Abstract
Despite significant progress in treatments for smoking cessation, smoking continues to be a significant public health concern, especially in young adulthood. Thus, developing a predictive model that can classify and characterize the brain-based biomarkers predicting smoking status would be imperative to improving treatment development. In this study, we applied a support vector machine-based classification method to discriminate 70 young male smokers and 70 matched nonsmokers using their diffusion tensor imaging (DTI) data. The classification procedure achieved an average accuracy of 88.6% and an average area under the curve of 0.95. The most discriminative features that contributed to the classification were primarily located in the sagittal stratum (SS), external capsule (EC), superior longitudinal fasciculus (SLF), anterior corona radiata (ACR) and inferior front-occipital fasciculus (IFOF). The following regression analysis showed a significant negatively correlation between the average RD values of the left ACR (r = −0.247, p = 0.039) and FTND. The average MD values in the right EC (r = −0.254, p = 0.034) and RD values in the right IFOF (r = −0.240, p = 0.046) were inversely associated with pack-years. Our findings indicate that the discriminative white matter (WM) features as brain biomarkers provide great predictive power for smoking status and suggest that machine learning techniques can reveal underlying smoking-related neurobiology.
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Bi, Y., Yuan, K., Guan, Y., Cheng, J., Zhang, Y., Li, Y., et al. (2017a). Altered resting state functional connectivity of anterior insula in young smokers. Brain Imaging and Behavior, 11(1), 155–165. https://doi.org/10.1007/s11682-016-9511-z.
Bi, Y., Yuan, K., Yu, D., Wang, R., Li, M., Li, Y., et al. (2017b). White matter integrity of central executive network correlates with enhanced brain reactivity to smoking cues. Human Brain Mapping, 38(12), 6239–6249. https://doi.org/10.1002/hbm.23830.
Brody, A. L., Mandelkern, M. A., Jarvik, M. E., Lee, G. S., Smith, E. C., Huang, J. C., et al. (2004). Differences between smokers and nonsmokers in regional gray matter volumes and densities. Biological Psychiatry, 55(1), 77–84.
Cao, B., Cho, R. Y., Chen, D., Xiu, M., Wang, L., Soares, J. C., et al. (2018). Treatment response prediction and individualized identification of first-episode drug-naive schizophrenia using brain functional connectivity. Molecular Psychiatry https://doi.org/10.1038/s41380-018-0106-5
Cui, Z., Xia, Z., Su, M., Shu, H., & Gong, G. (2016). Disrupted white matter connectivity underlying developmental dyslexia: a machine learning approach. Human Brain Mapping, 37(4), 1443–1458. https://doi.org/10.1002/hbm.23112.
Dai, Z., Yan, C., Wang, Z., Wang, J., Xia, M., Li, K., et al. (2012). Discriminative analysis of early Alzheimer's disease using multi-modal imaging and multi-level characterization with multi-classifier (M3). Neuroimage, 59(3), 2187–2195. https://doi.org/10.1016/j.neuroimage.2011.10.003.
De Martino, F., Valente, G., Staeren, N., Ashburner, J., Goebel, R., & Formisano, E. (2008). Combining multivariate voxel selection and support vector machines for mapping and classification of fMRI spatial patterns. Neuroimage, 43(1), 44–58. https://doi.org/10.1016/j.neuroimage.2008.06.037.
Ding, X., Yang, Y., Stein, E. A., & Ross, T. J. (2015). Multivariate classification of smokers and nonsmokers using SVM-RFE on structural MRI images. Human Brain Mapping, 36(12), 4869–4879. https://doi.org/10.1002/hbm.22956.
Dosenbach, N. U., Nardos, B., Cohen, A. L., Fair, D. A., Power, J. D., Church, J. A., et al. (2010). Prediction of individual brain maturity using fMRI. Science, 329(5997), 1358–1361. https://doi.org/10.1126/science.1194144.
Ecker, C., Marquand, A., Mourao-Miranda, J., Johnston, P., Daly, E. M., Brammer, M. J., et al. (2010). Describing the brain in autism in five dimensions--magnetic resonance imaging-assisted diagnosis of autism spectrum disorder using a multiparameter classification approach. The Journal of Neuroscience, 30(32), 10612–10623. https://doi.org/10.1523/jneurosci.5413-09.2010.
