Evidence map›Paper›PMID 29844507›Full record

ArticleScientific reports2018

Alcohol use effects on adolescent brain development revealed by simultaneously removing confounding factors, identifying morphometric patterns, and classifying individuals.

Sang Hyun Park, Yong Zhang, Dongjin Kwon, Qingyu Zhao, Natalie M Zahr, Adolf Pfefferbaum, Edith V Sullivan, Kilian M Pohl

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
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  4. Neurocognitive Latent Space Regularization for Multi-Label Diagnosis from MRI.Predictive Intelligence in Medicine. PRIME (Workshop) · 2025
    Article
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  8. Review
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  12. Confounder-Aware Visualization of ConvNets.Machine learning in medical imaging. MLMI (Workshop) · 2019
    Article
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

8 authors at 4 institutions in 3 countries.

Sang Hyun ParkDepartment of Robotics Engineering, Daegu Gyeongbuk Institute of Science and Technology, Daegu, South Korea.
Yong ZhangColin Artificial Intelligence Lab, Richmond, BC, Canada.
Dongjin KwonDepartment of Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.ORCID 0000-0003-4942-9214
Qingyu ZhaoDepartment of Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.
Natalie M ZahrDepartment of Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.
Adolf PfefferbaumDepartment of Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.
Edith V SullivanDepartment of Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.
Kilian M PohlCenter for Health Sciences, SRI International, Menlo Park, CA, 94025, USA. kilian.pohl@sri.com.
SRI International · USStanford University · USArtificial Intelligence in Medicine (Canada) · CADaegu Gyeongbuk Institute of Science and Technology · KR

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OLAF KUTSCH · 1988 to 2026
$84.1M
TRACKING HIV INFECTION AND ALCOHOL ABUSE CNS COMORBIDITY WITH NEUROIMAGINGU01AA017347 · NIAAA · SRI INTERNATIONAL · PI PFEFFERBAUM, ADOLF, SULLIVAN, EDITH VIONI · 2007 to 2021
$16.0M
NCANDA: Data Analysis Resource - Uploading Legacy Data to NDAU24AA021697 · NIAAA · STANFORD UNIVERSITY · PI Adolf Pfefferbaum, Kilian Maria Pohl · 2016 to 2026
$12.2M
NEUROIMAGING OF CONNECTIVITY IN ALCOHOLISMR01AA012388 · NIAAA · SRI INTERNATIONAL · PI PFEFFERBAUM, ADOLF, SULLIVAN, EDITH VIONI · 2000 to 2015
$10.6M
CEREBELLAR STRUCTURE AND FUNCTION IN ALCOHOLISMR01AA010723 · NIAAA · STANFORD UNIVERSITY · PI SULLIVAN, EDITH VIONI, ZAHR, NATALIE M · 1996 to 2025
$8.3M
Machine learning to distinguish HAND from Alzheimer's disease in HIV over age 60R01MH113406 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POHL, KILIAN MARIA, VALCOUR, VICTOR · 2017 to 2021
$5.5M
Cerebellar Structure and Function in AlcoholismR37AA010723 · NIAAA · STANFORD UNIVERSITY · PI SULLIVAN, EDITH VIONI · 2010 to 2019
$5.4M
Tracking HIV Infection & Alcohol Abuse CNS Comorbidity with NeuroimagingR01AA017347 · NIAAA · SRI INTERNATIONAL · PI Adolf Pfefferbaum · 2022 to 2026
$5.2M
N-CANDA: DATA ANALYSIS COMPONENTU01AA021697 · NIAAA · SRI INTERNATIONAL · PI PFEFFERBAUM, ADOLF, POHL, KILIAN MARIA · 2012 to 2015
$3.6M
Translational Studies of Brain Circuitry Disrupted by AlcoholismK05AA017168 · NIAAA · STANFORD UNIVERSITY · PI SULLIVAN, EDITH VIONI · 2008 to 2017
$2.2M
NIAAA NIH HHS K05 AA017168NIAAA NIH HHS R01 AA010723NIAAA NIH HHS R01 AA012388NIAAA NIH HHS R01 AA017347NIAAA NIH HHS R37 AA010723NIAAA NIH HHS U01 AA017347NIAAA NIH HHS U01 AA021697NIAAA NIH HHS U24 AA021697NIAID NIH HHS P30 AI027767NIMH NIH HHS R01 MH113406
6 · The paper itself

Abstract

Group analysis of brain magnetic resonance imaging (MRI) metrics frequently employs generalized additive models (GAM) to remove contributions of confounding factors before identifying cohort specific characteristics. For example, the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) used such an approach to identify effects of alcohol misuse on the developing brain. Here, we hypothesized that considering confounding factors before group analysis removes information relevant for distinguishing adolescents with drinking history from those without. To test this hypothesis, we introduce a machine-learning model that identifies cohort-specific, neuromorphometric patterns by simultaneously training a GAM and generic classifier on macrostructural MRI and microstructural diffusion tensor imaging (DTI) metrics and compare it to more traditional group analysis and machine-learning approaches. Using a baseline NCANDA MR dataset (N = 705), the proposed machine learning approach identified a pattern of eight brain regions unique to adolescents who misuse alcohol. Classifying high-drinking adolescents was more accurate with that pattern than using regions identified with alternative approaches. The findings of the joint model approach thus were (1) impartial to confounding factors; (2) relevant to drinking behaviors; and (3) in concurrence with the alcohol literature.

Indexed as

Alcohol DrinkingAdolescentBrainCase-Control StudiesCohort StudiesDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingMale

Identifiers

PMID29844507
PMCPMC5974423
OpenAlexW2805700032

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.