Novel subgroups of attention-deficit/hyperactivity disorder identified by topological data analysis and their functional network modular organizations

Aberrant Functional Connectivity in Core-Periphery Structure Based on WSBM in ADHD

OBJECTIVE

Brain network studies have revealed that the community structure of ADHD is altered. However, these studies have only focused on modular community structure, ignoring the core-periphery community structure.

METHOD

This paper employed the weighted stochastic block model to divide the functional connectivity (FC) into 10 communities. And we adopted core score to define the core-periphery structure of FC. Finally, connectivity strength (CS) and disruption index (DI) were used to evaluate the changes of core-periphery structure in ADHD.

RESULTS

The core community of visual network showed reduced CS and a positive value of DI, while the CS of periphery community was enhanced. In addition, the interaction between core communities (involving the sensorimotor and visual network) and periphery community of attention network showed increased CS and a negative valve of DI.

CONCLUSION

Anomalies in core-periphery community structure provide a new perspective for understanding the community structure of ADHD.

Topological data analysis for revealing dynamic brain reconfiguration in MEG data

In recent years, the focus of the functional connectivity community has shifted from stationary approaches to the ones that include temporal dynamics. Especially, non-invasive electrophysiological data (magnetoencephalography/electroencephalography (MEG/EEG)) with high temporal resolution and good spatial coverage have made it possible to measure the fast alterations in the neural activity in the brain during ongoing cognition. In this article, we analyze dynamic brain reconfiguration using MEG images collected from subjects during the rest and the cognitive tasks. Our proposed topological data analysis method, called Mapper, produces biomarkers that differentiate cognitive tasks without prior spatial and temporal collapse of the data. The suggested method provides an interactive visualization of the rapid fluctuations in electrophysiological data during motor and cognitive tasks; hence, it has the potential to extract clinically relevant information at an individual level without temporal and spatial collapse.

Topological data analysis in biomedicine: A review

Significant technological advances made in recent years have shepherded a dramatic increase in utilization of digital technologies for biomedicine- everything from the widespread use of electronic health records to improved medical imaging capabilities and the rising ubiquity of genomic sequencing contribute to a "digitization" of biomedical research and clinical care. With this shift toward computerized tools comes a dramatic increase in the amount of available data, and current tools for data analysis capable of extracting meaningful knowledge from this wealth of information have yet to catch up. This article seeks to provide an overview of emerging mathematical methods with the potential to improve the abilities of clinicians and researchers to analyze biomedical data, but may be hindered from doing so by a lack of conceptual accessibility and awareness in the life sciences research community. In particular, we focus on topological data analysis (TDA), a set of methods grounded in the mathematical field of algebraic topology that seeks to describe and harness features related to the "shape" of data. We aim to make such techniques more approachable to non-mathematicians by providing a conceptual discussion of their theoretical foundations followed by a survey of their published applications to scientific research. Finally, we discuss the limitations of these methods and suggest potential avenues for future work integrating mathematical tools into clinical care and biomedical informatics.

Estimating individual scores of inattention and impulsivity based on dynamic features of intrinsic connectivity network

Inattention and impulsivity are the two most important indices for evaluations of ADHD. Currently, inattention and impulsivity were evaluated by clinical scales. The intelligent evaluation of the two indices using machine learning remains largely unexplored. This paper aimed to build regression modes for inattention and impulsivity based on resting state fMRI and additional measures, and discover the associating features for the two indices. To achieve these goals, a cohort of 95 children with ADHD as well as 105 healthy controls were selected from the ADHD-200 database. The raw features were consisted of univariate dynamic estimators of intrinsic connectivity network (ICNs), head motion, and additional measures. The regression models were solved using support vector regression (SVR). The performance of the regression models was evaluated by cross-validations. The performance of regression models based on ICNs outperformed that based on regional measures. The estimated clinical scores were significantly correlated to inattention (r = 0.4 ± 0.02, p < 0.01) and impulsivity (r = 0.31 ± 0.02, p < 0.01). The most associating ICNs are sensorimotor network (SMN) for inattention and executive control network (ECN) for impulsivity. The results suggested that inattention and impulsivity could be estimated using machine learning, and the intra-ICN dynamics could be supplementary features for regression models of clinical scores of ADHD.

