Improved clinical outcome prediction in depression using neurodynamics in an emotional face-matching functional MRI task. Pilmeyer, J., Lamerichs, R., Ramsaransing, F., Jansen, J. F. A., Breeuwer, M., & Zinger, S. Front Psychiatry, 15:1255370, 2024. Pilmeyer, Jesper Lamerichs, Rolf Ramsaransing, Faroeq Jansen, Jacobus F A Breeuwer, Marcel Zinger, Svitlana eng Switzerland 2024/04/08 Front Psychiatry. 2024 Mar 22;15:1255370. doi: 10.3389/fpsyt.2024.1255370. eCollection 2024.
Paper doi abstract bibtex INTRODUCTION: Approximately one in six people will experience an episode of major depressive disorder (MDD) in their lifetime. Effective treatment is hindered by subjective clinical decision-making and a lack of objective prognostic biomarkers. Functional MRI (fMRI) could provide such an objective measure but the majority of MDD studies has focused on static approaches, disregarding the rapidly changing nature of the brain. In this study, we aim to predict depression severity changes at 3 and 6 months using dynamic fMRI features. METHODS: For our research, we acquired a longitudinal dataset of 32 MDD patients with fMRI scans acquired at baseline and clinical follow-ups 3 and 6 months later. Several measures were derived from an emotion face-matching fMRI dataset: activity in brain regions, static and dynamic functional connectivity between functional brain networks (FBNs) and two measures from a wavelet coherence analysis approach. All fMRI features were evaluated independently, with and without demographic and clinical parameters. Patients were divided into two classes based on changes in depression severity at both follow-ups. RESULTS: The number of coherence clusters (nCC) between FBNs, reflecting the total number of interactions (either synchronous, anti-synchronous or causal), resulted in the highest predictive performance. The nCC-based classifier achieved 87.5% and 77.4% accuracy for the 3- and 6-months change in severity, respectively. Furthermore, regression analyses supported the potential of nCC for predicting depression severity on a continuous scale. The posterior default mode network (DMN), dorsal attention network (DAN) and two visual networks were the most important networks in the optimal nCC models. Reduced nCC was associated with a poorer depression course, suggesting deficits in sustained attention to and coping with emotion-related faces. An ensemble of classifiers with demographic, clinical and lead coherence features, a measure of dynamic causality, resulted in a 3-months clinical outcome prediction accuracy of 81.2%. DISCUSSION: The dynamic wavelet features demonstrated high accuracy in predicting individual depression severity change. Features describing brain dynamics could enhance understanding of depression and support clinical decision-making. Further studies are required to evaluate their robustness and replicability in larger cohorts.
@article{RN355,
author = {Pilmeyer, J. and Lamerichs, R. and Ramsaransing, F. and Jansen, J. F. A. and Breeuwer, M. and Zinger, S.},
title = {Improved clinical outcome prediction in depression using neurodynamics in an emotional face-matching functional MRI task},
journal = {Front Psychiatry},
volume = {15},
pages = {1255370},
note = {Pilmeyer, Jesper
Lamerichs, Rolf
Ramsaransing, Faroeq
Jansen, Jacobus F A
Breeuwer, Marcel
Zinger, Svitlana
eng
Switzerland
2024/04/08
Front Psychiatry. 2024 Mar 22;15:1255370. doi: 10.3389/fpsyt.2024.1255370. eCollection 2024.},
abstract = {INTRODUCTION: Approximately one in six people will experience an episode of major depressive disorder (MDD) in their lifetime. Effective treatment is hindered by subjective clinical decision-making and a lack of objective prognostic biomarkers. Functional MRI (fMRI) could provide such an objective measure but the majority of MDD studies has focused on static approaches, disregarding the rapidly changing nature of the brain. In this study, we aim to predict depression severity changes at 3 and 6 months using dynamic fMRI features. METHODS: For our research, we acquired a longitudinal dataset of 32 MDD patients with fMRI scans acquired at baseline and clinical follow-ups 3 and 6 months later. Several measures were derived from an emotion face-matching fMRI dataset: activity in brain regions, static and dynamic functional connectivity between functional brain networks (FBNs) and two measures from a wavelet coherence analysis approach. All fMRI features were evaluated independently, with and without demographic and clinical parameters. Patients were divided into two classes based on changes in depression severity at both follow-ups. RESULTS: The number of coherence clusters (nCC) between FBNs, reflecting the total number of interactions (either synchronous, anti-synchronous or causal), resulted in the highest predictive performance. The nCC-based classifier achieved 87.5% and 77.4% accuracy for the 3- and 6-months change in severity, respectively. Furthermore, regression analyses supported the potential of nCC for predicting