This study aimed to replicate previous research identifying clinical subgroups in schizophrenia patients based on patterns of gray matter concentration (GMC) identified through structural MRI data. The study involved extracting schizophrenia patients from an MRI dataset, regressing out effects of age, sex and site, performing independent component analysis to identify relevant brain networks, and using biclustering analysis to group patients based on their brain imaging data and examine differences in clinical symptoms between the groups. Preliminary results identified two subgroups of patients but found no significant differences between the subgroups in positive or negative symptoms, though the small sample size of 30 patients may have limited the ability to detect differences. Larger samples from additional datasets will be analyzed in future work.
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Project1-Final Presentation
1. REPLICATION AND IDENTIFICATION OF
CLINICAL SUBGROUPS IN A STRUCTURAL
MRI DATASET FOR SCHIZOPHRENIA
Dakarai McCoy (PM), Abeer Jihad, Edith Castellanos
Sponsors: Drs. Vince Calhoun (MRN), Jessica Turner (GSU)
Technical Mentor: Navin Cota
2. Objective
To replicate the results obtain by the Mind Research Network
of clinical subtyping in Schizophrenia by finding the
relationship between the Gray Matter concentration (GMC)
and clinical scores.
3. Purpose
The success of this research will discover reliable clinical subtype patterns
of Gray Matter Concentration (GMC) deficit, which could be targeted in
the personalized development of drugs for schizophrenia.
Schizophrenia is a chronic brain disorder
Delusion
Hallucination
Disorganized speech
Catatonic behavior
Negative symptoms
11. Independent Component Analysis ICA
Maximally independent sources (two groups; Controls and Sz)
Column of loadings for a given source map(say Insula) covariation
among subjects is captured in loadings.
For a given component map (say insula) if there are two groups, if
mean of Controls in A1 is greater than mean of Sz in A1; then it
means Ct has more GMC than Sz
Top Two Components (HC>Sz) from
C.N.Gupta et al based on Effect Size,
Schizophrenia Bulletin, 2014.
Voxel Component
Insula,STG
Voxel
Subject
Subject
A1
Component
*
A2
C1
C2
Frontal
Component
Matrix
Ctr and Szs GMC
matrix regressed
of Age, Gender, site
voxelwise
Loading
Matrix
12. Develop MATLAB code to extract Sz patients
from a data set.
Data extracted: URSI, site, age, sex, SAPS/SANS.
Module 1
Extraction of patients
with Schizophrenia
Perform multivariable regression of age and
gender to make the results more sensitive to
group differences (Cota et Al 2009)
Module 2
Regression of
covariates
. Run ICA using SBM toolbox from GIFT
Perform B-ICA in the selected components
Perform 2 sample t-test
Module 3
ICA and Biclustering
Method
13. Module 1 Extraction of patients with Schizophrenia
109 Schizophrenia patients from 1st data set
Variables extracted: Site, Sex, Age, SAPS/SANS scores
14. Module 2 Regression of covariates
Extracted brain images from 109 patients
Run regression of covariates [Age, Sex, Site]
Smooth selected images
Picture of the brain of one subject after regression
Picture of the brain of one subject after smoothing
15. Module 3 ICA Used SBM to run ICA for 109 images
30 components. Components selected 5 and 7
Medial frontal gyrus (mFG)
Superior frontal gyrus (SFG)
Middle fontal gyrus (MFG)
Insula (I)
Inferior frontal gyrus (IFG)
Superior temporal gyrus (STG)
Component 5
Component 7
Sagittal (y) Frontal/coronal (x) Transverse/Axial (z)
16. Voxel Component
Insula,STG
Voxel
Subject
Subject
A1
Component
*
A2
C1
C2
Frontal
2. INTERSECTION OF ABS SORTED LOADINGS
A1
A2
3. SUBGROUPS DECIPHERED
AND A TWO SAMPLE TTEST IS
PERFORMED ON THE
CLINICAL SYMPTOMS
109 Szs GMC matrix regressed
of Age, Gender, site voxelwise
with two overlapping biclusters
S1
S2
Sinter
Sorted by Abs value. Gradient shows the
higher magnitude (negative and positive)
loadings pushed up
Rule of thumb: Dissect Subject
number by 4 and do an intersection
of sorted subject names in A1 and
A2
Loading
Matrix
Component
Matrix
Biclustering (B-ICA)
17. Preliminary Results
30 subjects from top quarter
S1 = 16, S2 = 16 , S(inter) = 11 , S(total) = 27
Scale for the Assessment of Positive Symptoms (SAPS)
H = 0, p < 0.6875
Scale for the Assessment of Negative Symptoms (SANS)
H = 0, p < 0.736
18. Future Work
Increase number of subjects (4 more data sets)
Integration into Genetics project
Coordinates of the components?
http://headneckbrainspine.com/web_flash/newmodules/Brain%20MRI.swf
https://www.imaios.com/en/e-Anatomy/Head-and-Neck/Brain-MRI-in-axial-slices
http://es.slideshare.net/hytham_nafady/surface-anatomy-of-the-brain?next_slideshow=1