A small number of abnormal brain connections predicts adult autism spectrum disorder

Nat Commun. 2016 Apr 14:7:11254. doi: 10.1038/ncomms11254.

Abstract

Although autism spectrum disorder (ASD) is a serious lifelong condition, its underlying neural mechanism remains unclear. Recently, neuroimaging-based classifiers for ASD and typically developed (TD) individuals were developed to identify the abnormality of functional connections (FCs). Due to over-fitting and interferential effects of varying measurement conditions and demographic distributions, no classifiers have been strictly validated for independent cohorts. Here we overcome these difficulties by developing a novel machine-learning algorithm that identifies a small number of FCs that separates ASD versus TD. The classifier achieves high accuracy for a Japanese discovery cohort and demonstrates a remarkable degree of generalization for two independent validation cohorts in the USA and Japan. The developed ASD classifier does not distinguish individuals with major depressive disorder and attention-deficit hyperactivity disorder from their controls but moderately distinguishes patients with schizophrenia from their controls. The results leave open the viable possibility of exploring neuroimaging-based dimensions quantifying the multiple-disorder spectrum.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Algorithms
  • Autism Spectrum Disorder / diagnosis
  • Autism Spectrum Disorder / physiopathology*
  • Brain / physiopathology*
  • Female
  • Humans
  • Male
  • Models, Neurological
  • Nerve Net / physiopathology*
  • Neural Pathways / physiopathology*
  • Prognosis
  • Young Adult