Brain InformaticsPub Date : 2023-07-14DOI: 10.1186/s40708-023-00197-5
Sophie Adama, Martin Bogdan
{"title":"Assessing consciousness in patients with disorders of consciousness using soft-clustering.","authors":"Sophie Adama, Martin Bogdan","doi":"10.1186/s40708-023-00197-5","DOIUrl":"https://doi.org/10.1186/s40708-023-00197-5","url":null,"abstract":"<p><p>Consciousness is something we experience in our everyday life, more especially between the time we wake up in the morning and go to sleep at night, but also during the rapid eye movement (REM) sleep stage. Disorders of consciousness (DoC) are states in which a person's consciousness is damaged, possibly after a traumatic brain injury. Completely locked-in syndrome (CLIS) patients, on the other hand, display covert states of consciousness. Although they appear unconscious, their cognitive functions are mostly intact. Only, they cannot externally display it due to their quadriplegia and inability to speak. Determining these patients' states constitutes a challenging task. The ultimate goal of the approach presented in this paper is to assess these CLIS patients consciousness states. EEG data from DoC patients are used here first, under the assumption that if the proposed approach is able to accurately assess their consciousness states, it will assuredly do so on CLIS patients too. This method combines different sets of features consisting of spectral, complexity and connectivity measures in order to increase the probability of correctly estimating their consciousness levels. The obtained results showed that the proposed approach was able to correctly estimate several DoC patients' consciousness levels. This estimation is intended as a step prior attempting to communicate with them, in order to maximise the efficiency of brain-computer interfaces (BCI)-based communication systems.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10348975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9823514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-07-12DOI: 10.1186/s40708-023-00192-w
Alexander Hui Xiang Yang, Nikola Kirilov Kasabov, Yusuf Ozgur Cakmak
{"title":"Prediction and detection of virtual reality induced cybersickness: a spiking neural network approach using spatiotemporal EEG brain data and heart rate variability.","authors":"Alexander Hui Xiang Yang, Nikola Kirilov Kasabov, Yusuf Ozgur Cakmak","doi":"10.1186/s40708-023-00192-w","DOIUrl":"https://doi.org/10.1186/s40708-023-00192-w","url":null,"abstract":"<p><p>Virtual Reality (VR) allows users to interact with 3D immersive environments and has the potential to be a key technology across many domain applications, including access to a future metaverse. Yet, consumer adoption of VR technology is limited by cybersickness (CS)-a debilitating sensation accompanied by a cluster of symptoms, including nausea, oculomotor issues and dizziness. A leading problem is the lack of automated objective tools to predict or detect CS in individuals, which can then be used for resistance training, timely warning systems or clinical intervention. This paper explores the spatiotemporal brain dynamics and heart rate variability involved in cybersickness and uses this information to both predict and detect CS episodes. The present study applies deep learning of EEG in a spiking neural network (SNN) architecture to predict CS prior to using VR (85.9%, F7) and detect it (76.6%, FP1, Cz). ECG-derived sympathetic heart rate variability (HRV) parameters can be used for both prediction (74.2%) and detection (72.6%) but at a lower accuracy than EEG. Multimodal data fusion of EEG and sympathetic HRV does not change this accuracy compared to ECG alone. The study found that Cz (premotor and supplementary motor cortex) and O2 (primary visual cortex) are key hubs in functionally connected networks associated with both CS events and susceptibility to CS. F7 is also suggested as a key area involved in integrating information and implementing responses to incongruent environments that induce cybersickness. Consequently, Cz, O2 and F7 are presented here as promising targets for intervention.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9806587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-06-21DOI: 10.1186/s40708-023-00193-9
Muhammad Arifur Rahman, David J Brown, Mufti Mahmud, Matthew Harris, Nicholas Shopland, Nadja Heym, Alexander Sumich, Zakia Batool Turabee, Bradley Standen, David Downes, Yangang Xing, Carolyn Thomas, Sean Haddick, Preethi Premkumar, Simona Nastase, Andrew Burton, James Lewis
