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Updated: Sep 21, 2025

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Brain Morphology of Cannabis Users With or Without Psychosis: A Pilot MRI Study
Published on: August 18, 2020
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An Interpretable and Predictive Connectivity-Based Neural Signature for Chronic Cannabis Use
Kaustubh R Kulkarni1, Matthew Schafer1, Laura A Berner1
1Center for Computational Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
Summary
Researchers developed a machine learning model using functional magnetic resonance imaging (fMRI) to identify brain connectivity patterns in chronic cannabis users. This model accurately detects cannabis use and reveals brain networks linked to craving.
Area of Science:
- Neuroscience
- Psychiatry
- Machine Learning
Background:
- Cannabis use is increasing globally.
- While the psychiatric impact of cannabis use is known, reliable biomarkers for chronic use are lacking.
- This study addresses the need for objective measures of chronic cannabis consumption.
Purpose of the Study:
- To develop an interpretable decoding model for chronic cannabis use.
- To identify neural signatures of chronic cannabis consumption using functional magnetic resonance imaging (fMRI) and machine learning.
- To explore the relationship between brain network activity and cannabis craving.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to collect brain activity data.
- Machine learning models were trained to classify chronic cannabis users (n=166) and nonusers (n=124).
- Network analysis identified key brain regions and networks predictive of cannabis use.
Main Results:
- The decoding model achieved high accuracy (∼80%) in differentiating chronic users from nonusers.
- Predictive brain regions involved motor, sensory, attention, and craving networks.
- Key brain networks strongly correlated with self-reported cannabis craving.
Conclusions:
- A novel, interpretable neural signature for chronic cannabis use was established.
- The findings demonstrate the potential of fMRI and machine learning for identifying cannabis use disorders.
- The identified neural patterns offer insights into the neurobiological underpinnings of cannabis craving.

