A

Predicting Alcohol Dependence from Multi-Site Brain Structural Measures

medRxiv

Abstract

Abstract Background The search for neuroimaging biomarkers of alcohol use disorder (AUD) has primarily been restricted to significance testing in small datasets of low diversity. To identify neurobiological markers beyond individual differences, it may be useful to develop classification models for AUD. The ever-increasing quantity of neuroimaging data demands methods that are robust to the complexities of multi-site designs and are generalizable to data from new scanners. Methods This study represents a mega-analysis of previously published datasets from 2,034 AUD and comparison participants spanning 27 sites, coordinated by the ENIGMA Addiction Working Group. Data were grouped into a training set including 1,652 participants (692 AUD, 24 sites), and test set with 382 participants (146 AUD, 3 sites). A battery of machine learning classifiers was evaluated using repeated random cross-validation (CV) and leave-site-out CV. Area under the receiver operating characteristic curve (AUC) was our base metric of performance. Results Multi-objective evolutionary search was conducted to identify sparse, generalizable, and high performing subsets of brain measurements. Cortical thickness in the left superior frontal gyrus and right lateral orbitofrontal cortex, cortical surface area in the right transverse temporal gyrus, and left putamen volume, appeared most frequently across searches. Restricting a regularized logistic regression model to these four features yielded a test-set AUC of .768. Conclusions Developing classification models on multi-site data with varied underlying class distributions poses unique challenges. Supplementing datasets with controls from new sites and performing feature selection increases generalizability. Four features identified by evolutionary search may serve as specific biomarkers for individuals with current AUD.

Authors 26

  1. Sage Hahn corresponding

    University of Vermont · University of Vermont Medical Center

    Affiliation as printed

    Department of Psychiatry, University of Vermont College of Medicine, Burlington, Vermont

  2. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

    Department of Psychiatry, University of Vermont College of Medicine, Burlington, Vermont

  3. University of Amsterdam

    Affiliation as printed

    Departments of Psychology, University of Amsterdam, Amsterdam, the Netherlands

  4. University of Rochester Medicine · University of Rochester

    Affiliation as printed

    Department of Neuroscience & The Ernest J. Del Monte Institute for Neuroscience, University of Rochester School of Medicine and Dentistry, Rochester NY, USA

  5. The University of Melbourne

    Affiliation as printed

    Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia

  6. University of Colorado Boulder

    Affiliation as printed

    Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, USA

  7. Washington University in St. Louis

    Affiliation as printed

    Department of Psychiatry, Washington University School of Medicine, St. Louis MO, USA

  8. University of California, Los Angeles

    Affiliation as printed

    David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, USA

  9. University of Liverpool · Monash University · Australian Catholic University

    Affiliation as printed

    Department of Psychological Sciences, the University of Liverpool, Liverpool, UK

    Monash Institute of Cognitive and Clinical Neurosciences & School of Psychological Sciences, Monash University, Melbourne, Australia

    School of Psychology, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia

  10. Radboud University Nijmegen

    Affiliation as printed

    Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands

  11. National Institute on Alcohol Abuse and Alcoholism

    Affiliation as printed

    Clinical NeuroImaging Research Core, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, Bethesda MD, USA

  12. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

    Department of Psychiatry, University of Vermont College of Medicine, Burlington, Vermont

  13. University of California San Diego · VA San Diego Healthcare System · Laureate Institute for Brain Research

    Affiliation as printed

    Laureate Institute for Brain Research, Tulsa OK, USA

    VA San Diego Healthcare System and Department of Psychiatry, University of California San Diego, La Jolla, USA

  14. The University of Melbourne · Orygen

    Affiliation as printed

    Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia

    Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia

  15. Yale University

    Affiliation as printed

    Department of Psychiatry, Yale University School of Medicine, New Haven CT, USA

  16. Leiden University · Max Planck Institute for Human Cognitive and Brain Sciences

    Affiliation as printed

    Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

    Institute of Psychology, Cognitive Psychology Unit & Leiden Institute for Brain and Cognition, Leiden University, Leiden, the Netherlands

  17. University of Cape Town

    Affiliation as printed

    SA MRC Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  18. National Institute on Drug Abuse

    Affiliation as printed

    Neuroimaging Research Branch, Intramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA

  19. Amsterdam UMC Location University of Amsterdam · University of Amsterdam

    Affiliation as printed

    Department of Psychiatry, AmsterdamUMC, Location AMC, University of Amsterdam, Amsterdam, the Netherlands

  20. Amsterdam UMC Location Vrije Universiteit Amsterdam

    Affiliation as printed

    Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands

  21. University of Amsterdam

    Affiliation as printed

    Departments of Psychology, University of Amsterdam, Amsterdam, the Netherlands

  22. The University of Melbourne · Melbourne Health · Monash University

    Affiliation as printed

    Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne and Melbourne Health, Melbourne, Australia

    Monash Institute of Cognitive and Clinical Neurosciences & School of Psychological Sciences, Monash University, Melbourne, Australia

  23. University of Southern California

    Affiliation as printed

    Imaging Genetics Center, Stevens Institute for Neuroimaging & Informatics, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

  24. Centre Hospitalier Universitaire Sainte-Justine · Université de Montréal

    Affiliation as printed

    Department of Psychiatry, Université de Montreal, CHU Ste Justine Hospital, Montreal QC, Canada

  25. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

    Department of Psychiatry, University of Vermont College of Medicine, Burlington, Vermont

  26. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

    Department of Psychiatry, University of Vermont College of Medicine, Burlington, Vermont

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References 28