Abstract

In neuroscience, clustering subjects based on brain dysfunctions is a promising avenue to subtype mental disorders as it may enhance the development of a brain-based categorization system for mental disorders that transcends and is biologically more valid than current symptom-based categorization systems. As changes in functional connectivity (FC) patterns have been demonstrated to be associated with various mental disorders, one appealing approach in this regard is to cluster patients based on similarities and differences in FC patterns. To this end, researchers collect three-way fMRI data measuring neural activation over time for different patients at several brain locations and apply Independent Component Analysis (ICA) to extract FC patterns from the data. However, due to the three-way nature and huge size of fMRI data, classical (two-way) clustering methods are inadequate to cluster patients based on these FC patterns. Therefore, a two-step procedure is proposed where, first, ICA is applied to each patient’s fMRI data and, next, a clustering algorithm is used to cluster the patients into homogeneous groups in terms of FC patterns. As some clustering methods used operate on similarity data, the modified RV-coefficient is adopted to compute the similarity between patient specific FC patterns. An extensive simulation study demonstrated that performing ICA before clustering enhances the cluster recovery and that hierarchical clustering using Ward’s method outperforms complete linkage hierarchical clustering, Affinity Propagation and Partitioning Around Medoids. Moreover, the proposed two-step procedure appears to recover the underlying clustering better than (1) a two-step procedure that combines PCA with clustering and (2) Clusterwise SCA-ECP, which performs PCA and clustering in a simultaneous fashion. Additionally, the good performance of the proposed two-step procedure using ICA and Ward’s hierarchical clustering is illustrated in an empirical fMRI data set regarding dementia patients.

Highlights

  • Nowadays, several research questions in neuroscientific studies call for a clustering of subjects based on high-dimensional—big—brain data

  • A new avenue in neuroscientific research pertains to clustering patients based on multi-subject functional Magnetic Resonance Imaging (fMRI) data to, for example, obtain a categorization of mental disorders in terms of brain dysfunctions

  • In this article, a two-step procedure was proposed that consists of (1) reducing the data with Independent Component Analysis (ICA) and (2) clustering the patients into homogenous groups based on thesimilarity between patient pairs in terms of ICA components/functional connectivity (FC) patterns as measured by the modified RV-coefficient

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Summary

Introduction

Several research questions in neuroscientific studies call for a clustering of subjects based on high-dimensional—big—brain data. Many psychiatric and neurocognitive disorders (e.g., depression, schizophrenia and dementia), show a large variability in symptoms, disease courses and treatment responses This substantial clinical heterogeneity, which is caused by the weak links that exist between the current diagnostic categories and the underlying biology of mental disorders (see, for example, Craddock et al 2005; Happé et al 2006), questions the validity of the current symptom-based diagnostic categorization systems for mental disorders. As brain dysfunctions have been found to be important predisposing/vulnerability factors for many psychiatric disorders (Marín 2012; Millan et al 2012), a way to obtain a biologically more valid diagnostic system is to base the categorization on similarities and differences between patients in brain (dys)functioning This shift from symptom- to brain-based categorization is a crucial prerequisite for and connects well with the emerging trend of personalized psychiatry, called precision psychiatry (Fernandes et al 2017). As brain dysfunctions occur at pre-symptomatic stages (i.e., before structural and cognitive changes become apparent) for most mental disorders (Marín 2012; Damoiseaux et al 2012; Drzezga et al 2011) and are predictive for treatment response (Liston et al 2014; Downar et al 2014; McGrath et al 2013), disposing of brainbased diagnostic categories allows for the early detection of subjects at risk for a particular disorder and may advance evidence-based treatments and outcomes for patients

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