Evidence map›Paper›PMID 29636016›Full record

ArticleBMC psychiatry2018

Machine learning classification of first-episode schizophrenia spectrum disorders and controls using whole brain white matter fractional anisotropy.

Pavol Mikolas, Jaroslav Hlinka, Antonin Skoch, Zbynek Pitra, Thomas Frodl, Filip Spaniel, Tomas Hajek

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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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

7 authors at 5 institutions in 3 countries.

Pavol MikolasDepartment of Psychiatry and Psychotherapy, Otto von Guericke University, Leipziger Str. 44, 39120, Magdeburg, Germany.
Jaroslav HlinkaNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Antonin SkochNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Zbynek PitraNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Thomas FrodlDepartment of Psychiatry and Psychotherapy, Otto von Guericke University, Leipziger Str. 44, 39120, Magdeburg, Germany.
Filip Spaniel3rd Faculty of Medicine, Charles University, Ruska 87, 100 00, Prague, Czech Republic.
Tomas HajekNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic. tomas.hajek@dal.ca.
National Institute of Mental Health · CZOtto-von-Guericke University Magdeburg · DECzech Academy of Sciences, Institute of Computer Science · CZCzech Technical University in Prague · CZDalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis of schizophrenia could improve the outcome of the illness. Unlike classical between-group comparisons, machine learning can identify subtle disease patterns on a single subject level, which could help realize the potential of MRI in establishing a psychiatric diagnosis. Machine learning has previously been predominantly tested on gray-matter structural or functional MRI data. In this paper we used a machine learning classifier to differentiate patients with a first episode of schizophrenia-spectrum disorder (FES) from healthy controls using diffusion tensor imaging.

methodsWe applied linear support-vector machine (SVM) and traditional tract based spatial statistics between group analyses to brain fractional anisotropy (FA) data from 77 FES and 77 age and sex matched healthy controls. We also evaluated the effects of medication and symptoms on the SVM classification.

resultsThe SVM distinguished between patients and controls with significant accuracy of 62.34% (p = 0.005). Participants with FES showed widespread FA reductions relative to controls in a large cluster (N  = 56,647 voxels, corrected p = 0.002). The white matter regions, which contributed to the correct identification of participants with FES, overlapped with the regions, which showed lower FA in patients relative to controls. There was no association between the classification performance and medication or symptoms.

conclusionsOur results provide a proof of concept that SVM might help differentiate FES patients early in the course of illness from healthy controls using white-matter fractional anisotropy. As there was no effect of medications or symptoms, the SVM classification seemed to be based on trait rather than state markers and appeared to capture the lower FA in FES participants relative to controls.

Indexed as

Early DiagnosisSupport Vector MachineAdultAnisotropyBrainCase-Control StudiesDiffusion Tensor ImagingFemaleHumansMaleSchizophreniaWhite MatterYoung AdultDiffusion tensor imagingFirst-episode schizophrenia spectrum disordersMagnetic resonance imagingSupport vector machines

Identifiers

PMID29636016
PMCPMC5891928
OpenAlexW2803143819

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.