The validity of diagnostic labels of autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and obsessive compulsive disorder (OCD) is an open question given the mounting evidence that these categories may not correspond to conditions with distinct etiologies, biologies, or phenotypes. The objective of this study was to determine the agreement between existing diagnostic labels and groups discovered based on a data-driven, diagnosis-agnostic approach integrating cortical neuroanatomy and core-domain phenotype features. A machine learning pipeline, called bagged-multiview clustering, was designed to discover homogeneous subgroups by integrating cortical thickness data and measures of core-domain phenotypic features of ASD, ADHD, and OCD. This study was conducted using data from the Province of Ontario Neurodevelopmental Disorders (POND) Network, a multi-center study in Ontario, Canada. Participants (n = 226) included children between the ages of 6 and 18 with a diagnosis of ASD (n = 112, median [IQR] age = 11.7[4.8], 21% female), ADHD (n = 58, median [IQR] age = 10.2[3.3], 14% female), or OCD (n = 34, median [IQR] age = 12.1[4.2], 38% female), as well as typically developing controls (n = 22, median [IQR] age = 11.0[3.8], 55% female). The diagnosis-agnostic groups were significantly different than each other in phenotypic characteristics (SCQ: χ2(9) = 111.21, p < 0.0001; SWAN: χ2(9) = 142.44, p < 0.0001) as well as cortical thickness in 75 regions of the brain. The analyses revealed disagreement between existing diagnostic labels and the diagnosis-agnostic homogeneous groups (normalized mutual information < 0.20). Our results did not support the validity of existing diagnostic labels of ASD, ADHD, and OCD as distinct entities with respect to phenotype and cortical morphology.

译文

自闭症谱系障碍 (ASD),注意力缺陷/多动障碍 (ADHD) 和强迫症 (OCD) 的诊断标签的有效性是一个悬而未决的问题,因为越来越多的证据表明这些类别可能与具有不同病因的条件不符,生物学或表型。这项研究的目的是确定现有诊断标签与基于数据驱动的,诊断不可知的方法结合皮质神经解剖学和核心域表型特征发现的组之间的一致性。设计了一个称为bagged-multiview聚类的机器学习管道,通过整合皮质厚度数据和ASD,ADHD和OCD的核心域表型特征的度量来发现同质亚组。这项研究是使用来自加拿大安大略省的多中心研究安大略省神经发育障碍 (POND) 网络的数据进行的。参与者 (n   =   226) 包括诊断为ASD的6至18岁儿童 (n   =   112,中位 [IQR] 年龄   =   11.7[4.8],21% 女性),ADHD (n   =   58,中位数 [IQR] 年龄   =   10.2[3.3],14% 女性),或OCD (n   =   34,中位数 [IQR] 年龄   =   12.1[4.2],38% 女性),以及典型的发育对照 (n   =   22,中位数 [IQR] 年龄   =   11.0[3.8],55% 女性)。诊断不可知组在75个脑区的表型特征 (SCQ: χ2(9)  =   111.21,p  <  0.0001; SWAN: χ2(9)  =   142.44,p  <  0.0001) 以及皮质厚度方面差异显著。分析表明,现有诊断标记与诊断不可知的同质组之间存在分歧 (标准化相互信息  <  0.20)。我们的结果不支持ASD,ADHD和OCD的现有诊断标签在表型和皮质形态方面作为不同实体的有效性。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录