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Artificial Intelligence Networks Combining Histopathology and Machine Learning Can Extract Axon Pathology in Autism

Arash Yazdanbakhsh1,2,3, Kim T M Dang1, Kelvin Kuang1

  • 1Computational Neuroscience and Vision Laboratory, Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA.

Autism Research : Official Journal of the International Society for Autism Research
|November 3, 2025
PubMed
Summary

Machine learning accurately classifies autism spectrum disorder (ASD) brain tissue, distinguishing white matter types. This automated analysis aids in studying neurodevelopmental differences in autism.

Keywords:
anterior cingulate cortexconvolutional neural networkdeep neural networklong‐range pathwaysshort‐range pathwayswhite matter

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Area of Science:

  • Neuroscience
  • Computational Biology
  • Pathology

Background:

  • Autism Spectrum Disorder (ASD) is characterized by distinct axon organization in cortical pathways compared to neurotypical controls (CTR).
  • Traditional analysis of postmortem human brain tissue is labor-intensive and time-consuming, limiting systematic study of large brain regions.

Purpose of the Study:

  • To develop a machine learning approach for automated classification of white matter in ASD and CTR brains.
  • To differentiate between superficial white matter (SWM) and deep white matter (DWM) pathways.

Main Methods:

  • A deep neural network was trained to classify microscopic sections of white matter from ASD and CTR individuals.
  • The model considered different white matter regions: SWM (short-range connections) and DWM (long-range pathways).
  • Sensitivity maps and multidimensional scaling were used for analysis of classification and pathological markers.

Main Results:

  • The deep neural network achieved 98% accuracy in classifying ASD vs. CTR white matter below the anterior cingulate cortex (ACC).
  • The model distinguished between SWM and DWM pathway composition with up to 80% average accuracy.
  • Analysis identified key pathological markers in ASD and highlighted the heterogeneity within the ASD spectrum.

Conclusions:

  • Machine learning offers an automated solution for high-resolution microscopic analysis of postmortem brain tissue.
  • This approach can systematically study white matter in health and disease, advancing our understanding of neurodevelopmental disorders.
  • The findings contribute to understanding ASD heterogeneity and overlaps with neurotypical brain characteristics.