Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Cereb Cortex. 2019 Jun 1;29(6):2455-2469. doi: 10.1093/cercor/bhy117.
The ability to make individual-level predictions from neuroanatomy has the potential to be particularly useful in child development. Previously, resting-state functional connectivity (RSFC) MRI has been used to successfully predict maturity and diagnosis of typically and atypically developing individuals. Unfortunately, submillimeter head motion in the scanner produces systematic, distance-dependent differences in RSFC and may contaminate, and potentially facilitate, these predictions. Here, we evaluated individual age prediction with RSFC after stringent motion denoising. Using multivariate machine learning, we found that 57% of the variance in individual RSFC after motion artifact denoising was explained by age, while 4% was explained by residual effects of head motion. When RSFC data were not adequately denoised, 50% of the variance was explained by motion. Reducing motion-related artifact also revealed that prediction did not depend upon characteristics of functional connections previously hypothesized to mediate development (e.g., connection distance). Instead, successful age prediction relied upon sampling functional connections across multiple functional systems with strong, reliable RSFC within an individual. Our results demonstrate that RSFC across the brain is sufficiently robust to make individual-level predictions of maturity in typical development, and hence, may have clinical utility for the diagnosis and prognosis of individuals with atypical developmental trajectories.
从神经解剖学进行个体水平预测的能力在儿童发育中具有潜在的特别用处。先前,静息态功能连接 (RSFC) MRI 已被用于成功预测典型和非典型发育个体的成熟度和诊断。不幸的是,扫描器中亚毫米级别的头部运动会在 RSFC 中产生系统的、依赖距离的差异,并且可能会污染和潜在地促进这些预测。在这里,我们在严格的运动降噪后,使用 RSFC 评估个体年龄预测。使用多元机器学习,我们发现,在对运动伪影进行降噪后,个体 RSFC 的 57%的变异性可由年龄解释,而 4%的变异性可由头部运动的残留效应解释。当 RSFC 数据未得到充分降噪时,50%的变异性由运动解释。减少与运动相关的伪影还表明,预测并不依赖于先前假设为介导发育的功能连接的特征(例如,连接距离)。相反,成功的年龄预测依赖于在个体内部使用具有强而可靠的 RSFC 在多个功能系统中采样功能连接。我们的结果表明,大脑中的 RSFC 足够稳健,可以对典型发育中的成熟度进行个体水平的预测,因此,对于具有非典型发育轨迹的个体的诊断和预后可能具有临床应用价值。