Silja Luotonen, Henry Railo, Henriette Acosta, Minna Huotilainen, Maria Lavonius, Linnea Karlsson, Hasse Karlsson, Jetro J. Tuulari
The brain develops most rapidly during pregnancy and early neonatal months. While prior electrophysiological studies have shown that aperiodic brain activity undergoes changes across infancy to adulthood, the role of gestational duration in aperiodic and periodic activity remains unknown. In this study, we aimed to bridge this gap by examining the associations between gestational duration and aperiodic and periodic activity in the EEG power spectrum in both neonates and toddlers. This cross-sectional study involved EEG data from 73 neonates (postnatal age 1–5 days, 40 females) and 56 toddlers (postnatal age of 2.9–3.2 years, 28 females) from the FinnBrain Birth Cohort Study. EEG power spectra were parameterized to aperiodic and periodic components using the SpecParam tool. We tested the associations between gestational duration as well as postnatal age and SpecParam parameters in neonates and toddlers while including birth weight and child sex as covariates. For neonates, multilevel models were employed, considering different data acquisitions (sleep and auditory paradigm + sleep), while in toddlers, regression models were used as only data from the auditory paradigm was available. We found that longer gestational duration was associated with a steeper power spectrum across EEG frequencies both in neonates and toddlers. Effect was especially strong in toddlers (β = 0.45, p = 0.004), while in neonates, it remained nearly statistically significant (p = 0.061). In neonates, a quadratic association between gestational duration and beta center frequency (12.5–30 Hz) was found. In toddlers, beta center frequencies were overall higher in females compared to males. Offset (calculated as the power of the aperiodic curve at 2.5 Hz) and theta center frequency had negative associations with postnatal age in neonates, but not in toddlers.
Our results suggest that gestational duration may have significant and relatively long-lasting effects on brain physiology. The possible behavioral and cognitive consequences of these changes are enticing topics for future research.
大脑在怀孕和新生儿早期发育最快。虽然先前的电生理学研究表明,从婴儿期到成年期,非周期大脑活动经历了变化,但妊娠期在非周期和周期活动中的作用仍不清楚。在这项研究中,我们旨在通过检查新生儿和幼儿的脑电图功率谱中妊娠持续时间与非周期性和周期性活动之间的关系来弥合这一差距。这项横断面研究包括来自FinnBrain出生队列研究的73名新生儿(出生后1-5天,40名女性)和56名幼儿(出生后2.9-3.2岁,28名女性)的脑电图数据。利用SpecParam工具将脑电功率谱参数化为周期和非周期分量。我们测试了新生儿和幼儿的妊娠期、出生后年龄和SpecParam参数之间的关系,同时将出生体重和儿童性别作为协变量。对于新生儿,考虑到不同的数据获取(睡眠和听觉范式+睡眠),采用多层次模型,而对于幼儿,由于只有听觉范式的数据可用,使用回归模型。我们发现,在新生儿和幼儿中,妊娠期越长,脑电图频率的功率谱越陡。影响在幼儿中尤其强烈(β = 0.45, p = 0.004),而在新生儿中,它仍然几乎具有统计学意义(p = 0.061)。在新生儿中,发现妊娠期与β中心频率(12.5-30 Hz)呈二次相关。在蹒跚学步的幼儿中,女性的中心频率总体上高于男性。偏移量(以2.5 Hz的非周期曲线的功率计算)和θ中心频率与新生儿的出生年龄呈负相关,但与幼儿无关。我们的研究结果表明,妊娠期可能对大脑生理有显著且相对持久的影响。这些变化可能带来的行为和认知后果是未来研究的诱人主题。
{"title":"Gestational Duration and Postnatal Age-Related Changes in Aperiodic and Periodic Parameters in Neonatal and Toddler Electroencephalogram (EEG)","authors":"Silja Luotonen, Henry Railo, Henriette Acosta, Minna Huotilainen, Maria Lavonius, Linnea Karlsson, Hasse Karlsson, Jetro J. Tuulari","doi":"10.1002/hbm.70130","DOIUrl":"10.1002/hbm.70130","url":null,"abstract":"<p>The brain develops most rapidly during pregnancy and early neonatal months. While prior electrophysiological studies have shown that aperiodic brain activity undergoes changes across infancy to adulthood, the role of gestational duration in aperiodic and periodic activity remains unknown. In this study, we aimed to bridge this gap by examining the associations between gestational duration and aperiodic and periodic activity in the EEG power spectrum in both neonates and toddlers. This cross-sectional study involved EEG data from 73 neonates (postnatal age 1–5 days, 40 females) and 56 toddlers (postnatal age of 2.9–3.2 years, 28 females) from the FinnBrain Birth Cohort Study. EEG power spectra were parameterized to aperiodic and periodic components using the SpecParam tool. We tested the associations between gestational duration as well as postnatal age and SpecParam parameters in neonates and toddlers while including birth weight and child sex as covariates. For neonates, multilevel models were employed, considering different data acquisitions (sleep and auditory paradigm + sleep), while in toddlers, regression models were used as only data from the auditory paradigm was available. We found that longer gestational duration was associated with a steeper power spectrum across EEG frequencies both in neonates and toddlers. Effect was especially strong in toddlers (<i>β</i> = 0.45, <i>p</i> = 0.004), while in neonates, it remained nearly statistically significant (<i>p</i> = 0.061). In neonates, a quadratic association between gestational duration and beta center frequency (12.5–30 Hz) was found. In toddlers, beta center frequencies were overall higher in females compared to males. Offset (calculated as the power of the aperiodic curve at 2.5 Hz) and theta center frequency had negative associations with postnatal age in neonates, but not in toddlers.</p><p>Our results suggest that gestational duration may have significant and relatively long-lasting effects on brain physiology. The possible behavioral and cognitive consequences of these changes are enticing topics for future research.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Working memory (WM) plays a crucial role in human cognition. Previous candidate and genome-wide association studies have reported many genetic variations associated with WM. However, little research has examined genetic basis of WM by using transcriptome, even though it reflects gene function more directly than does the genome. Here we propose a new approach to exploring the genetic mechanisms of WM by integrating connectome, transcriptome, and genome data in a high-quality dataset comprising 481 Chinese healthy adults. First, relevance vector regression was used to define WM-related brain regions. Second, genes differentially expressed within these regions were identified using the Allen Human Brain Atlas (AHBA) dataset. Finally, two independent datasets were used to validate these genes' contributions to WM. With this method, we identified 24 novel genes and 20 of them were confirmed in the large-scale datasets of ABCD and UK Biobank. These novel genes were enriched in the cellular component of collagen-containing extracellular matrix and the CCL18 signaling pathway. Our method offers an effective approach to integrating multimodal gene discovery and demonstrates the superiority of expression data. This new method and the newly identified genes deserve more attention in the future.
