Evidence map›Paper›PMID 35277962›Full record

ArticleGigaScience2022

How to remove or control confounds in predictive models, with applications to brain biomarkers.

Darya Chyzhyk, Gaël Varoquaux, Michael Milham, Bertrand Thirion

Abstract read
In one paragraph

Article in GigaScience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed.

  1. Article
  2. Linking the exposome to the brain-behaviour phenotype.Nature reviews. Neuroscience · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Patterns of brain-wide associations reflect socioeconomics.bioRxiv : the preprint server for biology · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Confound Controlled Multimodal Neuroimaging Data Fusion and Its Application to Developmental Disorders.IEEE transactions on image processing : a publication of the IEEE Signal Processing Society · 2025
    Article
  13. Article
  14. Distinguishing deception from its confounds by improving the validity of fMRI-based neural prediction.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Current best practices and future opportunities for reproducible findings using large-scale neuroimaging in psychiatry.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  19. Article
  20. 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

4 authors.

Darya ChyzhykParietal project-team, INRIA Saclay-île de France, France.ORCID 0000-0002-9333-6122
Gaël VaroquauxParietal project-team, INRIA Saclay-île de France, France.ORCID 0000-0003-1076-5122
Michael MilhamCenter for the Developing Brain, Child Mind Institute, New York, NY 10022, USA.ORCID 0000-0003-3532-1210
Bertrand ThirionParietal project-team, INRIA Saclay-île de France, France.ORCID 0000-0001-5018-7895

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

backgroundWith increasing data sizes and more easily available computational methods, neurosciences rely more and more on predictive modeling with machine learning, e.g., to extract disease biomarkers. Yet, a successful prediction may capture a confounding effect correlated with the outcome instead of brain features specific to the outcome of interest. For instance, because patients tend to move more in the scanner than controls, imaging biomarkers of a disease condition may mostly reflect head motion, leading to inefficient use of resources and wrong interpretation of the biomarkers.

resultsHere we study how to adapt statistical methods that control for confounds to predictive modeling settings. We review how to train predictors that are not driven by such spurious effects. We also show how to measure the unbiased predictive accuracy of these biomarkers, based on a confounded dataset. For this purpose, cross-validation must be modified to account for the nuisance effect. To guide understanding and practical recommendations, we apply various strategies to assess predictive models in the presence of confounds on simulated data and population brain imaging settings. Theoretical and empirical studies show that deconfounding should not be applied to the train and test data jointly: modeling the effect of confounds, on the training data only, should instead be decoupled from removing confounds.

conclusionsCross-validation that isolates nuisance effects gives an additional piece of information: confound-free prediction accuracy.

Indexed as

BrainMachine LearningBiomarkersHumansBiomarkersbiomarkersconfounddeconfoundingphenotypepredictive modelsstatistical testingsubsampling

Identifiers

PMID35277962
PMCPMC8917515

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Registered trials

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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.