Multidimensional Neuroanatomical Subtyping of Autism Spectrum Disorder
Abstract Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface...
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Published in | Cerebral cortex (New York, N.Y. 1991) Vol. 28; no. 10; pp. 3578 - 3588 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Oxford University Press
01.10.2018
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Subjects | |
Online Access | Get full text |
ISSN | 1047-3211 1460-2199 1460-2199 |
DOI | 10.1093/cercor/bhx229 |
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Abstract | Abstract
Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface area, geodesic distance) cortical organization, we could show that a large multi-centric cohort of individuals with ASD falls into 3 distinctive anatomical subtypes (ASD-I: cortical thickening, increased surface area, tissue blurring; ASD-II: cortical thinning, decreased distance; ASD-III: increased distance). Bootstrap analysis indicated a high consistency of these biotypes across thousands of simulations, while analysis of behavioral phenotypes and resting-state fMRI showed differential symptom load (i.e., Autism Diagnostic Observation Schedule; ADOS) and instrinsic connectivity anomalies in communication and social-cognition networks. Notably, subtyping improved supervised learning approaches predicting ADOS score in single subjects, with significantly increased performance compared to a subtype-blind approach. The existence of different subtypes may reconcile previous results so far not converging on a consistent pattern of anatomical anomalies in autism, and possibly relate the presence of diverging corticogenic and maturational anomalies. The high accuracy for symptom severity prediction indicates benefits of MRI biotyping for personalized diagnostics and may guide the development of targeted therapeutic strategies. |
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AbstractList | Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface area, geodesic distance) cortical organization, we could show that a large multi-centric cohort of individuals with ASD falls into 3 distinctive anatomical subtypes (ASD-I: cortical thickening, increased surface area, tissue blurring; ASD-II: cortical thinning, decreased distance; ASD-III: increased distance). Bootstrap analysis indicated a high consistency of these biotypes across thousands of simulations, while analysis of behavioral phenotypes and resting-state fMRI showed differential symptom load (i.e., Autism Diagnostic Observation Schedule; ADOS) and instrinsic connectivity anomalies in communication and social-cognition networks. Notably, subtyping improved supervised learning approaches predicting ADOS score in single subjects, with significantly increased performance compared to a subtype-blind approach. The existence of different subtypes may reconcile previous results so far not converging on a consistent pattern of anatomical anomalies in autism, and possibly relate the presence of diverging corticogenic and maturational anomalies. The high accuracy for symptom severity prediction indicates benefits of MRI biotyping for personalized diagnostics and may guide the development of targeted therapeutic strategies. Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface area, geodesic distance) cortical organization, we could show that a large multi-centric cohort of individuals with ASD falls into 3 distinctive anatomical subtypes ( ASD-I : cortical thickening, increased surface area, tissue blurring; ASD-II : cortical thinning, decreased distance; ASD-III : increased distance). Bootstrap analysis indicated a high consistency of these biotypes across thousands of simulations, while analysis of behavioral phenotypes and resting-state fMRI showed differential symptom load (i.e., Autism Diagnostic Observation Schedule; ADOS) and instrinsic connectivity anomalies in communication and social-cognition networks. Notably, subtyping improved supervised learning approaches predicting ADOS score in single subjects, with significantly increased performance compared to a subtype-blind approach. The existence of different subtypes may reconcile previous results so far not converging on a consistent pattern of anatomical anomalies in autism, and possibly relate the presence of diverging corticogenic and maturational anomalies. The high accuracy for symptom severity prediction indicates benefits of MRI biotyping for personalized diagnostics and may guide the development of targeted therapeutic strategies. Abstract Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface area, geodesic distance) cortical organization, we could show that a large multi-centric cohort of individuals with ASD falls into 3 distinctive anatomical subtypes (ASD-I: cortical thickening, increased surface area, tissue blurring; ASD-II: cortical thinning, decreased distance; ASD-III: increased distance). Bootstrap analysis indicated a high consistency of these biotypes across thousands of simulations, while analysis of behavioral phenotypes and resting-state fMRI showed differential symptom load (i.e., Autism Diagnostic Observation Schedule; ADOS) and instrinsic connectivity anomalies in communication and social-cognition networks. Notably, subtyping improved supervised learning approaches predicting ADOS score in single subjects, with significantly increased performance compared to a subtype-blind approach. The existence of different subtypes may reconcile previous results so far not converging on a consistent pattern of anatomical anomalies in autism, and possibly relate the presence of diverging corticogenic and maturational anomalies. The high accuracy for symptom severity prediction indicates benefits of MRI biotyping for personalized diagnostics and may guide the development of targeted therapeutic strategies. Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface area, geodesic distance) cortical organization, we could show that a large multi-centric cohort of individuals with ASD falls into 3 distinctive anatomical subtypes (ASD-I: cortical thickening, increased surface area, tissue blurring; ASD-II: cortical thinning, decreased distance; ASD-III: increased distance). Bootstrap analysis indicated a high consistency of these biotypes across thousands of simulations, while analysis of behavioral phenotypes and resting-state fMRI showed differential symptom load (i.e., Autism Diagnostic Observation Schedule; ADOS) and instrinsic connectivity anomalies in communication and social-cognition networks. Notably, subtyping improved supervised learning approaches predicting ADOS score in single subjects, with significantly increased performance compared to a subtype-blind approach. The existence of different subtypes may reconcile previous results so far not converging on a consistent pattern of anatomical anomalies in autism, and possibly relate the presence of diverging corticogenic and maturational anomalies. The high accuracy for symptom severity prediction indicates benefits of MRI biotyping for personalized diagnostics and may guide the development of targeted therapeutic strategies.Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel analytical framework that integrates cortex-wide MRI markers of vertical (i.e., thickness, tissue contrast) and horizontal (i.e., surface area, geodesic distance) cortical organization, we could show that a large multi-centric cohort of individuals with ASD falls into 3 distinctive anatomical subtypes (ASD-I: cortical thickening, increased surface area, tissue blurring; ASD-II: cortical thinning, decreased distance; ASD-III: increased distance). Bootstrap analysis indicated a high consistency of these biotypes across thousands of simulations, while analysis of behavioral phenotypes and resting-state fMRI showed differential symptom load (i.e., Autism Diagnostic Observation Schedule; ADOS) and instrinsic connectivity anomalies in communication and social-cognition networks. Notably, subtyping improved supervised learning approaches predicting ADOS score in single subjects, with significantly increased performance compared to a subtype-blind approach. The existence of different subtypes may reconcile previous results so far not converging on a consistent pattern of anatomical anomalies in autism, and possibly relate the presence of diverging corticogenic and maturational anomalies. The high accuracy for symptom severity prediction indicates benefits of MRI biotyping for personalized diagnostics and may guide the development of targeted therapeutic strategies. |
Author | Di Martino, Adriana Hong, Seok-Jun Valk, Sofie L Milham, Michael P Bernhardt, Boris C |
AuthorAffiliation | 2 Department of Social Neuroscience, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstrasse 1a, Leipzig, Germany 3 Department of Child and Adolescent Psychiatry, Child Study Center at NYU Langone Health, 1 Park Avenue, New York, NY, USA 1 Multimodal Imaging and Connectome Analysis Laboratory, Montreal Neurological Institute and Hospital, McGill University, 3801 University Street, Montreal, QC, Canada 4 Center for the Developing Brain, Child Mind Institute, 445 Park Avenue, New York, NY, USA 5 Center for Biomedical Imaging and Neuromodulation, Nathan Kline Institute, 140 Old Orangeburg Rd, Orangeburg, New York, NY, USA |
AuthorAffiliation_xml | – name: 4 Center for the Developing Brain, Child Mind Institute, 445 Park Avenue, New York, NY, USA – name: 1 Multimodal Imaging and Connectome Analysis Laboratory, Montreal Neurological Institute and Hospital, McGill University, 3801 University Street, Montreal, QC, Canada – name: 5 Center for Biomedical Imaging and Neuromodulation, Nathan Kline Institute, 140 Old Orangeburg Rd, Orangeburg, New York, NY, USA – name: 3 Department of Child and Adolescent Psychiatry, Child Study Center at NYU Langone Health, 1 Park Avenue, New York, NY, USA – name: 2 Department of Social Neuroscience, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstrasse 1a, Leipzig, Germany |
Author_xml | – sequence: 1 givenname: Seok-Jun orcidid: 0000-0002-1847-578X surname: Hong fullname: Hong, Seok-Jun organization: Multimodal Imaging and Connectome Analysis Laboratory, Montreal Neurological Institute and Hospital, McGill University, 3801 University Street, Montreal, QC, Canada – sequence: 2 givenname: Sofie L surname: Valk fullname: Valk, Sofie L organization: Department of Social Neuroscience, Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstrasse 1a, Leipzig, Germany – sequence: 3 givenname: Adriana surname: Di Martino fullname: Di Martino, Adriana organization: Department of Child and Adolescent Psychiatry, Child Study Center at NYU Langone Health, 1 Park Avenue, New York, NY, USA – sequence: 4 givenname: Michael P surname: Milham fullname: Milham, Michael P organization: Center for the Developing Brain, Child Mind Institute, 445 Park Avenue, New York, NY, USA – sequence: 5 givenname: Boris C surname: Bernhardt fullname: Bernhardt, Boris C email: boris.bernhardt@mcgill.ca organization: Multimodal Imaging and Connectome Analysis Laboratory, Montreal Neurological Institute and Hospital, McGill University, 3801 University Street, Montreal, QC, Canada |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28968847$$D View this record in MEDLINE/PubMed |
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Snippet | Abstract
Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a... Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders with multiple biological etiologies and highly variable symptoms. Using a novel... |
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SubjectTerms | Adolescent Artificial Intelligence Autism Spectrum Disorder - classification Autism Spectrum Disorder - diagnostic imaging Autism Spectrum Disorder - psychology Cerebral Cortex - diagnostic imaging Cohort Studies Female Humans Magnetic Resonance Imaging Male Nerve Net - diagnostic imaging Neuropsychological Tests Original Predictive Value of Tests Social Perception Young Adult |
Title | Multidimensional Neuroanatomical Subtyping of Autism Spectrum Disorder |
URI | https://www.ncbi.nlm.nih.gov/pubmed/28968847 https://www.proquest.com/docview/1946438334 https://pubmed.ncbi.nlm.nih.gov/PMC7190887 |
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