Influence of data-driven physiological correction methods on the longitudinal reliability and multisite consistency of the default mode network in healthy aging Rocco Marchitelli1, Ludovico Minati2, Giovanni Frisoni3, Jorge Jovicich1 1 Center for Mind/Brain Sciences, Dep. of Cognitive and Education Sciences, The University of Trento 2 Lab. of Epidemiology, Neuroimaging, & Telemedicine, IRCCS San Giovanni di Dio-FBF of Brescia 3 Memory Clinic and Lab. of Neuroimaging of aging, Osp. and University of Geneva
ITALIAN CHAPTER 2015 ANNUAL MEETING VERONA, April 16-17, 2015
mercoledì 3 giugno 15
Clinical Relevance of resting-state fMRI connectivity Potential Biomarker Validation
• Resting state fMRI DMN: potential biomarker? • Large scale longitudinal studies needed • Challenge: physiological noise • Does physiological noise correction improve reliability? - Single site: no (young) - Multisite: unknown (elderly, MR-derived methods) Hedden et al., 2009
Test-Retest Reliability
Physiological Noise
Birn et al., 2006 mercoledì 3 giugno 15
Birn et al., 2014
http://www.pharmacog.org
13 MRI centers: (6 Siemens, 4 Philips and 3 GE) 65 healthy elderly subjects 2 Sessions Age (mean ± sd): 62.5 ± 4.2y
Acquisition Protocol TR = 2.7 s, TE = 30 ms, voxel size 3 x 3 x 3 mm3, session time = 9 min
Aim of the study: To assess whether physiological noise correction in healthy elderly subjects affect the test-retest reliability of functional connectivity and its multi-site reproducibility.
mercoledì 3 giugno 15
Physiological Correction Methods Evaluated
• • •
Attività cardiaca
No Physiologic Correction TISSUE-BASED (Weissenbacher, 2013) PESTICA (Beall and Lowe 2007) FSL-FIX (Griffanti et al., 2014) con:
• •
Standard Classifier: TR=3s, Resolution=3.5x3.5x3.5mm3, session=6mins Data-Based Classifier: TR=2.7s, Resolution=3x3x3mm3, session=6mins Neuroimage. 2010 Aug 15; 52(2): 571–582
mercoledì 3 giugno 15
Method to define the Default Mode Network Dual Regression
C.F. Beckmann, C.E. Mackay, N. Filippini, and S.M. Smith. OHBM, 2009.
mercoledì 3 giugno 15
Results Functional Connectivity
Mean Z-scores
16 12
***
*** ***
***
*
*
*** ***
***
8 4 0
SITE1
SITE2
SITE3
SITE4
Friedman Test
SITE5
SITE6
* p < 0.05
SITE7
SITE8
SITE9
** 0.001 < p < 0.01
SITE10
SITE11
SITE12
*** p < 0.001
FSL-FIX increases functional connectivity (38% dei centri)
mercoledì 3 giugno 15
SITE13
Results
Test-Retest Reliability
Test-Retest % Error
65%
**
**
49%
***
**
33%
16%
0%
SITE1
SITE2
SITE3
SITE4
Friedman Test
SITE5
SITE6
* p < 0.05
SITE7
SITE8
** 0.001 < p < 0.01
SITE9
SITE10
*** p < 0.001
-- None of the methods improve reliability vs no physiological correction. -- Differences across methods are not systematic across sites. -- No method revealed site effects.
mercoledì 3 giugno 15
SITE11
SITE12
SITE13
Results Across-Site Reproducibility
Mean Reliability Across Sites
*** ***
0,8 0,6
12% ICC
Test-Retest % Error
18%
*** p < 0.001
6%
0,5 0,3 0,2
0%
Physiological Correction Pipelines
No Physiological Correction
PESTICA
0
Physiological Correction Pipelines
TISSUE-BASED
FIX-Standard
Take-Home Messages -- No method is more reliable than no physiological correction condition. -- “Tissue based” and “FSL-FIX standard” showed increased reproducibility.
mercoledì 3 giugno 15
FIX-Training
Conclusions
• The application of any physiological noise correction method allowed the identification of the component of the Default Mode Network across all sites.
• The method FIX increases functional connectivity in healthy elderly subjects within the DMN component.
• Test-Retest reliability of functional connectivity is not influenced by physiological correction in healthy elderly.
• We reccomand the application of physiological noise correction in multisite studies.
mercoledì 3 giugno 15
Special Thanks
Giovanni&Frisoni& Luigi&Antelmi&
Moira&Marizzoni& Alberto&Redolfi European Federation of Pharmaceutical Industries and Associations
Thank you for your attention!!
[email protected]
mercoledì 3 giugno 15