{"title":"Enhancing biofeedback-driven self-guided virtual reality exposure therapy through arousal detection from multimodal data using machine learning.","authors":"Muhammad Arifur Rahman, David J Brown, Mufti Mahmud, Matthew Harris, Nicholas Shopland, Nadja Heym, Alexander Sumich, Zakia Batool Turabee, Bradley Standen, David Downes, Yangang Xing, Carolyn Thomas, Sean Haddick, Preethi Premkumar, Simona Nastase, Andrew Burton, James Lewis","doi":"10.1186/s40708-023-00193-9","DOIUrl":"https://doi.org/10.1186/s40708-023-00193-9","url":null,"abstract":"<p><p>Virtual reality exposure therapy (VRET) is a novel intervention technique that allows individuals to experience anxiety-evoking stimuli in a safe environment, recognise specific triggers and gradually increase their exposure to perceived threats. Public-speaking anxiety (PSA) is a prevalent form of social anxiety, characterised by stressful arousal and anxiety generated when presenting to an audience. In self-guided VRET, participants can gradually increase their tolerance to exposure and reduce anxiety-induced arousal and PSA over time. However, creating such a VR environment and determining physiological indices of anxiety-induced arousal or distress is an open challenge. Environment modelling, character creation and animation, psychological state determination and the use of machine learning (ML) models for anxiety or stress detection are equally important, and multi-disciplinary expertise is required. In this work, we have explored a series of ML models with publicly available data sets (using electroencephalogram and heart rate variability) to predict arousal states. If we can detect anxiety-induced arousal, we can trigger calming activities to allow individuals to cope with and overcome distress. Here, we discuss the means of effective selection of ML models and parameters in arousal detection. We propose a pipeline to overcome the model selection problem with different parameter settings in the context of virtual reality exposure therapy. This pipeline can be extended to other domains of interest where arousal detection is crucial. Finally, we have implemented a biofeedback framework for VRET where we successfully provided feedback as a form of heart rate and brain laterality index from our acquired multimodal data for psychological intervention to overcome anxiety.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10086083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-06-07DOI: 10.1186/s40708-023-00194-8
Francisco Salto, Carmen Requena, Paula Alvarez-Merino, Víctor Rodríguez, Jesús Poza, Roberto Hornero
{"title":"Electrical analysis of logical complexity: an exploratory eeg study of logically valid/invalid deducive inference.","authors":"Francisco Salto, Carmen Requena, Paula Alvarez-Merino, Víctor Rodríguez, Jesús Poza, Roberto Hornero","doi":"10.1186/s40708-023-00194-8","DOIUrl":"https://doi.org/10.1186/s40708-023-00194-8","url":null,"abstract":"<p><strong>Introduction: </strong>Logically valid deductive arguments are clear examples of abstract recursive computational procedures on propositions or on probabilities. However, it is not known if the cortical time-consuming inferential processes in which logical arguments are eventually realized in the brain are in fact physically different from other kinds of inferential processes.</p><p><strong>Methods: </strong>In order to determine whether an electrical EEG discernible pattern of logical deduction exists or not, a new experimental paradigm is proposed contrasting logically valid and invalid inferences with exactly the same content (same premises and same relational variables) and distinct logical complexity (propositional truth-functional operators). Electroencephalographic signals from 19 subjects (24.2 ± 3.3 years) were acquired in a two-condition paradigm (100 trials for each condition). After the initial general analysis, a trial-by-trial approach in beta-2 band allowed to uncover not only evoked but also phase asynchronous activity between trials.</p><p><strong>Results: </strong>showed that (i) deductive inferences with the same content evoked the same response pattern in logically valid and invalid conditions, (ii) mean response time in logically valid inferences is 61.54% higher, (iii) logically valid inferences are subjected to an early (400 ms) and a late reprocessing (600 ms) verified by two distinct beta-2 activations (p-value < 0,01, Wilcoxon signed rank test).</p><p><strong>Conclusion: </strong>We found evidence of a subtle but measurable electrical trait of logical validity. Results put forward the hypothesis that some logically valid deductions are recursive or computational cortical events.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9602628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-05-08DOI: 10.1186/s40708-023-00191-x
