Artificial Intelligence-based Computer-aided Diagnosis Applications for Brain Disorders from Medical Imaging Data, Volume II

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Cover image for research topic "Artificial Intelligence-based Computer-aided Diagnosis Applications for Brain Disorders from Medical Imaging Data, Volume II"
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Original Research
07 March 2023
Disrupted interhemispheric coordination of sensory-motor networks and insula in major depressive disorder
Chunguo Zhang
11 more and 
Wenbin Guo
Support vector machine (SVM) results. (A) The accuracy of classification of six SVM analyses. One represents the VMHC values in the cerebellum 8/vermis 8/vermis 9; 2 represents the VMHC values in the superior/middle occipital gyrus; 3 represents the VMHC values in the insula; 4 represents the combination of the VMHC values in the cerebellum 8/vermis 8/vermis 9 and superior/middle occipital gyrus; 5 represents the combination of the VMHC values in the cerebellum 8/vermis 8/vermis 9 and insula; and 6 represents the combination of the VMHC values in the superior/middle occipital gyrus and insula. (B) SVM analysis applied the combination of the VMHC values in the cerebellum 8/vermis 8/vermis 9 and insula. Sensitivity = 80.95%, specificity = 83.33%, and accuracy = 82.14%. In the left part, the red cross represents patient with MDD, and the green asterisk represents healthy controls. The blue circle represents support vector. (C) SVM analysis applied the combination of the VMHC values in the superior/middle occipital gyrus and insula. Sensitivity = 78.57%, specificity = 85.71%, and accuracy = 82.14%. In the left part, the red cross represents patient with MDD, and the green asterisk represents healthy controls. The blue circle represents support vector. SVM, support vector machines; VMHC, voxel-mirrored homotopic connectivity; MDD, major depressive disorder.

Objective: Prior researches have identified distinct differences in neuroimaging characteristics between healthy controls (HCs) and patients with major depressive disorder (MDD). However, the correlations between homotopic connectivity and clinical characteristics in patients with MDD have yet to be fully understood. The present study aimed to investigate common and unique patterns of homotopic connectivity and their relationships with clinical characteristics in patients with MDD.

Methods: We recruited 42 patients diagnosed with MDD and 42 HCs. We collected a range of clinical variables, as well as exploratory eye movement (EEM), event-related potentials (ERPs) and resting-state functional magnetic resonance imaging (rs-fMRI) data. The data were analyzed using correlation analysis, support vector machine (SVM), and voxel-mirrored homotopic connectivity (VMHC).

Results: Compared with HCs, patients with MDD showed decreased VMHC in the insula, and increased VMHC in the cerebellum 8/vermis 8/vermis 9 and superior/middle occipital gyrus. SVM analysis using VMHC values in the cerebellum 8/vermis 8/vermis 9 and insula, or VMHC values in the superior/middle occipital gyrus and insula as inputs can distinguish HCs and patients with MDD with high accuracy, sensitivity, and specificity.

Conclusion: The study demonstrated that decreased VMHC in the insula and increased VMHC values in the sensory-motor networks may be a distinctive neurobiological feature for patients with MDD, which could potentially serve as imaging markers to discriminate HCs and patients with MDD.

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