{"title":"Novel Genes Associated With Working Memory Are Identified by Combining Connectome, Transcriptome, and Genome","authors":"Xiaoyu Zhao, Ruochen Yin, Chuansheng Chen, Sebastian Markett, Xinrui Wang, Gui Xue, Qi Dong, Chunhui Chen","doi":"10.1002/hbm.70114","DOIUrl":"10.1002/hbm.70114","url":null,"abstract":"<p>Working memory (WM) plays a crucial role in human cognition. Previous candidate and genome-wide association studies have reported many genetic variations associated with WM. However, little research has examined genetic basis of WM by using transcriptome, even though it reflects gene function more directly than does the genome. Here we propose a new approach to exploring the genetic mechanisms of WM by integrating connectome, transcriptome, and genome data in a high-quality dataset comprising 481 Chinese healthy adults. First, relevance vector regression was used to define WM-related brain regions. Second, genes differentially expressed within these regions were identified using the Allen Human Brain Atlas (AHBA) dataset. Finally, two independent datasets were used to validate these genes' contributions to WM. With this method, we identified 24 novel genes and 20 of them were confirmed in the large-scale datasets of ABCD and UK Biobank. These novel genes were enriched in the cellular component of collagen-containing extracellular matrix and the CCL18 signaling pathway. Our method offers an effective approach to integrating multimodal gene discovery and demonstrates the superiority of expression data. This new method and the newly identified genes deserve more attention in the future.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oscar Bedford, Alix Noly-Gandon, Alberto Ara, Alex I. Wiesman, Philippe Albouy, Sylvain Baillet, Virginia Penhune, Robert J. Zatorre
Perception and production of music and speech rely on auditory–motor coupling, a mechanism which has been linked to temporally precise oscillatory coupling between auditory and motor regions of the human brain, particularly in the beta frequency band. Recently, brain imaging studies using magnetoencephalography (MEG) have also shown that accurate auditory temporal predictions specifically depend on phase coherence between auditory and motor cortical regions. However, it is not yet clear whether this tight oscillatory phase coupling is an intrinsic feature of the auditory–motor loop, or whether it is only elicited by task demands. Further, we do not know if phase synchrony is uniquely enhanced in the auditory–motor system compared to other sensorimotor modalities, or to which degree it is amplified by musical training. In order to resolve these questions, we measured the degree of phase locking between motor regions and auditory or visual areas in musicians and non-musicians using resting-state MEG. We derived phase locking values (PLVs) and phase transfer entropy (PTE) values from 90 healthy young participants. We observed significantly higher PLVs across all auditory–motor pairings compared to all visuomotor pairings in all frequency bands. The pairing with the highest degree of phase synchrony was right primary auditory cortex with right ventral premotor cortex, a connection which has been highlighted in previous literature on auditory–motor coupling. Additionally, we observed that auditory–motor and visuomotor PLVs were significantly higher across all structures in the right hemisphere, and we found the highest differences between auditory and visual PLVs in the theta, alpha, and beta frequency bands. Last, we found that the theta and beta bands exhibited a preference for a motor-to-auditory PTE direction and that the alpha and gamma bands exhibited the opposite preference for an auditory-to-motor PTE direction. Taken together, these findings confirm our hypotheses that motor phase synchrony is significantly enhanced in auditory compared to visual cortical regions at rest, that these differences are highest across the theta-beta spectrum of frequencies, and that there exist alternating information flow loops across auditory–motor structures as a function of frequency. In our view, this supports the existence of an intrinsic, time-based coupling for low-latency integration of sounds and movements which involves synchronized phasic activity between primary auditory cortex with motor and premotor cortical areas.
{"title":"Human Auditory–Motor Networks Show Frequency-Specific Phase-Based Coupling in Resting-State MEG","authors":"Oscar Bedford, Alix Noly-Gandon, Alberto Ara, Alex I. Wiesman, Philippe Albouy, Sylvain Baillet, Virginia Penhune, Robert J. Zatorre","doi":"10.1002/hbm.70045","DOIUrl":"10.1002/hbm.70045","url":null,"abstract":"<p>Perception and production of music and speech rely on auditory–motor coupling, a mechanism which has been linked to temporally precise oscillatory coupling between auditory and motor regions of the human brain, particularly in the beta frequency band. Recently, brain imaging studies using magnetoencephalography (MEG) have also shown that accurate auditory temporal predictions specifically depend on phase coherence between auditory and motor cortical regions. However, it is not yet clear whether this tight oscillatory phase coupling is an intrinsic feature of the auditory–motor loop, or whether it is only elicited by task demands. Further, we do not know if phase synchrony is uniquely enhanced in the auditory–motor system compared to other sensorimotor modalities, or to which degree it is amplified by musical training. In order to resolve these questions, we measured the degree of phase locking between motor regions and auditory or visual areas in musicians and non-musicians using resting-state MEG. We derived phase locking values (PLVs) and phase transfer entropy (PTE) values from 90 healthy young participants. We observed significantly higher PLVs across all auditory–motor pairings compared to all visuomotor pairings in all frequency bands. The pairing with the highest degree of phase synchrony was right primary auditory cortex with right ventral premotor cortex, a connection which has been highlighted in previous literature on auditory–motor coupling. Additionally, we observed that auditory–motor and visuomotor PLVs were significantly higher across all structures in the right hemisphere, and we found the highest differences between auditory and visual PLVs in the theta, alpha, and beta frequency bands. Last, we found that the theta and beta bands exhibited a preference for a motor-to-auditory PTE direction and that the alpha and gamma bands exhibited the opposite preference for an auditory-to-motor PTE direction. Taken together, these findings confirm our hypotheses that motor phase synchrony is significantly enhanced in auditory compared to visual cortical regions at rest, that these differences are highest across the theta-beta spectrum of frequencies, and that there exist alternating information flow loops across auditory–motor structures as a function of frequency. In our view, this supports the existence of an intrinsic, time-based coupling for low-latency integration of sounds and movements which involves synchronized phasic activity between primary auditory cortex with motor and premotor cortical areas.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda L. Rodrigue, Emma E. M. Knowles, Josephine Mollon, Samuel R. Mathias, Juan Manuel Peralta, Ana C. Leandro, Peter T. Fox, Peter Kochunov, Rene L. Olvera, Laura Almasy, Joanne E. Curran, John Blangero, David C. Glahn
