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Miller, R. L.

Publications and source records attributed to Miller, R. L..

At least 37 records · Page 2Linked to original sources

4D DYNAMIC SPATIAL BRAIN NETWORKS AT REST LINKED TO COGNITION SHOW ATYPICAL VARIABILITY AND COUPLING IN SCHIZOPHRENIA

Despite increasing interest in the dynamics of functional brain networks, most studies focus on the changing relationships over time between spatially static networks or regions. Here we propose an approach to study dynamic spatial brain net-works in human resting state functional magnetic resonance imaging (rsfMRI) data and evaluate the temporal changes in the volumes of these 4D networks. Our results show significant volumetric coupling (i.e., synchronized shrinkage and growth) between networks during the scan. We find that several features of such dynamic spatial brain networks are associated with cognition, with higher dynamic variability in these networks and higher volumetric coupling between network pairs positively associated with cognitive performance. We show that these networks are modulated differently in individuals with schizophrenia versus typical controls, resulting in network growth or shrinkage, as well as altered focus of activity within a network. Schizophrenia also shows lower spatial dynamical variability in several networks, and lower volumetric coupling between pairs of networks, thus upholding the role of dynamic spatial brain networks in cognitive impairment seen in schizophrenia. Our data show evidence for the importance of studying the typically overlooked voxelwise changes within and between brain networks.

neuroscience↗

An Explainable and Robust Deep Learning Approach for Automated Electroencephalography-based Schizophrenia Diagnosis

Schizophrenia (SZ) is a neuropsychiatric disorder that affects millions globally. Current diagnosis of SZ is symptom-based, which poses difficulty due to the variability of symptoms across patients. To this end, many recent studies have developed deep learning methods for automated diagnosis of SZ, especially using raw EEG, which provides high temporal precision. For such methods to be productionized, they must be both explainable and robust. Explainable models are essential to identify biomarkers of SZ, and robust models are critical to learn generalizable patterns, especially amidst changes in the implementation environment. One common example is channel loss during EEG recording, which could be detrimental to classifier performance. In this study, we developed a novel channel dropout (CD) approach to increase the robustness of explainable deep learning models trained on EEG data for SZ diagnosis to channel loss. We developed a baseline convolutional neural network (CNN) architecture and implement our approach as a CD layer added to the baseline (CNN-CD). We then applied two explainability approaches to both models for insight into learned spatial and spectral features and show that the application of CD decreases model sensitivity to channel loss. The CNN and CNN-CD achieved accuracies of 81.9% and 80.9% on testing data, respectively. Furthermore, our models heavily prioritized the parietal electrodes and the -band, which is supported by existing literature. It is our hope that this study motivates the further development of explainable and robust models and bridges the transition from research to application in a clinical decision support role.

neuroscience↗

Improving Multichannel Raw Electroencephalography-based Diagnosis of Major Depressive Disorder by Pretraining Deep Learning Models with Single Channel Sleep Stage Data

As the field of deep learning has grown in recent years, its application to the domain of raw resting-state electroencephalography (EEG) has also increased. Relative to traditional machine learning methods or deep learning methods applied to extracted features, there are fewer methods for developing deep learning models on small raw EEG datasets. One potential approach for enhancing deep learning performance in this case is the use of transfer learning. In this study, we propose a novel EEG transfer learning approach wherein we first train a model on a large publicly available sleep stage classification dataset. We then use the learned representations to develop a classifier for automated major depressive disorder diagnosis with raw multichannel EEG. We find that our approach improves model performance, and we further examine how transfer learning affected the representations learned by the model through a pair of explainability analyses. Our proposed approach represents a significant step forward for the domain raw resting-state EEG classification. Furthermore, it has the potential to expand the use of deep learning methods across more raw EEG datasets and lead to the development of more reliable EEG classifiers. Clinical RelevanceThe proposed approach takes the field of deep learning in EEG a step closer to the robustness needed for clinical implementation.

