Elvisha Dhamala1,2, Keith W Jamison1, Sarah M Dennis3, Raihaan Patel4,5, M Mallar Chakravarty4,5,6, and Amy Kuceyeski1,2
1Radiology, Weill Cornell Medicine, New York, NY, United States, 2Neuroscience, Weill Cornell Medicine, New York, NY, United States, 3Sarah Lawrence College, Bronxville, NY, United States, 4Biological and Biomedical Engineering, McGill University, Montreal, QC, Canada, 5Cerebral Imaging Centre, Douglas Mental Health University Institute, Montreal, QC, Canada, 6Psychiatry, McGill University, Montreal, QC, Canada
Synopsis
Structural connectivity
(SC) and functional connectivity (FC) can be independently used to predict cognition
and show distinct patterns of variance in relation to cognition. No work identified has yet investigated
whether SC and FC can be combined to better predict cognitive abilities. In this work, we aimed to predict cognitive measures in
785 healthy adults using a hybrid structure-function connectome and quantify
the most important connections. We show that: 1) hybrid connectomes explain 15%
of the variance in individual cognitive measures, and 2) long-range cortico-cortical
functional connections and short-range cortico-subcortical and
subcortico-subcortical structural connections are most important for the prediction.
Introduction
Functional
connectivity (FC) represents temporal dependency patterns between regional
blood-oxygenation-level dependent (BOLD) activity in functional magnetic
resonance imaging (fMRI) time series, and structural connectivity (SC)
represents the inter-regional white matter pathways estimated from
diffusion-weighted MRI (dwMRI). FC [1-3] and SC [4-7] have both been linked to
cognitive functioning, and independently used to predict cognitive measures [8-11]. FC reflects performance
variability in several cognitive domains such as executive control [8], and intellectual performance [9], and can be used to successfully
predict a range of individual cognitive measures [10]. Moreover, it has been shown
that measures extracted from structural and diffusion images can explain
variability in intelligence quotient [12], and SC can be used to make accurate
cognitive predictions [11]. Thus, SC and FC may hold
promise to reveal structural and functional correlates of cognitive abilities. While
it has been shown that SC and FC show unique and distinct patterns of variance
in relation to cognition across subjects [11], no work identified has yet
investigated whether SC and FC information can be combined to better predict
cognitive measures.
The purpose of this
study was to:
1) Predict cognition
in 785 healthy adults using a hybrid structure-function connectome, and
2) Quantify the most important pairwise
structural and functional connections for cognitive prediction.Methods
Using publicly
available data from the Human Connectome Project, we examined resting-state BOLD
fMRI time series data and dwMRI from 785 healthy young adults (ages 22-37).
Zero-lag Pearson correlation with regression of the global signal and its
temporal derivative were used to generate a resting-state FC matrix for each
subject using an 86 region FreeSurfer atlas (34 cortical and 9 subcortical
areas per hemisphere). Each subject’s FC matrix was Fisher’s z-score
transformed. Streamline counts between region-pairs based on probabilistic tractography were used to generate a SC matrix for each subject. Each subject’s
SC was then resampled to a Gaussian distribution [13] as follows: given N raw data
values x1, …, xN, N random samples r1, …, rN, from a Gaussian
distribution with a mean of 0.5 and a standard deviation of 0.1 were generated.
The smallest raw data value was replaced with the smallest randomly sampled
value, and this was repeated until all raw data values were replaced. This
produced a set of N resampled data
values with a Gaussian distribution. Cognitive measures used in this study were
the following composite scores: crystallised, early childhood, fluid, and total,
all of which are based on an individual’s performance on different NIH Toolbox
tests.
Machine
learning prediction of cognitive measures was completed using three different
input data sets: 1) FC, 2) SC, and 3) hybrid structure-function connectome [14]. When using only FC or SC, the upper triangular portion of the matrices
were vectorised and used as the model input. For the hybrid structure-function
connectome, the vectorised upper triangular portion of the SC and the vectorised
lower triangular portion of the FC were concatenated. The data were separated
into training (80%) and testing (20%) subsets and the training set was used to
train an elastic net regression model. For each cognitive measure,
hyperparameter tuning of the L1 penalty ratio and the regularisation parameter
was conducted using nested grid search cross validation with 5-fold inner and
outer folds. The optimised hyperparameters were identified and used to fit a single
final model. This model was trained used the entire training subset and the
feature importance was extracted. This model was then evaluated on the test
subset and the explained variance score was calculated. This was repeated using
the same 10 permutations of randomised training and testing splits for all four
cognitive measures to get a distribution of overall performance metrics. The
feature weights obtained for each cognitive measure were averaged across the
permutations to get a mean feature importance value.
Results
FC alone is able to explain 11.3%, 6.5%, 7.5%,
and 12.0% of the variance in crystallised, early childhood, fluid, and total
cognition composites, respectively. SC alone is able to explain 5.3%, 3.0%,
2.3%, and 7.1% of the variance in crystallised, early childhood, fluid, and
total cognition composites, respectively. The hybrid structure-function
connectome is able to explain 12.5%, 8.2%, 8.3%, and 15.0% of the variance in
crystallised, early childhood, fluid, and total cognition composites, respectively.
The most important FC features for cognitive prediction
are primarily long-range inter-hemispheric cortico-cortical connections (Figure
1), while the most important SC features are primarily short-range
inter-hemispheric cortico-subcortical and subcortical-subcortical connections
(Figure 2). Pearson’s correlation between the feature importance for FC and SC
features are 0.015, -0.016, -0.021, and -0.017 for crystallised, early childhood,
fluid, and total cognition composites, respectively. Discussion
The hybrid structure-function connectome
outperforms the independent use of SC for cognitive predictions. This
demonstrates that FC-based predictions of cognitive measures are complementary
to SC-based predictions. Moreover, there was no correlation between the feature
importances of the pairwise SC and FC features. This indicates that while a
given region-pair’s FC might be important for the prediction of cognitive
measures, the same region-pair’s SC may not be important. Taken together, this
suggests that the integration of multi-modal data is crucial to understanding
the neurophysiological correlates of cognitive function.Acknowledgements
Data were provided by the Human Connectome Project, WU-Minn Consortium
(Principal Investigators: David Van Essen and Kamil Ugurbil; 1U54MH091657)
funded by the 16 NIH Institutes and Centers that support the NIH Blueprint for
Neuroscience Research; and by the McDonnell Center for Systems Neuroscience at
Washington University.
This work was supported by the following grants: R21 NS104634-01 (AK) and R01 NS102646-01A1 (AK).
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