Predicting alcohol dependence from multi‐site brain structural measures

• Published in: Human brain mapping 2022-01, Vol.43 (1), p.555-565
• Main Authors: Hahn, Sage, Mackey, Scott, Cousijn, Janna, Foxe, John J., Heinz, Andreas, Hester, Robert, Hutchinson, Kent, Kiefer, Falk, Korucuoglu, Ozlem, Lett, Tristram, Li, Chiang‐Shan R., London, Edythe, Lorenzetti, Valentina, Maartje, Luijten, Momenan, Reza, Orr, Catherine, Paulus, Martin, Schmaal, Lianne, Sinha, Rajita, Sjoerds, Zsuzsika, Stein, Dan J., Stein, Elliot, Holst, Ruth J., Veltman, Dick, Walter, Henrik, Wiers, Reinout W., Yucel, Murat, Thompson, Paul M., Conrod, Patricia, Allgaier, Nicholas, Garavan, Hugh
• Format: Article
• Language: English
• Subjects: addiction; Addictions; Alcohol; alcohol dependence; Alcoholism - diagnostic imaging; Biomarkers; Brain; Cerebral Cortex - diagnostic imaging; Cerebral Cortex - pathology; Classification; Data analysis; Datasets; Dependence; Drug dependence; Feature selection; Frontal gyrus; genetic algorithm; Genetic algorithms; Humans; Learning; Machine Learning; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Magnetic Resonance Imaging - standards; Medical imaging; Multicenter Studies as Topic - methods; Multicenter Studies as Topic - standards; multi‐site; Neurobiology; Neuroimaging; Neuroimaging - methods; Neuroimaging - standards; prediction; Putamen; Putamen - diagnostic imaging; Putamen - pathology; Quality control; Reproducibility of Results; Scanners; structural MRI; Temporal cortex; Temporal gyrus; Working groups
• ISSN: 1065-9471; 1097-0193
• DOI: 10.1002/hbm.25248

To identify neuroimaging biomarkers of alcohol dependence (AD) from structural magnetic resonance imaging, it may be useful to develop classification models that are explicitly generalizable to unseen sites and populations. This problem was explored in a mega‐analysis of previously published datasets from 2,034 AD and comparison participants spanning 27 sites curated by the ENIGMA Addiction Working Group. Data were grouped into a training set used for internal validation including 1,652 participants (692 AD, 24 sites), and a test set used for external validation with 382 participants (146 AD, 3 sites). An exploratory data analysis was first conducted, followed by an evolutionary search based feature selection to site generalizable and high performing subsets of brain measurements. Exploratory data analysis revealed that inclusion of case‐ and control‐only sites led to the inadvertent learning of site‐effects. Cross validation methods that do not properly account for site can drastically overestimate results. Evolutionary‐based feature selection leveraging leave‐one‐site‐out cross‐validation, to combat unintentional learning, identified cortical thickness in the left superior frontal gyrus and right lateral orbitofrontal cortex, cortical surface area in the right transverse temporal gyrus, and left putamen volume as final features. Ridge regression restricted to these features yielded a test‐set area under the receiver operating characteristic curve of 0.768. These findings evaluate strategies for handling multi‐site data with varied underlying class distributions and identify potential biomarkers for individuals with current AD. To identify neuroimaging biomarkers of alcohol dependence (AD) from structural magnetic resonance imaging, we developed classifiers on data collected from multiple sites. Exploratory data analysis revealed that inclusion of case‐ and control‐only sites led to the inadvertent learning of site‐effects. Evolutionary‐based feature selection leveraging leave‐one‐site‐out cross‐validation, to combat unintentional learning, yielded a test‐set area under the receiver operating characteristic curve of 0.768.