Exploring the Granularity of the Illnesses-Related Changes in Regional Homogeneity in Major Depressive Disorder using...

Illness related brain effects of neuropsychiatric disorders are not regionally uniform, with some regions showing large pathological effects while others are relatively spared. Presently, Big Data meta-analytic studies tabulate these effects using structural and/or functional brain atlases that are based on the anatomical boundaries, landmarks and connectivity patterns in healthy brains. These patterns are then translated to individual level predictors using approaches such as Regional Vulnerability Index (RVI), which quantifies the agreement between individual brain patterns and the canonical pattern found in the illness. However, the atlases from healthy brains are unlikely to align with deficit pattern expressed in specific disorders such as Major Depressive Disorder (MDD), thus reducing the statistical power for individualized predictions. Here, we evaluated a novel approach, where disorder specific templates are constructed using the Kullback-Leibler (KL) distance to balance granularity, signal-to-noise ratio and the contrast between regional effect sizes to maximize translatability of the population-wide illness pattern at the level of the individual. We used regional homogeneity (ReHo) maps extracted from resting state functional MRI for N = 2, 289 MDD sample (mean age ± s.d.: 63.2 ± 7.2 years) and N = 6104 control subjects (mean age ± s.d.: 62.9 ± 7.2 years) who were free of MDD and any other mental condition. The cortical effects of MDD were analyzed on the 3D spherical surfaces representing cerebral hemispheres. KL-distance was used to organize the cortical surface into 28 regions of interest based on effect sizes, connectivity and signal-to-noise ratio. The RVI values calculated using this novel approach showed significantly higher effect size of the illness than these calculated using standard Desikan brain atlas.