depression severity on a continuous scale. The posterior default mode network (DMN), dorsal attention network (DAN) and two visual networks were the most important networks in the optimal nCC models. Reduced nCC was associated with a poorer depression course, suggesting deficits in sustained attention to and coping with emotion-related faces. An ensemble of classifiers with demographic, clinical and lead coherence features, a measure of dynamic causality, resulted in a 3-months clinical outcome prediction accuracy of 81.2%. DISCUSSION: The dynamic wavelet features demonstrated high accuracy in predicting individual depression severity change. Features describing brain dynamics could enhance understanding of depression and support clinical decision-making. Further studies are required to evaluate their robustness and replicability in larger cohorts.},
keywords = {brain networks
functional MRI
major depressive disorder
multi-echo
neurodynamics
prognosis},
ISSN = {1664-0640 (Print)
1664-0640 (Linking)},
DOI = {10.3389/fpsyt.2024.1255370},
url = {https://www.ncbi.nlm.nih.gov/pubmed/38585483},
year = {2024},
type = {Journal Article}
}
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A.","Breeuwer, M.","Zinger, S."],"bibdata":{"bibtype":"article","type":"Journal Article","author":[{"propositions":[],"lastnames":["Pilmeyer"],"firstnames":["J."],"suffixes":[]},{"propositions":[],"lastnames":["Lamerichs"],"firstnames":["R."],"suffixes":[]},{"propositions":[],"lastnames":["Ramsaransing"],"firstnames":["F."],"suffixes":[]},{"propositions":[],"lastnames":["Jansen"],"firstnames":["J.","F.","A."],"suffixes":[]},{"propositions":[],"lastnames":["Breeuwer"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Zinger"],"firstnames":["S."],"suffixes":[]}],"title":"Improved clinical outcome prediction in depression using neurodynamics in an emotional face-matching functional MRI task","journal":"Front Psychiatry","volume":"15","pages":"1255370","note":"Pilmeyer, Jesper Lamerichs, Rolf Ramsaransing, Faroeq Jansen, Jacobus F A Breeuwer, Marcel Zinger, Svitlana eng Switzerland 2024/04/08 Front Psychiatry. 2024 Mar 22;15:1255370. doi: 10.3389/fpsyt.2024.1255370. eCollection 2024.","abstract":"INTRODUCTION: Approximately one in six people will experience an episode of major depressive disorder (MDD) in their lifetime. Effective treatment is hindered by subjective clinical decision-making and a lack of objective prognostic biomarkers. Functional MRI (fMRI) could provide such an objective measure but the majority of MDD studies has focused on static approaches, disregarding the rapidly changing nature of the brain. In this study, we aim to predict depression severity changes at 3 and 6 months using dynamic fMRI features. METHODS: For our research, we acquired a longitudinal dataset of 32 MDD patients with fMRI scans acquired at baseline and clinical follow-ups 3 and 6 months later. Several measures were derived from an emotion face-matching fMRI dataset: activity in brain regions, static and dynamic functional connectivity between functional brain networks (FBNs) and two measures from a wavelet coherence analysis approach. All fMRI features were evaluated independently, with and without demographic and clinical parameters. Patients were divided into two classes based on changes in depression severity at both follow-ups. RESULTS: The number of coherence clusters (nCC) between FBNs, reflecting the total number of interactions (either synchronous, anti-synchronous or causal), resulted in the highest predictive performance. The nCC-based classifier achieved 87.5% and 77.4% accuracy for the 3- and 6-months change in severity, respectively. Furthermore, regression analyses supported the potential of nCC for predicting depression severity on a continuous scale. The posterior default mode network (DMN), dorsal attention network (DAN) and two visual networks were the most important networks in the optimal nCC models. Reduced nCC was associated with a poorer depression course, suggesting deficits in sustained attention to and coping with emotion-related faces. An ensemble of classifiers with demographic, clinical and lead coherence features, a measure of dynamic causality, resulted in a 3-months clinical outcome prediction accuracy of 81.2%. DISCUSSION: The dynamic wavelet features demonstrated high accuracy in predicting individual depression severity change. Features describing brain dynamics could enhance understanding of depression and support clinical decision-making. Further studies are required to evaluate their robustness and replicability in larger cohorts.","keywords":"brain networks functional MRI major depressive disorder multi-echo neurodynamics prognosis","issn":"1664-0640 (Print) 1664-0640 (Linking)","doi":"10.3389/fpsyt.2024.1255370","url":"https://www.ncbi.nlm.nih.gov/pubmed/38585483","year":"2024","bibtex":"@article{RN355,\n author = {Pilmeyer, J. and Lamerichs, R. and Ramsaransing, F. and Jansen, J. F. 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