Evidence map›Paper›PMID 35164888›Full record

ArticleThe British journal of psychiatry : the journal of mental science2022

Deep learning identifies robust gender differences in functional brain organization and their dissociable links to clinical symptoms in autism.

Kaustubh Supekar, Carlo de Los Angeles, Srikanth Ryali, Kaidi Cao, Tengyu Ma, Vinod Menon

Open access · hybridAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  6. [Advances in research on gender differences in autism spectrum disorders].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
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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

6 authors at 2 institutions in 1 country.

Kaustubh SupekarDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA.ORCID https://orcid.org/0000-0003-0255-4093
Carlo de Los AngelesDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA.
Srikanth RyaliDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA.
Kaidi CaoDepartment of Computer Science, Stanford University, USA.
Tengyu MaDepartment of Computer Science, Stanford University, USA.
Vinod MenonDepartment of Psychiatry & Behavioral Sciences, Stanford University, USA; Department of Neurology & Neurological Sciences, Stanford University, USA and Wu Tsai Neurosciences Institute, Stanford University, USA.
Stanford University · USNeurosciences Institute · US

Funding

Mathematical Cognition in Autism: A Cognitive and Systems Neuroscience ApproachR01MH084164 · NIMH · STANFORD UNIVERSITY · PI MENON, VINOD · 2011 to 2021
$6.7M
Integrative computational models of latent behavioral and neural constructs in children: a longitudinal developmental big-data approachR01MH121069 · NIMH · STANFORD UNIVERSITY · PI MENON, VINOD · 2019 to 2023
$3.9M
Identification of Brain Circuit Markers for Psychosis in Alzheimer's Disease by Leveraging Big Data and Machine LearningR21AG072114 · NIA · STANFORD UNIVERSITY · PI SUPEKAR, KAUSTUBH SATYENDRA · 2021 to 2022
$433k
Brain and Behavior Research Foundation 22579NIA NIH HHS R21 AG072114NIMH NIH HHS AG072114NIMH NIH HHS MH084164NIMH NIH HHS MH121069NIMH NIH HHS R01 MH084164NIMH NIH HHS R01 MH121069
6 · The paper itself

Abstract

backgroundAutism spectrum disorder (ASD) is a highly heterogeneous disorder that affects nearly 1 in 189 females and 1 in 42 males. However, the neurobiological basis of gender differences in ASD is poorly understood, as most studies have neglected females and used methods ill-suited to capture such differences.

aimsTo identify robust functional brain organisation markers that distinguish between females and males with ASD and predict symptom severity.

methodWe leveraged multiple neuroimaging cohorts (ASD

resultsstDNN achieved consistently high classification accuracy in distinguishing between females and males with ASD. Notably, stDNN trained to distinguish between females and males with ASD could not distinguish between neurotypical females and males, suggesting that there are gender differences in the functional brain organisation in ASD that differ from normative gender differences. Brain features associated with motor, language and visuospatial attentional systems reliably distinguished between females and males with ASD. Crucially, these results were observed in a large multisite cohort and replicated in a fully independent cohort. Furthermore, brain features associated with the motor network's primary motor cortex node predicted the severity of restricted/repetitive behaviours in females but not in males with ASD.

conclusionsOur replicable findings reveal that the brains of females and males with ASD are functionally organised differently, contributing to their clinical symptoms in distinct ways. They inform the development of gender-specific diagnoses and treatment strategies for ASD, and ultimately advance precision psychiatry.

Indexed as

Autismclinical heterogeneityexplainable artificial intelligencemotor networkreproducible science

Identifiers

PMID35164888
PMCPMC9376194
OpenAlexW4213038917

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.