Despite
decades
of
research,
we
lack
objective
diagnostic
or
prognostic
biomarkers
mental
health
problems.
A
key
reason
for
this
limited
progress
is
a
reliance
on
the
traditional
case-control
paradigm,
which
assumes
that
each
disorder
has
single
cause
can
be
uncovered
by
comparing
average
phenotypic
values
cases
and
control
samples.
Here,
discuss
problematic
assumptions
paradigm
based
highlight
recent
efforts
seek
to
characterize,
rather
than
minimize,
inherent
clinical
biological
variability
characterizes
psychiatric
populations.
We
argue
embracing
such
will
necessary
understand
pathophysiological
mechanisms
develop
more
targeted
effective
treatments.
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: July 8, 2023
Abstract
The
high
inter-individual
heterogeneity
in
individuals
with
depression
limits
neuroimaging
studies
case-control
approaches
to
identify
promising
biomarkers
for
individualized
clinical
decision-making.
We
put
forward
a
framework
integrating
the
normative
model
and
non-negative
matrix
factorization
(NMF)
quantitatively
assess
altered
gray
matter
morphology
from
dimensional
perspective.
proposed
parses
into
overlapping
latent
disease
factors,
assigns
patients
distinct
factor
compositions,
thus
preserving
variability.
identified
four
robust
factors
symptoms
cognitive
processes
depression.
In
addition,
we
showed
quantitative
relationship
between
group-level
morphological
differences
factors.
Furthermore,
this
significantly
predicted
compositions
of
an
independent
dataset.
provides
approach
resolve
neuroanatomical
Behavioural Brain Research,
Journal Year:
2023,
Volume and Issue:
449, P. 114458 - 114458
Published: April 29, 2023
Although
stratifying
autism
spectrum
disorder
(ASD)
into
different
subtypes
is
a
common
effort
in
the
research
field,
few
papers
have
characterized
functional
connectivity
alterations
of
ASD
subgroups
classified
by
their
clinical
presentations.This
case-control
rs-fMRI
study,
based
on
large
samples
open
database
(Autism
Brain
Imaging
Data
Exchange,
ABIDE).
The
rs-MRI
data
from
n
=
415
patients
(males
357),
and
574
typical
development
(TD)
controls
410)
were
included.
Clinical
features
extracted
using
each
patient's
Autism
Diagnostic
Interview-Revised
(ADI-R)
evaluation.
Each
subtype
was
local
regional
homogeneity
(ReHo)
for
assessment,
remote
voxel-mirrored
homotopic
(VMHC)
whole-brain
connectivity,
graph
theoretical
features.
These
identified
imaging
properties
integrated
to
create
machine
learning
model
classifying
data,
an
independent
dataset
used
validate
model.All
participants
Cluster-1
(patients
with
more
severe
impairment)
Cluster-2
moderate
according
dimensional
scores
ADI-R.
When
compared
TD
group,
demonstrated
increased
connection
decreased
widespread
hyper-
hypo-connectivity
variations
connectivity.
quite
similar
group
both
But
at
level
MCC-related
connections
specifically
impaired
Cluster-2.
fused
build
model,
which
achieved
∼75%
identifying
(Cluster-1
accuracy
81.75%;
76.48%).The
stratification
presentations
can
help
minimize
disease
heterogeneity
highlight
distinguished
brain
subtypes.
IEEE Transactions on Neural Systems and Rehabilitation Engineering,
Journal Year:
2022,
Volume and Issue:
30, P. 1898 - 1907
Published: Jan. 1, 2022
Autism
spectrum
disorder
(ASD)
is
associated
with
the
impaired
integrating
and
segregating
of
related
information
that
expanded
within
large-scale
brain
network.
The
varying
ASD
symptom
severities
have
been
explored,
relying
on
their
behaviors
activity,
but
how
to
effectively
predict
severity
needs
further
exploration.
In
this
study,
we
aim
investigate
whether
could
be
predicted
electroencephalography
(EEG)
metrics.
Based
a
publicly
available
dataset,
EEG
networks
were
constructed,
four
types
metrics
calculated.
