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Predicting alcohol dependence from multi‐site brain structural measures

Human Brain Mapping, vol. 43, pp. 555–565

Abstract

To identify neuroimaging biomarkers of alcohol dependence (AD) from structural magnetic resonance imaging, it may be useful to develop classification models that are explicitly generalizable to unseen sites and populations. This problem was explored in a mega-analysis of previously published datasets from 2,034 AD and comparison participants spanning 27 sites curated by the ENIGMA Addiction Working Group. Data were grouped into a training set used for internal validation including 1,652 participants (692 AD, 24 sites), and a test set used for external validation with 382 participants (146 AD, 3 sites). An exploratory data analysis was first conducted, followed by an evolutionary search based feature selection to site generalizable and high performing subsets of brain measurements. Exploratory data analysis revealed that inclusion of case- and control-only sites led to the inadvertent learning of site-effects. Cross validation methods that do not properly account for site can drastically overestimate results. Evolutionary-based feature selection leveraging leave-one-site-out cross-validation, to combat unintentional learning, identified 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 as final features. Ridge regression restricted to these features yielded a test-set area under the receiver operating characteristic curve of 0.768. These findings evaluate strategies for handling multi-site data with varied underlying class distributions and identify potential biomarkers for individuals with current AD.

Authors 31

  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 USA

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

  2. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

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

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

  3. University of Amsterdam

    Affiliation as printed

    Department of Psychology University of Amsterdam Amsterdam the Netherlands

    Department 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 New York USA

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

  5. Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Department of Psychiatry and Psychotherapy Charité—Universitätsmedizin Berlin Berlin Germany

  6. The University of Melbourne

    Affiliation as printed

    Melbourne School of Psychological Sciences University of Melbourne Melbourne Australia

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

  7. University of Colorado Boulder

    Affiliation as printed

    Department of Psychology and Neuroscience University of Colorado Boulder Colorado USA

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

  8. Heidelberg University · Central Institute of Mental Health

    Affiliation as printed

    Department of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health Heidelberg University Mannheim Germany

    Department of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health, Heidelberg University, Mannheim, Germany

  9. Washington University in St. Louis

    Affiliation as printed

    Department of Psychiatry Washington University School of Medicine St. Louis Missouri USA

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

  10. Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Department of Psychiatry and Psychotherapy Charité—Universitätsmedizin Berlin Berlin Germany

  11. Yale University

    Affiliation as printed

    Department of Psychiatry Yale University School of Medicine New Haven Connecticut USA

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

  12. University of California, Los Angeles

    Affiliation as printed

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

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

  13. 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

    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

  14. Radboud University Nijmegen

    Affiliation as printed

    Behavioural Science Institute Radboud University Nijmegen the Netherlands

    Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands

  15. 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 Maryland USA

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

  16. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

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

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

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

    Affiliation as printed

    Laureate Institute for Brain Research Tulsa Oklahoma USA

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

    Laureate Institute for Brain Research, Tulsa, Oklahoma, USA

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

  18. 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

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

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

  19. Yale University

    Affiliation as printed

    Department of Psychiatry Yale University School of Medicine New Haven Connecticut USA

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

  20. 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

    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

  21. South African Medical Research Council · University of Cape Town

    Affiliation as printed

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

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

  22. National Institute on Drug Abuse

    Affiliation as printed

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

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

  23. Amsterdam UMC Location University of Amsterdam · Amsterdam University Medical Centers · University of Amsterdam

    Affiliation as printed

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

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

  24. Amsterdam UMC Location Vrije Universiteit Amsterdam

    Affiliation as printed

    Department of Psychiatry VU University Medical Center Amsterdam the Netherlands

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

  25. Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Department of Psychiatry and Psychotherapy Charité—Universitätsmedizin Berlin Berlin Germany

  26. University of Amsterdam

    Affiliation as printed

    Department of Psychology University of Amsterdam Amsterdam the Netherlands

    Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands

  27. University of California, Los Angeles · The University of Melbourne · Melbourne Health

    Affiliation as printed

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

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

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

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

  28. University of Southern California

    Affiliation as printed

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

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

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

    Affiliation as printed

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

  30. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

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

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

  31. University of Vermont · University of Vermont Medical Center

    Affiliation as printed

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

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

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References 34