neuroscience↗

Improving Explainability for Single-Channel EEG Deep Learning Classifiers via Interpretable Filters and Activation Analysis

As the field of deep learning has grown in recent years, its application to the domain of raw resting-state electroencephalography (EEG) has also increased. Relative to traditional machine learning methods or deep learning methods applied to manually engineered features, there are fewer methods for developing deep learning models on small raw EEG datasets. One potential approach for enhancing deep learning performance, in this case, is the use of transfer learning. While a number of studies have presented transfer learning approaches for manually engineered EEG features, relatively few approaches have been developed for raw resting-state EEG. In this study, we propose a novel EEG transfer learning approach wherein we first train a model on a large publicly available single-channel sleep stage classification dataset. We then use the learned representations to develop a classifier for automated major depressive disorder diagnosis with raw multichannel EEG. Statistical testing reveals that our approach significantly improves the performance of our model (p < 0.05), and we also find that the performance of our approach exceeds that of many previous studies using both engineered features and raw EEG. We further examine how transfer learning affected the representations learned by the model through a pair of explainability analyses, identifying key frequency bands and channels utilized across models. Our proposed approach represents a significant step forward for the domain of raw resting-state EEG classification and has broader implications for use with other electrophysiology and time-series modalities. Importantly, it has the potential to expand the use of deep learning methods across a greater variety of raw EEG datasets and lead to the development of more reliable EEG classifiers.

neuroscience↗

A Framework for Systematically Evaluating the Representations Learned by A Deep Learning Classifier from Raw Multi-Channel Electroencephalogram Data

The application of deep learning methods to raw electroencephalogram (EEG) data is growing increasingly common. While these methods offer the possibility of improved performance relative to other approaches applied to manually engineered features, they also present the problem of reduced explainability. As such, a number of studies have sought to provide explainability methods uniquely adapted to the domain of deep learning-based raw EEG classification. In this study, we present a taxonomy of those methods, identifying existing approaches that provide insight into spatial, spectral, and temporal features. We then present a novel framework consisting of a series of explainability approaches for insight into classifiers trained on raw EEG data. Our framework provides spatial, spectral, and temporal explanations similar to existing approaches. However, it also, to the best of our knowledge, proposes the first explainability approaches for insight into spatial and spatio-spectral interactions in EEG. This is particularly important given the frequent use and well-characterized importance of EEG connectivity measures for neurological and neuropsychiatric disorder analysis. We demonstrate our proposed framework within the context of automated major depressive disorder (MDD) diagnosis, training a high performing one-dimensional convolutional neural network with a robust cross-validation approach on a publicly available dataset. We identify interactions between frontal and central electrodes and other electrodes and identify differences in frontal {delta}, {theta}, {beta}, and {gamma}low between healthy controls and individuals with MDD. Our study represents a significant step forward for the field of deep learning-based raw EEG classification, providing new capabilities in interaction explainability and providing direction for future innovations through our proposed taxonomy.

neuroscience↗

Pairing Explainable Deep Learning Classification with Clustering to Uncover Effects of Schizophrenia Upon Whole Brain Functional Network Connectivity Dynamics

Many studies have analyzed resting state functional magnetic resonance imaging (rs-fMRI) dynamic functional network connectivity (dFNC) data to elucidate the effects of neurological and neuropsychiatric disorders upon the interactions of brain regions over time. Existing studies often use either machine learning classification or clustering algorithms. Additionally, several studies have used clustering algorithms to extract features related to brain states trajectories that can be used to train interpretable classifiers. However, the combination of explainable dFNC classifiers followed by clustering algorithms is highly underutilized. In this study, we show how such an approach can be used to study the effects of schizophrenia (SZ) upon brain activity. Specifically, we train an explainable deep learning model to classify between individuals with SZ and healthy controls. We then cluster the resulting explanations, identifying discriminatory states of dFNC. We lastly apply several novel measures to quantify aspects of the classifier explanations and obtain additional insights into the effects of SZ upon brain network dynamics. Specifically, we uncover effects of schizophrenia upon subcortical, sensory, and cerebellar network interactions. We also find that individuals with SZ likely have reduced variability in overall brain activity and that the effects of SZ may be temporally localized. In addition to uncovering effects of SZ upon brain network dynamics, our approach could provide novel insights into a variety of neurological and neuropsychiatric disorders in future dFNC studies.