Phenotypic and genetic relationships between white matter microstructure (i.e., fractional anisotropy [FA]) and peripheral inflammatory responses (i.e., circulating cytokines) have important implications for health and disease. However, it is unclear whether previously discovered genetic correlations between the two traits are due to tissue-specific white matter architecture or increased free water in the extracellular space. We applied a two-compartment model to diffusion tensor imaging (DTI) data and estimated tissue-specific white matter microstructure (FAT) and free water volume (FW). We then quantified their heritability and their genetic correlations with two peripherally circulating proinflammatory cytokines (IL-8 and TNFα), and compared these correlations to those obtained using traditional FA measures from one-compartment DTI models. All DTI and cytokine measures were significantly moderately heritable. We confirmed phenotypic and genetic correlations between circulating cytokine levels and single-compartment FA across the brain (IL-8: ρp = −0.16, FDRp = 4.8 × 10−07; ρg = −0.37 (0.12), FDRp = 0.01; TNFα: ρp = −0.15, FDRp = 2.4 × 10−07; ρg = −0.34 (0.12), p = 0.01). However, this relationship no longer reached significance when FA measures were derived using the two-compartment DTI model (IL-8: ρp = −0.04, FDRp = 0.17; ρg = −0.14 (0.13), FDRp = 0.29; TNFα: ρp = −0.05, FDRp = 0.10; ρg = −0.22 (0.13), FDRp = 0.10). There were significant phenotypic and genetic correlations between FW and both IL-8 (ρp = 0.19, FDRp = 2.1 × 10−10; ρg = 0.34 (0.11), FDRp = 0.01) and TNFα (ρp = 0.16, FDRp = 1.89 × 10−07; ρg = 0.30 (0.12), FDRp = 0.02). These results have important implications for understanding the mechanisms linking the two phenomena, but they also serve as a cautionary note for those examining associations between white matter integrity using single-compartment models and inflammatory processes.
{"title":"Genetic Associations Among Inflammation, White Matter Architecture, and Extracellular Free Water","authors":"Amanda L. Rodrigue, Emma E. M. Knowles, Josephine Mollon, Samuel R. Mathias, Juan Manuel Peralta, Ana C. Leandro, Peter T. Fox, Peter Kochunov, Rene L. Olvera, Laura Almasy, Joanne E. Curran, John Blangero, David C. Glahn","doi":"10.1002/hbm.70101","DOIUrl":"10.1002/hbm.70101","url":null,"abstract":"<p>Phenotypic and genetic relationships between white matter microstructure (i.e., fractional anisotropy [FA]) and peripheral inflammatory responses (i.e., circulating cytokines) have important implications for health and disease. However, it is unclear whether previously discovered genetic correlations between the two traits are due to tissue-specific white matter architecture or increased free water in the extracellular space. We applied a two-compartment model to diffusion tensor imaging (DTI) data and estimated tissue-specific white matter microstructure (FA<sub>T</sub>) and free water volume (FW). We then quantified their heritability and their genetic correlations with two peripherally circulating proinflammatory cytokines (IL-8 and TNFα), and compared these correlations to those obtained using traditional FA measures from one-compartment DTI models. All DTI and cytokine measures were significantly moderately heritable. We confirmed phenotypic and genetic correlations between circulating cytokine levels and single-compartment FA across the brain (IL-8: <i>ρ</i><sub><i>p</i></sub> = −0.16, <i>FDRp</i> = 4.8 × 10<sup>−07</sup>; <i>ρ</i><sub><i>g</i></sub> = −0.37 (0.12), <i>FDRp</i> = 0.01; TNFα: <i>ρ</i><sub><i>p</i></sub> = −0.15, <i>FDRp</i> = 2.4 × 10<sup>−07</sup>; <i>ρ</i><sub><i>g</i></sub> = −0.34 (0.12), <i>p</i> = 0.01). However, this relationship no longer reached significance when FA measures were derived using the two-compartment DTI model (IL-8: <i>ρ</i><sub><i>p</i></sub> = −0.04, <i>FDRp</i> = 0.17; <i>ρ</i><sub><i>g</i></sub> = −0.14 (0.13), <i>FDRp</i> = 0.29; TNFα: <i>ρ</i><sub><i>p</i></sub> = −0.05, <i>FDRp</i> = 0.10; <i>ρ</i><sub><i>g</i></sub> = −0.22 (0.13), <i>FDRp</i> = 0.10). There were significant phenotypic and genetic correlations between FW and both IL-8 (<i>ρ</i><sub><i>p</i></sub> = 0.19, <i>FDRp</i> = 2.1 × 10<sup>−10</sup>; <i>ρ</i><sub><i>g</i></sub> = 0.34 (0.11), <i>FDRp</i> = 0.01) and TNFα (<i>ρ</i><sub><i>p</i></sub> = 0.16, <i>FDRp</i> = 1.89 × 10<sup>−07</sup>; <i>ρ</i><sub><i>g</i></sub> = 0.30 (0.12), <i>FDRp</i> = 0.02). These results have important implications for understanding the mechanisms linking the two phenomena, but they also serve as a cautionary note for those examining associations between white matter integrity using single-compartment models and inflammatory processes.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maarten G. Poirot, Daphne E. Boucherie, Matthan W. A. Caan, Roberto Goya-Maldonado, Vladimir Belov, Emmanuelle Corruble, Romain Colle, Baptiste Couvy-Duchesne, Toshiharu Kamishikiryo, Hotaka Shinzato, Naho Ichikawa, Go Okada, Yasumasa Okamoto, Ben J. Harrison, Christopher G. Davey, Alec J. Jamieson, Kathryn R. Cullen, Zeynep Başgöze, Bonnie Klimes-Dougan, Bryon A. Mueller, Francesco Benedetti, Sara Poletti, Elisa M. T. Melloni, Christopher R. K. Ching, Ling-Li Zeng, Joaquim Radua, Laura K. M. Han, Neda Jahanshad, Sophia I. Thomopoulos, Elena Pozzi, Dick J. Veltman, Lianne Schmaal, Paul M. Thompson, Henricus G. Ruhe, Liesbeth Reneman, Anouk Schrantee
<p>Accurately predicting individual antidepressant treatment response could expedite the lengthy trial-and-error process of finding an effective treatment for major depressive disorder (MDD). We tested and compared machine learning-based methods that predict individual-level pharmacotherapeutic treatment response using cortical morphometry from multisite longitudinal cohorts. We conducted an international analysis of pooled data from six sites of the ENIGMA-MDD consortium (<i>n</i> = 262 MDD patients; age = 36.5 ± 15.3 years; 154 (59%) female; mean response rate = 57%). Treatment response was defined as a ≥ 50% reduction in symptom severity score after 4–12 weeks post-initiation of antidepressant treatment. Structural MRI was acquired before, or < 14 days after, treatment initiation. The cortex was parcellated using FreeSurfer, from which cortical thickness and surface area were measured. We tested several machine learning pipeline configurations, which varied in (i) the way we presented the cortical data (i.e., average values per region of interest, as a vector containing voxel-wise cortical thickness and surface area measures, and as cortical thickness and surface area projections), (ii) whether we included clinical data, and the (iii) machine learning model (i.e., gradient boosting, support vector machine, and neural network classifiers) and (iv) cross-validation methods (i.e., k-fold and leave-one-site-out) we used. First, we tested if the overall predictive performance of the pipelines was better than chance, with a corrected 10-fold cross-validation permutation test. Second, we compared if some machine learning pipeline configurations outperformed others. In an exploratory analysis, we repeated our first analysis in three subpopulations, namely patients (i) from a single site, (ii) with comparable response rates, and (iii) showing the least (first quartile) and the most (fourth quartile) treatment response, which we call the extreme (non-)responders subpopulation. Finally, we explored the effect of including subcortical volumetric data on model performance. Overall, performance predicting antidepressant treatment response was not significantly better than chance (balanced accuracy = 50.5%; <i>p</i> = 0.66) and did not vary with alternative pipeline configurations. Exploratory analyses revealed that performance across models was only significantly better than chance in the extreme (non-)responders subpopulation (balanced accuracy = 63.9%, <i>p</i> = 0.001). Including subcortical data did not alter the observed model performance. Cortical structural MRI alone could not reliably predict individual pharmacotherapeutic treatment response in MDD. None of the used machine learning pipeline configurations outperformed the others. In exploratory analyses, we found that predicting response in the extreme (non-)responders subpopulation was feasible on both cortical data alone and combined with subcortical data, which suggests that specific MDD subp