Fan, Y., Liu, Y., Wu, H., Hao, Y., Liu, H., Liu, Z., et al. (2011). Discriminant analysis of functional connectivity patterns on Grassmann manifold. Neuroimage, 56(4), 2058–2067. https://doi.org/10.1016/j.neuroimage.2011.03.051.
Gogliettino, A. R., Potenza, M. N., & Yip, S. W. (2016). White matter development and tobacco smoking in young adults: a systematic review with recommendations for future research. Drug and Alcohol Dependence, 162, 26–33. https://doi.org/10.1016/j.drugalcdep.2016.02.015.
Goldstein, R. Z., & Volkow, N. D. (2011). Dysfunction of the prefrontal cortex in addiction: neuroimaging findings and clinical implications. Nature Reviews. Neuroscience, 12(11), 652–669. https://doi.org/10.1038/nrn3119.
Hahn, T., Kircher, T., Straube, B., Wittchen, H. U., Konrad, C., Strohle, A., et al. (2015). Predicting treatment response to cognitive behavioral therapy in panic disorder with agoraphobia by integrating local neural information. JAMA Psychiatry, 72(1), 68–74. https://doi.org/10.1001/jamapsychiatry.2014.1741.
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom test for nicotine dependence: a revision of the Fagerstrom tolerance questionnaire. British Journal of Addiction, 86(9), 1119–1127.
Kang, K., Choi, W., Yoon, U., Lee, J. M., & Lee, H. W. (2016). Abnormal white matter integrity in elderly patients with idiopathic Normal-pressure hydrocephalus: a tract-based spatial statistics study. European Neurology, 75(1–2), 96–103. https://doi.org/10.1159/000443206.
Li, Y., Yuan, K., Cai, C., Feng, D., Yin, J., Bi, Y., et al. (2015). Reduced frontal cortical thickness and increased caudate volume within fronto-striatal circuits in young adult smokers. Drug and Alcohol Dependence, 151, 211–219. https://doi.org/10.1016/j.drugalcdep.2015.03.023.
Lin, F., Zhou, Y., Du, Y., Qin, L., Zhao, Z., Xu, J., et al. (2012). Abnormal white matter integrity in adolescents with internet addiction disorder: a tract-based spatial statistics study. PLoS One, 7(1), e30253. https://doi.org/10.1371/journal.pone.0030253.
Meng, X., Jiang, R., Lin, D., Bustillo, J., Jones, T., Chen, J., et al. (2017). Predicting individualized clinical measures by a generalized prediction framework and multimodal fusion of MRI data. Neuroimage, 145(Pt B), 218–229. https://doi.org/10.1016/j.neuroimage.2016.05.026.
Mikolas, P., Hlinka, J., Skoch, A., Pitra, Z., Frodl, T., Spaniel, F., et al. (2018). Machine learning classification of first-episode schizophrenia spectrum disorders and controls using whole brain white matter fractional anisotropy. BMC Psychiatry, 18(1), 97. https://doi.org/10.1186/s12888-018-1678-y.
Mori, S., Oishi, K., Jiang, H., Jiang, L., Li, X., Akhter, K., et al. (2008). Stereotaxic white matter atlas based on diffusion tensor imaging in an ICBM template. Neuroimage, 40(2), 570–582. https://doi.org/10.1016/j.neuroimage.2007.12.035.
Mourao-Miranda, J., Bokde, A. L., Born, C., Hampel, H., & Stetter, M. (2005). Classifying brain states and determining the discriminating activation patterns: support vector machine on functional MRI data. Neuroimage, 28(4), 980–995. https://doi.org/10.1016/j.neuroimage.2005.06.070.
Ojala, M., & Garriga, G. C. (2010). Permutation tests for studying classifier performance. Journal of Machine Learning Research, 11(Jun), 1833–1863.
Reitsma, M. B., Fullman, N., Ng, M., Salama, J. S., Abajobir, A., Abate, K. H., et al. (2017). Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the global burden of disease study 2015. The Lancet, 389(10082), 1885–1906.
