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Klepl, D.

Publications and source records attributed to Klepl, D..

4 recordsLinked to original sources

Domain Adaptation Enables Cross-site Classification of First-episode Schizophrenia from Multimodal Neuroimaging Data

Identifying robust neuroimaging markers associated with schizophrenia is essential for advancing research and informing clinical understanding. However, a major obstacle to clinical translation is the limited ability of neuroimaging-based classification models to generalise across scanning sites. In this study, we first establish best performing within-site models, and then systematically investigate cross-site generalisation in first-episode schizophrenia (FES) classification and evaluate strategies for mitigating site-related distribution shifts. Using data from two acquisition sites (n = 389 in total), we perform train-on-site/test-on-site experiments to analyze performance degradation under domain shift and examine the effectiveness of ComBat, optimal transport, and adversarial adaptation strategies. Across functional, structural, and diffusion-based features, both traditional machine learning (TML) and neural network (NN) models achieve comparable performance in within-site classification, with resting state fMRI functional connectivity providing the most robust unimodal features. When models are transferred across sites, performance degrades substantially across all approaches, highlighting the impact of site-related variability. Distribution-alignment methods partially mitigate this degradation, with ComBat and optimal transport yielding more consistent cross-site improvements than adversarial adaptation. Increasing model complexity alone does not result in systematic performance gains, and simple models combined with effective alignment strategies often perform comparably to more complex neural architectures, while multimodal feature fusion does not consistently outperform functional connectivity alone. Overall, our findings indicate that controlling for site effects is more critical than model complexity for achieving generalisable classification in FES, underscoring the importance of rigorous evaluation designs and explicit distribution-alignment strategies for neuroimaging-based predictive models with potential clinical utility.

neuroscience↗

Impact of Connectivity Granularity: A Comparison of ROI and Network-Level Approaches for Early Schizophrenia Classification

While schizophrenia diagnosis relies on clinical interviews, there is growing interest in neuroimaging-based computational tools to aid classification. In particular, resting-state fMRI-derived functional connectivity has been explored as a potential biomarker, with applications not only in supporting clinical assessment but also in research contexts such as patient stratification and probing disease mechanisms. Here, we compare two common approaches to computing functional connectivity - region of interest (ROI)-level and brain network-level - and evaluate their predictive power for classifying first-episode schizophrenia patients, in contrast to most prior work focusing on chronic patients. We show that ROI-level features consistently outperform network-level features. Despite the simplicity of our classification models, we achieved accuracies up to 83.15% using the AAL90 atlas. We also found that non-lagged functional connectivity generally outperforms lagged variants, suggesting that added temporal complexity may introduce noise rather than improve predictive power. Overall, our findings highlight region-based connectivity from a medium-resolution atlas as a promising representation for early-stage schizophrenia classification, while emphasising the need for validation on independent datasets to confirm generalisability.

neuroscience↗

EEG Network Classification of Alzheimer's disease: Comparison of Functional Connectivity Methods

Alzheimers disease (AD) is the leading form of dementia worldwide. AD disrupts neuronal pathways and thus is commonly viewed as a network disorder. Many studies demonstrate the power of functional connectivity (FC) graph-based biomarkers for automated diagnosis of AD using electroencephalography (EEG). However, various FC measures are commonly utilised, as each aims to quantify a unique aspect of brain coupling. Graph neural networks (GNN) provide a powerful framework for learning on graphs. While a growing number of studies use GNN to classify EEG brain graphs, it is unclear which method should be utilised to estimate the brain graph. We use eight FC measures to estimate FC brain graphs from sensor-level EEG signals. GNN models are trained in order to compare the performance of the selected FC measures. Additionally, three baseline models based on literature are trained for comparison. We show that GNN models perform significantly better than the other baseline models. Moreover, using FC measures to estimate brain graphs improves the performance of GNN compared to models trained using a fixed graph based on the spatial distance between the EEG sensors. However, no FC measure performs consistently better than the other measures. The best GNN reaches 0.984 area under sensitivity-specificity curve (AUC) and 92% accuracy, whereas the best baseline model, a convolutional neural network, has 0.924 AUC and 84.7% accuracy.

neuroscience↗

Bispectrum-based Cross-frequency Functional Connectivity: A Study of Alzheimer's Disease

Alzheimers disease (AD) is a neurodegenerative disorder known to affect functional connectivity (FC) across many brain regions. Linear FC measures have been applied to study the differences in AD by splitting neurophysiological signals, such as electroencephalography (EEG) recordings, into discrete frequency bands and analysing them in isolation from each other. We address this limitation by quantifying cross-frequency FC in addition to the traditional within-band approach. Cross-bispectrum, a higher-order spectral analysis approach, is used to measure the nonlinear FC and is compared with the cross-spectrum, which only measures the linear FC within bands. This work reports the reconstruction of a cross-frequency FC network where each frequency band is treated as a layer in a multilayer network with both inter- and intra-layer edges. Cross-bispectrum detects cross-frequency differences, mainly increased FC in AD cases in{delta} -{theta} coupling. Overall, increased strength of low-frequency coupling and decreased level of high-frequency coupling is observed in AD cases in comparison to healthy controls (HC). We demonstrate that a graph-theoretic analysis of cross-frequency brain networks is crucial to obtain a more detailed insight into their structure and function. Vulnerability analysis reveals that the integration and segregation properties of networks are enabled by different frequency couplings in AD networks compared to HCs. Finally, we use the reconstructed networks for classification. The extra cross-frequency coupling information can improve the classification performance significantly, suggesting an important role of cross-frequency FC. The results highlight the importance of studying nonlinearity and including cross-frequency FC in characterising AD.

neuroscience↗