Biology subjects

Frangou, S.

Publications and source records attributed to Frangou, S..

10 recordsLinked to original sources

bioRxiv2026

Medication and Developmental Stage Shape the Brain-Age Gap in ADHD

Identifying robust biomarkers for Attention-Deficit/Hyperactivity Disorder (ADHD) remains challenging. The brain-age gap (BAG), which is the difference between predicted biological brain age and chronological age, has been proposed as a marker of atypical neurodevelopment, yet findings have been inconsistent across studies, limiting its clinical translation. We hypothesized that two major sources of heterogeneity, medication status and developmental stage, contribute to these discrepancies. To test this, we analyzed structural MRI data from a large multi-site cohort (N = 947; ages 7-26 years). Individuals with ADHD were stratified by medication history (medicated vs. unmedicated) and developmental stage (childhood vs. adolescence) and compared with matched typically developing controls. We estimated global- and network-level BAG using publicly available pretrained models. Our results revealed that BAG differences were contingent on medication status, with abnormalities predominantly observed in unmedicated individuals. Developmental stage further moderated the presence of this effect: BAG abnormalities were present significantly in children with ADHD but not in adolescents. Network-level analyses demonstrated spatial specificity, with significant effects in visual, ventral attention, and dorsal attention networks. Together, these findings provide compelling evidence that BAG in ADHD is both medication- and development-dependent, highlighting the need to account for treatment exposure and developmental stage when evaluating BAG as a biomarker and further underscoring the importance of early intervention during childhood.

neuroscience↗

bioRxiv2024

Generalizability of Normative Models of Brain Morphometry Across Distinct Ethnoracial Groups

Normative modeling of brain morphometric data can inform about the clinical significance of deviations from typical patterns in brain structure. Their usefulness, however, is dependent on their applicability to diverse ethnoracial groups. With this in mind, we developed age- and sex-specific normative models for cortical thickness, surface area, and subcortical volumes using brain scans from 37,407 healthy individuals from a diverse international sample. Here we demonstrate the validity of these models in diverse and distinct populations. Specifically, we tested these pre-trained models on independent samples of healthy individuals that either self-identified as Black, South Asian, East Asian Chinese, East Asian Japanese, or we categorized as African, Admixed American, East Asian, and European based on their genetic ancestry. Regardless of ethnoracial definition, the performance of the pretrained models in these samples was exceptionally high; the relative mean absolute error for each regional brain morphometry measure was less than 10% across all the distinct ethnoracial groups. These findings affirm the broad applicability of our models, ensuring that brain morphometry assessments using these models are accurate and reliable for individuals regardless of background. This broad applicability has significant implications for advancing personalized medicine and improving health outcomes in diverse populations.

bioinformatics↗

bioRxiv2023

Brain-Age Prediction: Systematic Evaluation of Site Effects, and Sample Age Range and Size

Structural neuroimaging data have been used to compute an estimate of the biological age of the brain (brain-age) which has been associated with other biologically and behaviorally meaningful measures of brain development and aging. The ongoing research interest in brain-age has highlighted the need for robust and publicly available brain-age models pre-trained on data from large samples of healthy individuals. To address this need we have previously released a developmental brain-age model. Here we expand this work to develop, empirically validate, and disseminate a pre-trained brain-age model to cover most of the human lifespan. To achieve this, we selected the best-performing model after systematically examining the impact of site harmonization, age range, and sample size on brain-age prediction in a discovery sample of brain morphometric measures from 35,683 healthy individuals (age range: 5-90 years; 53.59% female). The pre-trained models were tested for cross-dataset generalizability in an independent sample comprising 2,101 healthy individuals (age range: 8-80 years; 55.35% female) and for longitudinal consistency in a further sample comprising 377 healthy individuals (age range: 9-25 years; 49.87% female). This empirical examination yielded the following findings: (1) the accuracy of age prediction from morphometry data was higher when no site harmonization was applied; (2) dividing the discovery sample into two age-bins (5-40 years and 40-90 years) provided a better balance between model accuracy and explained age variance than other alternatives; (3) model accuracy for brain-age prediction plateaued at a sample size exceeding 1,600 participants. These findings have been incorporated into CentileBrain [https://centilebrain.org/#/brainAGE2], an open-science, web-based platform for individualized neuroimaging metrics.

bioinformatics↗

bioRxiv2022

Neuroimaging profiling identifies distinct brain maturational subtypes of youth with mood and anxiety disorders

