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Towlson EK, Vértes PE, Müller-Sedgwick U, Ahnert SE. Brain Networks Reveal the Effects of Antipsychotic Drugs on Schizophrenia Patients and Controls. Front Psychiatry 2019; 10:611. [PMID: 31572229 PMCID: PMC6752631 DOI: 10.3389/fpsyt.2019.00611] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 07/31/2019] [Indexed: 11/13/2022] Open
Abstract
The study of brain networks, including those derived from functional neuroimaging data, attracts a broad interest and represents a rapidly growing interdisciplinary field. Comparing networks of healthy volunteers with those of patients can potentially offer new, quantitative diagnostic methods and a framework for better understanding brain and mind disorders. We explore resting state functional Magnetic Resonance Imaging (fMRI) data through network measures. We construct networks representing 15 healthy individuals and 12 schizophrenia patients (males and females), all of whom are administered three drug treatments: i) a placebo; and two antipsychotic medications ii) aripiprazole and iii) sulpiride. We compare these resting state networks to a performance at an "N-back" working memory task. We demonstrate that not only is there a distinctive network architecture in the healthy brain that is disrupted in schizophrenia but also that both networks respond to antipsychotic medication. We first reproduce the established finding that brain networks of schizophrenia patients exhibit increased efficiency and reduced clustering compared with controls. Our data then reveal that the antipsychotic medications mitigate this effect, shifting the metrics toward those observed in healthy volunteers, with a marked difference in efficacy between the two drugs. Additionally, we find that aripiprazole considerably alters the network statistics of healthy controls. Examining the "N-back" working memory task, we establish that aripiprazole also adversely affects their performance. This suggests that changes to macroscopic brain network architecture result in measurable behavioral differences. This is one of the first studies to directly compare different medications using a whole-brain graph theoretical analysis with accompanying behavioral data. The small sample size is an inherent limitation and means a degree of caution is warranted in interpreting the findings. Our results lay the groundwork for an objective methodology with which to calculate and compare the efficacy of different treatments of mind and brain disorders.
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Affiliation(s)
- Emma K. Towlson
- Center for Complex Network Research and Department of Physics, Northeastern University, Boston, MA, United States
- Media Laboratory, Massachusetts Institute of Technology, Cambridge, MA, United States
| | - Petra E. Vértes
- Department of Psychiatry, Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom
| | - Ulrich Müller-Sedgwick
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
- Barnet Enfield Haringey Mental Health NHS Trust, Springwell Centre, Barnet Hospital, London, United Kingdom
| | - Sebastian E. Ahnert
- Theory of Condensed Matter Group, Department of Physics, Cavendish Laboratory, University of Cambridge, Cambridge, United Kingdom
- Sainsbury Laboratory, University of Cambridge, Cambridge, United Kingdom
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Suckling J, Henty J, Ecker C, Deoni SC, Lombardo MV, Baron‐Cohen S, Jezzard P, Barnes A, Chakrabarti B, Ooi C, Lai M, Williams SC, Murphy DG, Bullmore E. Are power calculations useful? A multicentre neuroimaging study. Hum Brain Mapp 2014; 35:3569-77. [PMID: 24644267 PMCID: PMC4282319 DOI: 10.1002/hbm.22465] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Revised: 01/03/2014] [Accepted: 01/06/2014] [Indexed: 02/02/2023] Open
Abstract
There are now many reports of imaging experiments with small cohorts of typical participants that precede large-scale, often multicentre studies of psychiatric and neurological disorders. Data from these calibration experiments are sufficient to make estimates of statistical power and predictions of sample size and minimum observable effect sizes. In this technical note, we suggest how previously reported voxel-based power calculations can support decision making in the design, execution and analysis of cross-sectional multicentre imaging studies. The choice of MRI acquisition sequence, distribution of recruitment across acquisition centres, and changes to the registration method applied during data analysis are considered as examples. The consequences of modification are explored in quantitative terms by assessing the impact on sample size for a fixed effect size and detectable effect size for a fixed sample size. The calibration experiment dataset used for illustration was a precursor to the now complete Medical Research Council Autism Imaging Multicentre Study (MRC-AIMS). Validation of the voxel-based power calculations is made by comparing the predicted values from the calibration experiment with those observed in MRC-AIMS. The effect of non-linear mappings during image registration to a standard stereotactic space on the prediction is explored with reference to the amount of local deformation. In summary, power calculations offer a validated, quantitative means of making informed choices on important factors that influence the outcome of studies that consume significant resources.