Then,
statistically
compared
network
differences
among
children
severities,
i.e.,
high/low
autism
diagnostic
observation
schedule
(ADOS)
scores,
as
well
typically
developing
(TD)
children.
Thereafter,
utilized
validate
they
facilitate
prediction
severity.
results
demonstrated
both
high-and
low-scoring
showed
decreased
long-range
frontal-occipital
connectivity,
increased
anterior
frontal
connectivity
altered
properties.
Furthermore,
found
are
significantly
correlated
ADOS
combination
can
serve
features
current
findings
will
expand
our
knowledge
dysfunction
in
provide
new
for
predicting
Human Brain Mapping,
Journal Year:
2023,
Volume and Issue:
44(8), P. 3112 - 3122
Published: March 15, 2023
Abstract
It
remains
challenging
to
identify
depression
accurately
due
its
biological
heterogeneity.
As
people
suffering
from
are
associated
with
functional
brain
network
alterations,
we
investigated
subtypes
of
patients
first‐episode
drug‐naive
(FEDN)
based
on
characteristics.
This
study
included
data
91
FEDN
and
matched
healthy
individuals
obtained
the
International
Big‐Data
Center
for
Depression
Research.
Twenty
large‐scale
connectivity
networks
were
computed
using
group
information
guided
independent
component
analysis.
A
multivariate
unsupervised
normative
modeling
method
was
used
their
networks,
focusing
individual‐level
variability
among
quantifying
deviations
range.
Two
patient
identified
distinctive
abnormal
patterns,
consisting
10
informative
including
default
mode
frontoparietal
network.
16%
belonged
subtype
I
larger
extreme
normal
range
shorter
illness
duration,
while
84%
II
weaker
longer
duration.
Moreover,
structural
changes
in
more
complex
than
patients.
Compared
controls,
both
increased
decreased
gray
matter
(GM)
abnormalities
widely
distributed
regions
In
contrast,
most
GM
I.
The
patterns
gleaned
imaging
can
facilitate
accurate
identification
FEDN‐MDD
neurobiological
Journal of Pacific Rim Psychology,
Journal Year:
2025,
Volume and Issue:
19
Published: Jan. 1, 2025
Attention-deficit/hyperactivity
disorder
(ADHD)
is
a
biologically
and
clinically
heterogeneous
neurodevelopmental
condition,
which
hinders
the
identification
of
rooted
evidence
for
treatment
choices
clinical
predictions.
Identifying
brain-based
homogenous
ADHD
subtypes
with
neuroimaging
data
to
reduce
this
heterogeneity
promising
elucidating
specific
neural
mechanisms
underlying
complex
presentations,
may
enable
development
personalized
treatments
precise
therapeutic
targets.
In
review,
we
first
discuss
large
individual
differences
among
patients
indicated
by
findings
from
both
large-scale
group-level
studies
individual-level
studies,
motivated
new
efforts
discover
neurobiological
subtypes.
Next,
review
recent
research
on
neuroimaging-based
in
terms
three
aspects:
sample
selection,
subtyping
methodology
(i.e.,
features,
algorithms,
validation
strategies),
subtype
findings.
Eleven
utilizing
multiple
single
modalities
or
multimodal
were
identified.
Through
diverse
features
approaches,
current
have
revealed
range
different
characterized
distinct
profiles,
providing
important
insight
into
nature
ADHD.
Despite
progress,
most
still
little
biological
relevance,
limited
utility,
generalizability,
slowing
down
pace
their
translation.
We
highlight
several
crucial
considerations
overcome
these
challenges
contribute
more
useful
reproducible
identification.
With
increasing
access
datasets,
deliberate
features/methods
adequate
strategies,
believe
that
could
be
used
inform
treatments,
thereby
advancing
practice
towards
precision
psychiatry.
Translational Psychiatry,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 27, 2025
Abstract
Within
precision
psychiatry,
there
is
a
growing
interest
in
normative
models
given
their
ability
to
parse
heterogeneity.
While
they
are
intuitive
and
informative,
the
technical
expertise
resources
required
develop
may
not
be
accessible
most
researchers.
Here
we
present
Neurofind,
new
freely
available
tool
that
bridges
this
gap
by
wrapping
sound
previously
tested
methods
on
data
harmonisation
advanced
into
web-based
platform
requires
minimal
input
from
user.