Mood and anxiety disorders typically begin in adolescence and have overlapping clinical features but marked inter-individual variation in clinical presentation. The use of multimodal neuroimaging data may offer novel insights into the underlying brain mechanisms. We applied Heterogeneity Through Discriminative Analysis (HYDRA) to measures of regional brain morphometry, neurite density, and intracortical myelination to identify subtypes of youth, aged 9-10 years, with mood and anxiety disorders (N=1931) compared to typically developing youth (N=2823). We identified three subtypes that were robust to permutation testing and sample composition. Subtype 1 evidenced a pattern of imbalanced cortical-subcortical maturation compared to the typically developing group, with subcortical regions lagging behind prefrontal cortical thinning and myelination and greater cortical surface expansion globally. Subtype 2 displayed a pattern of delayed cortical and subcortical maturation indicated by higher cortical thickness and subcortical volume and lower cortical surface area expansion and myelination compared to the typically developing group. Subtype 3 showed evidence of atypical brain maturation involving globally lower cortical thickness and surface coupled with higher myelination and neural density. Subtype 1 had superior cognitive function in contrast to the other two subtypes that underperformed compared to the typically developing group. Higher levels of parental psychopathology, family conflict, and social adversity were common to all subtypes, with subtype 3 having the highest burden of adverse exposures. These analyses comprehensively characterize pre-adolescent mood and anxiety disorders, the biopsychosocial context in which they arise, and lay the foundation for the examination of the longitudinal evolution of the subtypes identified as the study sample transitions through adolescence.

pathology↗

bioRxiv2022

Sex differences in predictors and regional patterns of brain-age-gap estimates

BackgroundThe brain-age-gap estimate (brainAGE) quantifies the difference between chronological age and age predicted by applying machine-learning models to neuroimaging data, and is considered a biomarker of brain health. Understanding sex-differences in brainAGE is a significant step toward precision medicine. MethodsGlobal and local brainAGE (G-brainAGE and L-brainAGE, respectively) were computed by applying machine learning algorithms to brain structural magnetic resonance imaging data from 1113 healthy young adults (54.45% females; age range: 22-37 years) participating in the Human Connectome Project. Sex-differences were determined in G-brainAGE and L-brainAGE. Random forest regression was used to determine sex-specific associations between G-brainAGE and non-imaging measures pertaining to sociodemographic characteristics and mental, physical, and cognitive functions. ResultsL-brainAGE showed sex-specific differences in brain ageing. In females, compared to males, L-brainAGE was higher in the cerebellum and brainstem and lower in the prefrontal cortex and insula. Although sex-differences in G-brainAGE were minimal, associations between G-brainAGE and non-imaging measures differed between sexes with the exception for poor sleep quality, which was common to both. The most important predictor of higher G-brainAGE was non-white race in males and systolic blood pressure in females. ConclusionsThe results demonstrate the value of applying sex-specific analyses and machine learning methods to advance our understanding of sex-related differences in factors that influence the rate of brain ageing and provide a foundation for targeted interventions.

neuroscience↗

bioRxiv2021

Systematic Evaluation of Machine Learning Algorithms for Neuroanatomically-Based Age Prediction in Youth

Application of machine learning algorithms to structural magnetic resonance imaging (sMRI) data has yielded behaviorally meaningful estimates of the biological age of the brain (brain-age). The choice of the machine learning approach in estimating brain-age in children and adolescents is important because age-related brain changes in these age-groups are dynamic. However, the comparative performance of the multiple machine learning algorithms available has not been systematically appraised. To address this gap, the present study evaluated the accuracy (Mean Absolute Error; MAE) and computational efficiency of 21 machine learning algorithms using sMRI data from 2,105 typically developing individuals aged 5 to 22 years from five cohorts. The trained models were then tested in two independent holdout datasets, comprising 4,078 pre-adolescents aged 9-10 years and another sample of 594 individuals aged 5-21 years. The algorithms encompassed parametric and nonparametric, Bayesian, linear and nonlinear, tree-based, and kernel-based models. Sensitivity analyses were performed for parcellation scheme, number of neuroimaging input features, number of cross-validation folds, number of extreme outliers, and sample size. The best performing algorithms were Extreme Gradient Boosting (MAE of 1.49), Random Forest Regression (MAE of 1.58) and Support Vector Regression with Radial Basis Function Kernel (MAE of 1.64) which had acceptable and comparable computational efficiency. Findings of the present study could be used as a guide for optimizing methodology when quantifying age-related changes in youth.

neuroscience↗

bioRxiv2020

SS-Detect: Development and Validation of a New Strategy for Source-Based Morphometry in Multi-Scanner Studies

Background and PurposeSource-based morphometry (SBM) has been used in multi-centre studies pooling magnetic resonance imaging (MRI) data across different scanners to advance the reproducibility of neuroscience research. In the present study, we developed an analysis strategy for Scanner-Specific Detection (SS-Detect) of SBPs in multi-scanner studies, and evaluated its performance relative to a conventional strategy. MethodsIn the first experiment, the SimTB toolbox was used to generate simulated datasets mimicking twenty different scanners with common and scanner-specific SBPs. In the second experiment, we generated one simulated SBP from empirical gray matter volume (GMV) datasets from two different scanners. Moreover, we applied two strategies to compare SBPs between schizophrenia patients and healthy controls GMV from two different scanners. ResultsThe outputs of the conventional strategy were limited to whole-sample-level results across all scanners; the outputs of SS-Detect included whole-sample-level and scanner-specific results. In the first simulation experiment, SS-Detect successfully estimated all simulated SBPs, including the common and scanner-specific SBPs whereas the conventional strategy detected only some of the whole-sample SBPs. The second simulation experiment showed that both strategies could detect the simulated SBP. Quantitative evaluations of both experiments demonstrated greater accuracy of the SS-Detect in estimating spatial SBPs and subject-specific loading parameters. In the third experiment, SS-Detect detected more significant between-group SBPs, and these SBPs corresponded with the results from voxel-based morphometry analysis, suggesting that SS-Detect has higher sensitivity in detecting between-group differences. ConclusionsSS-Detect outperformed the conventional strategy and can be considered advantageous when SBM is applied to a multi-scanner study.

bioinformatics↗

bioRxiv2020

Brain age prediction in schizophrenia: does the choice of machine learning algorithm matter?