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Affiliation(s)
- John Suckling
- Brain Mapping UnitDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
- Behavioural and Clinical Neuroscience InstituteUniversity of CambridgeCambridgeUnited Kingdom
- Cambridge and Peterborough Foundation NHS TrustCambridgeUnited Kingdom
| | - Julian Henty
- Brain Mapping UnitDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
| | - Christine Ecker
- Sackler Institute for Translational Neurodevelopment and Department of Forensic and Neurodevelopmental SciencesInstitute of Psychiatry, King's College LondonUK
| | - Sean C. Deoni
- Division of EngineeringBrown UniversityProvidenceRhode Island
| | - Michael V. Lombardo
- Autism Research CentreDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
| | - Simon Baron‐Cohen
- Cambridge and Peterborough Foundation NHS TrustCambridgeUnited Kingdom
- Autism Research CentreDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
| | - Peter Jezzard
- Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUnited Kingdom
| | - Anna Barnes
- Institute of Nuclear Medicine, University College London HospitalsLondonUnited Kingdom
| | - Bhismadev Chakrabarti
- Autism Research CentreDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
- Centre for Integrative Neuroscience and Neurodynamics, School of Psychology and Clinical Language Sciences, University of ReadingReadingUnited Kingdom
| | - Cinly Ooi
- Brain Mapping UnitDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
- Behavioural and Clinical Neuroscience InstituteUniversity of CambridgeCambridgeUnited Kingdom
| | - Meng‐Chuan Lai
- Autism Research CentreDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
| | - Steven C. Williams
- Centre for Neuroimaging SciencesKing's College London Institute of PsychiatryLondonUnited Kingdom
| | - Declan G.M. Murphy
- Sackler Institute for Translational Neurodevelopment and Department of Forensic and Neurodevelopmental SciencesInstitute of Psychiatry, King's College LondonUK
| | - Edward Bullmore
- Brain Mapping UnitDepartment of PsychiatryUniversity of CambridgeCambridgeUnited Kingdom
- Behavioural and Clinical Neuroscience InstituteUniversity of CambridgeCambridgeUnited Kingdom
- Cambridge and Peterborough Foundation NHS TrustCambridgeUnited Kingdom
- Clinical Unit Cambridge, GlaxoSmithKline Ltd., Addenbrooke's HospitalCambridgeUnited Kingdom
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Hackmack K, Paul F, Weygandt M, Allefeld C, Haynes JD. Multi-scale classification of disease using structural MRI and wavelet transform. Neuroimage 2012; 62:48-58. [PMID: 22609452 DOI: 10.1016/j.neuroimage.2012.05.022] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Accepted: 05/09/2012] [Indexed: 11/25/2022] Open
Abstract
Recently, multivariate analysis algorithms have become a popular tool to diagnose neurological diseases based on neuroimaging data. Most studies, however, are biased for one specific scale, namely the scale given by the spatial resolution (i.e. dimension) of the data. In the present study, we propose to use the dual-tree complex wavelet transform to extract information on different spatial scales from structural MRI data and show its relevance for disease classification. Based on the magnitude representation of the complex wavelet coefficients calculated from the MR images, we identified a new class of features taking scale, directionality and potentially local information into account simultaneously. By using a linear support vector machine, these features were shown to discriminate significantly between spatially normalized MR images of 41 patients suffering from multiple sclerosis and 26 healthy controls. Interestingly, the decoding accuracies varied strongly among the different scales and it turned out that scales containing low frequency information were partly superior to scales containing high frequency information. Usually, this type of information is neglected since most decoding studies use only the original scale of the data. In conclusion, our proposed method has not only a high potential to assist in the diagnostic process of multiple sclerosis, but can be applied to other diseases or general decoding problems in structural or functional MRI.