Uncovering Dynamic Brain Reconfiguration in MEG Working Memory n-Back Task Using Topological Data Analysis

The increasing availability of high temporal resolution neuroimaging data has increased the efforts to understand the dynamics of neural functions. Until recently, there are few studies on generative models supporting classification and prediction of neural systems compared to the description of the architecture. However, the requirement of collapsing data spatially and temporally in the state-of-the art methods to analyze functional magnetic resonance imaging (fMRI), electroencephalogram (EEG) and magnetoencephalography (MEG) data cause loss of important information. In this study, we addressed this issue using a topological data analysis (TDA) method, called Mapper, which visualizes evolving patterns of brain activity as a mathematical graph. Accordingly, we analyzed preprocessed MEG data of 83 subjects from Human Connectome Project (HCP) collected during working memory n-back task. We examined variation in the dynamics of the brain states with the Mapper graphs, and to determine how this variation relates to measures such as response time and performance. The application of the Mapper method to MEG data detected a novel neuroimaging marker that explained the performance of the participants along with the ground truth of response time. In addition, TDA enabled us to distinguish two task-positive brain activations during 0-back and 2-back tasks, which is hard to detect with the other pipelines that require collapsing the data in the spatial and temporal domain. Further, the Mapper graphs of the individuals also revealed one large group in the middle of the stimulus detecting the high engagement in the brain with fine temporal resolution, which could contribute to increase spatiotemporal resolution by merging different imaging modalities. Hence, our work provides another evidence to the effectiveness of the TDA methods for extracting subtle dynamic properties of high temporal resolution MEG data without the temporal and spatial collapse.

Surface-based shared and distinct resting functional connectivity in attention-deficit hyperactivity disorder and autism spectrum disorder

BACKGROUND

Both attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) are neurodevelopmental disorders with a high prevalence. They are often comorbid and both exhibit abnormalities in sustained attention, yet common and distinct neural patterns of ASD and ADHD remain unidentified.AimsTo investigate shared and distinct functional connectivity patterns in a relatively large sample of boys (7- to 15-year-olds) with ADHD, ASD and typical development matched by age, gender and IQ.

METHOD

We applied machine learning techniques to investigate patterns of surface-based brain resting-state connectivity in 86 boys with ASD, 83 boys with ADHD and 125 boys with typical development.

RESULTS

We observed increased functional connectivity within the limbic and somatomotor networks in boys with ASD compared with boys with typical development. We also observed increased functional connectivity within the limbic, visual, default mode, somatomotor, dorsal attention, frontoparietal and ventral attention networks in boys with ADHD compared with boys with ASD. In addition, using a machine learning approach, we were able to discriminate typical development from ASD, typical development from ADHD and ASD from ADHD with accuracy rates of 76.3%, 84.1%, and 79.3%, respectively.

CONCLUSIONS

Our results may shed new light on the underlying mechanisms of ASD and ADHD and facilitate the development of new diagnostic methods for these disorders.Declaration of interestJ.K. holds equity in a startup company, MNT.

Using multidimensional topological data analysis to identify traits of hip osteoarthritis

BACKGROUND

Osteoarthritis (OA) is a multifaceted disease with many variables affecting diagnosis and progression. Topological data analysis (TDA) is a state-of-the-art big data analytics tool that can combine all variables into multidimensional space. TDA is used to simultaneously analyze imaging and gait analysis techniques.

PURPOSE

To identify biochemical and biomechanical biomarkers able to classify different disease progression phenotypes in subjects with and without radiographic signs of hip OA.

