Evidence map›Paper›PMID 27047994›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2016

Individualized Prediction and Clinical Staging of Bipolar Disorders using Neuroanatomical Biomarkers.

Benson Mwangi, Mon-Ju Wu, Bo Cao, Ives C Passos, Luca Lavagnino, Zafer Keser, Giovana B Zunta-Soares, Khader M Hasan, Flavio Kapczinski, Jair C Soares

Abstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. The role of microstructural integrity of major language pathways in narrative speech in the first year after stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Benson MwangiUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.
Mon-Ju WuUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.
Bo CaoUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.
Ives C PassosUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.
Luca LavagninoUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.
Zafer KeserDepartment of Physical Medicine and Rehabilitation and TIRR Memorial Hermann Neuro-Recovery Research Center, The University of Texas Health Science Center Houston, Houston, TX, USA.
Giovana B Zunta-SoaresUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.
Khader M HasanDepartment of Diagnostic and Interventional Radiology, The University of Texas Health Science Center Houston, Houston, TX, USA.
Flavio KapczinskiBipolar Disorder Program, Laboratory of Molecular Psychiatry, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil; Graduation Program in Psychiatry and Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Jair C SoaresUT Center of Excellence on Mood Disorders, The University of Texas Health Science Center Houston, Houston, TX, USA.

Funding

Searching for Endophenotypes of Bipolar DisorderR01MH085667 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SOARES, JAIR C · 2012 to 2016
$3.0M
NIMH NIH HHS R01 MH085667
6 · The paper itself

Abstract

backgroundNeuroanatomical abnormalities in Bipolar disorder (BD) have previously been reported. However, the utility of these abnormalities in distinguishing individual BD patients from Healthy controls and stratify patients based on overall illness burden has not been investigated in a large cohort.

methodsIn this study, we examined whether structural neuroimaging scans coupled with a machine learning algorithm are able to distinguish individual BD patients from Healthy controls in a large cohort of 256 subjects. Additionally, we investigated the relationship between machine learning predicted probability scores and subjects' clinical characteristics such as illness duration and clinical stages. Neuroimaging scans were acquired from 128 BD patients and 128 Healthy controls. Gray and white matter density maps were obtained and used to 'train' a relevance vector machine (RVM) learning algorithm which was used to distinguish individual patients from Healthy controls.

resultsThe RVM algorithm distinguished patients from Healthy controls with 70.3 % accuracy (74.2 % specificity, 66.4 % sensitivity, chi-square p<0.005) using white matter density data and 64.9 % accuracy (71.1 % specificity, 58.6 % sensitivity, chi-square p<0.005) with gray matter density. Multiple brain regions - largely covering the fronto - limbic system were identified as 'most relevant' in distinguishing both groups. Patients identified by the algorithm with high certainty (a high probability score) - belonged to a subgroup with more than ten total lifetime manic episodes including hospitalizations (late stage).

conclusionsThese results indicate the presence of widespread structural brain abnormalities in BD which are associated with higher illness burden - which points to neuroprogression.

Indexed as

Bipolar DisordersClinical StagingMachine Learning. Big DataManic EpisodesNeuroimaging

Identifiers

PMID27047994
PMCPMC4817111

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.