Cécile Gauthier-Umaña, Mario Valderrama, Alejandro Múnera, Mauricio O Nava-Mesa
{"title":"BOARD-FTD-PACC: a graphical user interface for the synaptic and cross-frequency analysis derived from neural signals.","authors":"Cécile Gauthier-Umaña, Mario Valderrama, Alejandro Múnera, Mauricio O Nava-Mesa","doi":"10.1186/s40708-023-00191-x","DOIUrl":"https://doi.org/10.1186/s40708-023-00191-x","url":null,"abstract":"<p><p>In order to understand the link between brain functional states and behavioral/cognitive processes, the information carried in neural oscillations can be retrieved using different analytic techniques. Processing these different bio-signals is a complex, time-consuming, and often non-automatized process that requires customization, due to the type of signal acquired, acquisition method implemented, and the objectives of each individual research group. To this end, a new graphical user interface (GUI), named BOARD-FTD-PACC, was developed and designed to facilitate the visualization, quantification, and analysis of neurophysiological recordings. BOARD-FTD-PACC provides different and customizable tools that facilitate the task of analyzing post-synaptic activity and complex neural oscillatory data, mainly cross-frequency analysis. It is a flexible and user-friendly software that can be used by a wide range of users to extract valuable information from neurophysiological signals such as phase-amplitude coupling and relative power spectral density, among others. BOARD-FTD-PACC allows researchers to select, in the same open-source GUI, different approaches and techniques that will help promote a better understanding of synaptic and oscillatory activity in specific brain structures with or without stimulation.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9497706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-05-08DOI: 10.1186/s40708-023-00190-y
Christian Goelz, Eva-Maria Reuter, Stephanie Fröhlich, Julian Rudisch, Ben Godde, Solveig Vieluf, Claudia Voelcker-Rehage
{"title":"Classification of age groups and task conditions provides additional evidence for differences in electrophysiological correlates of inhibitory control across the lifespan.","authors":"Christian Goelz, Eva-Maria Reuter, Stephanie Fröhlich, Julian Rudisch, Ben Godde, Solveig Vieluf, Claudia Voelcker-Rehage","doi":"10.1186/s40708-023-00190-y","DOIUrl":"https://doi.org/10.1186/s40708-023-00190-y","url":null,"abstract":"<p><p>The aim of this study was to extend previous findings on selective attention over a lifetime using machine learning procedures. By decoding group membership and stimulus type, we aimed to study differences in the neural representation of inhibitory control across age groups at a single-trial level. We re-analyzed data from 211 subjects from six age groups between 8 and 83 years of age. Based on single-trial EEG recordings during a flanker task, we used support vector machines to predict the age group as well as to determine the presented stimulus type (i.e., congruent, or incongruent stimulus). The classification of group membership was highly above chance level (accuracy: 55%, chance level: 17%). Early EEG responses were found to play an important role, and a grouped pattern of classification performance emerged corresponding to age structure. There was a clear cluster of individuals after retirement, i.e., misclassifications mostly occurred within this cluster. The stimulus type could be classified above chance level in ~ 95% of subjects. We identified time windows relevant for classification performance that are discussed in the context of early visual attention and conflict processing. In children and older adults, a high variability and latency of these time windows were found. We were able to demonstrate differences in neuronal dynamics at the level of individual trials. Our analysis was sensitive to mapping gross changes, e.g., at retirement age, and to differentiating components of visual attention across age groups, adding value for the diagnosis of cognitive status across the lifespan. Overall, the results highlight the use of machine learning in the study of brain activity over a lifetime.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9795904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-04-24DOI: 10.1186/s40708-023-00188-6
Matthew Squires, Xiaohui Tao, Soman Elangovan, Raj Gururajan, Xujuan Zhou, U Rajendra Acharya, Yuefeng Li
