Evidence map›Paper›PMID 29622496›Full record

ArticleEBioMedicine2018

Multi-Site Diagnostic Classification of Schizophrenia Using Discriminant Deep Learning with Functional Connectivity MRI.

Ling-Li Zeng, Huaning Wang, Panpan Hu, Bo Yang, Weidan Pu, Hui Shen, Xingui Chen, Zhening Liu, Hong Yin, Qingrong Tan and 2 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 4 pooled it
14.5field-weighted citation impact, top 1% of its field
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

110 citing papers in PubMed, 4 syntheses or guidelines pooled it, 276 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

50 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 1 country.

Ling-Li ZengCollege of Mechatronics and Automation, National University of Defense Technology, Changsha, China.
Huaning WangDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Panpan HuDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Bo YangCollege of Mechatronics and Automation, National University of Defense Technology, Changsha, China.
Weidan PuMedical Psychological Center, Second Xiangya Hospital, Central South University, Changsha, China.
Hui ShenCollege of Mechatronics and Automation, National University of Defense Technology, Changsha, China.
Xingui ChenDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhening LiuMental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China.
Hong YinDepartment of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Qingrong TanDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China. Electronic address: tanqingr@fmmu.edu.cn.
Kai WangDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. Electronic address: wangkai1964@126.com.
Dewen HuCollege of Mechatronics and Automation, National University of Defense Technology, Changsha, China. Electronic address: dwhu@nudt.edu.cn.
National University of Defense Technology · CNAnhui Medical University · CNSecond Xiangya Hospital of Central South University · CNXijing Hospital · CNAir Force Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA lack of a sufficiently large sample at single sites causes poor generalizability in automatic diagnosis classification of heterogeneous psychiatric disorders such as schizophrenia based on brain imaging scans. Advanced deep learning methods may be capable of learning subtle hidden patterns from high dimensional imaging data, overcome potential site-related variation, and achieve reproducible cross-site classification. However, deep learning-based cross-site transfer classification, despite less imaging site-specificity and more generalizability of diagnostic models, has not been investigated in schizophrenia.

methodsA large multi-site functional MRI sample (n = 734, including 357 schizophrenic patients from seven imaging resources) was collected, and a deep discriminant autoencoder network, aimed at learning imaging site-shared functional connectivity features, was developed to discriminate schizophrenic individuals from healthy controls.

findingsAccuracies of approximately 85·0% and 81·0% were obtained in multi-site pooling classification and leave-site-out transfer classification, respectively. The learned functional connectivity features revealed dysregulation of the cortical-striatal-cerebellar circuit in schizophrenia, and the most discriminating functional connections were primarily located within and across the default, salience, and control networks.

interpretationThe findings imply that dysfunctional integration of the cortical-striatal-cerebellar circuit across the default, salience, and control networks may play an important role in the "disconnectivity" model underlying the pathophysiology of schizophrenia. The proposed discriminant deep learning method may be capable of learning reliable connectome patterns and help in understanding the pathophysiology and achieving accurate prediction of schizophrenia across multiple independent imaging sites.

Indexed as

Machine LearningMagnetic Resonance ImagingAdultDemographyDiscriminant AnalysisFemaleHumansMaleNeural PathwaysSchizophreniaSupport Vector MachineCerebellumConnectomeDeep learningfMRISchizophreniaStriatum

Identifiers

PMID29622496
PMCPMC5952341
OpenAlexW2789863594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.