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Affiliation(s)
- Kerstin Hackmack
- Bernstein Center for Computational Neuroscience, Charité-Universitätsmedizin Berlin, Berlin, Germany.
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Zalesky A, Fornito A, Egan GF, Pantelis C, Bullmore ET. The relationship between regional and inter-regional functional connectivity deficits in schizophrenia. Hum Brain Mapp 2011; 33:2535-49. [PMID: 21922601 DOI: 10.1002/hbm.21379] [Citation(s) in RCA: 86] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2011] [Revised: 04/20/2011] [Accepted: 05/18/2011] [Indexed: 12/27/2022] Open
Abstract
While schizophrenia is frequently characterized as a disorder of disturbed functional connectivity, the causes and pathophysiological origins of such disturbances remain unclear. The aim of this study was to better elucidate the mechanistic causes of abnormal functional connectivity in schizophrenia, measured as the extent of temporal correlation between endogenous fluctuations recorded at anatomically discrete brain regions during resting-state functional MRI. An approach was developed to perform whole-brain connectivity mapping at the resolution of individual pairs of voxels, without the need for arbitrary parcellation of the cerebrum. Between-group connectivity reductions in 12 people diagnosed with schizophrenia and 15 age-, IQ-, and gender-matched healthy volunteers were localized to a distributed network including frontoparietal and occipitoparietal connections. The gray-matter regions comprising this disturbed network showed evidence of local reductions in both intra-regional homogeneity (29%-33% reduction) and signal power (40%-60% reduction). The extent to which inter-regional correlation was reduced between a pair of gray matter regions was found to be strongly correlated with the extent of local decoherence evident within the gray matter regions per se. This suggests measurement of aberrant functional connectivity in schizophrenia is both a measurement of altered coupling between regions as well as a measurement of local decoherence within regions.
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Affiliation(s)
- Andrew Zalesky
- Melbourne Neuropsychiatry Centre, The University of Melbourne and Melbourne Health, Melbourne, Australia.
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Vértes PE, Nicol RM, Chapman SC, Watkins NW, Robertson DA, Bullmore ET. Topological isomorphisms of human brain and financial market networks. Front Syst Neurosci 2011; 5:75. [PMID: 22007161 PMCID: PMC3173712 DOI: 10.3389/fnsys.2011.00075] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2011] [Accepted: 08/14/2011] [Indexed: 02/02/2023] Open
Abstract
Although metaphorical and conceptual connections between the human brain and the financial markets have often been drawn, rigorous physical or mathematical underpinnings of this analogy remain largely unexplored. Here, we apply a statistical and graph theoretic approach to the study of two datasets - the time series of 90 stocks from the New York stock exchange over a 3-year period, and the fMRI-derived time series acquired from 90 brain regions over the course of a 10-min-long functional MRI scan of resting brain function in healthy volunteers. Despite the many obvious substantive differences between these two datasets, graphical analysis demonstrated striking commonalities in terms of global network topological properties. Both the human brain and the market networks were non-random, small-world, modular, hierarchical systems with fat-tailed degree distributions indicating the presence of highly connected hubs. These properties could not be trivially explained by the univariate time series statistics of stock price returns. This degree of topological isomorphism suggests that brains and markets can be regarded broadly as members of the same family of networks. The two systems, however, were not topologically identical. The financial market was more efficient and more modular - more highly optimized for information processing - than the brain networks; but also less robust to systemic disintegration as a result of hub deletion. We conclude that the conceptual connections between brains and markets are not merely metaphorical; rather these two information processing systems can be rigorously compared in the same mathematical language and turn out often to share important topological properties in common to some degree. There will be interesting scientific arbitrage opportunities in further work at the graph-theoretically mediated interface between systems neuroscience and the statistical physics of financial markets.
