Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning

Neuroanatomical findings on youth anxiety disorders are notoriously difficult to replicate, small in effect size, and have limited clinical relevance. These concerns have prompted a paradigm shift towards highly powered (i.e., big data) individual-level inferences, which are data-driven, transdiagno...

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Main Authors: Bruin, WB, Zhutovsky, P, van Wingen, GA, Bas-Hoogendam, JM, Groenewold, NA, Hilbert, K, Winkler, AM, Zugman, A, Agosta, F, Åhs, F, Andreescu, C, Antonacci, C, Asami, T, Assaf, M, Barber, JP, Bauer, J, Bavdekar, SY, Beesdo-Baum, K, Benedetti, F, Bernstein, R, Björkstrand, J, Blair, RJ, Blair, KS, Blanco-Hinojo, L, Böhnlein, J, Brambilla, P, Bressan, RA, Breuer, F, Cano, M, Canu, E, Cardinale, EM, Cardoner, N, Cividini, C, Cremers, H, Dannlowski, U, Diefenbach, GJ, Domschke, K, Doruyter, AGG, Dresler, T, Erhardt, A, Filippi, M, Fonzo, GA, Freitag, GF, Furmark, T, Ge, T, Gerber, AJ, Gosnell, SN, Grabe, HJ, Grotegerd, D, Gur, RC, Reinecke, A
Format: Journal article
Language:English
Published: Springer Nature 2024
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author Bruin, WB
Zhutovsky, P
van Wingen, GA
Bas-Hoogendam, JM
Groenewold, NA
Hilbert, K
Winkler, AM
Zugman, A
Agosta, F
Åhs, F
Andreescu, C
Antonacci, C
Asami, T
Assaf, M
Barber, JP
Bauer, J
Bavdekar, SY
Beesdo-Baum, K
Benedetti, F
Bernstein, R
Björkstrand, J
Blair, RJ
Blair, KS
Blanco-Hinojo, L
Böhnlein, J
Brambilla, P
Bressan, RA
Breuer, F
Cano, M
Canu, E
Cardinale, EM
Cardoner, N
Cividini, C
Cremers, H
Dannlowski, U
Diefenbach, GJ
Domschke, K
Doruyter, AGG
Dresler, T
Erhardt, A
Filippi, M
Fonzo, GA
Freitag, GF
Furmark, T
Ge, T
Gerber, AJ
Gosnell, SN
Grabe, HJ
Grotegerd, D
Gur, RC
Reinecke, A
author_facet Bruin, WB
Zhutovsky, P
van Wingen, GA
Bas-Hoogendam, JM
Groenewold, NA
Hilbert, K
Winkler, AM
Zugman, A
Agosta, F
Åhs, F
Andreescu, C
Antonacci, C
Asami, T
Assaf, M
Barber, JP
Bauer, J
Bavdekar, SY
Beesdo-Baum, K
Benedetti, F
Bernstein, R
Björkstrand, J
Blair, RJ
Blair, KS
Blanco-Hinojo, L
Böhnlein, J
Brambilla, P
Bressan, RA
Breuer, F
Cano, M
Canu, E
Cardinale, EM
Cardoner, N
Cividini, C
Cremers, H
Dannlowski, U
Diefenbach, GJ
Domschke, K
Doruyter, AGG
Dresler, T
Erhardt, A
Filippi, M
Fonzo, GA
Freitag, GF
Furmark, T
Ge, T
Gerber, AJ
Gosnell, SN
Grabe, HJ
Grotegerd, D
Gur, RC
Reinecke, A
author_sort Bruin, WB
collection OXFORD
description Neuroanatomical findings on youth anxiety disorders are notoriously difficult to replicate, small in effect size, and have limited clinical relevance. These concerns have prompted a paradigm shift towards highly powered (i.e., big data) individual-level inferences, which are data-driven, transdiagnostic, and neurobiologically informed. Hence, we uniquely built/validated supervised neuroanatomical machine learning (ML) models for individual-level inferences, using the largest up to date neuroimaging database on youth anxiety disorders: ENIGMA Anxiety Consortium (N=3,343; Age: 10-25 years; Global Sites: 32). Modest, yet robust, brain-based classifications were achieved for specific anxiety disorders (Panic Disorder), but also transdiagnostically for all anxiety disorders when patients were subgrouped according to their sex, medication status, and symptom severity (AUC’s 0.59-0.63). Classifications were driven by neuroanatomical features (cortical thickness/surface area, subcortical volumes) in fronto-striato-limbic and temporo-parietal regions. This benchmark study provides estimates on individual-level classification performances that can be realistically achieved with ML using neuroanatomical data, within a large, heterogenous, and multi-site sample of youth with anxiety disorders.