BackgroundSchizophrenia has been associated with lifelong deviations in the normative trajectories of brain structure. These deviations can be captured using the brain-predicted age difference (brainPAD), which is the difference between the biological age of an individuals brain, as inferred from neuroimaging data, and their chronological age. Various machine learning algorithms are currently used for this purpose but their comparative performance has yet to be systematically evaluated. MethodsSix linear regression algorithms, ordinary least squares (OLS) regression, ridge regression, least absolute shrinkage and selection operator (Lasso) regression, elastic-net regression, linear support vector regression (SVR), and relevance vector regression (RVR), were applied to brain structural data acquired on the same 3T scanner using identical sequences from patients with schizophrenia (n=90) and healthy individuals (n=200). The performance of each algorithm was quantified by the mean absolute error (MAE) and the correlation (R) between predicted brain-age and chronological age. The inter-algorithm similarity in predicted brain-age, brain regional regression weights and brainPAD were compared using correlation analyses and hierarchical clustering. ResultsIn patients with schizophrenia, ridge regression, Lasso regression, elastic-net regression, and RVR performed very similarly and showed a high degree of correlation in predicted brain-age (R>0.94) and brain regional regression weights (R>0.66). By contrast, OLS regression, which was the only algorithm without a penalty term, performed markedly worse and showed a lower similarity with the other algorithms. The mean brainPAD was higher in patients than in healthy individuals but varied by algorithm from 3.8 to 5.2 years although all analyses were performed on the same dataset. ConclusionsLinear machine learning algorithms, with the exception of OLS regression, have comparable performance for age prediction on the basis of a combination of cortical and subcortical structural measures. However, algorithm choice introduced variation in brainPAD estimation, and therefore represents an important source of inter-study variability.

neuroscience↗

bioRxiv2020

Atlas55+: Brain Functional Atlas of Resting-state Networks for Late Adulthood

Currently, several human brain functional atlases are used to define the spatial constituents of the resting-state networks (RSNs). However, the only brain atlases available are derived from samples of young adults. As brain networks are continuously reconfigured throughout life, the lack of brain atlases derived from older populations may influence RSN results in late adulthood. To address this gap, the aim of the study was to construct a reliable brain atlas derived only from older participants. We leveraged resting-state functional MRI data from three cohorts of healthy older adults (total N=563; age=55-95years) and a younger-adult cohort (N=128; age=18-35 years). We identified the major RSNs and their subdivisions across all older-adult cohorts. We demonstrated high spatial reproducibility of these RSNs with an average spatial overlap of 67%. Importantly, the RSNs derived from the older-adult cohorts were spatially different from those derived from the younger-adult cohort (p=2.3x10-3). Lastly, we constructed a novel brain atlas, called Atlas55+, which includes the consensus of the major RSNs and their subdivisions across the older-adult cohorts. Thus, Atlas55+ provides a reliable age-appropriate template for RSNs in late adulthood and is publicly available. Our results confirm the need for age-appropriate functional atlases for studies investigating aging-related brain mechanisms.

neuroscience↗

bioRxiv2020

Cortical Thickness Trajectories across the Lifespan: Data from 17,075 healthy individuals aged 3-90 years

Delineating age-related cortical trajectories in healthy individuals is critical given the association of cortical thickness with cognition and behaviour. Previous research has shown that deriving robust estimates of age-related brain morphometric changes requires large-scale studies. In response, we conducted a large-scale analysis of cortical thickness in 17,075 individuals aged 3-90 years by pooling data through the Lifespan Working group of the Enhancing Neuroimaging Genetics through Meta-Analysis (ENIGMA) Consortium. We used fractional polynomial (FP) regression to characterize age-related trajectories in cortical thickness, and we computed normalized growth centiles using the parametric Lambda, Mu, and Sigma (LMS) method. Inter-individual variability was estimated using meta-analysis and one-way analysis of variance. Overall, cortical thickness peaked in childhood and had a steep decrease during the first 2-3 decades of life; thereafter, it showed a gradual monotonic decrease which was steeper in men than in women particularly in middle-life. Notable exceptions to this general pattern were entorhinal, temporopolar and anterior cingulate cortices. Inter-individual variability was largest in temporal and frontal regions across the lifespan. Age and its FP combinations explained up to 59% variance in cortical thickness. These results reconcile uncertainties about age-related trajectories of cortical thickness; the centile values provide estimates of normative variance in cortical thickness, and may assist in detecting abnormal deviations in cortical thickness, and associated behavioural, cognitive and clinical outcomes.

neuroscience↗