{"title":"Predicting Antidepressant Treatment Response From Cortical Structure on MRI: A Mega-Analysis From the ENIGMA-MDD Working Group","authors":"Maarten G. Poirot, Daphne E. Boucherie, Matthan W. A. Caan, Roberto Goya-Maldonado, Vladimir Belov, Emmanuelle Corruble, Romain Colle, Baptiste Couvy-Duchesne, Toshiharu Kamishikiryo, Hotaka Shinzato, Naho Ichikawa, Go Okada, Yasumasa Okamoto, Ben J. Harrison, Christopher G. Davey, Alec J. Jamieson, Kathryn R. Cullen, Zeynep Başgöze, Bonnie Klimes-Dougan, Bryon A. Mueller, Francesco Benedetti, Sara Poletti, Elisa M. T. Melloni, Christopher R. K. Ching, Ling-Li Zeng, Joaquim Radua, Laura K. M. Han, Neda Jahanshad, Sophia I. Thomopoulos, Elena Pozzi, Dick J. Veltman, Lianne Schmaal, Paul M. Thompson, Henricus G. Ruhe, Liesbeth Reneman, Anouk Schrantee","doi":"10.1002/hbm.70053","DOIUrl":"10.1002/hbm.70053","url":null,"abstract":"<p>Accurately predicting individual antidepressant treatment response could expedite the lengthy trial-and-error process of finding an effective treatment for major depressive disorder (MDD). We tested and compared machine learning-based methods that predict individual-level pharmacotherapeutic treatment response using cortical morphometry from multisite longitudinal cohorts. We conducted an international analysis of pooled data from six sites of the ENIGMA-MDD consortium (<i>n</i> = 262 MDD patients; age = 36.5 ± 15.3 years; 154 (59%) female; mean response rate = 57%). Treatment response was defined as a ≥ 50% reduction in symptom severity score after 4–12 weeks post-initiation of antidepressant treatment. Structural MRI was acquired before, or < 14 days after, treatment initiation. The cortex was parcellated using FreeSurfer, from which cortical thickness and surface area were measured. We tested several machine learning pipeline configurations, which varied in (i) the way we presented the cortical data (i.e., average values per region of interest, as a vector containing voxel-wise cortical thickness and surface area measures, and as cortical thickness and surface area projections), (ii) whether we included clinical data, and the (iii) machine learning model (i.e., gradient boosting, support vector machine, and neural network classifiers) and (iv) cross-validation methods (i.e., k-fold and leave-one-site-out) we used. First, we tested if the overall predictive performance of the pipelines was better than chance, with a corrected 10-fold cross-validation permutation test. Second, we compared if some machine learning pipeline configurations outperformed others. In an exploratory analysis, we repeated our first analysis in three subpopulations, namely patients (i) from a single site, (ii) with comparable response rates, and (iii) showing the least (first quartile) and the most (fourth quartile) treatment response, which we call the extreme (non-)responders subpopulation. Finally, we explored the effect of including subcortical volumetric data on model performance. Overall, performance predicting antidepressant treatment response was not significantly better than chance (balanced accuracy = 50.5%; <i>p</i> = 0.66) and did not vary with alternative pipeline configurations. Exploratory analyses revealed that performance across models was only significantly better than chance in the extreme (non-)responders subpopulation (balanced accuracy = 63.9%, <i>p</i> = 0.001). Including subcortical data did not alter the observed model performance. Cortical structural MRI alone could not reliably predict individual pharmacotherapeutic treatment response in MDD. None of the used machine learning pipeline configurations outperformed the others. In exploratory analyses, we found that predicting response in the extreme (non-)responders subpopulation was feasible on both cortical data alone and combined with subcortical data, which suggests that specific MDD subp","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dogu Baran Aydogan, Victor H. Souza, Renan H. Matsuda, Pantelis Lioumis, Risto J. Ilmoniemi
<p>State-of-the-art navigated transcranial magnetic stimulation (nTMS) systems can display the TMS coil position relative to the structural magnetic resonance image (MRI) of the subject's brain and calculate the induced electric field. However, the local effect of TMS propagates via the white-matter network to different areas of the brain, and currently there is no commercial or research neuronavigation system that can highlight in real time the brain's structural connections during TMS. This lack of real-time visualization may overlook critical inter-individual differences in brain connectivity and does not provide the opportunity to target brain networks. In contrast, real-time tractography enables on-the-fly parameter tuning and detailed exploration of connections, which is computationally inefficient and limited with offline methods. To target structural brain connections, particularly in network-based treatments like major depressive disorder, a real-time tractography-based neuronavigation solution is needed to account for each individual's unique brain connectivity. The objective of this work is to develop a real-time tractography-assisted TMS neuronavigation system and investigate its feasibility. We propose a modular framework that seamlessly integrates offline (preparatory) analysis of diffusion MRI data with online (real-time) probabilistic tractography using the parallel transport approach. For tractography and neuronavigation, we combine our open source software Trekker and InVesalius, respectively. We evaluate our system using synthetic data and MRI scans of four healthy volunteers obtained using a multi-shell high-angular resolution diffusion imaging protocol. The feasibility of our online approach is assessed by studying four major TMS targets via comparing streamline count and overlap against offline tractography results based on filtering of one hundred million streamlines. Our development of a real-time tractography-assisted TMS neuronavigation system showcases advanced tractography techniques, with interactive parameter tuning and real-time visualization of thousands of streamlines via an innovative uncertainty visualization method. Our analysis reveals considerable variability among subjects and TMS targets in the streamline count, for example, while 15,000 streamlines were observed for the TMS target on the visual cortex (V1) of subject #4, in the case of subject #3's V1, no streamlines were obtained. Overlap analysis against offline tractograms demonstrated that real-time tractography can quickly cover a substantial part of the target areas' connectivity, often surpassing the coverage of offline approaches within seconds. For instance, significant portions of Broca's area and the primary motor cortex were effectively visualized after generating tens of thousands of streamlines, highlighting the system's efficiency and feasibility in capturing brain connectivity in real-time. Overall, our work shows that real-time tractograph