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spelling oxford-uuid:b69f9452-a615-4c03-9db2-65fe70b8851a2024-07-10T12:29:05ZBrain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learningJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b69f9452-a615-4c03-9db2-65fe70b8851aEnglishSymplectic ElementsSpringer Nature2024Bruin, WBZhutovsky, Pvan Wingen, GABas-Hoogendam, JMGroenewold, NAHilbert, KWinkler, AMZugman, AAgosta, FÅhs, FAndreescu, CAntonacci, CAsami, TAssaf, MBarber, JPBauer, JBavdekar, SYBeesdo-Baum, KBenedetti, FBernstein, RBjörkstrand, JBlair, RJBlair, KSBlanco-Hinojo, LBöhnlein, JBrambilla, PBressan, RABreuer, FCano, MCanu, ECardinale, EMCardoner, NCividini, CCremers, HDannlowski, UDiefenbach, GJDomschke, KDoruyter, AGGDresler, TErhardt, AFilippi, MFonzo, GAFreitag, GFFurmark, TGe, TGerber, AJGosnell, SNGrabe, HJGrotegerd, DGur, RCReinecke, ANeuroanatomical findings on youth anxiety disorders are notoriously difficult to replicate, small in effect size, and have limited clinical relevance. These concerns have prompted a paradigm shift towards highly powered (i.e., big data) individual-level inferences, which are data-driven, transdiagnostic, and neurobiologically informed. Hence, we uniquely built/validated supervised neuroanatomical machine learning (ML) models for individual-level inferences, using the largest up to date neuroimaging database on youth anxiety disorders: ENIGMA Anxiety Consortium (N=3,343; Age: 10-25 years; Global Sites: 32). Modest, yet robust, brain-based classifications were achieved for specific anxiety disorders (Panic Disorder), but also transdiagnostically for all anxiety disorders when patients were subgrouped according to their sex, medication status, and symptom severity (AUC’s 0.59-0.63). Classifications were driven by neuroanatomical features (cortical thickness/surface area, subcortical volumes) in fronto-striato-limbic and temporo-parietal regions. This benchmark study provides estimates on individual-level classification performances that can be realistically achieved with ML using neuroanatomical data, within a large, heterogenous, and multi-site sample of youth with anxiety disorders.
spellingShingle Bruin, WB
Zhutovsky, P
van Wingen, GA
Bas-Hoogendam, JM
Groenewold, NA
Hilbert, K
Winkler, AM
Zugman, A
Agosta, F
Åhs, F
Andreescu, C
Antonacci, C
Asami, T
Assaf, M
Barber, JP
Bauer, J
Bavdekar, SY
Beesdo-Baum, K
Benedetti, F
Bernstein, R
Björkstrand, J
Blair, RJ
Blair, KS
Blanco-Hinojo, L
Böhnlein, J
Brambilla, P
Bressan, RA
Breuer, F
Cano, M
Canu, E
Cardinale, EM
Cardoner, N
Cividini, C
Cremers, H
Dannlowski, U
Diefenbach, GJ
Domschke, K
Doruyter, AGG
Dresler, T
Erhardt, A
Filippi, M
Fonzo, GA
Freitag, GF
Furmark, T
Ge, T
Gerber, AJ
Gosnell, SN
Grabe, HJ
Grotegerd, D
Gur, RC
Reinecke, A
Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning
title Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning
title_full Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning
title_fullStr Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning
title_full_unstemmed Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning
title_short Brain-based classification of youth with anxiety disorders: transdiagnostic examinations within the ENIGMA-Anxiety database using machine learning
title_sort brain based classification of youth with anxiety disorders transdiagnostic examinations within the enigma anxiety database using machine learning
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