neuroscience↗

Novel Approach Explains Spatio-Spectral Interactions in Raw Electroencephalogram Deep Learning Classifiers

The application of deep learning classifiers to resting-state electroencephalography (rs-EEG) data has become increasingly common. However, relative to studies using traditional machine learning methods and extracted features, deep learning methods are less explainable. A growing number of studies have presented explainability approaches for rs-EEG deep learning classifiers. However, to our knowledge, no approaches give insight into spatio-spectral interactions (i.e., how spectral activity in one channel may interact with activity in other channels). In this study, we combine gradient and perturbation-based explainability approaches to give insight into spatio-spectral interactions in rs-EEG deep learning classifiers for the first time. We present the approach within the context of major depressive disorder (MDD) diagnosis identifying differences in frontal {delta} activity and reduced interactions between frontal electrodes and other electrodes. Our approach provides novel insights and represents a significant step forward for the field of explainable EEG classification.

neuroscience↗

Explainable Fuzzy Clustering Framework Reveals Divergent Default Mode Network Connectivity Dynamics in Schizophrenia

Dynamic functional network connectivity (dFNC) analysis of resting state functional magnetic resonance imaging data has yielded insights into many neurological and neuropsychiatric disorders. A common dFNC analysis approach uses hard clustering methods like k-means clustering to assign samples to states that summarize network dynamics. However, hard clustering methods obscure network dynamics by assuming (1) that all samples within a cluster are equally like their assigned centroids and (2) that samples closer to one another in the data space than to their centroids are well-represented by their centroids. In addition, it can be hard to compare subjects, as in some cases an individual may not manifest a state strongly enough to enter a hard cluster. Approaches that allow a dimensional approach to connectivity patterns (e.g., fuzzy clustering) can mitigate these issues. In this study, we present an explainable fuzzy clustering framework by combining fuzzy c-means clustering with several explainability metrics. We apply our framework for schizophrenia (SZ) default mode network analysis, identifying 5 states and characterizing those states with a new explainability approach. While also showing that features typically used in hard clustering can be extracted in our framework, we present a variety of unique features to quantify state dynamics and identify effects of SZ upon network dynamics. We further uncover relationships between symptom severity and interactions of the precuneus with the anterior and posterior cingulate cortex. Given the ease of implementing our framework and its enhanced insight into network dynamics, it has great potential for use in future dFNC studies.

neuroscience↗

A Novel Explainable Fuzzy Clustering Approach for fMRI Dynamic Functional Network Connectivity Analysis

Resting state functional magnetic resonance imaging (rs-fMRI) dynamic functional network connectivity (dFNC) analysis has illuminated brain network interactions across many neuropsychiatric disorders. A common analysis approach involves using hard clustering methods to identify transitory states of brain activity, and in response to this, other methods have been developed to quantify the importance of specific dFNC interactions to identified states. Some of these methods involve perturbing individual features and examining the number of samples that switch states. However, only a minority of samples switch states. As such, these methods actually identify the importance of dFNC features to the clustering of a subset of samples rather than the overall clustering. In this study, we present a novel approach that more capably identifies the importance of each feature to the overall clustering. Our approach uses fuzzy clustering to output probabilities of each sample belonging to states and then measures their Kullback-Leibler divergence after perturbation. We show the viability of our approach in the context of schizophrenia (SZ) default mode network analysis, identifying significant differences in state dynamics between individuals with SZ and healthy controls. We further compare our approach with an existing approach, showing that it captures the effects of perturbation upon most samples. We also find that interactions between the posterior cingulate cortex (PCC) and the anterior cingulate cortex and the PCC and precuneus are important across methods. We expect that our novel explainable clustering approach will enable further progress in rs-fMRI analysis and to other clustering applications.

