J 2011

Maximum-uncertainty linear discrimination analysis of first-episode schizophrenia subjects

KAŠPÁREK, Tomáš, Carlos Eduardo THOMAZ, Joao Ricardo SATO, Daniel SCHWARZ, Eva JANOUŠOVÁ et. al.

Basic information

Original name

Maximum-uncertainty linear discrimination analysis of first-episode schizophrenia subjects

Authors

KAŠPÁREK, Tomáš (203 Czech Republic, guarantor, belonging to the institution), Carlos Eduardo THOMAZ (76 Brazil), Joao Ricardo SATO (76 Brazil), Daniel SCHWARZ (203 Czech Republic, belonging to the institution), Eva JANOUŠOVÁ (203 Czech Republic, belonging to the institution), Radek MAREČEK (203 Czech Republic, belonging to the institution), Radovan PŘIKRYL (203 Czech Republic, belonging to the institution), Jiří VANÍČEK (203 Czech Republic, belonging to the institution), Andre FUJITA (392 Japan) and Eva ČEŠKOVÁ (203 Czech Republic, belonging to the institution)

Edition

Psychiatry Research: Neuroimaging, 2011, 0925-4927

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.964

RIV identification code

RIV/00216224:14110/11:00052818

Organization unit

Faculty of Medicine

UT WoS

000288728500004

Keywords in English

Schizophrenia; First episode; Classification; Brain morphology

Tags

International impact, Reviewed
Změněno: 31/1/2014 12:42, RNDr. Eva Koriťáková, Ph.D.

Abstract

V originále

Recent techniques of image analysis brought the possibility to recognize subjects based on discriminative image features. We performed a magnetic resonance imaging (MRI)-based classification study to assess its usefulness for outcome prediction of first-episode schizophrenia patients (FES). We included 39 FES patients and 39 healthy controls (HC) and performed the maximum-uncertainty linear discrimination analysis (MLDA) of MRI brain intensity images. The classification accuracy index (CA) was correlated with the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning scale (GAF) at 1-year follow-up. The rate of correct classifications of patients with poor and good outcomes was analyzed using chi-square tests. MLDA classification was significantly better than classification by chance. Leave-oneout accuracy was 72%. CA correlated significantly with PANSS and GAF scores at the 1-year follow-up. Moreover, significantly more patients with poor outcome than those with good outcome were classified correctly.MLDA of brain MR intensity features is, therefore, able to correctly classify a significant number of FES patients, and the discriminative features are clinically relevant for clinical presentation 1 year after the first episode of schizophrenia. The accuracy of the current approach is, however, insufficient to be used in clinical practice immediately. Severalmethodological issues need to be addressed to increase the usefulness of this classification approach.

Links

MSM0021622404, plan (intention)
Name: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS
Investor: Ministry of Education, Youth and Sports of the CR, The internal organisation and neurobiological mechanisms of functional CNS systems under normal and pathological conditions.
NS10347, research and development project
Name: Moderní metody rozpoznávání pro analýzu obrazových dat v neuropsychiatrickém výzkumu
Investor: Ministry of Health of the CR
NS9893, research and development project
Name: Predikce průběhu iniciálních fází schizofrenie pomocí morfologie mozku
Investor: Ministry of Health of the CR