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Andres-Camazon, P.

Publications and source records attributed to Andres-Camazon, P..

3 recordsLinked to original sources

Concurrent Supervised-Unsupervised Representative Subspace Clustering (CSU-RSC)

The biological heterogeneity of psychotic disorders (PDs) has motivated the identification of psychosis imaging neurosubtypes (PINs), which aims to stratify the PD population into subgroups with similar neurobiological underpinnings. Yet the influence of sex, although well documented in the literature, has not been well counted in the existing subtyping paradigm. Here, we introduce concurrent supervised-unsupervised representative subspace clustering (CSU-RSC), a general functional neurosubtyping framework that jointly estimates cluster-specific subspaces and a partition while softly incorporating a supervised label, aiming to identify sex-dominant subgroups based on differences in the spatial organization of brain networks. This soft supervising design differentiates CSU-RSC from unsupervised approaches that completely ignore a label as well as from supervised approaches that exclusively analyze each label group separately. On simulated data, CSU-RSC recovered the ground truth of subgroups more accurately than its unsupervised counterpart. Applied to resting-state fMRI from 1,239 individuals with psychosis, CSU-RSC identified two sex-dominant PINs that replicated across discovery and validation sets, and showed significant differences in clinical characteristics, including cognitive impairment and symptom severity, with the most cognitively impaired subtype being female-dominant. Projecting controls onto the patient-derived subspaces showed that the female-dominant pattern did not persist in controls, suggesting psychosis-specific sex heterogeneity. Overall, by incorporating sex as an explicit source of information, CSU-RSC highlights the value of sex for resolving biological heterogeneity and provides a basis for more reproducible and biologically informative patient stratification.

neuroscience↗

NeuroMark-SZ: A Holistic Resting-State-fMRI-Based Model for Divergent Functional Circuitry in Schizophrenia

BackgroundSchizophrenia is a severe neuropsychiatric disorder. Efforts to describe the underlying biology and establish diagnostic markers through non-invasive neuroimaging methods are ongoing, resulting in a range of theoretical brain-based frameworks. Prominent frameworks for aberrant schizophrenia-associated functional connectivity in resting-state functional magnetic resonance imaging (rsfMRI) include the dysconnectivity hypothesis, theory of cognitive dysmetria, and triple network theory. Although informative, prior work can be improved by increasing sample size, avoiding confirmation bias, and accounting for individual variability and the effects of medication and chronicity. MethodsWith these recommendations in mind, we employed a data-driven, whole-brain approach using a large multi-site rsfMRI dataset (N = 2,656; schizophrenia = 1,248). We used reference-guided independent component analysis to generate subject-specific whole-brain functional network connectivity (FNC) and extract imaging markers of similarity to schizophrenia patterns. We modeled the relationship between medication dosage, age of onset, chronicity, symptom severity, and cognitive performance and FNC. ResultsOur analysis identified a reliable schizophrenia-FNC signature characterized by aberrantly stronger negative cerebellothalamic and positive thalamocortical connectivity, implicating sensory, motor, and associative cortical circuits. While medication and chronicity were significantly associated with these signatures, the core cerebellothalamic disruptions remained a robust marker of schizophrenia. ConclusionsThis work represents the largest schizophrenia-specific rsfMRI study to date, refines existing theoretical frameworks with a more nuanced map of how clinical variables interact with brain connectivity, and provides a high-fidelity template of schizophrenia-related connectivity. We have released this template as an open-access resource to facilitate reproducibility and accelerate the development of reliable rsfMRI-based schizophrenia biomarkers.

neuroscience↗

Spatial Dynamic Subspaces Encode Sex-Specific Schizophrenia Disruptions in Transient Network Overlap and its Links to Genetic Risk

BackgroundRecent advances in resting-state fMRI allow us to study spatial dynamics, the phenomenon of brain networks spatially evolving over time. However, most dynamic studies still use subject-specific, spatially-static nodes. As recent studies have demonstrated, incorporating time-resolved spatial properties is crucial for precise functional connectivity estimation and gaining unique insights into brain function. Nevertheless, estimating time-resolved networks poses challenges due to the low signal-to-noise ratio, limited information in short time segments, and uncertain identification of corresponding networks within and between subjects. MethodsWe adapt a reference-informed network estimation technique to capture time-resolved spatial networks and their dynamic spatial integration and segregation. We focus on time-resolved spatial functional network connectivity (spFNC), an estimate of network spatial coupling, to study sex-specific alterations in schizophrenia and their links to multi-factorial genomic data. ResultsOur findings are consistent with the dysconnectivity and neurodevelopment hypotheses and align with the cerebello-thalamo-cortical, triple-network, and frontoparietal dysconnectivity models, helping to unify them. The potential unification offers a new understanding of the underlying mechanisms. Notably, the posterior default mode/salience spFNC exhibits sex-specific schizophrenia alteration during the state with the highest global network integration and correlates with genetic risk for schizophrenia. This dysfunction is also reflected in high-dimensional (voxel-level) space in regions with weak functional connectivity to corresponding networks. ConclusionsOur method can effectively capture spatially dynamic networks, detect nuanced SZ effects, and reveal the intricate relationship of dynamic information to genomic data. The results also underscore the potential of dynamic spatial dependence and weak connectivity in the clinical landscape.

neuroscience↗