Evidence map›Paper›PMID 32558996›Full record

ArticleHuman brain mapping2020

Automated classification of depression from structural brain measures across two independent community-based cohorts.

Aleks Stolicyn, Mathew A Harris, Xueyi Shen, Miruna C Barbu, Mark J Adams, Emma L Hawkins, Laura de Nooij, Hon Wah Yeung, Alison D Murray, Stephen M Lawrie and 3 more

Abstract read
In one paragraph

Article in Human brain mapping, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Molecular, Structural, and Functional Neuroimaging in Major Depression.Advances in experimental medicine and biology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Structural brain correlates of childhood trauma with replication across two large, independent community-based samples.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

13 authors.

Aleks StolicynDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-1147-7539
Mathew A HarrisDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-1135-4141
Xueyi ShenDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-0538-4774
Miruna C BarbuDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0001-8967-683X
Mark J AdamsDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-3599-6018
Emma L HawkinsDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-0241-7251
Laura de NooijDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0001-9019-2672
Hon Wah YeungDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-4993-9014
Alison D MurrayAberdeen Biomedical Imaging Centre, University of Aberdeen, Lilian Sutton Building, Foresterhill, Aberdeen, UK.ORCID 0000-0003-4915-4847
Stephen M LawrieDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-2444-5675
J Douglas SteeleSchool of Medicine (Division of Imaging Science and Technology), University of Dundee, Dundee, UK.ORCID 0000-0002-9822-8753
Andrew M McIntoshDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-0198-4588
Heather C WhalleyDivision of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, UK.ORCID 0000-0002-4505-8869

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MRC-MC_PC_17209Wellcome TrustWellcome Trust 104036/Z/14/Z
6 · The paper itself

Abstract

Major depressive disorder (MDD) has been the subject of many neuroimaging case-control classification studies. Although some studies report accuracies ≥80%, most have investigated relatively small samples of clinically-ascertained, currently symptomatic cases, and did not attempt replication in larger samples. We here first aimed to replicate previously reported classification accuracies in a small, well-phenotyped community-based group of current MDD cases with clinical interview-based diagnoses (from STratifying Resilience and Depression Longitudinally cohort, 'STRADL'). We performed a set of exploratory predictive classification analyses with measures related to brain morphometry and white matter integrity. We applied three classifier types-SVM, penalised logistic regression or decision tree-either with or without optimisation, and with or without feature selection. We then determined whether similar accuracies could be replicated in a larger independent population-based sample with self-reported current depression (UK Biobank cohort). Additional analyses extended to lifetime MDD diagnoses-remitted MDD in STRADL, and lifetime-experienced MDD in UK Biobank. The highest cross-validation accuracy (75%) was achieved in the initial current MDD sample with a decision tree classifier and cortical surface area features. The most frequently selected decision tree split variables included surface areas of bilateral caudal anterior cingulate, left lingual gyrus, left superior frontal, right precentral and paracentral regions. High accuracy was not achieved in the larger samples with self-reported current depression (53.73%), with remitted MDD (57.48%), or with lifetime-experienced MDD (52.68-60.29%). Our results indicate that high predictive classification accuracies may not immediately translate to larger samples with broader criteria for depression, and may not be robust across different classification approaches.

Indexed as

AdultAgedCerebral CortexCohort StudiesDatasets as TopicDiffusion Magnetic Resonance ImagingFemaleGray MatterHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleMiddle AgedNeuroimagingRemission InductionSensitivity and Specificitybrain structureclassificationdepressiondiffusion MRImachine learningmajor depressive disorderstructural MRI

Identifiers

PMID32558996
PMCPMC7469862

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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.