Reitzel, L. R., McClure, J. B., Cofta-Woerpel, L., Mazas, C. A., Cao, Y., Cinciripini, P. M., et al. (2011). The efficacy of computer-delivered treatment for smoking cessation. Cancer Epidemiology, Biomarkers & Prevention, 20(7), 1555–1557. https://doi.org/10.1158/1055-9965.epi-11-0390.
Rose, J. E., Behm, F. M., Westman, E. C., Levin, E. D., Stein, R. M., & Ripka, G. V. (1994). Mecamylamine combined with nicotine skin patch facilitates smoking cessation beyond nicotine patch treatment alone. Clinical Pharmacology and Therapeutics, 56(1), 86–99.
Savjani, R. R., Velasquez, K. M., Thompson-Lake, D. G., Baldwin, P. R., Eagleman, D. M., De La Garza, R., 2nd, et al. (2014). Characterizing white matter changes in cigarette smokers via diffusion tensor imaging. Drug and Alcohol Dependence, 145, 134–142. https://doi.org/10.1016/j.drugalcdep.2014.10.006.
Schmahmann, J. D., Smith, E. E., Eichler, F. S., & Filley, C. M. (2008). Cerebral white matter: neuroanatomy, clinical neurology, and neurobehavioral correlates. Annals of the New York Academy of Sciences, 1142, 266–309. https://doi.org/10.1196/annals.1444.017.
Ten Kate, M., Dicks, E., Visser, P. J., van der Flier, W. M., Teunissen, C. E., Barkhof, F., et al. (2018). Atrophy subtypes in prodromal Alzheimer's disease are associated with cognitive decline. Brain, 141(12), 3443–3456. https://doi.org/10.1093/brain/awy264.
van Ewijk, H., Groenman, A. P., Zwiers, M. P., Heslenfeld, D. J., Faraone, S. V., Hartman, C. A., et al. (2015). Smoking and the developing brain: altered white matter microstructure in attention-deficit/hyperactivity disorder and healthy controls. Human Brain Mapping, 36(3), 1180–1189. https://doi.org/10.1002/hbm.22695.
Volkow, N. D., Wang, G. J., Fowler, J. S., Tomasi, D., & Telang, F. (2011). Addiction: beyond dopamine reward circuitry. Proceedings of the National Academy of Sciences of the United States of America, 108(37), 15037–15042. https://doi.org/10.1073/pnas.1010654108.
Wang, S., Zuo, L., Jiang, T., Peng, P., Chu, S., & Xiao, D. (2017). Abnormal white matter microstructure among early adulthood smokers: a tract-based spatial statistics study. Neurological Research, 39(12), 1094–1102. https://doi.org/10.1080/01616412.2017.1379277.
Wee, C. Y., Yap, P. T., Li, W., Denny, K., Browndyke, J. N., Potter, G. G., et al. (2011). Enriched white matter connectivity networks for accurate identification of MCI patients. Neuroimage, 54(3), 1812–1822. https://doi.org/10.1016/j.neuroimage.2010.10.026.
Wetherill, R. R., Rao, H., Hager, N., Wang, J., Franklin, T. R., Fan, Y., et al. (2018). Classifying and characterizing nicotine use disorder with high accuracy using machine learning and resting-state fMRI. Addiction Biology. https://doi.org/10.1111/adb.12644.
Yu, R., Deochand, C., Krotow, A., Leao, R., Tong, M., Agarwal, A. R., et al. (2016a). Tobacco smoke-induced brain white matter myelin dysfunction: potential co-factor role of smoking in neurodegeneration. Journal of Alzheimer's Disease, 50(1), 133–148. https://doi.org/10.3233/jad-150751.
Yu, D., Yuan, K., Zhang, B., Liu, J., Dong, M., Jin, C., et al. (2016b). White matter integrity in young smokers: A tract-based spatial statistics study. Addiction Biology, 21(3), 679–687. https://doi.org/10.1111/adb.12237.
Yuan, K., Qin, W., Liu, J., Guo, Q., Dong, M., Sun, J., et al. (2010). Altered small-world brain functional networks and duration of heroin use in male abstinent heroin-dependent individuals. Neuroscience Letters, 477(1), 37–42. https://doi.org/10.1016/j.neulet.2010.04.032.
Yuan, M., Cross, S. J., Loughlin, S. E., & Leslie, F. M. (2015). Nicotine and the adolescent brain. The Journal of Physiology, 593(16), 3397–3412. https://doi.org/10.1113/jp270492.