neuroscience↗

Neuropsychiatric Disorder Subtyping Via Clustered Deep Learning Classifier Explanations

Identifying subtypes of neuropsychiatric disorders based on characteristics of their brain activity has tremendous potential to contribute to a better understanding of those disorders and to the development of new diagnostic and personalized treatment approaches. Many studies focused on neuropsychiatric disorders examine the interaction of brain networks over time using dynamic functional network connectivity (dFNC) extracted from resting-state functional magnetic resonance imaging data. Some of these studies involve the use of either deep learning classifiers or traditional clustering approaches, but usually not both. In this study, we present a novel approach for subtyping individuals with neuropsychiatric disorders within the context of schizophrenia (SZ). We train an explainable deep learning classifier to differentiate between dFNC data from individuals with SZ and controls, obtaining a test accuracy of 79%. We next make use of cross-validation to obtain robust average explanations for SZ training participants across folds, identifying 5 SZ subtypes that each differ from controls in a distinct manner and that have different degrees of symptom severity. These subtypes specifically differ from one another in their interaction between the visual network and the subcortical, sensorimotor, and auditory networks and between the cerebellar network and the cognitive control and subcortical networks. Additionally, there are statistically significant differences in negative symptom scores between the subtypes. It is our hope that the proposed novel subtyping approach will contribute to the improved understanding and characterization of SZ and other neuropsychiatric disorders.

neuroscience↗

A mind-body interface alternates with effector-specific regions in motor cortex

Primary motor cortex (M1) has been thought to form a continuous somatotopic homunculus extending down precentral gyrus from foot to face representations1,2. The motor homunculus has remained a textbook pillar of functional neuroanatomy, despite evidence for concentric functional zones3 and maps of complex actions4. Using our highest precision functional magnetic resonance imaging (fMRI) data and methods, we discovered that the classic homunculus is interrupted by regions with sharpy distinct connectivity, structure, and function, alternating with effector-specific (foot, hand, mouth) areas. These inter-effector regions exhibit decreased cortical thickness and strong functional connectivity to each other, and to prefrontal, insular, and subcortical regions of the Cingulo-opercular network (CON), critical for executive action5 and physiological control6, arousal7, and processing of errors8 and pain9. This interdigitation of action control-linked and motor effector regions was independently verified in the three largest fMRI datasets. Macaque and pediatric (newborn, infant, child) precision fMRI revealed potential cross-species analogues and developmental precursors of the inter-effector system. An extensive battery of motor and action fMRI tasks documented concentric somatotopies for each effector, separated by the CON-linked inter-effector regions. The inter-effector regions lacked movement specificity and co-activated during action planning (coordination of hands and feet), and axial body movement (e.g., abdomen, eyebrows). These results, together with prior work demonstrating stimulation-evoked complex actions4 and connectivity to internal organs (e.g., adrenal medulla)10, suggest that M1 is punctuated by an integrative system for implementing whole-body action plans. Thus, two parallel systems intertwine in motor cortex to form an integrate-isolate pattern: effector-specific regions (foot, hand, mouth) for isolating fine motor control, and a mind-body interface (MBI) for the integrative whole-organism coordination of goals, physiology, and body movement.

neuroscience↗

Identifying Neuropsychiatric Disorder Subtypes and Subtype-dependent Variation in Diagnostic Deep Learning Classifier Performance

