Evidence map›Paper›PMID 40595447›Full record

ArticleNature neuroscience2025

Addressing artifactual bias in large, automated MRI analyses of brain development.

Safia Elyounssi, Keiko Kunitoki, Jacqueline A Clauss, Eline Laurent, Kristina A Kane, Dylan E Hughes, Casey E Hopkinson, Oren Bazer, Rachel Freed Sussman, Alysa E Doyle and 8 more

Abstract read
In one paragraph

Article in Nature neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
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  13. Reporting checklists in neuroimaging: promoting transparency, replicability, and reproducibility.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  14. Review
  15. Functional connectome through the human life span.bioRxiv : the preprint server for biology · 2024
    Article
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  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Safia Elyounssi *Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Keiko Kunitoki *Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7641-5427
Jacqueline A ClaussDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Eline LaurentDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Kristina A KaneDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Dylan E HughesDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0009-0003-3759-2417
Casey E HopkinsonDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Oren BazerDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Rachel Freed SussmanDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Alysa E DoyleDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8536-2697
Hang LeeBiostatistics Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Brenden Tervo-ClemmensDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9557-1126
Hamdi EryilmazDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Randy L HirschtickDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9434-4044
Deanna M BarchDepartments of Psychological and Brain Sciences, Psychiatry and Radiology, Washington University in St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-1693-8506
Theodore D SatterthwaiteDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-7072-9399
Kevin F DowlingDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5609-7727
Joshua L RoffmanDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. jroffman@partners.org.ORCID http://orcid.org/0000-0003-4073-532X

Funding

Longitudinal Mapping of Network Development Underlying Executive Dysfunction in AdolescenceR01MH113550 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Danielle Smith Bassett, Theodore Satterthwaite · 2018 to 2026
$6.9M
Inter-modal Coupling Image AnalyticsR01MH112847 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Theodore Satterthwaite, Russell Takeshi Shinohara · 2017 to 2026
$5.9M
Precision mapping of individualized executive networks in youthR37MH125829 · NIMH · UNIVERSITY OF MINNESOTA · PI Damien A Fair, Theodore Satterthwaite · 2021 to 2026
$4.7M
Reproducible imaging-based brain growth charts for psychiatryR01MH120482 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MILHAM, MICHAEL PETER, SATTERTHWAITE, THEODORE · 2019 to 2023
$3.5M
Alignment of cortical development trajectories with emergent dimensional psychopathology and related risk factors among early adolescents in the ABCD StudyR01MH124694 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI Joshua Lawrence Roffman · 2020 to 2026
$2.9M
Leveraging complementary big data methods and patient intervention designs to optimize neural markers of adolescent cannabis useK23DA057486 · NIDA · UNIVERSITY OF MINNESOTA · PI Brenden Craig Tervo-Clemmens · 2023 to 2026
$782k
NIDA NIH HHS K23 DA057486NIDA NIH HHS L30 DA059086NIMH NIH HHS R01 MH124694U.S. Department of Health & Human Services | National Institutes of Health (NIH) K23DA057486U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01EB022572U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01MH112847U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01MH113550U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01MH120482U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01MH124694U.S. Department of Health & Human Services | National Institutes of Health (NIH) R37MH125829
6 · The paper itself

Abstract

Large, population-based magnetic resonance imaging (MRI) studies of adolescents promise transformational insights into neurodevelopment and mental illness risk. However, youth MRI studies are especially susceptible to motion and other artifacts that introduce non-random noise. After visual quality control of 11,263 T1 MRI scans obtained at age 9-10 years through the Adolescent Brain Cognitive Development study, we uncovered bias in measurements of cortical thickness and surface area in 55.1% of the samples with suboptimal image quality. These biases impacted analyses relating structural MRI and clinical measures, resulting in both false-positive and false-negative associations. Surface hole number, an automated index of topological complexity, reproducibly identified lower-quality scans with good specificity, and its inclusion as a covariate partially mitigated quality-related bias. Closer examination of high-quality scans revealed additional topological errors introduced during image preprocessing. Correction with manual edits reproducibly altered thickness measurements and strengthened age-thickness associations. We demonstrate here that inadequate quality control undermines advantages of large sample size to detect meaningful associations. These biases can be mitigated through additional automated and manual interventions.

Indexed as

ArtifactsBrainImage Processing, Computer-AssistedMagnetic Resonance ImagingAdolescentBiasChildFemaleHumansMale

Identifiers

PMID40595447
PMCPMC12912710

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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.