Singapore Institute for Neurotechnology (SINAPSE), Centre for Life Sciences, National University of Singapore, 28 Medical Drive, Singapore, Singapore.
Laboratory for Brainbionic Intelligence and Computational Neuroscience, Wuyi University, Jiangmen, China.
Brain Imaging Behav. 2019 Oct;13(5):1386-1396. doi: 10.1007/s11682-018-9947-4.
Machine learning technique has long been utilized to assist disease diagnosis, increasing clinical physicians' confidence in their decision and expediting the process of diagnosis. In this case, machine learning technique serves as a tool for distinguishing patients from healthy people. Additionally, it can also serve as an exploratory method to reveal intrinsic characteristics of a disease based on discriminative features, which was demonstrated in this study. Resting-state functional magnetic resonance imaging (fMRI) data were obtained from 148 participants (including patients with schizophrenia and healthy controls). Connective strengths were estimated by Pearson correlation for each pair of brain regions partitioned according to automated anatomical labelling atlas. Subsequently, consensus connections with high discriminative power were extracted under the circumstance of the best classification accuracy. Investigating these consensus connections, we found that schizophrenia group predominately exhibited weaker strengths of inter-regional connectivity compared to healthy group. Aberrant connectivities in both intra- and inter-hemispherical connections were observed. Within intra-hemispherical connections, the number of aberrant connections in the right hemisphere was more than that of the left hemisphere. In the exploration of large regions, we revealed that the serious dysconnectivities mainly appeared on temporal and occipital regions for the within-large-region connections; while connectivity disruption was observed on the connections from temporal region to occipital, insula and limbic regions for the between-large-region connections. The findings of this study corroborate previous conclusion of dysconnectivity in schizophrenia and further shed light on distribution patterns of dysconnectivity, which deepens the understanding of pathological mechanism of schizophrenia.
机器学习技术长期以来一直被用于辅助疾病诊断,提高临床医生对诊断结果的信心并加速诊断过程。在这种情况下,机器学习技术可作为一种区分患者与健康人群的工具。此外,它还可以作为一种探索性方法,根据判别特征揭示疾病的内在特征,本研究就证实了这一点。本研究从 148 名参与者(包括精神分裂症患者和健康对照者)中获取了静息态功能磁共振成像(fMRI)数据。通过 Pearson 相关系数对基于自动解剖学标注图谱分区的每对脑区的连接强度进行了估计。随后,在最佳分类准确性的情况下,提取具有高判别力的共识连接。通过对这些共识连接进行研究,我们发现与健康对照组相比,精神分裂症组表现出更弱的区域间连接强度。观察到半球内和半球间连接的异常连接。在半球内连接中,右侧异常连接的数量多于左侧。在对大区域的探索中,我们发现,在大区域内连接中,颞叶和枕叶区域出现了严重的连接中断;而在大区域间连接中,从颞叶到枕叶、岛叶和边缘区域的连接出现了连接中断。本研究的发现与精神分裂症中存在连接异常的先前结论相符,并进一步揭示了连接异常的分布模式,这加深了对精神分裂症病理机制的理解。