Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model

ObjectivesOur objective was to use deep learning models to identify underlying brain regions associated with depression symptom phenotypes in late-life depression (LLD).ParticipantsDiagnosed with LLD (N = 116) and enrolled in a prospective treatment study.DesignCross-sectional.MeasurementsStructural...

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Main Authors: Bing Cao, Erkun Yang, Lihong Wang, Zhanhao Mo, David C. Steffens, Han Zhang, Mingxia Liu, Guy G. Potter
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1209906/full
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author Bing Cao
Erkun Yang
Lihong Wang
Zhanhao Mo
David C. Steffens
Han Zhang
Mingxia Liu
Guy G. Potter
author_facet Bing Cao
Erkun Yang
Lihong Wang
Zhanhao Mo
David C. Steffens
Han Zhang
Mingxia Liu
Guy G. Potter
author_sort Bing Cao
collection DOAJ
description ObjectivesOur objective was to use deep learning models to identify underlying brain regions associated with depression symptom phenotypes in late-life depression (LLD).ParticipantsDiagnosed with LLD (N = 116) and enrolled in a prospective treatment study.DesignCross-sectional.MeasurementsStructural magnetic resonance imaging (sMRI) was used to predict five depression symptom phenotypes from the Hamilton and MADRS depression scales previously derived from factor analysis: (1) Anhedonia, (2) Suicidality, (3) Appetite, (4) Sleep Disturbance, and (5) Anxiety. Our deep learning model was deployed to predict each factor score via learning deep feature representations from 3D sMRI patches in 34 a priori regions-of-interests (ROIs). ROI-level prediction accuracy was used to identify the most discriminative brain regions associated with prediction of factor scores representing each of the five symptom phenotypes.ResultsFactor-level results found significant predictive models for Anxiety and Suicidality factors. ROI-level results suggest the most LLD-associated discriminative regions in predicting all five symptom factors were located in the anterior cingulate and orbital frontal cortex.ConclusionsWe validated the effectiveness of using deep learning approaches on sMRI for predicting depression symptom phenotypes in LLD. We were able to identify deep embedded local morphological differences in symptom phenotypes in the brains of those with LLD, which is promising for symptom-targeted treatment of LLD. Future research with machine learning models integrating multimodal imaging and clinical data can provide additional discriminative information.
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spelling doaj.art-1c9a494cb587478cbdbf4c62836972982023-07-19T06:30:20ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-07-011710.3389/fnins.2023.12099061209906Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning modelBing Cao0Erkun Yang1Lihong Wang2Zhanhao Mo3David C. Steffens4Han Zhang5Mingxia Liu6Guy G. Potter7College of Intelligence and Computing, Tianjin University, Tianjin, ChinaDepartment of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Psychiatry, University of Connecticut School of Medicine, University of Connecticut, Farmington, CT, United StatesDepartment of Radiology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Psychiatry, University of Connecticut School of Medicine, University of Connecticut, Farmington, CT, United StatesDepartment of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United StatesObjectivesOur objective was to use deep learning models to identify underlying brain regions associated with depression symptom phenotypes in late-life depression (LLD).ParticipantsDiagnosed with LLD (N = 116) and enrolled in a prospective treatment study.DesignCross-sectional.MeasurementsStructural magnetic resonance imaging (sMRI) was used to predict five depression symptom phenotypes from the Hamilton and MADRS depression scales previously derived from factor analysis: (1) Anhedonia, (2) Suicidality, (3) Appetite, (4) Sleep Disturbance, and (5) Anxiety. Our deep learning model was deployed to predict each factor score via learning deep feature representations from 3D sMRI patches in 34 a priori regions-of-interests (ROIs). ROI-level prediction accuracy was used to identify the most discriminative brain regions associated with prediction of factor scores representing each of the five symptom phenotypes.ResultsFactor-level results found significant predictive models for Anxiety and Suicidality factors. ROI-level results suggest the most LLD-associated discriminative regions in predicting all five symptom factors were located in the anterior cingulate and orbital frontal cortex.ConclusionsWe validated the effectiveness of using deep learning approaches on sMRI for predicting depression symptom phenotypes in LLD. We were able to identify deep embedded local morphological differences in symptom phenotypes in the brains of those with LLD, which is promising for symptom-targeted treatment of LLD. Future research with machine learning models integrating multimodal imaging and clinical data can provide additional discriminative information.https://www.frontiersin.org/articles/10.3389/fnins.2023.1209906/fullcross-sectional late-life depressiondeep learningfactor score predictioncognitive impairmentAlzheimer's diseasestructural MRI Frontiers
spellingShingle Bing Cao
Erkun Yang
Lihong Wang
Zhanhao Mo
David C. Steffens
Han Zhang
Mingxia Liu
Guy G. Potter
Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model
Frontiers in Neuroscience
cross-sectional late-life depression
deep learning
factor score prediction
cognitive impairment
Alzheimer's disease
structural MRI Frontiers
title Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model
title_full Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model
title_fullStr Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model
title_full_unstemmed Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model
title_short Brain morphometric features predict depression symptom phenotypes in late-life depression using a deep learning model
title_sort brain morphometric features predict depression symptom phenotypes in late life depression using a deep learning model
topic cross-sectional late-life depression
deep learning
factor score prediction
cognitive impairment
Alzheimer's disease
structural MRI Frontiers
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1209906/full
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