Evidence map›Paper›PMID 34322947›Full record

ArticleHuman brain mapping2021

Improving the predictive potential of diffusion MRI in schizophrenia using normative models-Towards subject-level classification.

Doron Elad, Suheyla Cetin-Karayumak, Fan Zhang, Kang Ik K Cho, Amanda E Lyall, Johanna Seitz-Holland, Rami Ben-Ari, Godfrey D Pearlson, Carol A Tamminga, John A Sweeney and 19 more

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Genetic polymorphism and neuroanatomical changes in schizophrenia.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Review
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

29 authors at 16 institutions in 7 countries.

Doron EladDepartment of Mathematics, Tel-Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-5985-9835
Suheyla Cetin-KarayumakDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Fan ZhangDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-5032-6039
Kang Ik K ChoDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Amanda E LyallDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Johanna Seitz-HollandDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Rami Ben-AriIBM Research AI, Haifa, Israel.
Godfrey D PearlsonDepartment of Psychiatry, Yale University, New Haven, Connecticut, USA.
Carol A TammingaDepartment of Psychiatry, UT Southwestern Medical Center, Dallas, Texas, USA.
John A SweeneyDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, Ohio, USA.
Brett A ClementzDepartments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens, Georgia, USA.
David J SchretlenDepartment of Psychiatry and Behavioral Sciences, Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Petra Verena ViherTranslational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland.
Katharina StegmayerTranslational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland.
Sebastian WaltherTranslational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland.
Jungsun LeeDepartment of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.ORCID 0000-0003-2171-2720
Tim J CrowDepartment of Psychiatry, SANE POWIC, Warneford Hospital, University of Oxford, Oxford, UK.
Anthony JamesDepartment of Psychiatry, SANE POWIC, Warneford Hospital, University of Oxford, Oxford, UK.
Aristotle N VoineskosCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto, Canada.
Robert W BuchananMaryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Philip R SzeszkoDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Anil K MalhotraThe Feinstein Institute for Medical Research and Zucker Hillside Hospital, Manhasset, New York, USA.
Matcheri S KeshavanDepartment of Psychiatry, Beth Israel Deaconess Medical Centre, Harvard Medical School, Boston, Massachusetts, USA.
Martha E ShentonDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yogesh RathiDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-9946-2314
Sylvain BouixDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Nir SochenDepartment of Mathematics, Tel-Aviv University, Tel-Aviv, Israel.
Marek R KubickiDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Ofer PasternakDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Brigham and Women's Hospital · USUniversity of Bern · CHTel Aviv University · ILWarneford Hospital · GBBeth Israel Deaconess Medical Center · USCentre for Addiction and Mental Health · CAFeinstein Institute for Medical Research · USIBM Research - Haifa · ILJames J. Peters VA Medical Center · USJohns Hopkins University · USSouthwestern Medical Center · USUlsan College · KRUniversity of Cincinnati · USUniversity of Georgia · USUniversity of Maryland, Baltimore · USYale University · US

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 PhenotypesR01MH077851 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2007 to 2019
$7.8M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077945 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2007 to 2019
$7.6M
Administrative Supplement Harmonization of At Risk Multisite Observational Networks for Youth(HARMONY)U01MH081928 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STONE, WILLIAM SETH · 2008 to 2018
$7.1M
Stability of Biotypes: a Longitudinal EvaluationR01MH078113 · NIMH · WAYNE STATE UNIVERSITY · PI KESHAVAN, MATCHERI S. · 2007 to 2019
$6.2M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077852 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI THAKER, GUNVANT K · 2007 to 2010
$3.5M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077862 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI SWEENEY, JOHN A · 2007 to 2010
$3.1M
Next Generation Diffusion MRI Biomarkers for Prodromal SchizophreniaR01MH108574 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI PASTERNAK, OFER · 2016 to 2020
$2.2M
3/3-Social Processes Initiative in Neurobiology of the Schizophrenia(s)R01MH102318 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI BUCHANAN, ROBERT W, CARPENTER, WILLIAM T. · 2014 to 2018
$1.7M
Diffusion Tensor Imaging in First-Episode SchizophreniaR01MH076995 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SZESZKO, PHILIP R · 2007 to 2010
$1.2M
3/4-Psychosis & Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096957 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2013 to 2015
$983k
Mentoring and Neuroimaging Research on White Matter Pathology in SchizophreniaK24MH110807 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI KUBICKI, MAREK · 2017 to 2021
$945k
Medical Research Council G0500092NCATS NIH HHS UL1 TR001863NIH HHS MH076995NIH HHS MH077851NIH HHS MH077852NIH HHS MH077862NIH HHS MH077945NIH HHS MH078113NIH HHS MH081928NIH HHS MH096957NIH HHS MH102318NIH HHS MH108574 : MH115247NIMH NIH HHS K01 MH115247NIMH NIH HHS K24 MH110807NIMH NIH HHS R01 MH076995NIMH NIH HHS R01 MH077851NIMH NIH HHS R01 MH077852NIMH NIH HHS R01 MH077862NIMH NIH HHS R01 MH077945NIMH NIH HHS R01 MH078113NIMH NIH HHS R01 MH096957NIMH NIH HHS R01 MH102318NIMH NIH HHS R01 MH108574NIMH NIH HHS U01 MH081928Swiss National Science Foundation 152619
6 · The paper itself

Abstract

Diffusion MRI studies consistently report group differences in white matter between individuals diagnosed with schizophrenia and healthy controls. Nevertheless, the abnormalities found at the group-level are often not observed at the individual level. Among the different approaches aiming to study white matter abnormalities at the subject level, normative modeling analysis takes a step towards subject-level predictions by identifying affected brain locations in individual subjects based on extreme deviations from a normative range. Here, we leveraged a large harmonized diffusion MRI dataset from 512 healthy controls and 601 individuals diagnosed with schizophrenia, to study whether normative modeling can improve subject-level predictions from a binary classifier. To this aim, individual deviations from a normative model of standard (fractional anisotropy) and advanced (free-water) dMRI measures, were calculated by means of age and sex-adjusted z-scores relative to control data, in 18 white matter regions. Even though larger effect sizes are found when testing for group differences in z-scores than are found with raw values (p < .001), predictions based on summary z-score measures achieved low predictive power (AUC < 0.63). Instead, we find that combining information from the different white matter tracts, while using multiple imaging measures simultaneously, improves prediction performance (the best predictor achieved AUC = 0.726). Our findings suggest that extreme deviations from a normative model are not optimal features for prediction. However, including the complete distribution of deviations across multiple imaging measures improves prediction, and could aid in subject-level classification.

Indexed as

Machine LearningAdultDiffusion Tensor ImagingFemaleHumansMaleMiddle AgedModels, TheoreticalPrecision MedicinePredictive Value of TestsSchizophreniaWhite MatterYoung Adultdiffusion magnetic resonance imagingmachine learningprecision medicineschizophreniawhite matter

Identifiers

PMID34322947
PMCPMC8410550
OpenAlexW3185192526

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.