Evidence map›Paper›PMID 37190637›Full record

ArticleBrain sciences2023

Discriminating Paradoxical and Psychophysiological Insomnia Based on Structural and Functional Brain Images: A Preliminary Machine Learning Study.

Mortaza Afshani, Ahmad Mahmoudi-Aznaveh, Khadijeh Noori, Masoumeh Rostampour, Mojtaba Zarei, Kai Spiegelhalder, Habibolah Khazaie, Masoud Tahmasian

Abstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. 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

8 authors.

Mortaza AfshaniInstitute of Medical Science and Technology, Shahid Beheshti University, Tehran 1983969411, Iran.
Ahmad Mahmoudi-AznavehCyberspace Research Institute, Shahid Beheshti University, Tehran 1983969411, Iran.
Khadijeh NooriSleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6715847141, Iran.
Masoumeh RostampourSleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6715847141, Iran.
Mojtaba ZareiInstitute of Medical Science and Technology, Shahid Beheshti University, Tehran 1983969411, Iran.
Kai SpiegelhalderDepartment of Psychiatry and Psychotherapy, Medical Centre-University of Freiburg, Faculty of Medicine, University of Freiburg, 79085 Freiburg, Germany.
Habibolah KhazaieSleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6715847141, Iran.ORCID 0000-0003-1720-3720
Masoud TahmasianInstitute of Neuroscience and Medicine, Brain & Behaviour (INM-7), Research Centre Jülich, 52428 Jülich, Germany.ORCID 0000-0003-3999-3807

Funding

Kermanshah University of Medical Sciences 97327
6 · The paper itself

Abstract

Insomnia disorder (ID) is a prevalent mental illness. Several behavioral and neuroimaging studies suggested that ID is a heterogenous condition with various subtypes. However, neurobiological alterations in different subtypes of ID are poorly understood. We aimed to assess whether unimodal and multimodal whole-brain neuroimaging measurements can discriminate two commonly described ID subtypes (i.e., paradoxical and psychophysiological insomnia) from each other and healthy subjects. We obtained T1-weighted images and resting-state fMRI from 34 patients with ID and 48 healthy controls. The outcome measures were grey matter volume, cortical thickness, amplitude of low-frequency fluctuation, degree centrality, and regional homogeneity. Subsequently, we applied support vector machines to classify subjects via unimodal and multimodal measures. The results of the multimodal classification were superior to those of unimodal approaches, i.e., we achieved 81% accuracy in separating psychophysiological vs. control, 87% for paradoxical vs. control, and 89% for paradoxical vs. psychophysiological insomnia. This preliminary study provides evidence that structural and functional brain data can help to distinguish two common subtypes of ID from each other and healthy subjects. These initial findings may stimulate further research to identify the underlying mechanism of each subtype and develop personalized treatments for ID in the future.

Indexed as

classificationinsomnia disordermachine learningmultimodal imagingparadoxical insomniapsychophysiological insomnia

Identifiers

PMID37190637
PMCPMC10136511

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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.