Evidence map›Paper›PMID 40551821›Full record

ArticleFrontiers in psychiatry2025

Exploring the predictive value of structural covariance networks for the diagnosis of schizophrenia.

Clara S Vetter, Annika Bender, Dominic B Dwyer, Max Montembeault, Anne Ruef, Katharine Chisholm, Lana Kambeitz-Ilankovic, Linda A Antonucci, Stephan Ruhrmann, Joseph Kambeitz and 16 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

26 authors.

Clara S VetterDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany.
Annika BenderDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany.
Dominic B DwyerDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany.
Max MontembeaultDouglas Research Centre and Department of Psychiatry, McGill University, Montréal, QC, Canada.
Anne RuefDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany.
Katharine ChisholmSchool of Psychology, University of Sussex, Brighton, United Kingdom.
Lana Kambeitz-IlankovicDepartment of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Germany, Cologne, Germany.
Linda A AntonucciDepartment of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari "Aldo Moro", Bari, Italy.
Stephan RuhrmannDepartment of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Germany, Cologne, Germany.
Joseph KambeitzDepartment of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Germany, Cologne, Germany.
Marlene RosenDepartment of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Germany, Cologne, Germany.
Theresa LichtensteinDepartment of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Germany, Cologne, Germany.
Anita Riecher-RösslerFaculty of Medicine, University of Basel, Basel, Switzerland.
Rachel UpthegroveDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Raimo K R SalokangasDepartment of Psychiatry, University of Turku, Turku, Finland.
Jarmo HietalaDepartment of Psychiatry, University of Turku, Turku, Finland.
Christos PantelisMelbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia.
Rebekka LencerInstitute for Translational Psychiatry, University of Muenster, Muenster, Germany.
Eva MeisenzahlDepartment of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
Stephen J WoodCentre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia.
Paolo BrambillaDepartment of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Stefan BorgwardtDepartment of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany.
Alessandro BertolinoDepartment of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari "Aldo Moro", Bari, Italy.
Nikolaos KoutsoulerisDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany.
PRONIA Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Schizophrenia is a psychiatric disorder hypothesized to result from disturbed brain connectivity. Structural covariance networks (SCN) describe the shared variation in morphological properties emerging from coordinated neurodevelopmental processes, This study evaluates the potential of SCNs as diagnostic biomarker for schizophrenia. Methods: We compared the diagnostic value of two SCN computation methods derived from regional gray matter volume (GMV) in 154 patients with a diagnosis of first episode psychosis or recurrent schizophrenia (PAT) and 366 healthy control individuals (HC). The first method (REF-SCN) quantifies the contribution of an individual to a normative reference group's SCN, and the second approach (KLS-SCN) uses a symmetric version of Kulback-Leibler divergence. Their diagnostic value compared to regional GMV was assessed in a stepwise analysis using a series of linear support vector machines within a nested cross-validation framework and stacked generalization, all models were externally validated in an independent sample (N Results: We found that models trained on SCNs were able to classify patients with schizophrenia and combining SCNs and regional GMV in a stacked model improved training (balanced accuracy (BAC)=69.96%) and external validation performance (BAC=67.10%). Among all unimodal models, the highest discovery sample performance was achieved by a model trained on REF-SCN (balanced accuracy (BAC=67.03%). All model decisions were driven by widespread structural covariance alterations involving the somato-motor, default mode, control, visual, and the ventral attention networks. Risk estimates derived from KLS-SCNs and regional GMV, but not REF-SCNs, could be predicted from clinical variables, especially driven by body mass index (BMI) and affect-related negative symptoms. Discussion: These patterns of results show that different SCN computation approaches capture different aspects of the disease. While REF-SCNs contain valuable information for discriminating schizophrenia from healthy control individuals, KLS-SCNs may capture more nuanced symptom-level characteristics similar to those captured by PCA of regional GMV.

Indexed as

brain connectivitymachine learningneuroimagingprecision psychiatryschizophreniastructural covariance

Identifiers

PMID40551821
PMCPMC12183260

What Socratic holds

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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.