Clinicians and developers of deep learning-based neuroimaging clinical decision support systems (CDSS) need to know whether those systems will perform well for specific individuals. However, relatively few methods provide this capability. Identifying neuropsychiatric disorder subtypes for which CDSS may have varying performance could offer a solution. Dynamic functional network connectivity (dFNC) is often used to study disorders and develop neuroimaging classifiers. Unfortunately, few studies have identified neurological disorder subtypes using dFNC. In this study, we present a novel approach with which we identify 4 states of dFNC activity and 4 schizophrenia subtypes based on their time spent in each state. We also show how the performance of an explainable diagnostic deep learning classifier is subtype-dependent. We lastly examine how the dFNC features used by the classifier vary across subtypes. Our study provides a novel approach for subtyping disorders that (1) has implications for future scientific studies and (2) could lead to more reliable CDSS.

bioinformatics↗

Chemokines form complex signals during inflammation and disease that can be decoded by extracellular matrix proteoglycans

Chemokine driven leukocyte recruitment is a key component of the immune response and is central to a wide range of diseases. However, there has yet to be a clinically successful therapeutic approach that targets the chemokine system during inflammatory disease; possibly due to the supposed redundancy of the chemokine system. A range of recent studies have demonstrated that the chemokine system is in fact based on specificity of function. Here we have generated a resource to analyse chemokine gene (ligand and receptor) expression across different species, tissues and diseases; revealing complex expression patterns whereby multiple chemokine ligands that mediate recruitment of the same leukocyte type are expressed in the same context, e.g. the CXCR3 ligands CXCL9, 10 and 11. We use biophysical approaches to show that CXCL9, 10 and 11 have very different interactions with extracellular matrix glycosaminoglycans (GAGs) which is exacerbated by specific GAG sulphation. Finally, in vivo approaches demonstrate that GAG-binding is critical for CXCL9 driven recruitment of specific T cell subsets (e.g. CD4+) but not others (e.g. CD8+), independent of CXCR3 expression. Our data demonstrate that chemokine expression is complex and that multiple ligands are likely needed for robust leukocyte recruitment across tissues and diseases. We also demonstrate that ECM GAGs facilitate decoding of these complex chemokine signals so that they are either primarily presented on GAG-coated cell surfaces or remain more soluble. Our findings represent a new mechanistic understanding of chemokine mediated immune cell recruitment and identify novel avenues to target specific chemokines during inflammatory disease.

immunology↗

Examining Reproducibility of EEG Schizophrenia Biomarkers Across Explainable Machine Learning Models

Schizophrenia (SZ) is a neuropsychiatric disorder that adversely effects millions of individuals globally. Current diagnostic efforts are symptom based and hampered due to the variability in symptom presentation across individuals and overlap of symptoms with other neuropsychiatric disorders. This spawns the need for (1) biomarkers to aid with empirical SZ diagnosis and (2) the development of automated diagnostic approaches that will eventually serve in a clinical decision support role. In this study, we train random forest (RF) and support vector machine (SVM) models to differentiate between individuals with schizophrenia and healthy controls using spectral features extracted from resting state EEG data. We then perform two explainability analyses to gain insight into key frequency bands and channels. In our explainability analyses, we examine the reproducibility of SZ biomarkers across models with the goal of identifying those that have potential clinical implications. Our model performance results are well above chance level indicating the broader utility of spectral information for SZ diagnosis. Additionally, we find that the RF prioritizes the upper {gamma}-band and is robust to loss of information from individual electrodes, while the SVM prioritizes the and {theta}-bands and P4 and T8 electrodes. It is our hope that our findings will inform future efforts towards the empirical diagnosis of SZ and towards the development of clinical decision support systems for SZ diagnosis.

bioinformatics↗

Exploring Relationships between Functional Network Connectivity and Cognition with an Explainable Clustering Approach

The application of clustering algorithms to fMRI functional network connectivity (FNC) data has been extensively studied over the past decade. When applied to FNC, these analyses assign samples to an optimal number of groups without a priori assumptions. Through these groupings, studies have provided insights into the dynamics of network connectivity through the identification of different brain states and have identified subgroups of individuals with unique brain activity. However, the manner in which underlying brain networks influence the identified groups is yet to be fully understood. In this study, we apply k-means clustering to resting-state fMRI-based static FNC data collected from 37,784 healthy individuals. We identified 2 groups of individuals with statistically significant differences in cognitive performance in several test metrics. Then, by applying two different versions of G2PC, a global permutation feature importance approach, and logistic regression with elastic net regularization, we were able to identify the relative importance of brain network pairs and their underlying features to the resulting groups. Through these approaches, together with the visualization of centroids connectivity matrices, we were able to explain the observed differences in cognition in terms of specific key brain networks. We expect that our results will shed further light upon the effect of underlying brain networks on encountered cognitive differences between groups with unique brain activity.