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Affiliation(s)
- Petra E. Vértes
- Behavioural and Clinical Neuroscience Institute, University of CambridgeCambridge, UK
| | - Ruth M. Nicol
- Centre for Fusion, Space and Astrophysics, Department of Physics, University of WarwickCoventry, UK
| | - Sandra C. Chapman
- Centre for Fusion, Space and Astrophysics, Department of Physics, University of WarwickCoventry, UK
| | - Nicholas W. Watkins
- Centre for Fusion, Space and Astrophysics, Department of Physics, University of WarwickCoventry, UK,British Antarctic SurveyCambridge, UK
| | - Duncan A. Robertson
- Centre for Fusion, Space and Astrophysics, Department of Physics, University of WarwickCoventry, UK,University of East Anglia LondonLondon, UK,St Catherine’s College, University of OxfordOxford, UK
| | - Edward T. Bullmore
- Behavioural and Clinical Neuroscience Institute, University of CambridgeCambridge, UK,GlaxoSmithKline Clinical Unit Cambridge, Addenbrooke’s HospitalCambridge, UK,*Correspondence: Edward T. Bullmore, Department of Psychiatry, Behavioural and Clinical Neuroscience Institute, University of Cambridge, Herchel Smith Building for Brain and Mind Sciences, Cambridge Biomedical Campus, Cambridge CB2 0SZ, UK. e-mail:
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Lessa PS, Sato JR, Cardoso EF, Neto CG, Valadares AP, Amaro E. Wavelet correlation between subjects: A time-scale data driven analysis for brain mapping using fMRI. J Neurosci Methods 2011; 194:350-7. [PMID: 20869400 DOI: 10.1016/j.jneumeth.2010.09.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2010] [Revised: 08/16/2010] [Accepted: 09/15/2010] [Indexed: 10/19/2022]
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Zalesky A, Fornito A, Bullmore ET. Network-based statistic: Identifying differences in brain networks. Neuroimage 2010; 53:1197-207. [PMID: 20600983 DOI: 10.1016/j.neuroimage.2010.06.041] [Citation(s) in RCA: 1694] [Impact Index Per Article: 121.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2010] [Revised: 05/31/2010] [Accepted: 06/16/2010] [Indexed: 12/20/2022] Open
Affiliation(s)
- Andrew Zalesky
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne and Melbourne Health, Australia.
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Abstract
Schizophrenia has often been conceived as a disorder of connectivity between components of large-scale brain networks. We tested this hypothesis by measuring aspects of both functional connectivity and functional network topology derived from resting-state fMRI time series acquired at 72 cerebral regions over 17 min from 15 healthy volunteers (14 male, 1 female) and 12 people diagnosed with schizophrenia (10 male, 2 female). We investigated between-group differences in strength and diversity of functional connectivity in the 0.06-0.125 Hz frequency interval, and some topological properties of undirected graphs constructed from thresholded interregional correlation matrices. In people with schizophrenia, strength of functional connectivity was significantly decreased, whereas diversity of functional connections was increased. Topologically, functional brain networks had reduced clustering and small-worldness, reduced probability of high-degree hubs, and increased robustness in the schizophrenic group. Reduced degree and clustering were locally significant in medial parietal, premotor and cingulate, and right orbitofrontal cortical nodes of functional networks in schizophrenia. Functional connectivity and topological metrics were correlated with each other and with behavioral performance on a verbal fluency task. We conclude that people with schizophrenia tend to have a less strongly integrated, more diverse profile of brain functional connectivity, associated with a less hub-dominated configuration of complex brain functional networks. Alongside these behaviorally disadvantageous differences, however, brain networks in the schizophrenic group also showed a greater robustness to random attack, pointing to a possible benefit of the schizophrenia connectome, if less extremely expressed.