{"title":"Real-Time Tractography-Assisted Neuronavigation for Transcranial Magnetic Stimulation","authors":"Dogu Baran Aydogan, Victor H. Souza, Renan H. Matsuda, Pantelis Lioumis, Risto J. Ilmoniemi","doi":"10.1002/hbm.70122","DOIUrl":"10.1002/hbm.70122","url":null,"abstract":"<p>State-of-the-art navigated transcranial magnetic stimulation (nTMS) systems can display the TMS coil position relative to the structural magnetic resonance image (MRI) of the subject's brain and calculate the induced electric field. However, the local effect of TMS propagates via the white-matter network to different areas of the brain, and currently there is no commercial or research neuronavigation system that can highlight in real time the brain's structural connections during TMS. This lack of real-time visualization may overlook critical inter-individual differences in brain connectivity and does not provide the opportunity to target brain networks. In contrast, real-time tractography enables on-the-fly parameter tuning and detailed exploration of connections, which is computationally inefficient and limited with offline methods. To target structural brain connections, particularly in network-based treatments like major depressive disorder, a real-time tractography-based neuronavigation solution is needed to account for each individual's unique brain connectivity. The objective of this work is to develop a real-time tractography-assisted TMS neuronavigation system and investigate its feasibility. We propose a modular framework that seamlessly integrates offline (preparatory) analysis of diffusion MRI data with online (real-time) probabilistic tractography using the parallel transport approach. For tractography and neuronavigation, we combine our open source software Trekker and InVesalius, respectively. We evaluate our system using synthetic data and MRI scans of four healthy volunteers obtained using a multi-shell high-angular resolution diffusion imaging protocol. The feasibility of our online approach is assessed by studying four major TMS targets via comparing streamline count and overlap against offline tractography results based on filtering of one hundred million streamlines. Our development of a real-time tractography-assisted TMS neuronavigation system showcases advanced tractography techniques, with interactive parameter tuning and real-time visualization of thousands of streamlines via an innovative uncertainty visualization method. Our analysis reveals considerable variability among subjects and TMS targets in the streamline count, for example, while 15,000 streamlines were observed for the TMS target on the visual cortex (V1) of subject #4, in the case of subject #3's V1, no streamlines were obtained. Overlap analysis against offline tractograms demonstrated that real-time tractography can quickly cover a substantial part of the target areas' connectivity, often surpassing the coverage of offline approaches within seconds. For instance, significant portions of Broca's area and the primary motor cortex were effectively visualized after generating tens of thousands of streamlines, highlighting the system's efficiency and feasibility in capturing brain connectivity in real-time. Overall, our work shows that real-time tractograph","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giuseppe Pontillo, Ferran Prados, Alle Meije Wink, Baris Kanber, Alvino Bisecco, Tommy A. A. Broeders, Arturo Brunetti, Alessandro Cagol, Massimiliano Calabrese, Marco Castellaro, Sirio Cocozza, Elisa Colato, Sara Collorone, Rosa Cortese, Nicola De Stefano, Linda Douw, Christian Enzinger, Massimo Filippi, Michael A. Foster, Antonio Gallo, Gabriel Gonzalez-Escamilla, Cristina Granziera, Sergiu Groppa, Hanne F. Harbo, Einar A. Høgestøl, Sara Llufriu, Luigi Lorenzini, Eloy Martinez-Heras, Silvia Messina, Marcello Moccia, Gro O. Nygaard, Jacqueline Palace, Maria Petracca, Daniela Pinter, Maria A. Rocca, Eva Strijbis, Ahmed Toosy, Paola Valsasina, Hugo Vrenken, Olga Ciccarelli, James H. Cole, Menno M. Schoonheim, Frederik Barkhof, the MAGNIMS study group
Disruptions to brain networks, measured using structural (sMRI), diffusion (dMRI), or functional (fMRI) MRI, have been shown in people with multiple sclerosis (PwMS), highlighting the relevance of regions in the core of the connectome but yielding mixed results depending on the studied connectivity domain. Using a multilayer network approach, we integrated these three modalities to portray an enriched representation of the brain's core-periphery organization and explore its alterations in PwMS. In this retrospective cross-sectional study, we selected PwMS and healthy controls with complete multimodal brain MRI acquisitions from 13 European centers within the MAGNIMS network. Physical disability and cognition were assessed with the Expanded Disability Status Scale (EDSS) and the symbol digit modalities test (SDMT), respectively. SMRI, dMRI, and resting-state fMRI data were parcellated into 100 cortical and 14 subcortical regions to obtain networks of morphological covariance, structural connectivity, and functional connectivity. Connectivity matrices were merged in a multiplex, from which regional coreness—the probability of a node being part of the multiplex core—and coreness disruption index (κ)—the global weakening of the core-periphery structure—were computed. The associations of κ with disease status (PwMS vs. healthy controls), clinical phenotype, level of physical disability (EDSS ≥ 4 vs. EDSS < 4), and cognitive impairment (SDMT z-score < −1.5) were tested within a linear model framework. Using random forest permutation feature importance, we assessed the relative contribution of κ in the multiplex and single-layer domains, in addition to conventional MRI measures (brain and lesion volumes), in predicting disease status, physical disability, and cognitive impairment. We studied 1048 PwMS (695F, mean ± SD age: 43.3 ± 11.4 years) and 436 healthy controls (250F, mean ± SD age: 38.3 ± 11.8 years). PwMS showed significant disruption of the multiplex core-periphery organization (κ = −0.14, Hedges' g = 0.49, p < 0.001), correlating with clinical phenotype (F = 3.90, p = 0.009), EDSS (Hedges' g = 0.18, p = 0.01), and SDMT (Hedges' g = 0.30, p < 0.001). Multiplex κ was the only connectomic measure adding to conventional MRI in predicting disease status and cognitive impairment, while physical disability also depended on single-layer contributions. In conclusion, we show that multilayer networks represent a biologically and clinically meaningful framework to model multimodal MRI data, with disruption of the core-periphery structure emerging as a potential connectomic biomarker for disease severity and cognitive impairment in PwMS.