bioinformatics↗

Chemokine CXCL4 interactions with extracellular matrix proteoglycans mediate wide-spread non-receptor mediated immune cell recruitment

Leukocyte recruitment from the vasculature into tissues is a crucial component of the immune system, but is also key to inflammatory disease. Chemokines are central to this process but have yet to be therapeutically targeted during inflammation, due to a lack of mechanistic understanding. Specifically, CXCL4 (PF4) has no established receptor that explains its function. Here we use biophysical, in vitro and in vivo techniques to determine the mechanism underlying CXCL4 mediated leukocyte recruitment. We demonstrate that CXCL4 binds to glycosaminoglycan (GAG) sugars within the endothelial extracellular matrix resulting in increased vascular permeability and non-specific recruitment of a range of leukocytes. Furthermore, GAG sulphation confers selectivity onto chemokine localisation. These findings represent a new understanding of chemokine biology, providing novel mechanisms for future therapeutic targeting. One sentence summaryCXCL4 binds to extracellular matrix proteoglycans resulting in increased vascular permeability and recruitment of a wide range of different leukocytes via a non-canonical mechanism.

immunology↗

Fine temporal brain network structure modularizes and localizes differently in men and women: Insights from a novel explainability framework

AO_SCPLOWBSTRACTC_SCPLOWDeep learning has become an effective tool for classifying biological sex based on functional magnetic resonance imaging (fMRI), but research on what features within the brain are most relevant to this classification is still lacking. Model interpretability has become a powerful way to understand "black box" deep-learning models and select features within the input data that are most relevant to the correct classification. However, very little work has been done employing these methods to understand the relationship between the temporal dimension of functional imaging signals and classification of biological sex, nor has there been attention paid to rectifying problems and limitations associated with feature explanation models, e.g. underspecification and instability. We provide a methodology to limit the impact of underspecification on the stability of the measured feature importance, and then, using intrinsic connectivity networks (ICNs) from fMRI data, we provide a deep exploration of sex differences among functional brain networks. We report numerous conclusions, including activity differences in the visual and cognitive domains, as well as major connectivity differences.

neuroscience↗

Examining Effects of Schizophrenia on EEG with Explainable Deep Learning Models

Schizophrenia (SZ) is a mental disorder that affects millions of people globally. At this time, diagnosis of SZ is based upon symptoms, which can vary from patient to patient and create difficulty with diagnosis. To address this issue, researchers have begun to look for neurological biomarkers of SZ and develop methods for automated diagnosis. In recent years, several studies have applied deep learning to raw EEG for automated SZ diagnosis. However, the use of raw time-series data makes explainability more difficult than it is for traditional machine learning algorithms trained on manually engineered features. As such, none of these studies have sought to explain their models, which is problematic within a healthcare context where explainability is a critical component. In this study, we apply perturbation-based explainability approaches to gain insight into the spectral and spatial features learned by two distinct deep learning models trained on raw EEG for SZ diagnosis for the first time. We develop convolutional neural network (CNN) and CNN long short-term memory network (CNN-LSTM) architectures. Results show that both models prioritize the T8 and C3 electrodes and the {delta}- and {gamma}-bands, which agrees with previous literature and supports the overall utility of our models. This study represents a step forward in the implementation of deep learning models for clinical SZ diagnosis, and it is our hope that it will inspire the more widespread application of explainability methods for insight into deep learning models trained for SZ diagnosis in the future.

bioinformatics↗