Structural MRI and functional connectivity features predict current clinical status and persistence behavior in prescription opioid users

Autor: Ravi D. Mill, Emily C. Winfield, Michael W. Cole, Suchismita Ray
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: NeuroImage: Clinical, Vol 30, Iss , Pp 102663- (2021)
Druh dokumentu: article
ISSN: 2213-1582
DOI: 10.1016/j.nicl.2021.102663
Popis: Prescription opioid use disorder (POUD) has reached epidemic proportions in the United States, raising an urgent need for diagnostic biological tools that can improve predictions of disease characteristics. The use of neuroimaging methods to develop such biomarkers have yielded promising results when applied to neurodegenerative and psychiatric disorders, yet have not been extended to prescription opioid addiction. With this long-term goal in mind, we conducted a preliminary study in this understudied clinical group. Univariate and multivariate approaches to distinguishing between POUD (n = 26) and healthy controls (n = 21) were investigated, on the basis of structural MRI (sMRI) and resting-state functional connectivity (restFC) features. Univariate approaches revealed reduced structural integrity in the subcortical extent of a previously reported addiction-related network in POUD subjects. No reliable univariate between-group differences in cortical structure or edgewise restFC were observed. Contrasting these mixed univariate results, multivariate machine learning classification approaches recovered more statistically reliable group differences, especially when sMRI and restFC features were combined in a multi-modal model (classification accuracy = 66.7%, p
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