{"title":"Deep learning and machine learning in psychiatry: a survey of current progress in depression detection, diagnosis and treatment.","authors":"Matthew Squires, Xiaohui Tao, Soman Elangovan, Raj Gururajan, Xujuan Zhou, U Rajendra Acharya, Yuefeng Li","doi":"10.1186/s40708-023-00188-6","DOIUrl":"https://doi.org/10.1186/s40708-023-00188-6","url":null,"abstract":"<p><p>Informatics paradigms for brain and mental health research have seen significant advances in recent years. These developments can largely be attributed to the emergence of new technologies such as machine learning, deep learning, and artificial intelligence. Data-driven methods have the potential to support mental health care by providing more precise and personalised approaches to detection, diagnosis, and treatment of depression. In particular, precision psychiatry is an emerging field that utilises advanced computational techniques to achieve a more individualised approach to mental health care. This survey provides an overview of the ways in which artificial intelligence is currently being used to support precision psychiatry. Advanced algorithms are being used to support all phases of the treatment cycle. These systems have the potential to identify individuals suffering from mental health conditions, allowing them to receive the care they need and tailor treatments to individual patients who are mostly to benefit. Additionally, unsupervised learning techniques are breaking down existing discrete diagnostic categories and highlighting the vast disease heterogeneity observed within depression diagnoses. Artificial intelligence also provides the opportunity to shift towards evidence-based treatment prescription, moving away from existing methods based on group averages. However, our analysis suggests there are several limitations currently inhibiting the progress of data-driven paradigms in care. Significantly, none of the surveyed articles demonstrate empirically improved patient outcomes over existing methods. Furthermore, greater consideration needs to be given to uncertainty quantification, model validation, constructing interdisciplinary teams of researchers, improved access to diverse data and standardised definitions within the field. Empirical validation of computer algorithms via randomised control trials which demonstrate measurable improvement to patient outcomes are the next step in progressing models to clinical implementation.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-04-07DOI: 10.1186/s40708-023-00189-5
Isabella Kahhale, Nicholas J Buser, Christopher R Madan, Jamie L Hanson
{"title":"Quantifying numerical and spatial reliability of hippocampal and amygdala subdivisions in FreeSurfer.","authors":"Isabella Kahhale, Nicholas J Buser, Christopher R Madan, Jamie L Hanson","doi":"10.1186/s40708-023-00189-5","DOIUrl":"https://doi.org/10.1186/s40708-023-00189-5","url":null,"abstract":"<p><p>On-going, large-scale neuroimaging initiatives can aid in uncovering neurobiological causes and correlates of poor mental health, disease pathology, and many other important conditions. As projects grow in scale with hundreds, even thousands, of individual participants and scans collected, quantification of brain structures by automated algorithms is becoming the only truly tractable approach. Here, we assessed the spatial and numerical reliability for newly deployed automated segmentation of hippocampal subfields and amygdala nuclei in FreeSurfer 7. In a sample of participants with repeated structural imaging scans (N = 928), we found numerical reliability (as assessed by intraclass correlations, ICCs) was reasonable. Approximately 95% of hippocampal subfields had \"excellent\" numerical reliability (ICCs ≥ 0.90), while only 67% of amygdala subnuclei met this same threshold. In terms of spatial reliability, 58% of hippocampal subfields and 44% of amygdala subnuclei had Dice coefficients ≥ 0.70. Notably, multiple regions had poor numerical and/or spatial reliability. We also examined correlations between spatial reliability and person-level factors (e.g., participant age; T1 image quality). Both sex and image scan quality were related to variations in spatial reliability metrics. Examined collectively, our work suggests caution should be exercised for a few hippocampal subfields and amygdala nuclei with more variable reliability.