scholarly journals Informative Biomarkers for Autism Spectrum Disorder Diagnosis in Functional Magnetic Resonance Imaging Data on the Default Mode Network

2021 ◽  
Vol 11 (13) ◽  
pp. 6216
Author(s):  
Aikaterini S. Karampasi ◽  
Antonis D. Savva ◽  
Vasileios Ch. Korfiatis ◽  
Ioannis Kakkos ◽  
George K. Matsopoulos

Effective detection of autism spectrum disorder (ASD) is a complicated procedure, due to the hundreds of parameters suggested to be implicated in its etiology. As such, machine learning methods have been consistently applied to facilitate diagnosis, although the scarcity of potent autism-related biomarkers is a bottleneck. More importantly, the variability of the imported attributes among different sites (e.g., acquisition parameters) and different individuals (e.g., demographics, movement, etc.) pose additional challenges, eluding adequate generalization and universal modeling. The present study focuses on a data-driven approach for the identification of efficacious biomarkers for the classification between typically developed (TD) and ASD individuals utilizing functional magnetic resonance imaging (fMRI) data on the default mode network (DMN) and non-physiological parameters. From the fMRI data, static and dynamic connectivity were calculated and fed to a feature selection and classification framework along with the demographic, acquisition and motion information to obtain the most prominent features in regard to autism discrimination. The acquired results provided high classification accuracy of 76.63%, while revealing static and dynamic connectivity as the most prominent indicators. Subsequent analysis illustrated the bilateral parahippocampal gyrus, right precuneus, midline frontal, and paracingulate as the most significant brain regions, in addition to an overall connectivity increment.

Autism ◽  
2021 ◽  
pp. 136236132110020
Author(s):  
Bruno Direito ◽  
Susana Mouga ◽  
Alexandre Sayal ◽  
Marco Simões ◽  
Hugo Quental ◽  
...  

Autism spectrum disorder is characterized by abnormal function in core social brain regions. Here, we demonstrate the feasibility of real-time functional magnetic resonance imaging volitional neurofeedback. Following up the demonstration of neuromodulation in healthy participants, in this repeated-measure design clinical trial, 15 autism spectrum disorder patients were enrolled in a 5-session training program of real-time functional magnetic resonance imaging neurofeedback targeting facial emotion expressions processing, using the posterior superior temporal sulcus as region-of-interest. Participants were able to modulate brain activity in this region-of-interest, over multiple sessions. Moreover, we identified the relevant clinical and neural effects, as documented by whole-brain neuroimaging results and neuropsychological measures, including emotion recognition of fear, immediately after the intervention and persisting after 6 months. Neuromodulation profiles demonstrated subject-specificity for happy, sad, and neutral facial expressions, an unsurprising variable pattern in autism spectrum disorder. Modulation occurred in negative or positive directions, even for neutral faces, in line with their often-perceived ambiguity in autism spectrum disorder. Striatal regions (associated with success/failure of neuromodulation), saliency (insula/anterior cingulate cortex), and emotional control (medial prefrontal cortex) networks were recruited during neuromodulation. Recruitment of the operant learning network is consistent with participants’ engagement. Compliance, immediate intervention benefits, and their persistence after 6 months pave the way for a future Phase IIb/III, randomized controlled clinical trial, with a larger sample that will allow to conclude on clinical benefits from neurofeedback training in autism spectrum disorder (NCT02440451). Lay abstract Neurofeedback is an emerging therapeutic approach in neuropsychiatric disorders. Its potential application in autism spectrum disorder remains to be tested. Here, we demonstrate the feasibility of real-time functional magnetic resonance imaging volitional neurofeedback in targeting social brain regions in autism spectrum disorder. In this clinical trial, autism spectrum disorder patients were enrolled in a program with five training sessions of neurofeedback. Participants were able to control their own brain activity in this social brain region, with positive clinical and neural effects. Larger, controlled, and blinded clinical studies will be required to confirm the benefits.


2021 ◽  
Vol 11 (10) ◽  
pp. 969
Author(s):  
Patrick J. McCarty ◽  
Andrew R. Pines ◽  
Bethany L. Sussman ◽  
Sarah N. Wyckoff ◽  
Amanda Jensen ◽  
...  

Resting-state functional magnetic resonance imaging provides dynamic insight into the functional organization of the brains’ intrinsic activity at rest. The emergence of resting-state functional magnetic resonance imaging in both the clinical and research settings may be attributed to recent advancements in statistical techniques, non-invasiveness and enhanced spatiotemporal resolution compared to other neuroimaging modalities, and the capability to identify and characterize deep brain structures and networks. In this report we describe a 16-year-old female patient with autism spectrum disorder who underwent resting-state functional magnetic resonance imaging due to late regression. Imaging revealed deactivated networks in deep brain structures involved in monoamine synthesis. Monoamine neurotransmitter deficits were confirmed by cerebrospinal fluid analysis. This case suggests that resting-state functional magnetic resonance imaging may have clinical utility as a non-invasive biomarker of central nervous system neurochemical alterations by measuring the function of neurotransmitter-driven networks. Use of this technology can accelerate and increase the accuracy of selecting appropriate therapeutic agents for patients with neurological and neurodevelopmental disorders.


Author(s):  
Nicole A. Lazar

The analysis of functional magnetic resonance imaging (fMRI) data poses many statistical challenges. The data are massive, noisy, and have a complicated spatial and temporal correlation structure. This chapter introduces the basics of fMRI data collection and surveys common approaches for data analysis.


2019 ◽  
Vol 48 (1-2) ◽  
pp. 61-69 ◽  
Author(s):  
Tingting Zhu ◽  
Lingyu Li ◽  
Yulin Song ◽  
Yu Han ◽  
Chengshu Zhou ◽  
...  

Default mode network (DMN) is an important functional brain network that supports aspects of cognition. Stroke has been reported to be associated with functional connectivity (FC) impairments within DMN. However, whether FC within DMN changes in transient ischemic attack (TIA), an important risk factor for stroke, remains unclear. Forty-eight TIA patients and 41 age- and sex-matched healthy controls (HCs) were recruited in this study. Using resting-state functional magnetic resonance imaging seed-based FC methods, we examined FC alterations within DMN in TIA patients, tested its associations with clinical information, and further explored the ability of FC abnormalities to predict follow-up ischemic attacks. We found significantly decreased FC of left middle temporal gyrus/angular gyrus both with medial prefrontal cortex (mPFC) and posterior cingulate cortex/precuneus (PCC/Pcu) and significantly decreased FC among each pair of mPFC, left PCC, and right Pcu in patients with TIA as compared with HCs. Moreover, the connectivity between mPFC and left PCC could predict future ischemic attacks of the patients. Collectively, these findings may provide insights into further understanding of the underlying pathological mechanism in TIA, and aberrant FC between the hubs within DMN may provide a reference for the imaging diagnosis and early intervention of TIA.


Sign in / Sign up

Export Citation Format

Share Document