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Abstract #0435

Explainable depression classification: a machine learning approach based on brain network size and functional connectivity

Jesper Pilmeyer1,2, Lisa Koolen1, Marcel Breeuwer1,3,4, Jacobus F.A. Jansen1,5,6, and Svitlana Zinger1,2
1Electrical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 2Research and Development, Epilepsy Centre Kempenhaeghe, Heeze, Netherlands, 3Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 4Philips Healthcare, Best, Netherlands, 5Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, Netherlands, 6School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands

Synopsis

Keywords: Psychiatric Disorders, Psychiatric Disorders, depression

Motivation: Major depressive disorder (MDD) affects ~6% of adults annually worldwide, but a lack of understanding of the pathology and heterogeneity may underlie its low treatment effectiveness.

Goal(s): This study aimed to identify explainable functional MRI biomarkers of MDD on an individual level.

Approach: Classification models were run to predict MDD for three functional measures.

Results: In two datasets, >70% MDD accuracy was achieved for each measure. Highest performance was obtained with region-based functional connectivity but spatial extent provided novel perspectives on abnormal brain functioning, such as decreased cerebellum involvement in the frontoparietal network, potentially reflecting decreased emotion regulation or control during cognitive processes.

Impact: This MRI research contributes to the identification of robust depression biomarkers, enhancing our understanding of the abnormal brain functioning. The explainability of the spatial extent feature provides additional insights into its pathology which may be utilized for diagnostic tools.

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