We
explain
how
Neurofind
was
developed,
use
website
four
simple
steps
(
www.neurofind.ai
),
provide
exemplar
applications.
takes
as
structural
MRI
images
outputs
two
main
metrics
derived
independent
models:
(1)
Outlier
Index
Score,
deviation
score
brain
morphology,
(2)
Brain
Age,
predicted
age
based
an
individual’s
morphometry.
The
trained
3362
of
healthy
controls
aged
20–80
publicly
datasets.
volume
101
cortical
subcortical
regions
extracted
modelled
with
adversarial
autoencoder
for
index
model
support
vector
regression
model.
To
illustrate
potential
applications,
applied
364
three
datasets
patients
diagnosed
Alzheimer’s
disease
schizophrenia.
In
disease,
55.2%
had
very
extreme
Scores,
mostly
driven
larger
deviations
temporal-limbic
structures
ventricles.
Patients
were
also
homogeneous
deviated
norm.
Conversely,
only
30.1%
schizophrenia
outliers,
due
hippocampus
pallidum,
tended
more
heterogeneous
than
controls.
Both
groups
showed
signs
accelerated
ageing.
Cerebral Cortex,
Journal Year:
2025,
Volume and Issue:
35(3)
Published: March 1, 2025
Self-limited
epilepsy
with
centrotemporal
spikes
is
the
most
common
pediatric
epilepsy,
characterized
by
an
age-dependent
onset
that
typically
arises
during
childhood
brain
development
and
followed
remission
at
puberty.
However,
heterogeneity
in
children's
individual
level
complicates
challenge
of
personalized
treatment.
Our
goal
to
quantify
deviations
from
normative
range
morphometric
variation
children
assess
their
associations
clinical
manifestations
cognitive
functions.
We
have
developed
sex-specific
models
on
regional
subcortical
volume,
cortical
thickness,
surface
area
data
457
healthy
sourced
two
datasets.
These
were
then
utilized
map
(n
=
187)
sex-
age-matched
controls
108)
another
dataset.
In
group,
exhibited
a
higher
proportion
regions
infra-normal
volumes,
number
correlated
disease
duration,
seizure
frequency,
Raven's
total
score.
findings
suggest
few
extreme
distributions
heterogeneous
are
present
minority
individuals,
emphasizing
need
monitor
abnormalities
throughout
course
disease.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 4, 2025
ABSTRACT
Background
Clinical
progression
during
psychosis
has
been
closely
associated
with
grey
matter
abnormalities
resulting
from
atypical
brain
development.
However,
the
complex
interplay
between
psychopathology
and
neurodiversity
challenges
identifying
neuroanatomical
features
that
anticipate
long-term
cognitive
symptomatic
decline.
Here,
we
collected
MRI,
cognitive,
data
165
healthy
controls
357
drug-naïve
or
minimally
medicated
FEP
individuals
were
followed
up
1,3,5
10
years
after
first
episode.
(1778
MRI
scans
assessments
in
total).
Using
normative
modelling,
derived
subject-specific
centile
scores
for
cortical
volume
to
investigate
deviations
their
relationship
deterioration.
The
association
maps
further
characterized
by
examining
cytoarchitectural
neurobiological
attributes
using
atlases.
Aims
To
longitudinal
exploring
outcomes,
as
well
underpinnings.
Results
centiles
showed
a
widespread
reduction
at
treatment
initiation,
analysis
showing
an
increase
time,
indicating
convergence
toward
normal
maturation
trajectories.
Interestingly,
this
effect
was
reduced
highly
individuals.
Additionally,
found
impairments
experienced
early
stages
correlated
mitigated
time.
Positive
symptomatology
negatively
regional
centiles,
higher
benefited
most
treatment.
Cytoarchitectural
analyses
revealed
related
FEP,
function,
specific
molecular
features,
such
serotonin
receptor
densities
heteromodal
areas.
Conclusions
Collectively,
these
findings
underscore
potential
use
of
centile-based
modelling
better
understanding
how
development
contributes
clinical
neurodevelopmental
conditions.