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring cognitive load of digital interface combining event-related potential and BubbleView.","authors":"Shaoyu Wei, Ruiling Zheng, Rui Li, Minghui Shi, Junsong Zhang","doi":"10.1186/s40708-023-00187-7","DOIUrl":"https://doi.org/10.1186/s40708-023-00187-7","url":null,"abstract":"<p><p>Helmet mounted display systems (HMDs) are high-performance display devices for modern aircraft. We propose a novel method combining event-related potentials (ERPs) and BubbleView to measure cognitive load under different HMD interfaces. The distribution of the subjects' attention resources is reflected by analyzing the BubbleView, and the input of the subjects' attention resources on the interface is reflected by analyzing the ERP's P3b and P2 components. The results showed that the HMD interface with more symmetry and a simple layout had less cognitive load, and subjects paid more attention to the upper portion of the interface. Combining the experimental data of ERP and BubbleView, we can obtain a more comprehensive, objective, and reliable HMD interface evaluation result. This approach has significant implications for the design of digital interfaces and can be utilized for the iterative evaluation of HMD interfaces.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9083118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain InformaticsPub Date : 2023-03-02DOI: 10.1186/s40708-023-00186-8
Jenish Maharjan, Anurag Garikipati, Frank A Dinenno, Madalina Ciobanu, Gina Barnes, Ella Browning, Jenna DeCurzio, Qingqing Mao, Ritankar Das
{"title":"Machine learning determination of applied behavioral analysis treatment plan type.","authors":"Jenish Maharjan, Anurag Garikipati, Frank A Dinenno, Madalina Ciobanu, Gina Barnes, Ella Browning, Jenna DeCurzio, Qingqing Mao, Ritankar Das","doi":"10.1186/s40708-023-00186-8","DOIUrl":"https://doi.org/10.1186/s40708-023-00186-8","url":null,"abstract":"<p><strong>Background: </strong>Applied behavioral analysis (ABA) is regarded as the gold standard treatment for autism spectrum disorder (ASD) and has the potential to improve outcomes for patients with ASD. It can be delivered at different intensities, which are classified as comprehensive or focused treatment approaches. Comprehensive ABA targets multiple developmental domains and involves 20-40 h/week of treatment. Focused ABA targets individual behaviors and typically involves 10-20 h/week of treatment. Determining the appropriate treatment intensity involves patient assessment by trained therapists, however, the final determination is highly subjective and lacks a standardized approach. In our study, we examined the ability of a machine learning (ML) prediction model to classify which treatment intensity would be most suited individually for patients with ASD who are undergoing ABA treatment.</p><p><strong>Methods: </strong>Retrospective data from 359 patients diagnosed with ASD were analyzed and included in the training and testing of an ML model for predicting comprehensive or focused treatment for individuals undergoing ABA treatment. Data inputs included demographics, schooling, behavior, skills, and patient goals. A gradient-boosted tree ensemble method, XGBoost, was used to develop the prediction model, which was then compared against a standard of care comparator encompassing features specified by the Behavior Analyst Certification Board treatment guidelines. Prediction model performance was assessed via area under the receiver-operating characteristic curve (AUROC), sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).</p><p><strong>Results: </strong>The prediction model achieved excellent performance for classifying patients in the comprehensive versus focused treatment groups (AUROC: 0.895; 95% CI 0.811-0.962) and outperformed the standard of care comparator (AUROC 0.767; 95% CI 0.629-0.891). The prediction model also achieved sensitivity of 0.789, specificity of 0.808, PPV of 0.6, and NPV of 0.913. Out of 71 patients whose data were employed to test the prediction model, only 14 misclassifications occurred. A majority of misclassifications (n = 10) indicated comprehensive ABA treatment for patients that had focused ABA treatment as the ground truth, therefore still providing a therapeutic benefit. The three most important features contributing to the model's predictions were bathing ability, age, and hours per week of past ABA treatment.</p><p><strong>Conclusion: </strong>This research demonstrates that the ML prediction model performs well to classify appropriate ABA treatment plan intensity using readily available patient data. This may aid with standardizing the process for determining appropriate ABA treatments, which can facilitate initiation of the most appropriate treatment intensity for patients with ASD and improve resource allocation.</p>","PeriodicalId":37465,"journal":{"name":"Brain Informatics","volume":"10 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10831962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}