Evidence map›Paper›PMID 37017242›Full record

ArticleHuman brain mapping2023

Probing multiple algorithms to calculate brain age: Examining reliability, relations with demographics, and predictive power.

Eva Bacas, Isabella Kahhalé, Pradeep R Raamana, Julian B Pablo, Apurvaa S Anand, Jamie L Hanson

Abstract read
In one paragraph

Article in Human brain mapping, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  6. Applications of machine learning and natural language processing to neurocognitive outcomes in posttreatment cancer survivors: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  9. Shared genetic architecture of brain age gap across 30 cohorts worldwide.medRxiv : the preprint server for health sciences · 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.

Eva BacasLearning, Research, and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-8844-3257
Isabella KahhaléLearning, Research, and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-0963-9738
Pradeep R RaamanaDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Julian B PabloLearning, Research, and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Apurvaa S AnandLearning, Research, and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jamie L HansonLearning, Research, and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The calculation of so-called "brain age" from structural MRIs has been an emerging biomarker in aging research. Data suggests that discrepancies between chronological age and the predicted age of the brain may be predictive of mortality and morbidity (for review, see Cole, Marioni, Harris, & Deary, 2019). However, with these promising results come technical complexities of how to calculate brain age. Various groups have deployed methods leveraging different statistical approaches, often crafting novel algorithms for assessing this biomarker derived from structural MRIs. There remain many open questions about the reliability, collinearity, and predictive power of different algorithms. Here, we complete a rigorous systematic comparison of three commonly used, previously published brain age algorithms (XGBoost, brainageR, and DeepBrainNet) to serve as a foundation for future applied research. First, using multiple datasets with repeated structural MRI scans, we calculated two metrics of reliability (intraclass correlations and Bland-Altman bias). We then considered correlations between brain age variables, chronological age, biological sex, and image quality. We also calculated the magnitude of collinearity between approaches. Finally, we used machine learning approaches to identify significant predictors across brain age algorithms related to clinical diagnoses of cognitive impairment. Using a large sample (N = 2557), we find all three commonly used brain age algorithms demonstrate excellent reliability (r > .9). We also note that brainageR and DeepBrainNet are reasonably correlated with one another, and that the XGBoost brain age is strongly related to image quality. Finally, and notably, we find that XGBoost brain age calculations were more sensitive to the detection of clinical diagnoses of cognitive impairment. We close this work with recommendations for future research studies focused on brain age.

Indexed as

AlgorithmsBrainDemographyHumansMagnetic Resonance ImagingReproducibility of Resultsagingbrain ageneurosciencereliabilitystatistics

Identifiers

PMID37017242
PMCPMC10203791

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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.