Evidence map›Paper›PMID 39290174›Full record

SynthesisPsychiatry and clinical neurosciences2024

Magnetic resonance imaging-based machine learning classification of schizophrenia spectrum disorders: a meta-analysis.

Fabio Di Camillo, David Antonio Grimaldi, Giulia Cattarinussi, Annabella Di Giorgio, Clara Locatelli, Adyasha Khuntia, Paolo Enrico, Paolo Brambilla, Nikolaos Koutsouleris, Fabio Sambataro

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Psychiatry and clinical neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Fabio Di CamilloDepartment of Neuroscience (DNS), University of Padova, Padua, Italy.
David Antonio GrimaldiDepartment of Neuroscience (DNS), University of Padova, Padua, Italy.
Giulia CattarinussiDepartment of Neuroscience (DNS), University of Padova, Padua, Italy.
Annabella Di GiorgioDepartment of Mental Health and Addictions, ASST Papa Giovanni XXIII, Bergamo, Italy.
Clara LocatelliDepartment of Mental Health and Addictions, ASST Papa Giovanni XXIII, Bergamo, Italy.
Adyasha KhuntiaDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian University, Munich, Germany.
Paolo EnricoDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian University, Munich, Germany.
Paolo BrambillaDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Nikolaos KoutsoulerisMax-Planck-Institute of Psychiatry, Munich, Germany.
Fabio SambataroDepartment of Neuroscience (DNS), University of Padova, Padua, Italy.ORCID https://orcid.org/0000-0003-2102-416X

Funding

ProNET: Psychosis-Risk Outcomes NetworkU01MH124639 · NIMH · YALE UNIVERSITY · PI CARRIE E BEARDEN, JOHN M KANE · 2020 to 2026
$81.2M
Neurodevelopment and Psychosis in the 22q11.2 Copy Number VariantsR37MH085953 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CARRIE E BEARDEN · 2023 to 2026
$2.9M
German Federal Ministry of Education and ResearchItalian Ministry of Education, University and Research (MUR) P2022W28TXItalian Ministry of Education, University and Research (MUR) PRIN 2022 PNRRNIH HHS U01MH124639-01NIMH NIH HHS R37 MH085953NIMH NIH HHS U01 MH124639Wellcome TrustWellcome Trust, the German Innovation Fund
6 · The paper itself

Abstract

backgroundRecent advances in multivariate pattern recognition have fostered the search for reliable neuroimaging-based biomarkers in psychiatric conditions, including schizophrenia. These approaches consider the complex pattern of alterations in brain function and structure, overcoming the limitations of traditional univariate methods. To assess the reliability of neuroimaging-based biomarkers and the contribution of study characteristics in distinguishing individuals with schizophrenia spectrum disorder (SSD) from healthy controls (HCs), we conducted a systematic review of the studies that used multivariate pattern recognition for this objective.

methodsWe systematically searched PubMed, Scopus, and Web of Science for studies on SSD classification using multivariate pattern analysis on magnetic resonance imaging data. We employed a bivariate random-effects meta-analytic model to explore the classification of sensitivity (SE) and specificity (SP) across studies while also evaluating the moderator effects of clinical and non-clinical variables.

resultsA total of 119 studies (with 12,723 patients with SSD and 13,196 HCs) were identified. The meta-analysis estimated a SE of 79.1% (95% confidence interval [CI], 77.1%-81.0%) and a SP of 80.0% (95% CI, 77.8%-82.0%). In particular, the Positive and Negative Syndrome Scale and the Global Assessment of Functioning scores, age, age of onset, duration of untreated psychosis, deep learning, algorithm type, features selection, and validation methods had significant effects on classification performance.

conclusionsMultivariate pattern analysis reliably identifies neuroimaging-based biomarkers of SSD, achieving ∼80% SE and SP. Despite clinical heterogeneity, discernible brain modifications effectively differentiate SSD from HCs. Classification performance depends on patient-related and methodological factors crucial for the development, validation, and application of prospective models in clinical settings.

Indexed as

Machine LearningMagnetic Resonance ImagingSchizophreniaBrainHumansNeuroimagingclassificationmachine learningmagnetic resonance imagingmeta‐analysisschizophrenia

Identifiers

PMID39290174
PMCPMC11612547

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.