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儿童精神症状基于大脑的多变量维度的普遍适用性有限。

Limited generalizability of multivariate brain-based dimensions of child psychiatric symptoms.

作者信息

Xu Bing, Dall'Aglio Lorenza, Flournoy John, Bortsova Gerda, Tervo-Clemmens Brenden, Collins Paul, de Bruijne Marleen, Luciana Monica, Marquand Andre, Wang Hao, Tiemeier Henning, Muetzel Ryan L

机构信息

Department of Child and Adolescent Psychology and Psychiatry, Erasmus MC University Medical Center Rotterdam-Sophia Children's Hospital, Rotterdam, The Netherlands.

The Generation R Study Group, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.

出版信息

Commun Psychol. 2024 Feb 28;2(1):16. doi: 10.1038/s44271-024-00063-y.

Abstract

Multivariate machine learning techniques are a promising set of tools for identifying complex brain-behavior associations. However, failure to replicate results from these methods across samples has hampered their clinical relevance. Here we aimed to delineate dimensions of brain functional connectivity that are associated with child psychiatric symptoms in two large and independent cohorts: the Adolescent Brain Cognitive Development (ABCD) Study and the Generation R Study (total n = 6935). Using sparse canonical correlations analysis, we identified two brain-behavior dimensions in ABCD: attention problems and aggression/rule-breaking behaviors. Importantly, out-of-sample generalizability of these dimensions was consistently observed in ABCD, suggesting robust multivariate brain-behavior associations. Despite this, out-of-study generalizability in Generation R was limited. These results highlight that the degrees of generalizability can vary depending on the external validation methods employed as well as the datasets used, emphasizing that biomarkers will remain elusive until models generalize better in true external settings.

摘要

多变量机器学习技术是一组很有前景的工具,可用于识别复杂的脑-行为关联。然而,这些方法的结果未能在不同样本间重复,这阻碍了它们的临床应用价值。在此,我们旨在描绘在两个大型独立队列——青少年大脑认知发展(ABCD)研究和R代研究(总计n = 6935)中与儿童精神症状相关的脑功能连接维度。通过稀疏典型相关分析,我们在ABCD研究中确定了两个脑-行为维度:注意力问题和攻击/违规行为。重要的是,这些维度在ABCD研究中始终表现出样本外的可推广性,表明存在稳健的多变量脑-行为关联。尽管如此,R代研究中的跨研究可推广性有限。这些结果凸显,可推广程度会因所采用的外部验证方法以及所使用的数据集而异,强调在模型能在真实外部环境中实现更好的推广之前,生物标志物仍难以捉摸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d56/11332032/2288abd08f34/44271_2024_63_Fig1_HTML.jpg

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