Comparing the Effectiveness of Brain Structural Imaging, Resting-state fMRI, and Naturalistic fMRI in Recognizing Social Anxiety Disorder in Children and Adolescents

Machine learning applied to functional magnetic resonance imaging in anxiety disorders

BACKGROUND

Brain functional abnormalities have been commonly reported in anxiety disorders, including generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, and specific phobias. The role of functional abnormalities in the discrimination of these disorders can be tested with machine learning (ML) techniques. Here, we aim to provide a comprehensive overview of ML studies exploring the potential discriminating role of functional brain alterations identified by functional magnetic resonance imaging (fMRI) in anxiety disorders.

METHODS

We conducted a search on PubMed, Web of Science, and Scopus of ML investigations using fMRI as features in patients with anxiety disorders. A total of 12 studies (resting-state fMRI n = 5, task-based fMRI n = 6, resting-state and task-based fMRI n=1) met our inclusion criteria.

RESULTS

Overall, the studies showed that, regardless of the classifiers, alterations in functional connectivity and aberrant neural activation involving the amygdala, anterior cingulate cortex, hippocampus, insula, orbitofrontal cortex, temporal pole, cerebellum, default mode network, dorsal attention network, sensory network, and affective network were able to discriminate patients with anxiety from controls, with accuracies spanning from 36 % to 94 %.

LIMITATIONS

The small sample size, different ML approaches and heterogeneity in the selection of regions included in the multivariate pattern analyses limit the conclusions of the present review.

CONCLUSIONS

ML methods using fMRI as features can distinguish patients with anxiety disorders from healthy controls, indicating that these techniques could be used as a helpful tool for the diagnosis and the development of more targeted treatments for these disorders.

The naturalistic paradigm: An approach to studying individual variability in neural underpinnings of music perception

Music listening is a dynamic process that entails complex interactions between sensory, cognitive, and emotional processes. The naturalistic paradigm provides a means to investigate these processes in an ecologically valid manner by allowing experimental settings that mimic real-life musical experiences. In this paper, we highlight the importance of the naturalistic paradigm in studying dynamic music processing and discuss how it allows for investigating both the segregation and integration of brain processes using model-based and model-free methods. We further suggest that studying individual difference-modulated music processing in this paradigm can provide insights into the mechanisms of brain plasticity, which can have implications for the development of interventions and therapies in a personalized way. Finally, despite the challenges that the naturalistic paradigm poses, we end with a discussion on future prospects of music and neuroscience research, especially with the continued development and refinement of naturalistic paradigms and the adoption of open science practices.

Sentiments analysis of fMRI using automatically generated stimuli labels under naturalistic paradigm

Our emotions and sentiments are influenced by naturalistic stimuli such as the movies we watch and the songs we listen to, accompanied by changes in our brain activation. Comprehension of these brain-activation dynamics can assist in identification of any associated neurological condition such as stress and depression, leading towards making informed decision about suitable stimuli. A large number of open-access functional magnetic resonance imaging (fMRI) datasets collected under naturalistic conditions can be used for classification/prediction studies. However, these datasets do not provide emotion/sentiment labels, which limits their use in supervised learning studies. Manual labeling by subjects can generate these labels, however, this method is subjective and biased. In this study, we are proposing another approach of generating automatic labels from the naturalistic stimulus itself. We are using sentiment analyzers (VADER, TextBlob, and Flair) from natural language processing to generate labels using movie subtitles. Subtitles generated labels are used as the class labels for positive, negative, and neutral sentiments for classification of brain fMRI images. Support vector machine, random forest, decision tree, and deep neural network classifiers are used. We are getting reasonably good classification accuracy (42-84%) for imbalanced data, which is increased (55-99%) for balanced data.

Aberrant functional connectivity of the bed nucleus of the stria terminalis and its age dependence in children and adolescents with social anxiety disorder

BACKGROUND

Social anxiety disorder (SAD) is a prevalent and impairing mental disorder among children and adolescents. The bed nucleus of the stria terminalis (BNST) plays a critical role in anxiety disorders, including valence surveillance and hypervigilance for potential threats. However, the role of BNST and its related functional network in children and adolescents with SAD has not been fully investigated. This study examined the aberration of BNST's functional connectivity and its age dependence in adolescents with SAD.

METHODS

Using a sample of 75 SAD patients and 75 healthy controls (HCs) children aged 9-18 years old, we delineated the group-by-age interaction of BNST-seeded functional connectivity (FC) during resting state and movie-watching. The relationships between BNST-seeded FC and clinical scores were also examined.

RESULTS

During movie viewing, the FC between the right BNST and the left amygdala, bilateral posterior cingulate cortex (PCC), bilateral superior temporal cortex, and right pericalcarine cortex showed a diagnostic group-by-age interaction. Compared to HCs, SAD patients showed a significant enhancement of the above FC at younger ages. Meanwhile, they showed an age-dependent decrease in FC between the right BNST and left amygdala. Furthermore, for SAD patients, FC between the right BNST and left amygdala during movie viewing was positively correlated with separation anxiety scores.

CONCLUSIONS

The right BNST plays an essential role in the aberrant brain functioning in children and adolescents with SAD. The atypicality of BNST's FC has remarkable age dependence in SAD, suggesting an association of SAD with neurodevelopmental traits.