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Classification of tic disorders based on functional MRI by machine learning: a study protocol
Fang Wang1, Fang Wen1, Jingran Liu1
1Department of Psychiatry, Beijing Children's Hospital, Beijing, China.
BMJ Open
|May 16, 2022
Summary
This study proposes a machine learning approach using functional MRI data to classify subtypes of tic disorders (TD) in children. The goal is to enable early diagnosis of provisional tic disorder, chronic tic disorder, and Tourette syndrome.
Area of Science:
- Neuroscience
- Pediatrics
- Computational Psychiatry
Background:
- Tic disorders (TD) are common neurodevelopmental conditions in children, with subtypes including provisional tic disorder (PTD), chronic motor or vocal TD (CMT/CVT), and Tourette syndrome (TS).
- Early diagnostic classification of TD subtypes is challenging based solely on new-onset symptoms.
- Machine learning (ML) shows promise for early diagnostic classification using functional MRI (fMRI), but models for TD subtypes are scarce.
Purpose of the Study:
- To develop and validate a machine learning model for the early diagnostic classification of TD subtypes.
- To differentiate between PTD, CMT/CVT, and TS in children using neuroimaging data.
- To establish a protocol for early TD subtype identification.
Main Methods:
- Recruitment of 200 children (aged 6-9) with new-onset tic symptoms and 100 healthy controls.
- Resting-state fMRI data acquisition for all participants.
- Development of a support vector machine (SVM) model based on functional connectivity for classification.
Main Results:
- The study protocol outlines the methodology for building an SVM model using fMRI data.
- The model aims to classify TD subtypes, aiding in early diagnosis.
- Specific results regarding classification accuracy will be available upon study completion.
Conclusions:
- This study protocol provides a framework for utilizing ML and fMRI for early TD subtype classification.
- The developed SVM model has the potential to improve diagnostic accuracy and timely intervention for children with TD.
- Publication of trial results in peer-reviewed journals is planned.

