Evidence map›Paper›PMID 38377194›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2024

Deep learning models reveal replicable, generalizable, and behaviorally relevant sex differences in human functional brain organization.

Srikanth Ryali, Yuan Zhang, Carlo de Los Angeles, Kaustubh Supekar, Vinod Menon

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
18.5field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  4. The progression of sex differences in brain networks across the lifespan.bioRxiv : the preprint server for biology · 2026
    Article
  5. Article
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  9. Reproducible sex differences in personalised functional network topography in youth.The British journal of psychiatry : the journal of mental science · 2025
    Article
  10. Article
  11. "Precision Medicine" and the Failed Search for Binary Brain Sex Differences to Address Gender Behavioral Health Disparities.American journal of human biology : the official journal of the Human Biology Council · 2025
    Review
  12. Protective role of parenthood on age-related brain function in mid- to late-life.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Not so binary or generalizable: Brain sex differences with artificial neural networks.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Review
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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

5 authors at 2 institutions in 1 country.

Srikanth Ryali *Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.ORCID 0000-0001-9773-0381
Yuan Zhang *Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.ORCID 0000-0001-9157-5544
Carlo de Los AngelesDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.
Kaustubh SupekarDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.
Vinod MenonDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.
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
Novel Bayesian linear dynamical systems-based methods for discovering human brain circuit dynamics in health and diseaseR01EB022907 · NIBIB · STANFORD UNIVERSITY · PI MENON, VINOD · 2016 to 2018
$1.6M
Methods for Dynamic Causal Interactions in the Developing Human BrainK25HD074652 · NICHD · STANFORD UNIVERSITY · PI RYALI, SRIKANTH · 2013 to 2019
$663k
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
NIA NIH HHS R21 AG072114NIBIB NIH HHS R01 EB022907NICHD NIH HHS K25 HD074652NIMH NIH HHS R01 MH084164NIMH NIH HHS R01 MH121069
6 · The paper itself

Abstract

Sex plays a crucial role in human brain development, aging, and the manifestation of psychiatric and neurological disorders. However, our understanding of sex differences in human functional brain organization and their behavioral consequences has been hindered by inconsistent findings and a lack of replication. Here, we address these challenges using a spatiotemporal deep neural network (stDNN) model to uncover latent functional brain dynamics that distinguish male and female brains. Our stDNN model accurately differentiated male and female brains, demonstrating consistently high cross-validation accuracy (>90%), replicability, and generalizability across multisession data from the same individuals and three independent cohorts (N ~ 1,500 young adults aged 20 to 35). Explainable AI (XAI) analysis revealed that brain features associated with the default mode network, striatum, and limbic network consistently exhibited significant sex differences (effect sizes > 1.5) across sessions and independent cohorts. Furthermore, XAI-derived brain features accurately predicted sex-specific cognitive profiles, a finding that was also independently replicated. Our results demonstrate that sex differences in functional brain dynamics are not only highly replicable and generalizable but also behaviorally relevant, challenging the notion of a continuum in male-female brain organization. Our findings underscore the crucial role of sex as a biological determinant in human brain organization, have significant implications for developing personalized sex-specific biomarkers in psychiatric and neurological disorders, and provide innovative AI-based computational tools for future research.

Indexed as

Deep LearningNervous System DiseasesAgingBrainFemaleHumansMaleSex CharacteristicsYoung Adultbrainexplainable AIhumansex

Identifiers

PMID38377194
PMCPMC10907309
OpenAlexW4391952897

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.