Subscribe to the gold package and get unlimited access to Shamra Academy
Register a new userResting-state functional connectivity-based biomarkers and functional MRI-based neurofeedback for psychiatric disorders: a challenge for developing theranostic biomarkers
201
0
0.0
(
0
)
Ask ChatGPT about the research
No Arabic abstract
Psychiatric research has been hampered by an explanatory gap between psychiatric symptoms and their neural underpinnings, which has resulted in poor treatment outcomes. This situation has prompted us to shift from symptom-based diagnosis to data-driven diagnosis, aiming to redefine psychiatric disorders as disorders of neural circuitry. Promising candidates for data-driven diagnosis include resting-state functional connectivity MRI (rs-fcMRI)-based biomarkers. Although biomarkers have been developed with the aim of diagnosing patients and predicting the efficacy of therapy, the focus has shifted to the identification of biomarkers that represent therapeutic targets, which would allow for more personalized treatment approaches. This type of biomarker (i.e., theranostic biomarker) is expected to elucidate the disease mechanism of psychiatric conditions and to offer an individualized neural circuit-based therapeutic target based on the neural cause of a condition. To this end, researchers have developed rs-fcMRI-based biomarkers and investigated a causal relationship between potential biomarkers and disease-specific behavior using functional MRI (fMRI)-based neurofeedback on functional connectivity. In this review, we introduce recent approach for creating a theranostic biomarker, which consists mainly of two parts: (i) developing an rs-fcMRI-based biomarker that can predict diagnosis and/or symptoms with high accuracy, and (ii) the introduction of a proof-of-concept study investigating the relationship between normalizing the biomarker and symptom changes using fMRI-based neurofeedback. In parallel with the introduction of recent studies, we review rs-fcMRI-based biomarker and fMRI-based neurofeedback, focusing on the technological improvements and limitations associated with clinical use.
rate research
Read More
Prediction of Overall Survival (OS) of brain cancer patients from multi-modal MRI is a challenging field of research. Most of the existing literature on survival prediction is based on Radiomic features, which does not consider either non-biological factors or the functional neurological status of the patient(s). Besides, the selection of an appropriate cut-off for survival and the presence of censored data create further problems. Application of deep learning models for OS prediction is also limited due to the lack of large annotated publicly available datasets. In this scenario we analyse the potential of two novel neuroimaging feature families, extracted from brain parcellation atlases and spatial habitats, along with classical radiomic and geometric features; to study their combined predictive power for analysing overall survival. A cross validation strategy with grid search is proposed to simultaneously select and evaluate the most predictive feature subset based on its predictive power. A Cox Proportional Hazard (CoxPH) model is employed for univariate feature selection, followed by the prediction of patient-specific survival functions by three multivariate parsimonious models viz. Coxnet, Random survival forests (RSF) and Survival SVM (SSVM). The brain cancer MRI data used for this research was taken from two open-access collections TCGA-GBM and TCGA-LGG available from The Cancer Imaging Archive (TCIA). Corresponding survival data for each patient was downloaded from The Cancer Genome Atlas (TCGA). A high cross validation $C-index$ score of $0.82pm.10$ was achieved using RSF with the best $24$ selected features. Age was found to be the most important biological predictor. There were $9$, $6$, $6$ and $2$ features selected from the parcellation, habitat, radiomic and region-based feature groups respectively.
Long-range temporal coherence (LRTC) is quite common to dynamic systems and is fundamental to the system function. LRTC in the brain has been shown to be important to cognition. Assessing LRTC may provide critical information for understanding the potential underpinnings of brain organization, function, and cognition. To facilitate this overarching goal, we provide a method, which is named temporal coherence mapping (TCM), to explicitly quantify LRTC using resting state fMRI. TCM is based on correlation analysis of the transit states of the phase space reconstructed by temporal embedding. A few TCM properties were collected to measure LRTC, including the averaged correlation, anti-correlation, the ratio of correlation and anticorrelation, the mean coherent and incoherent duration, and the ratio between the coherent and incoherent time. TCM was first evaluated with simulations and then with the large Human Connectome Project data. Evaluation results showed that TCM metrics can successfully differentiate signals with different temporal coherence regardless of the parameters used to reconstruct the phase space. In human brain, TCM metrics except the ratio of the coherent/incoherent time showed high test-retest reproducibility; TCM metrics are related to age, sex, and total cognitive scores. In summary, TCM provides a first-of-its-kind tool to assess LRTC and the imbalance between coherence and incoherence; TCM properties are physiologically and cognitively meaningful.
A large body of literature has shown the substantial inter-regional functional connectivity in the mammal brain. One important property remaining un-studied is the cross-time interareal connection. This paper serves to provide a tool to characterize the cross-time functional connectivity. The method is extended from the temporal embedding based brain temporal coherence analysis. Both synthetic data and in-vivo data were used to evaluate the various properties of the cross-time functional connectivity matrix, which is also called the cross-regional temporal coherence matrix.
Objective. Modelling is an important way to study the working mechanism of brain. While the characterization and understanding of brain are still inadequate. This study tried to build a model of brain from the perspective of thermodynamics at system level, which brought a new thinking to brain modelling. Approach. Regarding brain regions as systems, voxels as particles, and intensity of signals as energy of particles, the thermodynamic model of brain was built based on canonical ensemble theory. Two pairs of activated regions and two pairs of inactivated brain regions were selected for comparison in this study, and the analysis on thermodynamic properties based on the model proposed were performed. In addition, the thermodynamic properties were also extracted as input features for the detection of Alzheimers disease. Main results. The experiment results verified the assumption that the brain also follows the thermodynamic laws. It demonstrated the feasibility and rationality of brain thermodynamic modelling method proposed, indicating that thermodynamic parameters could be applied to describe the state of neural system. Meanwhile, the brain thermodynamic model achieved much better accuracy in detection of Alzheimers disease, suggesting the potential application of thermodynamic model in auxiliary diagnosis. Significance. (1) Instead of applying some thermodynamic parameters to analyze neural system, a brain model at system level was proposed from perspective of thermodynamics for the first time in this study. (2) The study discovered that the neural system also follows the laws of thermodynamics, which leads to increased internal energy, increased free energy and decreased entropy when system is activated. (3) The detection of neural disease was demonstrated to be benefit from thermodynamic model, implying the immense potential of thermodynamics in auxiliary diagnosis.
Edge-centric functional connectivity (eFC) has recently been proposed to characterise the finest time resolution on the FC dynamics without the concomitant assumptions of sliding-window approaches. Here, we lay the mathematical foundations for the edge-centric analysis and examine its main findings from a quantitative perspective. The proposed framework provides a theoretical explanation for the observed occurrence of high-amplitude edge cofluctuations across datasets and clarifies why a few large events drive the node-centric FC (nFC). Our exposition also constitutes a critique of the edge-centric approach as currently applied to functional MRI (fMRI) time series. The central argument is that the existing findings based on edge time series can be derived from the static nFC under a null hypothesis that only accounts for the observed static spatial correlations and not the temporal ones. Challenging our analytic predictions against fMRI data from the Human Connectome Project confirms that the nFC is sufficient to replicate the eFC matrix, the edge communities, the large cofluctuations, and the corresponding brain activity mode. We conclude that the temporal structure of the edge time series has not so far been exploited sufficiently and encourage further work to explore features that cannot be explained by the presented static null model.
Log in to be able to interact and post comments
comments
Fetching comments
Sign in to be able to follow your search criteria
