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      Machine learning algorithm accurately detects fMRI signature of vulnerability to major depression

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          Abstract

          Standard functional magnetic resonance imaging (fMRI) analyses cannot assess the potential of a neuroimaging signature as a biomarker to predict individual vulnerability to major depression (MD). Here, we use machine learning for the first time to address this question. Using a recently identified neural signature of guilt-selective functional disconnection, the classification algorithm was able to distinguish remitted MD from control participants with 78.3% accuracy. This demonstrates the high potential of our fMRI signature as a biomarker of MD vulnerability.

          Highlights

          • We use machine learning to test a new fMRI biomarker of depression vulnerability.

          • This is based on guilt-selective anterior temporal functional connectivity changes.

          • The classification algorithm uses Maximum Entropy Linear Discriminant Analysis.

          • The remitted depression group is distinguished from controls with 78.3% accuracy.

          • This shows a high biomarker potential for detecting vulnerability to depression.

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          Most cited references11

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          Population-based study of first onset and chronicity in major depressive disorder.

          There are no studies of the natural history of major depressive disorder that lack prevalence and clinic biases. To estimate risk factors for first lifetime onset and parameters of chronicity following the first episode, including duration, recovery, and recurrence, and to search for predictors of each parameter. Prospective population-based cohort study with 23 years of follow-up. East Baltimore, Maryland, an urban setting. Probability sample of 3481 adult household residents in 1981, including 92 with first lifetime onset of major depressive disorder during the course of the follow-up, and 1739 other participants followed up for at least 13 years. Diagnostic Interview Schedule and Life Chart Interview. Female participants showed higher risk of onset of disorder, longer duration of episodes, and a nonsignificant tendency for higher risk of recurrence. Sex was not related to recovery. The median episode length was 12 weeks. About 15% of 92 individuals with first episodes did not have a year free of episodes, even after 23 years. About 50% of first episode participants recovered and had no future episodes. The evolution of the course was relatively stable from first to later episodes. Individuals with 1 or 2 short alleles of the serotonin transporter gene were at higher risk for an initial episode, but experienced episodes of shorter duration. There were few strong predictors of recovery or recurrence. Major depressive disorder is unremitting in 15% of cases and recurrent in 35%. About half of those with a first-onset episode recover and have no further episodes.
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            Unsupervised classification of major depression using functional connectivity MRI.

            The current diagnosis of psychiatric disorders including major depressive disorder based largely on self-reported symptoms and clinical signs may be prone to patients' behaviors and psychiatrists' bias. This study aims at developing an unsupervised machine learning approach for the accurate identification of major depression based on single resting-state functional magnetic resonance imaging scans in the absence of clinical information. Twenty-four medication-naive patients with major depression and 29 demographically similar healthy individuals underwent resting-state functional magnetic resonance imaging. We first clustered the voxels within the perigenual cingulate cortex into two subregions, a subgenual region and a pregenual region, according to their distinct resting-state functional connectivity patterns and showed that a maximum margin clustering-based unsupervised machine learning approach extracted sufficient information from the subgenual cingulate functional connectivity map to differentiate depressed patients from healthy controls with a group-level clustering consistency of 92.5% and an individual-level classification consistency of 92.5%. It was also revealed that the subgenual cingulate functional connectivity network with the highest discriminative power primarily included the ventrolateral and ventromedial prefrontal cortex, superior temporal gyri and limbic areas, indicating that these connections may play critical roles in the pathophysiology of major depression. The current study suggests that subgenual cingulate functional connectivity network signatures may provide promising objective biomarkers for the diagnosis of major depression and that maximum margin clustering-based unsupervised machine learning approaches may have the potential to inform clinical practice and aid in research on psychiatric disorders. Copyright © 2013 Wiley Periodicals, Inc.
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              Identification of neural connectivity signatures of autism using machine learning

              Alterations in interregional neural connectivity have been suggested as a signature of the pathobiology of autism. There have been many reports of functional and anatomical connectivity being altered while individuals with autism are engaged in complex cognitive and social tasks. Although disrupted instantaneous correlation between cortical regions observed from functional MRI is considered to be an explanatory model for autism, the causal influence of a brain area on another (effective connectivity) is a vital link missing in these studies. The current study focuses on addressing this in an fMRI study of Theory-of-Mind (ToM) in 15 high-functioning adolescents and adults with autism and 15 typically developing control participants. Participants viewed a series of comic strip vignettes in the MRI scanner and were asked to choose the most logical end to the story from three alternatives, separately for trials involving physical and intentional causality. The mean time series, extracted from 18 activated regions of interest, were processed using a multivariate autoregressive model (MVAR) to obtain the causality matrices for each of the 30 participants. These causal connectivity weights, along with assessment scores, functional connectivity values, and fractional anisotropy obtained from DTI data for each participant, were submitted to a recursive cluster elimination based support vector machine classifier to determine the accuracy with which the classifier can predict a novel participant's group membership (autism or control). We found a maximum classification accuracy of 95.9% with 19 features which had the highest discriminative ability between the groups. All of the 19 features were effective connectivity paths, indicating that causal information may be critical in discriminating between autism and control groups. These effective connectivity paths were also found to be significantly greater in controls as compared to ASD participants and consisted predominantly of outputs from the fusiform face area and middle temporal gyrus indicating impaired connectivity in ASD participants, particularly in the social brain areas. These findings collectively point toward the fact that alterations in causal connectivity in the brain in ASD could serve as a potential non-invasive neuroimaging signature for autism.
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                Author and article information

                Contributors
                Journal
                Psychiatry Res
                Psychiatry Res
                Psychiatry Research
                Elsevier/North-Holland Biomedical Press
                0165-1781
                1872-7123
                30 August 2015
                30 August 2015
                : 233
                : 2
                : 289-291
                Affiliations
                [a ]Center for Mathematics, Computation, and Cognition, Universidade Federal do ABC, Bangu, Santo André 09020-040, Brazil
                [b ]Cognitive and Behavioral Neuroscience Unit and Neuroinformatics Workgroup, D'Or Institute for Research and Education (IDOR), Rio de Janeiro 22281-100, Brazil
                [c ]The University of Manchester & Manchester Academic Health Sciences Centre, School of Psychological Sciences, Neuroscience and Aphasia Research Unit, Manchester M13 9PL, UK
                [d ]The University of Manchester & Manchester Academic Health Sciences Centre, Institute of Brain, Behaviour and Mental Health, Neuroscience & Psychiatry Unit, Manchester M13 9PL, UK
                [e ]Department of Electrical Engineering, Centro Universitario da FEI, Sao Bernardo do Campo 3972, Brazil
                [f ]Institute of Psychiatry, Psychology, and Neuroscience, King's College London, Department of Psychological Medicine, Centre for Affective Disorders, London SE5 8AZ, UK
                Author notes
                [* ]Correspondence to: Institute of Psychiatry, Psychology, and Neuroscience, King's College London, Department of Psychological Medicine, Centre for Affective Disorders, Main Building, PO72, De Crespigny Park, London SE5 8AF, UK. roland.zahn@ 123456kcl.ac.uk
                Article
                S0925-4927(15)30025-1
                10.1016/j.pscychresns.2015.07.001
                4834459
                26187550
                180b79c5-33f8-44f5-9860-ac7918eaccb1
                Crown Copyright © 2015 Published by Elsevier Ltd. All rights reserved.

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 4 September 2014
                : 26 March 2015
                : 1 July 2015
                Categories
                Short Communication

                Clinical Psychology & Psychiatry
                self-blame,major depressive disorder,anterior temporal lobe

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