Exploring memory function in earthquake trauma survivors with resting-state fMRI and machine learning.


Journal

BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559

Informations de publication

Date de publication:
03 02 2020
Historique:
received: 05 03 2019
accepted: 21 01 2020
entrez: 5 2 2020
pubmed: 6 2 2020
medline: 11 11 2020
Statut: epublish

Résumé

Traumatized earthquake survivors may develop poor memory function. Resting-state functional magnetic resonance imaging (rs-fMRI) and machine learning techniques may one day aid the clinical assessment of individual psychiatric patients. This study aims to use machine learning with Rs-fMRI from the perspectives of neurophysiology and neuroimaging to explore the association between it and the individual memory function of trauma survivors. Rs-fMRI data was acquired for eighty-nine survivors (male (33%), average age (SD):45.18(6.31) years) of Wenchuan earthquakes in 2008 each of whom was screened by experienced psychiatrists based on the clinician-administered post-traumatic stress disorder (PTSD) scale (CAPS), and their memory function scores were determined by the Wechsler Memory Scale-IV (WMS-IV). We explored which memory function scores were significantly associated with CAPS scores. Using simple multiple kernel learning (MKL), Rs-fMRI was used to predict the memory function scores that were associated with CAPS scores. A support vector machine (SVM) was also used to make classifications in trauma survivors with or without PTSD. Spatial addition (SA), which is defined by spatial working memory function, was negatively correlated with the total CAPS score (r = - 0.22, P = 0.04). The use of simple MKL allowed quantitative association of SA scores with statistically significant accuracy (correlation = 0.28, P = 0.03; mean squared error = 8.36; P = 0.04). The left middle frontal gyrus and the left precuneus contributed the largest proportion to the simple MKL association frame. The SVM could not make a quantitative classification of diagnosis with statistically significant accuracy. The use of the cross-sectional study design after exposure to an earthquake and the leave-one-out cross-validation (LOOCV) increases the risk of overfitting. Spontaneous brain activity of the left middle frontal gyrus and the left precuneus acquired by rs-fMRI may be a brain mechanism of visual working memory that is related to PTSD symptoms. Machine learning may be a useful tool in the identification of brain mechanisms of memory impairment in trauma survivors.

Sections du résumé

BACKGROUND
Traumatized earthquake survivors may develop poor memory function. Resting-state functional magnetic resonance imaging (rs-fMRI) and machine learning techniques may one day aid the clinical assessment of individual psychiatric patients. This study aims to use machine learning with Rs-fMRI from the perspectives of neurophysiology and neuroimaging to explore the association between it and the individual memory function of trauma survivors.
METHODS
Rs-fMRI data was acquired for eighty-nine survivors (male (33%), average age (SD):45.18(6.31) years) of Wenchuan earthquakes in 2008 each of whom was screened by experienced psychiatrists based on the clinician-administered post-traumatic stress disorder (PTSD) scale (CAPS), and their memory function scores were determined by the Wechsler Memory Scale-IV (WMS-IV). We explored which memory function scores were significantly associated with CAPS scores. Using simple multiple kernel learning (MKL), Rs-fMRI was used to predict the memory function scores that were associated with CAPS scores. A support vector machine (SVM) was also used to make classifications in trauma survivors with or without PTSD.
RESULTS
Spatial addition (SA), which is defined by spatial working memory function, was negatively correlated with the total CAPS score (r = - 0.22, P = 0.04). The use of simple MKL allowed quantitative association of SA scores with statistically significant accuracy (correlation = 0.28, P = 0.03; mean squared error = 8.36; P = 0.04). The left middle frontal gyrus and the left precuneus contributed the largest proportion to the simple MKL association frame. The SVM could not make a quantitative classification of diagnosis with statistically significant accuracy.
LIMITATIONS
The use of the cross-sectional study design after exposure to an earthquake and the leave-one-out cross-validation (LOOCV) increases the risk of overfitting.
CONCLUSION
Spontaneous brain activity of the left middle frontal gyrus and the left precuneus acquired by rs-fMRI may be a brain mechanism of visual working memory that is related to PTSD symptoms. Machine learning may be a useful tool in the identification of brain mechanisms of memory impairment in trauma survivors.

Identifiants

pubmed: 32013935
doi: 10.1186/s12888-020-2452-5
pii: 10.1186/s12888-020-2452-5
pmc: PMC6998246
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

43

Subventions

Organisme : National Key Research & Development Program of China
ID : 2016YFC1307200
Pays : International
Organisme : Major Research Plan
ID : 81371484, 81701328, 81371527, 81030027 and 81220108013
Pays : International
Organisme : University Natural Science Research Project of Anhui Province (CN)
ID : 2016YFC1307201
Pays : International
Organisme : Postdoctoral Research Foundation of China
ID : 2017M612972
Pays : International
Organisme : the Support Plan of Sichuan,China
ID : 2014GZ0143
Pays : International

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Auteurs

Yuchen Li (Y)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.

Hongru Zhu (H)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.
Mental Health Center and Psychiatric Laboratory, the State Key Laboratory of Biotherapy, West China Hospital of Sichuan University, Chengdu, China.
Huaxi Brain Research Center, West China Hospital of Sichuan University, Chengdu, China.

Zhengjia Ren (Z)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.
Department of Clinical Psychology, Southwest Hospital, Army Medical University (The Third Military Medical University), Chongqing, China.

Su Lui (S)

Huaxi MR Research Center (HMRRC), Department of Radiology, State Key Laboratory of Biotherapy, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.

Minlan Yuan (M)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.

Qiyong Gong (Q)

Huaxi MR Research Center (HMRRC), Department of Radiology, State Key Laboratory of Biotherapy, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.

Cui Yuan (C)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.

Meng Gao (M)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.

Changjian Qiu (C)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China. qiuchangjian18@126.com.

Wei Zhang (W)

Mental Health Center, West China Hospital of Sichuan University, Chengdu, China. weizhanghx@163.com.

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