A machine learning investigation of volumetric and functional MRI abnormalities in adults born preterm

Jing Shang, Paul Fisher, Josef G. Bäuml, Marcel Daamen, Nicole Baumann, Claus Zimmer, Peter Bartmann, Henning Boecker, Dieter Wolke, Christian Sorg, Nikolaos Koutsouleris, Dominic B. Dwyer

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Imaging studies have characterized functional and structural brain abnormalities in adults after premature birth, but these investigations have mostly used univariate methods that do not account for hypothesized interdependencies between brain regions or quantify accuracy in identifying individuals. To overcome these limitations, we used multivariate machine learning to identify gray matter volume (GMV) and amplitude of low frequency fluctuations (ALFF) brain patterns that best classify young adults born very preterm/very low birth weight (VP/VLBW; n = 94) from those born full-term (FT; n = 92). We then compared the spatial maps of the structural and functional brain signatures and validated them by assessing associations with clinical birth history and basic cognitive variables. Premature birth could be predicted with a balanced accuracy of 80.7% using GMV and 77.4% using ALFF. GMV predictions were mediated by a pattern of subcortical and middle temporal reductions and volumetric increases of the lateral prefrontal, medial prefrontal, and superior temporal gyrus regions. ALFF predictions were characterized by a pattern including increases in the thalamus, pre- and post-central gyri, and parietal lobes, in addition to decreases in the superior temporal gyri bilaterally. Decision scores from each classification, assessing the degree to which an individual was classified as a VP/VLBW case, were predicted by the number of days in neonatal hospitalization and birth weight. ALFF decision scores also contributed to the prediction of general IQ, which highlighted their potential clinical significance. Combined, the results clarified previous research and suggested that primary subcortical and temporal damage may be accompanied by disrupted neurodevelopment of the cortex.

Original languageEnglish
Pages (from-to)4239-4252
Number of pages14
JournalHuman Brain Mapping
Volume40
Issue number14
DOIs
StatePublished - Oct 2019
Externally publishedYes

Keywords

  • ALFF
  • VBM
  • machine learning
  • multivariate
  • premature birth
  • resting-state fMRI

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