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de Boer, A. A. A.

Publications and source records attributed to de Boer, A. A. A..

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Dissecting heterogeneous brain development and aging using voxelwise normative models

Brain disorders are often characterized by biological heterogeneity that is poorly captured by group-average analyses. Normative modeling has emerged as a promising tool to parse out such heterogeneity, yet existing lifespan reference models rely on coarse parcellations, which may obscure individual variability. Using an aggregated reference sample (n=58,597 scans from n=51,107 participants), we provide openly available normative models of brain morphometry at the voxel level across the lifespan, and we illustrate their potential utility with two complementary applications. First, we investigated long-term brain development after preterm birth across two independent cohorts (n=284; n=304) and found individualized, replicable and persistent brain alterations. Second, we extracted high-resolution patient-level morphometric deviations in two samples with rare, genetic neurodegenerative disorders (spinocerebellar ataxia type 1 and 3; n=29, n=15), which showed marked heterogeneity. Together, our findings highlight that voxelwise normative modeling can detect clinically relevant, individualized deviations from a reference model with high spatial precision.

neuroscience↗

Protocol Update: The Normative Modelling Paradigm for Computational Psychiatry

Normative Modelling ( brain growth charting) is now a well-established method for computational psychiatry and involves charting centiles of variation across a population in terms of mappings between biology and behavior, providing statistical inferences at the level of the individual. These models have helped the field to move away from case-control analysis toward individual-level analysis. Correspondingly, normative modelling has now been applied to chart brain development and ageing in many populations and has been used to quantify individual deviations across various neurological and psychiatric conditions. This has been supported by large-scale models that are openly accessible for diverse brain imaging modalities. As normative modelling continues to grow, several recent methodological developments, such as non-Gaussian models, longitudinal models, and federated learning, have been implemented in different software tools, including the Predictive Clinical Neuroscience toolkit (PCNtoolkit). In this protocol update, we provide: (i) a revised overview of this methodological landscape; (ii) an update to our 2022 standardised analytical protocol for normative modelling of neuroimaging data, including options for federated and longitudinal normative models; (iii) practical guidance suited to both novice and experienced practitioners supported by open-source code examples implemented in the refactored version of PCNtoolkit; and (iv) updated models for cortical thickness, surface area, volumetric data, functional connectivity and diffusion-weighted imaging for use by the community.

neuroscience↗

Cerebellar growth is associated with domain-specific cerebral maturation and socio-linguistic behavioral outcomes

The cerebellums involvement in cognitive functions is increasingly recognized, yet its developmental contribution to cognition remains poorly understood. The cerebellum undergoes rapid development in early life, paralleling major cognitive and behavioral changes. Although clinical studies have linked early cerebellar disruptions to profound developmental deficits, it remains largely unclear how typical cerebellar maturation supports the development of cognitive functions and how it interacts with broader brain development. Here, we apply a normative modeling framework to map cerebellar volumetric growth from infancy to young adulthood (N = 751; ages 1-21 years). Using lobular and functional cerebellar parcellations, we comprehensively characterize typical cerebellar development and examine how it aligns with cerebral development and behavioral outcomes. Across parcellations, posterior higher association areas consistently show steeper growth trajectories than anterior sensorimotor areas. Cerebellar and cerebral areas with similar functional roles demonstrate coordinated maturation, and volumetric growth in the posterior cerebellum relates to individual differences in socio-linguistic behaviors. These findings establish a comprehensive reference for typical cerebellar development, highlight cerebellar co-maturation with the cerebral cortex, and underscore the cerebellums role in supporting emerging higher cognitive functions.

neuroscience↗

MEGaNorm: Normative Modeling of MEG Brain Oscillations Across the Human Lifespan

Normative modeling provides a principled framework for quantifying individual deviations from typical brain development and is increasingly used to study heterogeneity in neuropsychiatric conditions. While widely applied to structural phenotypes, functional normative models remain underdeveloped. Here, we introduce MEGaNorm, the first normative modeling framework for charting lifespan trajectories of resting-state magnetoencephalography (MEG) brain oscillations. Using a large, multi-site dataset comprising 1,846 individuals aged 6-88 and spanning three MEG systems, we model relative oscillatory power in canonical frequency bands using hierarchical Bayesian regression, accounting for age, sex, and site effects. To support interpretation at multiple scales, we introduce Neuro-Oscillo Charts, visual tools that summarize normative trajectories at the population level and quantify individual-level deviations, enabling personalized assessment of functional brain dynamics. Applying this framework to a Parkinsons disease cohort (n = 160), we show that normative deviation scores reveal disease-related abnormalities and uncover a continuum of patients in theta-beta deviation space. This work provides the first lifespan-encompassing normative reference for MEG oscillations, enabling population-level characterization and individualized benchmarking. All models and tools are openly available and designed for federated, continual adaptation as new data become available, offering a scalable resource for precision neuropsychiatry.

neuroscience↗

Large Data on the Small Brain: Population-wide Cerebellar Growth Models of Children and Adolescents

In the past, the cerebellum has been best known for its crucial role in motor function. However, increasingly more findings highlight the importance of cerebellar contributions in cognitive functions and neurodevelopment. Using large scale, population-wide neuroimaging data, we describe and provide detailed, openly available models of cerebellar development in childhood and adolescence, an important time period for brain development and onset of neuropsychiatric disorders. Next to a traditionally used anatomical parcellation of the cerebellum, we generated growth models based on a recently proposed functional parcellation. In both, we find an anterior-posterior growth gradient mirroring the age-related improvements of underlying behavior and function, which is analogous to cerebral maturation patterns and offers new evidence for directly related cerebello-cortical developmental trajectories. Finally, we illustrate how the current approach can be used to detect cerebellar abnormalities in clinical samples.

neuroscience↗

Non-Gaussian Normative Modelling With Hierarchical Bayesian Regression

Normative modelling is an emerging technique for parsing heterogeneity in clinical cohorts. This can be implemented in practice using hierarchical Bayesian regression, which provides an elegant probabilistic solution to handle site variation in a federated learning framework. However, applications of this method to date have employed a Gaussian assumption, which may be restrictive in some applications. We have extended the hierarchical Bayesian regression framework to flexibly model non-Gaussian data with heteroskdastic skewness and kurtosis. To this end, we employ a flexible distribution from the sinh-arcsinh (SHASH) family, and introduce a novel reparameterisation and a Markov chain Monte Carlo sampling approach to perform inference in this model. Using a large neuroimaging dataset collected at 82 different sites, we show that the results achieved with this extension are equivalent or better than a warped Bayesian linear regression baseline model on most datasets, whilst providing better control over the parameters governing the shape of distributions that approach is able to model. We also demonstrate that the attained flexibility is useful for accurately modelling highly nonlinear relationships between aging and imaging derived phenotypes, which shows that the extension is important for pushing the field of normative modelling forward. All methods described here are available in the open-source pcntoolkit. HighlightsO_LIWe extended the Hierarchical Bayesian Regression framework for normative modelling C_LIO_LIOur extension allows modelling data with heteroskedastic skewness and kurtosis C_LIO_LIWe developed a reparameterization of the SHASH distribution, suitable for sampling C_LIO_LIWe provide the first implementation of the SHASH distribution in a fully Bayesian framework C_LIO_LIResults show that the extension outperforms current methods on various measures C_LI

neuroscience↗