使用结构(sMRI)、扩散(dMRI)或功能(fMRI) MRI测量的脑网络中断已在多发性硬化症(PwMS)患者中显示出来,突出了连接组核心区域的相关性,但根据所研究的连接域产生了不同的结果。使用多层网络方法,我们整合了这三种模式来描绘大脑核心-外围组织的丰富表现,并探索其在PwMS中的变化。在这项回顾性横断面研究中,我们选择了来自MAGNIMS网络内的13个欧洲中心的PwMS和健康对照,并获得了完整的多模态脑MRI。分别用扩展残疾状态量表(EDSS)和符号数字模态测验(SDMT)评估身体残疾和认知能力。SMRI、dMRI和静息状态fMRI数据被分割到100个皮层和14个皮层下区域,以获得形态协方差、结构连通性和功能连通性的网络。将连通性矩阵合并到一个复用中,从中计算区域核心度(节点成为复用核心一部分的概率)和核心破坏指数(κ)(核心-外围结构的全局弱化)。κ与疾病状态(PwMS vs.健康对照)、临床表型、身体残疾水平(EDSS≥4 vs. EDSS)的关联
{"title":"More Than the Sum of Its Parts: Disrupted Core Periphery of Multiplex Brain Networks in Multiple Sclerosis","authors":"Giuseppe Pontillo, Ferran Prados, Alle Meije Wink, Baris Kanber, Alvino Bisecco, Tommy A. A. Broeders, Arturo Brunetti, Alessandro Cagol, Massimiliano Calabrese, Marco Castellaro, Sirio Cocozza, Elisa Colato, Sara Collorone, Rosa Cortese, Nicola De Stefano, Linda Douw, Christian Enzinger, Massimo Filippi, Michael A. Foster, Antonio Gallo, Gabriel Gonzalez-Escamilla, Cristina Granziera, Sergiu Groppa, Hanne F. Harbo, Einar A. Høgestøl, Sara Llufriu, Luigi Lorenzini, Eloy Martinez-Heras, Silvia Messina, Marcello Moccia, Gro O. Nygaard, Jacqueline Palace, Maria Petracca, Daniela Pinter, Maria A. Rocca, Eva Strijbis, Ahmed Toosy, Paola Valsasina, Hugo Vrenken, Olga Ciccarelli, James H. Cole, Menno M. Schoonheim, Frederik Barkhof, the MAGNIMS study group","doi":"10.1002/hbm.70107","DOIUrl":"10.1002/hbm.70107","url":null,"abstract":"<p>Disruptions to brain networks, measured using structural (sMRI), diffusion (dMRI), or functional (fMRI) MRI, have been shown in people with multiple sclerosis (PwMS), highlighting the relevance of regions in the core of the connectome but yielding mixed results depending on the studied connectivity domain. Using a multilayer network approach, we integrated these three modalities to portray an enriched representation of the brain's core-periphery organization and explore its alterations in PwMS. In this retrospective cross-sectional study, we selected PwMS and healthy controls with complete multimodal brain MRI acquisitions from 13 European centers within the MAGNIMS network. Physical disability and cognition were assessed with the Expanded Disability Status Scale (EDSS) and the symbol digit modalities test (SDMT), respectively. SMRI, dMRI, and resting-state fMRI data were parcellated into 100 cortical and 14 subcortical regions to obtain networks of morphological covariance, structural connectivity, and functional connectivity. Connectivity matrices were merged in a multiplex, from which regional coreness—the probability of a node being part of the multiplex core—and coreness disruption index (κ)—the global weakening of the core-periphery structure—were computed. The associations of κ with disease status (PwMS vs. healthy controls), clinical phenotype, level of physical disability (EDSS ≥ 4 vs. EDSS < 4), and cognitive impairment (SDMT z-score < −1.5) were tested within a linear model framework. Using random forest permutation feature importance, we assessed the relative contribution of κ in the multiplex and single-layer domains, in addition to conventional MRI measures (brain and lesion volumes), in predicting disease status, physical disability, and cognitive impairment. We studied 1048 PwMS (695F, mean ± SD age: 43.3 ± 11.4 years) and 436 healthy controls (250F, mean ± SD age: 38.3 ± 11.8 years). PwMS showed significant disruption of the multiplex core-periphery organization (κ = −0.14, Hedges' g = 0.49, <i>p</i> < 0.001), correlating with clinical phenotype (F = 3.90, <i>p</i> = 0.009), EDSS (Hedges' g = 0.18, <i>p</i> = 0.01), and SDMT (Hedges' g = 0.30, p < 0.001). Multiplex κ was the only connectomic measure adding to conventional MRI in predicting disease status and cognitive impairment, while physical disability also depended on single-layer contributions. In conclusion, we show that multilayer networks represent a biologically and clinically meaningful framework to model multimodal MRI data, with disruption of the core-periphery structure emerging as a potential connectomic biomarker for disease severity and cognitive impairment in PwMS.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Levente Baljer, Yiqi Zhang, Niall J. Bourke, Kirsten A. Donald, Layla E. Bradford, Jessica E. Ringshaw, Simone R. Williams, Sean C. L. Deoni, Steven C. R. Williams, Khula SA Study Team, František Váša, Rosalyn J. Moran
Owing to the high cost of modern magnetic resonance imaging (MRI) systems, their use in clinical care and neurodevelopmental research is limited to hospitals and universities in high income countries. Ultra-low-field systems with significantly lower scanning costs present a promising avenue towards global MRI accessibility; however, their reduced SNR compared to 1.5 or 3 T systems limits their applicability for research and clinical use. In this paper, we describe a deep learning-based super-resolution approach to generate high-resolution isotropic T2-weighted scans from low-resolution paediatric input scans. We train a ‘multi-orientation U-Net’, which uses multiple low-resolution anisotropic images acquired in orthogonal orientations to construct a super-resolved output. Our approach exhibits improved quality of outputs compared to current state-of-the-art methods for super-resolution of ultra-low-field scans in paediatric populations. Crucially for paediatric development, our approach improves reconstruction of deep brain structures with the greatest improvement in volume estimates of the caudate, where our model improves upon the state-of-the-art in: linear correlation (r = 0.94 vs. 0.84 using existing methods), exact agreement (Lin's concordance correlation = 0.94 vs. 0.80) and mean error (0.05 cm3 vs. 0.36 cm3). Our research serves as proof-of-principle of the viability of training deep-learning based super-resolution models for use in neurodevelopmental research and presents the first model trained exclusively on paired ultra-low-field and high-field data from infants.