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Samanez-Larkin GR, D'Esposito M. Group comparisons: imaging the aging brain. Soc Cogn Affect Neurosci 2009; 3:290-7. [PMID: 18846241 DOI: 10.1093/scan/nsn029] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
With the recent growth of functional magnetic resonance imaging (fMRI), scientists across a range of disciplines are comparing neural activity between groups of interest, such as healthy controls and clinical patients, children and young adults and younger and older adults. In this edition of Tools of the Trade, we will discuss why great caution must be taken when making group comparisons in studies using fMRI. Although many methodological contributions have been made in recent years, the suggestions for overcoming common issues are too often overlooked. This review focuses primarily on neuroimaging studies of healthy aging, but many of the issues raised apply to other group designs as well.
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Gholipour A, Kehtarnavaz N, Briggs R, Devous M, Gopinath K. Brain functional localization: a survey of image registration techniques. IEEE TRANSACTIONS ON MEDICAL IMAGING 2007; 26:427-51. [PMID: 17427731 DOI: 10.1109/tmi.2007.892508] [Citation(s) in RCA: 100] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Functional localization is a concept which involves the application of a sequence of geometrical and statistical image processing operations in order to define the location of brain activity or to produce functional/parametric maps with respect to the brain structure or anatomy. Considering that functional brain images do not normally convey detailed structural information and, thus, do not present an anatomically specific localization of functional activity, various image registration techniques are introduced in the literature for the purpose of mapping functional activity into an anatomical image or a brain atlas. The problems addressed by these techniques differ depending on the application and the type of analysis, i.e., single-subject versus group analysis. Functional to anatomical brain image registration is the core part of functional localization in most applications and is accompanied by intersubject and subject-to-atlas registration for group analysis studies. Cortical surface registration and automatic brain labeling are some of the other tools towards establishing a fully automatic functional localization procedure. While several previous survey papers have reviewed and classified general-purpose medical image registration techniques, this paper provides an overview of brain functional localization along with a survey and classification of the image registration techniques related to this problem.
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Affiliation(s)
- Ali Gholipour
- Electrical Engineering Department, University of Texas at Dallas, 2601 North Floyd Rd., Richardson, TX 75083, USA.
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Makrogiannis S, Verma R, Davatzikos C. Anatomical equivalence class: a morphological analysis framework using a lossless shape descriptor. IEEE TRANSACTIONS ON MEDICAL IMAGING 2007; 26:619-31. [PMID: 17427746 DOI: 10.1109/tmi.2007.893285] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Methods of computational anatomy are typically based on a spatial transformation that maps a template to an individual anatomy and vice versa. However, important morphological characteristics are frequently not captured by this transformation, thereby leading to lossy representations. We extend this formulation by incorporating residual anatomical information, i.e., information that is not captured by the shape transformation but is necessary in order to fully and exactly reconstruct the anatomy under measurement. We, therefore, arrive at a lossless morphological representation. By virtue of being lossless, this representation allows us to represent the same anatomy by an infinite number of pairs [transformation, residual], since different residuals correspond to different transformations. We treat these pairs as members of an anatomical equivalence class (AEC), which we approximate using principal component analysis. We show that projection onto the orthogonal to the AEC subspace produces measurements that allow us to better detect morphological abnormalities by eliminating variation in the data that is irrelevant and confounds underlying subtle morphological characteristics. Finally, we show that higher classification rates between a group of normal brains and a group of brains with localized atrophy are obtained if we use nonmetric distances between AECs instead of conventional Euclidean distances between individual morphological measurements. The results confirm that this representation can improve the results compared to conventional analysis, but also highlight limitations of the current approach and point to directions of further development of this general morphological analysis framework.
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Affiliation(s)
- Sokratis Makrogiannis
- Section of Biomedical Image Analysis, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA.
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