Yuan, K., Qin, W., Yu, D., Bi, Y., Xing, L., Jin, C., et al. (2016a). Core brain networks interactions and cognitive control in internet gaming disorder individuals in late adolescence/early adulthood. Brain Structure & Function, 221(3), 1427–1442. https://doi.org/10.1007/s00429-014-0982-7.
Yuan, K., Yu, D., Bi, Y., Li, Y., Guan, Y., Liu, J., et al. (2016b). The implication of frontostriatal circuits in young smokers: A resting-state study. Human Brain Mapping, 37(6), 2013–2026. https://doi.org/10.1002/hbm.23153.
Yuan, K., Yu, D., Cai, C., Feng, D., Li, Y., Bi, Y., et al. (2017). Frontostriatal circuits, resting state functional connectivity and cognitive control in internet gaming disorder. Addiction Biology, 22(3), 813–822. https://doi.org/10.1111/adb.12348.
Yuan, K., Yu, D., Zhao, M., Li, M., Wang, R., Li, Y., et al. (2018a). Abnormal frontostriatal tracts in young male tobacco smokers. Neuroimage, 183, 346–355. https://doi.org/10.1016/j.neuroimage.2018.08.046.
Yuan, K., Zhao, M., Yu, D., Manza, P., Volkow, N. D., Wang, G. J., et al. (2018b). Striato-cortical tracts predict 12-h abstinence-induced lapse in smokers. Neuropsychopharmacology, 43(12), 2452–2458. https://doi.org/10.1038/s41386-018-0182-x.
Zeng, L. L., Shen, H., Liu, L., Wang, L., Li, B., Fang, P., et al. (2012). Identifying major depression using whole-brain functional connectivity: a multivariate pattern analysis. Brain, 135(Pt 5), 1498–1507. https://doi.org/10.1093/brain/aws059.
Zhang, X., Salmeron, B. J., Ross, T. J., Geng, X., Yang, Y., & Stein, E. A. (2011). Factors underlying prefrontal and insula structural alterations in smokers. Neuroimage, 54(1), 42–48. https://doi.org/10.1016/j.neuroimage.2010.08.008.
Zheng, Z., Shemmassian, S., Wijekoon, C., Kim, W., Bookheimer, S. Y., & Pouratian, N. (2014). DTI correlates of distinct cognitive impairments in Parkinson's disease. Human Brain Mapping, 35(4), 1325–1333. https://doi.org/10.1002/hbm.22256.
Zorlu, N., Angelique Di Biase, M., Kalayci, C. C., Zalesky, A., Bagci, B., Oguz, N., et al. (2016). Abnormal white matter integrity in synthetic cannabinoid users. European Neuropsychopharmacology, 26(11), 1818–1825. https://doi.org/10.1016/j.euroneuro.2016.08.015.
Zweig, M. H., & Campbell, G. (1993). Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clinical Chemistry, 39(4), 561–577.
Acknowledgements
The study was supported by the National Natural Science Foundation of China under Grant Nos. 81871426, 81871430, 81571751, 81571753, 61771266, 31800926, 81701780 and 8151650, the Fundamental Research Funds for the Central Universities under Grant No. JB151204, the program for Young Talents of Science and Technology in Universities of Inner Mongolia Autonomous Region NJYT-17-B11, the Natural Science Foundation of Inner Mongolia under Grant No. 2017MS(LH)0814, the program of Science and Technology in Universities of Inner Mongolia Autonomous Region NJZY17262, the Innovation Fund Project of Inner Mongolia University of Science and Technology No. 2015QNGG03, Science Fund for Distinguished Young Scholars of Hunan Province under Grant no. 2019JJ20037, National Natural Science Foundation of Shaanxi Province under Grant no. 2018JM7075 and the US National Institutes of Health, Intramural Research program Y1AA3009.
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Zhao, M., Liu, J., Cai, W. et al. Support vector machine based classification of smokers and nonsmokers using diffusion tensor imaging. Brain Imaging and Behavior 14, 2242–2250 (2020). https://doi.org/10.1007/s11682-019-00176-7
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DOI: https://doi.org/10.1007/s11682-019-00176-7