{"title":"Ultra-Low-Field Paediatric MRI in Low- and Middle-Income Countries: Super-Resolution Using a Multi-Orientation U-Net","authors":"Levente Baljer, Yiqi Zhang, Niall J. Bourke, Kirsten A. Donald, Layla E. Bradford, Jessica E. Ringshaw, Simone R. Williams, Sean C. L. Deoni, Steven C. R. Williams, Khula SA Study Team, František Váša, Rosalyn J. Moran","doi":"10.1002/hbm.70112","DOIUrl":"https://doi.org/10.1002/hbm.70112","url":null,"abstract":"<p>Owing to the high cost of modern magnetic resonance imaging (MRI) systems, their use in clinical care and neurodevelopmental research is limited to hospitals and universities in high income countries. Ultra-low-field systems with significantly lower scanning costs present a promising avenue towards global MRI accessibility; however, their reduced SNR compared to 1.5 or 3 T systems limits their applicability for research and clinical use. In this paper, we describe a deep learning-based super-resolution approach to generate high-resolution isotropic T<sub>2</sub>-weighted scans from low-resolution paediatric input scans. We train a ‘multi-orientation U-Net’, which uses multiple low-resolution anisotropic images acquired in orthogonal orientations to construct a super-resolved output. Our approach exhibits improved quality of outputs compared to current state-of-the-art methods for super-resolution of ultra-low-field scans in paediatric populations. Crucially for paediatric development, our approach improves reconstruction of deep brain structures with the greatest improvement in volume estimates of the caudate, where our model improves upon the state-of-the-art in: linear correlation (<i>r</i> = 0.94 vs. 0.84 using existing methods), exact agreement (Lin's concordance correlation = 0.94 vs. 0.80) and mean error (0.05 cm<sup>3</sup> vs. 0.36 cm<sup>3</sup>). Our research serves as proof-of-principle of the viability of training deep-learning based super-resolution models for use in neurodevelopmental research and presents the first model trained exclusively on paired ultra-low-field and high-field data from infants.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143120989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Lamar, Konstantinos Arfanakis, Ana W. Capuano, Shengwei Zhang, Debra A. Fleischman, S. Duke Han, Victoria N. Poole, Sue E. Leurgans, David A. Bennett, Lisa L. Barnes
Despite transverse relaxation rate (R2) being one of the fundamental contrasts in MRI, most investigations of brain R2 and cognition have been cross-sectional and conducted in predominantly non-Latino White adults. We investigated the profile of R2 as related to cognition in 212 older African Americans (~75 years of age) with longitudinal 3T MRI scans and cognitive test data to determine how changes in R2 are associated with changes in cognition. For each participant, the slopes of global cognitive and five cognitive domain scores were each separately combined with voxel-specific slopes of R2 in whole brain voxelwise analyses. Participants with less negative rates of R2 change within left basal ganglia and centrum semiovale, bilateral hippocampal complex and temporal gyri, parietooccipital white matter, as well as posterior cingulate displayed less negative slopes in global cognition. Similar associations were seen for regional R2 change and episodic memory (most robustly within bilateral hippocampi) as well as semantic memory (left greater than right hemisphere involvement). Results suggest a relatively wide distribution of regional associations between rates of changes in R2 and changes in global cognition for older African Americans; a profile that became more regionally specific when considering individual cognitive domains. Relative preservation of tissue integrity across grey and white matter, and in key regions associated with specific cognitive domains, is associated with slower cognitive decline for older African Americans. These results may lay the foundation for more directed work to support healthy brain aging in older African Americans.
