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Prediction Analysis in Clinical
and Basic Neuroscience
R. Cameron Craddock, PhD
Director, Computational Neuroimaging Lab
Nathan S. Kline Institute for Psychiatric Research
Director of Imaging, Center for the Developing Brain
Child Mind Institute
September 24, 2016
Prediction for clinical applications
• Neuroimaging biomarkers are not particularly needed for diagnosis, but
might provide information about the brain areas affected by a disorder
– Neuroscientific interpretability requires feature selection
– Typically requires linear classifiers
• Key areas for prediction include prognosis and treatment response
(regression)
– Few are doing this
– Need to deal with heterogeneity (unsupervised learning)
• A clinically useful biomarker must be valid, reliable, and have good positive
prediction, and negative prediction values
– Report sensitivity (SS) and specificity (SP)!
• Must generalize to data collected regardless of parameters or vendor
– Otherwise quantitative MRI has no clinical value!
Positive and Negative Prediction Value
Parsing inter-subject variability
Learning from heterogeneity
539 Pts w/ ASD, 573 Typical Controls
16 International sites
16 Preprocessing pipelines
Processing and data-size are crucial for
cross-site prediction
Inter-site Multi-modal Age Prediction
NeuroImage, in press
Standardization to address inter-site
differences
Optimizing for discriminability, not
“generalizability”
Joshua Vogelstein et al. in preparation
Data is key!
http://fcon_1000.projects.nitrc.org/
http://preprocessed-connectomes-project.org/
Deep Phenotyping
Reproducibility and Reliability in
Connectomics
• 2 participants scanned 5
times a day for 3 days
• 1 participant scanned 100
times
• Time between scans varies
from minutes, days, months
1,629 Healthy Controls
3,357 MRI scans
5,093 rs-fMRI scans
1,629 Diffusion scans
300 CBF scans
Quality Assessment Protocol
• Spatial Measures
– Contrast to Noise Ratio
– Entropy Focus Criterion
– Foreground to Background
Energy Ratio
– Smoothness (FWHM)
– % Artifact Voxels
– Signal-to-Noise Ratio
• Temporal Measures
– Standardized DVARS
– Median distance index
– Mean Functional
Displacement
– # Voxels with FD > 0.2m
– % Voxels with FD > 0.2m
http://preprocessed-connectomes-project.github.io/quality-assessment-protocol/
Predicting Intrinsic Brain Activity
Multivariate model of brain activity
xn = b0 + bv
v¹n
å xv +x
Underdetermined problem: solved using support vector
regression or other regularized regression / dimensionality
reduction method
Craddock et al. NeuroImage 2013.
Data Driven ROI Atlas
Craddock et al. Human Brain Mapping 2012.
Nonparametric prediction, activation,
influence and reproducibility resampling
Predicted Time Course
Observed Time Course
Features
Dataset 1
Observed Time Course
Features
Dataset 2
Model
Estimation
Model
Estimation
wixi+b
i
Prediction
Prediction Accuracy
Reproducibility
Prediction
wixi+b
i
Predicted Time Course
Prediction Accuracy
Network
Model
Network
Model
B
A
Prediction Accuracy
• Measure of the generalization ability of a model
• Can be interpreted as a measure of the information
content in the model about the region being
modeled
p(xn x1...xv ) » I(xn x1...xv )
Reproducibility
• Measures the Signal-to-Noise ratio of the model
SNR @
1+r
1-rStrother, S. C. et al. NeuroImage 2003
Predicting Intrinsic Brain Function
Intra-individual variation
Intra-individual variation
Reproducibility
PredictionAccuracy
0.840.860.880.900.92
0.30 0.35 0.40 0.45 0.50
Lobe
Frontal
Occipital
Parietal
Subcortical
Temporal
A
Reproducibility
PredictionAccuracy
0.840.860.880.900.92
0.35 0.40 0.45
Functional Hierarchy
Heteromodal
Limbic
Paralimbic
Sensory−Motor
Subcortical
Unimodal
B
Effect of Scan Length
Inter-subject prediction
• 480 subjects
– 69 DZ twin pairs
– 80 MZ twin pairs
– 200 Non-siblings
• Train on one individual, test with another
– Intra individual
– Between siblings (MZ, DZ)
– Age and sex matched non-siblings
Global prediction accuracy
Regional Differences
SVR Training
Tracking Intrinsic Connectivity
Networks
Amount of Training
Predicting the Future
Exp. Design
Class Training
Labels
Training run
Time-Labeled
Scans
Image Recon and SVM
Classification
Image DataData Acquisition
Stimulus Presentation
Stimulus
Conventional FMRI
Test Data Classifier Output
Testing Run
Real-Time Tracking RSNs
LaConte, et al. (2007) Hum Brain Mapp. 28: 1033-1044
Stephen LaConte August 19, 2009
DMN Modulation Task
Software for prediction analysis
Acknowledgments
• CMI/NKI
– Michael Milham, MD, PHD
– Zarrar Shehzad
– Stan Colcombe, PhD
• Virginia Tech Carilion Research Institute
– Stephen LaConte, PhD
– Jonathan Lisinski, MS
• Siemens Medical
– Keith Heberlein, PhD
– Chris Glielmi, PhD
• Research Funded in part by a NARSAD Young Investigator
Award and NIMH R01MH101555
Thank
You!
Prediction Analysis in Clinical and Basic Neuroscience
Prediction Analysis in Clinical and Basic Neuroscience

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