Evidence map›Paper›PMID 33622655›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2021

Searching for Imaging Biomarkers of Psychotic Dysconnectivity.

Amanda L Rodrigue, Dana Mastrovito, Oscar Esteban, Joke Durnez, Marinka M G Koenis, Ronald Janssen, Aaron Alexander-Bloch, Emma M Knowles, Samuel R Mathias, Josephine Mollon and 5 more

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 38% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

15 authors at 7 institutions in 2 countries.

Amanda L RodrigueDepartment of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: amanda.rodrigue@childrens.harvard.edu.
Dana MastrovitoDepartment of Psychology, Stanford University, Stanford, California. Electronic address: dmastrov@stanford.edu.
Oscar EstebanDepartment of Psychology, Stanford University, Stanford, California.
Joke DurnezDepartment of Psychology, Stanford University, Stanford, California.
Marinka M G KoenisDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut; Olin Neuropsychiatry Research Center, Institute of Living, Hartford, Connecticut.
Ronald JanssenOlin Neuropsychiatry Research Center, Institute of Living, Hartford, Connecticut.
Aaron Alexander-BlochDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Emma M KnowlesDepartment of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Samuel R MathiasDepartment of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Josephine MollonDepartment of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Godfrey D PearlsonDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut; Olin Neuropsychiatry Research Center, Institute of Living, Hartford, Connecticut.
Sophia FrangouDepartment of Psychiatry, Icahn School of Medicine, Mount Sinai, New York, New York; Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
John BlangeroDepartment of Human Genetics and South Texas Diabetes and Obesity Institute, School of Medicine, University of Texas of the Rio Grande Valley, Brownsville, Texas.
Russell A PoldrackDepartment of Psychology, Stanford University, Stanford, California.
David C GlahnDepartment of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Olin Neuropsychiatry Research Center, Institute of Living, Hartford, Connecticut.
Boston Children's Hospital · USStanford University · USYale University · USInstitute for Community Living · USStanford Medicine · USThe University of Texas Rio Grande Valley · USUniversity of British Columbia · CA

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077945 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2007 to 2019
$7.6M
Gene Networks Influencing Psychotic Dysconnectivity in African AmericansR01MH106324 · NIMH · YALE UNIVERSITY · PI BLANGERO, JOHN, GLAHN, DAVID C · 2015 to 2019
$4.2M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077852 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI THAKER, GUNVANT K · 2007 to 2010
$3.5M
Brain connectivity and the role of myelin in PsychosisR01MH113619 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FRANGOU, SOPHIA · 2018 to 2021
$2.5M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH077852NIMH NIH HHS R01 MH077945NIMH NIH HHS R01 MH106324NIMH NIH HHS R01 MH113619
6 · The paper itself

Abstract

backgroundProgress in precision psychiatry is predicated on identifying reliable individual-level diagnostic biomarkers. For psychosis, measures of structural and functional connectivity could be promising biomarkers given consistent reports of dysconnectivity across psychotic disorders using magnetic resonance imaging.

methodsWe leveraged data from four independent cohorts of patients with psychosis and control subjects with observations from approximately 800 individuals. We used group-level analyses and two supervised machine learning algorithms (support vector machines and ridge regression) to test within-, between-, and across-sample classification performance of white matter and resting-state connectivity metrics.

resultsAlthough we replicated group-level differences in brain connectivity, individual-level classification was suboptimal. Classification performance within samples was variable across folds (highest area under the curve [AUC] range = 0.30) and across datasets (average support vector machine AUC range = 0.50; average ridge regression AUC range = 0.18). Classification performance between samples was similarly variable or resulted in AUC values of approximately 0.65, indicating a lack of model generalizability. Furthermore, collapsing across samples (resting-state functional magnetic resonance imaging, N = 888; diffusion tensor imaging, N = 860) did not improve model performance (maximal AUC = 0.67). Ridge regression models generally outperformed support vector machine models, although classification performance was still suboptimal in terms of clinical relevance. Adjusting for demographic covariates did not greatly affect results.

conclusionsConnectivity measures were not suitable as diagnostic biomarkers for psychosis as assessed in this study. Our results do not negate that other approaches may be more successful, although it is clear that a systematic approach to individual-level classification with large independent validation samples is necessary to properly vet neuroimaging features as diagnostic biomarkers.

Indexed as

Diffusion Tensor ImagingWhite MatterBiomarkersBrainHumansMagnetic Resonance ImagingBiomarkersBiomarkersConnectivityMachine learningMagnetic resonance imagingMRIPsychosis

Identifiers

PMID33622655
PMCPMC8206251
OpenAlexW3112990912

What OpenQuestion holds

Textmetadata
LicenceTDM
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.