{"title":"Change in transverse relaxation rates (R2) and change in cognition for older African Americans","authors":"Melissa Lamar, Konstantinos Arfanakis, Ana W. Capuano, Shengwei Zhang, Debra A. Fleischman, S. Duke Han, Victoria N. Poole, Sue E. Leurgans, David A. Bennett, Lisa L. Barnes","doi":"10.1002/hbm.26794","DOIUrl":"https://doi.org/10.1002/hbm.26794","url":null,"abstract":"<p>Despite transverse relaxation rate (R<sub>2</sub>) being one of the fundamental contrasts in MRI, most investigations of brain R<sub>2</sub> and cognition have been cross-sectional and conducted in predominantly non-Latino White adults. We investigated the profile of R<sub>2</sub> as related to cognition in 212 older African Americans (~75 years of age) with longitudinal 3T MRI scans and cognitive test data to determine how changes in R<sub>2</sub> are associated with changes in cognition. For each participant, the slopes of global cognitive and five cognitive domain scores were each separately combined with voxel-specific slopes of R<sub>2</sub> in whole brain voxelwise analyses. Participants with less negative rates of R<sub>2</sub> change within left basal ganglia and centrum semiovale, bilateral hippocampal complex and temporal gyri, parietooccipital white matter, as well as posterior cingulate displayed less negative slopes in global cognition. Similar associations were seen for regional R<sub>2</sub> change and episodic memory (most robustly within bilateral hippocampi) as well as semantic memory (left greater than right hemisphere involvement). Results suggest a relatively wide distribution of regional associations between rates of changes in R<sub>2</sub> and changes in global cognition for older African Americans; a profile that became more regionally specific when considering individual cognitive domains. Relative preservation of tissue integrity across grey and white matter, and in key regions associated with specific cognitive domains, is associated with slower cognitive decline for older African Americans. These results may lay the foundation for more directed work to support healthy brain aging in older African Americans.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.26794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143120613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erin Gibson, Joel Ramirez, Lauren Abby Woods, Julie Ottoy, Stephanie Berberian, Christopher J. M. Scott, Vanessa Yhap, Fuqiang Gao, Roberto Duarte Coello, Maria Valdes Hernandez, Anthony E. Lang, Carmela M. Tartaglia, Sanjeev Kumar, Malcolm A. Binns, Robert Bartha, Sean Symons, Richard H. Swartz, Mario Masellis, Navneet Singh, Alan Moody, Bradley J. MacIntosh, Joanna M. Wardlaw, Sandra E. Black, Andrew S. P. Lim, Maged Goubran, ONDRI Investigators, ADNI, CAIN Investigators, colleagues from the Foundation Leducq Transatlantic Network of Excellence
White matter hyperintensities (WMH) of presumed vascular origin are a magnetic resonance imaging (MRI)-based biomarker of cerebral small vessel disease (CSVD). WMH are associated with cognitive decline and increased risk of stroke and dementia, and are commonly observed in aging, vascular cognitive impairment, and neurodegenerative diseases. The reliable and rapid measurement of WMH in large-scale multisite clinical studies with heterogeneous patient populations remains challenging, where the diversity of imaging characteristics across studies adds additional complexity to this task. We present segcsvdWMH, a convolutional neural network-based tool developed to provide reliable and accurate WMH quantification across diverse clinical datasets. segcsvdWMH was developed using a large dataset consisting of over 700 fluid-attenuated inversion recovery MRI scans from seven multisite studies, spanning a wide range of clinical populations, WMH burdens, and imaging protocols. Model training incorporated anatomical information through a novel hierarchical segmentation approach, together with extensive data augmentation techniques to improve performance across varied imaging conditions. Benchmarked against three widely available segmentation tools, segcsvdWMH demonstrated superior accuracy, achieving mean Dice score improvements of 7.8% ± 9.7% over HyperMapp3r, 21.8% ± 8.6% over SAMSEG, and 43.5% ± 7.1% over WMH-SynthSeg across four diverse test datasets. segcsvdWMH also maintained consistently high Dice scores across these test datasets (mean DSC = 0.86 ± 0.08), and exhibited strong, stable correlations with periventricular, deep, and total WMH ground truth volumes (mean r = 0.99 ± 0.01). Additionally, segcsvdWMH was robust to low and moderate levels of simulated MRI spike noise artifacts and maintained strong performance across a range of binary segmentation thresholds and WMH burden levels. These findings suggest that segcsvdWMH may provide more accurate and robust WMH segmentation performance for heterogeneous clinical datasets characterized by varying degrees of CSVD severity.
{"title":"segcsvdWMH: A Convolutional Neural Network-Based Tool for Quantifying White Matter Hyperintensities in Heterogeneous Patient Cohorts","authors":"Erin Gibson, Joel Ramirez, Lauren Abby Woods, Julie Ottoy, Stephanie Berberian, Christopher J. M. Scott, Vanessa Yhap, Fuqiang Gao, Roberto Duarte Coello, Maria Valdes Hernandez, Anthony E. Lang, Carmela M. Tartaglia, Sanjeev Kumar, Malcolm A. Binns, Robert Bartha, Sean Symons, Richard H. Swartz, Mario Masellis, Navneet Singh, Alan Moody, Bradley J. MacIntosh, Joanna M. Wardlaw, Sandra E. Black, Andrew S. P. Lim, Maged Goubran, ONDRI Investigators, ADNI, CAIN Investigators, colleagues from the Foundation Leducq Transatlantic Network of Excellence","doi":"10.1002/hbm.70104","DOIUrl":"10.1002/hbm.70104","url":null,"abstract":"<p>White matter hyperintensities (WMH) of presumed vascular origin are a magnetic resonance imaging (MRI)-based biomarker of cerebral small vessel disease (CSVD). WMH are associated with cognitive decline and increased risk of stroke and dementia, and are commonly observed in aging, vascular cognitive impairment, and neurodegenerative diseases. The reliable and rapid measurement of WMH in large-scale multisite clinical studies with heterogeneous patient populations remains challenging, where the diversity of imaging characteristics across studies adds additional complexity to this task. We present segcsvd<sub>WMH</sub>, a convolutional neural network-based tool developed to provide reliable and accurate WMH quantification across diverse clinical datasets. segcsvd<sub>WMH</sub> was developed using a large dataset consisting of over 700 fluid-attenuated inversion recovery MRI scans from seven multisite studies, spanning a wide range of clinical populations, WMH burdens, and imaging protocols. Model training incorporated anatomical information through a novel hierarchical segmentation approach, together with extensive data augmentation techniques to improve performance across varied imaging conditions. Benchmarked against three widely available segmentation tools, segcsvd<sub>WMH</sub> demonstrated superior accuracy, achieving mean Dice score improvements of 7.8% ± 9.7% over HyperMapp3r, 21.8% ± 8.6% over SAMSEG, and 43.5% ± 7.1% over WMH-SynthSeg across four diverse test datasets. segcsvd<sub>WMH</sub> also maintained consistently high Dice scores across these test datasets (mean DSC = 0.86 ± 0.08), and exhibited strong, stable correlations with periventricular, deep, and total WMH ground truth volumes (mean <i>r</i> = 0.99 ± 0.01). Additionally, segcsvd<sub>WMH</sub> was robust to low and moderate levels of simulated MRI spike noise artifacts and maintained strong performance across a range of binary segmentation thresholds and WMH burden levels. These findings suggest that segcsvd<sub>WMH</sub> may provide more accurate and robust WMH segmentation performance for heterogeneous clinical datasets characterized by varying degrees of CSVD severity.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"45 18","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}