Predicting the future relapse of alcohol-dependent patients from structural and functional brain images

Autor: Klaus Obermayer, Anne Beck, Andreas Heinz, Johannes Mohr, Sambu Seo, Torsten Wüstenberg
Rok vydání: 2015
Předmět:
Zdroj: Addiction Biology. 20:1042-1055
ISSN: 1355-6215
Popis: In alcohol dependence, individual prediction of treatment outcome based on neuroimaging endophenotypes can help to tailor individual therapeutic offers to patients depending on their relapse risk. We built a prediction model for prospective relapse of alcohol-dependent patients that combines structural and functional brain images derived from an experiment in which 46 subjects were exposed to alcohol-related cues. The patient group had been subdivided post hoc regarding relapse behavior defined as a consumption of more than 60 g alcohol for male or more than 40 g alcohol for female patients on one occasion during the 3-month assessment period (16 abstainers and 30 relapsers). Naive Bayes, support vector machines and learning vector quantization were used to infer prediction models for relapse based on the mean and maximum values of gray matter volume and brain responses on alcohol-related cues within a priori defined regions of interest. Model performance was estimated by leave-one-out cross-validation. Learning vector quantization yielded the model with the highest balanced accuracy (79.4 percent, p
Databáze: OpenAIRE