
Translational Psychiatry, Journal Year: 2025, Volume and Issue: 15(1)
Published: Feb. 6, 2025
Modern neuroimaging research has recognized that major depressive disorder (MDD) is a connectome disorder, characterized by altered functional connectivity across large-scale brain networks. However, the clinical heterogeneity, likely stemming from diverse neurobiological disturbances, complicates findings standard group comparison methods. This variability driven search for MDD subtypes using objective markers. In this study, we sought to identify potential subject-level abnormalities in connectivity, leveraging large multi-site dataset of resting-state MRI 1276 patients and 1104 matched healthy controls. Subject-level extreme connections, determined comparing against normative ranges derived controls tolerance intervals, were used biological MDD. We identified set connections predominantly between visual network frontoparietal network, default mode ventral attention with key regions anterior cingulate cortex, bilateral orbitofrontal supramarginal gyrus. patients, these linked age onset reward-related processes. Using features, two distinct patterns compared (p < 0.05, Bonferroni correction). When considering all together, no significant differences found. These significantly enhanced case-control discriminability showed strong internal subtypes. Furthermore, reproducible varying parameters, study sites, untreated patients. Our provide new insights into taxonomy have implications both diagnosis treatment
Language: Английский