Integrating structural and functional brain features to classify major depressive disorder: a multi modal approach
Atefeh Jalali1, Rodolfo Rizzi1, Parisa Ahmadi Ghoumroudi1
1Clinical and Affective Neuroscience Lab, Department of Psychology and Cognitive Sciences - DiPSCo, University of Trento, Rovereto, Italy.
Journal of Affective Disorders
|October 30, 2025
Summary
This study reveals distinct brain structure and function differences in Major Depressive Disorder (MDD) patients. Multimodal neuroimaging and machine learning accurately identified MDD, correlating brain changes with depression severity.
Area of Science:
- Neuroscience
- Psychiatry
- Machine Learning
Background:
- Major Depressive Disorder (MDD) significantly impacts psychosocial functioning and quality of life.
- Integrating diverse neuroimaging modalities is crucial for understanding complex psychiatric disorders like MDD.
Purpose of the Study:
- Investigate neural differences between MDD patients and healthy controls (HCs).
- Explore the relationship between neuroimaging components and Beck Depression Inventory (BDI-II) scores.
- Develop a generalized predictive model for MDD classification using machine learning.
Main Methods:
- Applied unsupervised Parallel Independent Component Analysis for multimodal data fusion (gray matter, white matter, ReHo).
- Analyzed neuroimaging data from 197 MDD patients and 172 HCs.
- Utilized a supervised Random Forest (RF) classifier for MDD diagnosis.
Main Results:
- Identified gray matter reductions in frontal lobe regions (e.g., anterior cingulate cortex) and white matter increases in the cerebellum and default mode network (DMN).
- Observed enhanced functional activity in dorsomedial prefrontal areas of the DMN.
- Found significant correlations between identified networks and BDI scores.
- Achieved 75.68% accuracy in distinguishing MDD patients from HCs using the RF classifier, highlighting key classification features.
Conclusions:
- Multimodal, data-driven approaches are valuable for uncovering the neural underpinnings of MDD.
- These findings support the development of precision diagnostic tools for psychiatric disorders.
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