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i-ECO: a novel method for the analysis and visualization of fMRI results in Psychiatry

Published online by Cambridge University Press:  01 September 2022

L. Tarchi*
Affiliation:
University of Florence, Department Of Neuropsychiatric Sciences, Florence, Italy
T. Fantoni
Affiliation:
AOU Meyer, Neurology Unit And Laboratories, Florence, Italy
T. Pisano
Affiliation:
AOU Meyer, Neurology Unit And Laboratories, Florence, Italy
S. Damiani
Affiliation:
University of Pavia, Department Of Brain And Behavioral Sciences, Pavia, Italy
P. La Torraca Vittori
Affiliation:
University of Pavia, Department Of Brain And Behavioral Sciences, Pavia, Italy
S. Marini
Affiliation:
University of Florida, Department Of Epidemiology, Gainesville, Florida, United States of America
N. Nazzicari
Affiliation:
CREA, Research Centre For Fodder Crops And Dairy Productions, Lodi, Italy
G. Castellini
Affiliation:
University of Florence, Department Of Neuropsychiatric Sciences, Florence, Italy
P. Politi
Affiliation:
University of Pavia, Department Of Brain And Behavioral Sciences, Pavia, Italy
V. Ricca
Affiliation:
University of Florence, Department Of Neuropsychiatric Sciences, Florence, Italy
*
*Corresponding author.

Abstract

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Introduction

The high technical barrier to entry in the field of neuroimaging can hinder early insight from promising results and the development of evidence-based clinical practice.

Objectives

The working group focused on published literature in order to develop a new methodology in the analysis, visualization, and representation of fMRI data in the psychiatric setting.

Methods

Three valid and established measures were chosen, in order to achieve dimensionality reduction, stability and explainability of results, namely Regional-Homogeneity; fractional Amplitude of Low-Frequency Fluctuations; Eigenvector-Centrality. Each measure was color coded and individual images per subject compiled, averaging results by functional networks as described the FIND lab of the University of Stanford. 272 individual scans were processed (130 neurotypicals, 50 patients with Schizophrenia, 49 with Bipolar Disorder, 43 with ADHD).

Results

The discriminative power between clinical groups of the novel method was significant both by human eye, and later confirmation by statistical tests, and by computer vision algorithms (Convolutional Neural Networks). The precision-recall Area Under the Curve, dividing by 80/20 proportion between train and test sets, was >84.5% for each group. The group of patients with Bipolar Disorder showed a partial overlap with the group of patients suffering from Schizophrenia – by a dominance of Eigenvector-Centrality and Regional-Homogeneity, as well as a lower prevalence of fractional Amplitude of Low-Frequency Fluctuations, for both in comparison to controls.

Conclusions

The present study offers preliminary evidence for the adoption of i-ECO (integrated-Explainability through Color Coding) in fMRI analyses during rest in the Psychiatric field.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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