Cognitive abilities and mental disorders are complex traits sharing a largely unknown neuronal basis and aetiology. Their genetic architectures are highly polygenic and overlapping, which is supported by heterogeneous phenotypic expression and substantial clinical overlap. Brain network analysis provides a non-invasive means of dissecting biological heterogeneity yet its sensitivity, specificity and validity in clinical applications remains a major challenge. We used machine learning on static and dynamic temporal synchronization between all brain network nodes in 10,343 healthy individuals from the UK Biobank to predict (i) cognitive and mental health traits and (ii) their genetic underpinnings.We predicted age and sex to serve as our reference point. The traits of interest included individual level educational attainment and fluid intelligence (cognitive) and dimensional measures of depression, anxiety, and neuroticism (mental health). We predicted polygenic scores for educational attainment, fluid intelligence, depression, anxiety, and different neuroticism traits, in addition to schizophrenia. Beyond high accuracy for age and sex, permutation tests revealed above chance-level prediction accuracy for educational attainment and fluid intelligence. Educational attainment and fluid intelligence were mainly negatively associated with static brain connectivity in frontal and default mode networks, whereas age showed positive correlations with a more widespread pattern. In comparison, prediction accuracy for polygenic scores was at chance level across traits, which may serve as a benchmark for future studies aiming to link genetic factors and fMRI-based brain connectomics. SignificanceAlthough cognitive abilities and susceptibility to mental disorders reflect individual differences in brain function, neuroimaging is yet to provide a coherent account of the neuronal underpinnings. Here, we aimed to map the brain functional connectome of (i) cognitive and mental health traits and (ii) their polygenic architecture in a large populationbased sample. We discovered high prediction accuracy for age and sex, and above-chance accuracy for educational attainment and intelligence (cognitive). In contrast, accuracies for dimensional measures of depression, anxiety and neuroticism (mental health), and polygenic scores across traits, were at chance level. These findings support the link between cognitive abilities and brain connectomics and provide a reference for studies mapping the brain connectomics of mental disorders and their genetic architectures.

Section: Discussionsupporting

confidence: 80%

Predicting cognitive and mental health traits and their polygenic architecture using large-scale brain connectomics

Meer

et al. 2019

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“…However, inherent limitations associated with the classical case-control design in mental health research have recently been emphasized using neuroimaging data (24,25). In particular, the current lack of biologically informed diagnostic criteria should motivate future studies to consider alternative approaches to promote a novel clinical nosology based both on symptomatology and data-driven clustering (56), as well as brain-based and biological phenotypes cutting across diagnostic boundaries.…”

Section: Discussionmentioning

confidence: 99%

Brain age prediction reveals aberrant brain white matter in schizophrenia and bipolar disorder: A multi-sample diffusion tensor imaging study

Tønnesen

Lange

et al. 2019

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Word count abstract: 249/250 | Main text: 3810/4000 Number of Figures 2 | Tables: 1 | Supplementary information: 1 document Abstract (249/250 words)Background: Schizophrenia (SZ) and bipolar disorders (BD) share substantial neurodevelopmental components affecting brain maturation and architecture. This necessitates a dynamic lifespan perspective in which brain aberrations are inferred from deviations from expected lifespan trajectories. We applied machine learning to diffusion tensor imaging (DTI) indices of white matter structure and organization to estimate and compare brain age between patients with SZ, BD, and healthy controls across 10 cohorts.Methods: We trained six cross-validated models using different combinations of DTI data from 927 healthy controls (HC, 18-94 years), and applied the models to the test sets including 648 SZ (18-66 years) patients, 185 BD patients (18-64 years), and 990 HC (17-68 years), estimating brain age for each participant. Group differences were assessed using linear models, accounting for age, sex, and scanner. A meta-analytic framework was applied to assess the heterogeneity and generalizability of the results.Results: 10-fold cross-validation revealed high accuracy for all models. Compared to controls, the model including all feature sets significantly over-estimated the age of patients with SZ (d=-.29) and BD (d=.18), with similar effects for the other models. The meta-analysis converged on the same findings. Fractional anisotropy (FA) based models showed larger group differences than the models based on other DTI-derived metrics.Conclusions: Brain age prediction based on DTI provides informative and robust proxies for brain white matter integrity. Our results further suggest that white matter aberrations in SZ and BD primarily consist of anatomically distributed deviations from expected lifespan trajectories that generalize across cohorts and scanners.

“…FIX substantially improved tSNR (t = 20.89, p < 0.001, Cohen's d = 1.95), and no fMRI scans from healthy controls (n = 72) nor from patients (n = 178) were excluded. Group-level ICA with model order fixed at 40 was performed on a balanced subset of healthy controls and patients (N = 72 from each group), which has been used in a previous study (Maglanoc et al, 2019). Dual regression (Nickerson, Smith, Öngür, & Beckmann, 2017) was used to estimate spatial maps and corresponding time-series of all components.…”

Section: Resting-state Fmri Preprocessingmentioning

confidence: 99%

Multimodal fusion of structural and functional brain imaging in depression using linked independent component analysis

Maglanoc

Jonassen

et al. 2019

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Background: Previous structural and functional neuroimaging studies have implicated distributed brain regions and networks in depression. However, there are no robust imaging biomarkers that are specific to depression, which may be due to clinical heterogeneity and neurobiological complexity. A dimensional approach and fusion of imaging modalities may yield a more coherent view of the neuronal correlates of depression. Methods:We used linked independent component analysis to fuse cortical macrostructure (thickness, area, gray matter density), white matter diffusion properties and resting-state fMRI default mode network amplitude in patients with a history of depression (n = 170) and controls (n = 71). We used univariate and machine learning approaches to assess the relationship between age, sex, case-control status, and symptom loads for depression and anxiety with the resulting brain components.Results: Univariate analyses revealed strong associations between age and sex with mainly global but also regional specific brain components, with varying degrees of multimodal involvement. In contrast, there were no significant associations with case-control status, nor symptom loads for depression and anxiety with the brain components, nor any interaction effects with age and sex. Machine learning revealed low model performance for classifying patients from controls and predicting symptom loads for depression and anxiety, but high age prediction accuracy. Conclusion:Multimodal fusion of brain imaging data alone may not be sufficient for dissecting the clinical and neurobiological heterogeneity of depression. Precise clinical stratification and methods for brain phenotyping at the individual level based on large training samples may be needed to parse the neuroanatomy of depression.