STUDY TYPE

Longitudinal study for comparison of progressive and nonprogressive subjects.

POPULATION

In all, 102 subjects with and without radiographic signs of hip osteoarthritis.

FIELD STRENGTH/SEQUENCE

3T, SPGR 3D MAPSS T_1ρ /T₂ , intermediate-weighted fat-suppressed fast spin-echo (FSE).

ASSESSMENT

Multidimensional data analysis including cartilage composition, bone shape, Kellgren-Lawrence (KL) classification of osteoarthritis, scoring hip osteoarthritis with MRI (SHOMRI), hip disability and osteoarthritis outcome score (HOOS).

STATISTICAL TESTS

Analysis done using TDA, Kolmogorov-Smirnov (KS) testing, and Benjamini-Hochberg to rank P-value results to correct for multiple comparisons.

RESULTS

Subjects in the later stages of the disease had an increased SHOMRI score (P < 0.0001), increased KL (P = 0.0012), and older age (P < 0.0001). Subjects in the healthier group showed intact cartilage and less pain. Subjects found between these two groups had a range of symptoms. Analysis of this subgroup identified knee biomechanics (P < 0.0001) as an initial marker of the disease that is noticeable before the morphological progression and degeneration. Further analysis of an OA subgroup with femoroacetabular impingement (FAI) showed anterior labral tears to be the most significant marker (P = 0.0017) between those FAI subjects with and without OA symptoms.

DATA CONCLUSION

The data-driven analysis obtained with TDA proposes new phenotypes of these subjects that partially overlap with the radiographic-based classical disease status classification and also shows the potential for further examination of an early onset biomechanical intervention.

LEVEL OF EVIDENCE

2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;48:1046-1058.

Advances, challenges, and promises in pediatric neuroimaging of neurodevelopmental disorders

Recent years have witnessed the proliferation of neuroimaging studies of neurodevelopmental disorders (NDDs), particularly of children with autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and Tourette's syndrome (TS). Neuroimaging offers immense potential in understanding the biology of these disorders, and how it relates to clinical symptoms. Neuroimaging techniques, in the long run, may help identify neurobiological markers to assist clinical diagnosis and treatment. However, methodological challenges have affected the progress of clinical neuroimaging. This paper reviews the methodological challenges involved in imaging children with NDDs. Specific topics include correcting for head motion, normalization using pediatric brain templates, accounting for psychotropic medication use, delineating complex developmental trajectories, and overcoming smaller sample sizes. The potential of neuroimaging-based biomarkers and the utility of implementing neuroimaging in a clinical setting are also discussed. Data-sharing approaches, technological advances, and an increase in the number of longitudinal, prospective studies are recommended as future directions. Significant advances have been made already, and future decades will continue to see innovative progress in neuroimaging research endeavors of NDDs.

Informatics and machine learning to define the phenotype

INTRODUCTION

For the past decade, the focus of complex disease research has been the genotype. From technological advancements to the development of analysis methods, great progress has been made. However, advances in our definition of the phenotype have remained stagnant. Phenotype characterization has recently emerged as an exciting area of informatics and machine learning. The copious amounts of diverse biomedical data that have been collected may be leveraged with data-driven approaches to elucidate trait-related features and patterns. Areas covered: In this review, the authors discuss the phenotype in traditional genetic associations and the challenges this has imposed.Approaches for phenotype refinement that can aid in more accurate characterization of traits are also discussed. Further, the authors highlight promising machine learning approaches for establishing a phenotype and the challenges of electronic health record (EHR)-derived data. Expert commentary: The authors hypothesize that through unsupervised machine learning, data-driven approaches can be used to define phenotypes rather than relying on expert clinician knowledge. Through the use of machine learning and an unbiased set of features extracted from clinical repositories, researchers will have the potential to further understand complex traits and identify patient subgroups. This knowledge may lead to more preventative and precise clinical care.