Subtyping cognitive profiles in Autism Spectrum Disorder using a Functional Random Forest algorithm

DSM-5 Autism Spectrum Disorder (ASD) comprises a set of neurodevelopmental disorders characterized by deficits in social communication and interaction and repetitive behaviors or restricted interests, and may both affect and be affected by multiple cognitive mechanisms. This study attempts to identi...

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Bibliographic Details
Published in:NeuroImage (Orlando, Fla.) Fla.), 2018-05, Vol.172, p.674-688
Main Authors: Feczko, E., Balba, N.M., Miranda-Dominguez, O., Cordova, M., Karalunas, S.L., Irwin, L., Demeter, D.V., Hill, A.P., Langhorst, B.H., Grieser Painter, J., Van Santen, J., Fombonne, E.J., Nigg, J.T., Fair, D.A.
Format: Article
Language:eng
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Summary:DSM-5 Autism Spectrum Disorder (ASD) comprises a set of neurodevelopmental disorders characterized by deficits in social communication and interaction and repetitive behaviors or restricted interests, and may both affect and be affected by multiple cognitive mechanisms. This study attempts to identify and characterize cognitive subtypes within the ASD population using our Functional Random Forest (FRF) machine learning classification model. This model trained a traditional random forest model on measures from seven tasks that reflect multiple levels of information processing. 47 ASD diagnosed and 58 typically developing (TD) children between the ages of 9 and 13 participated in this study. Our RF model was 72.7% accurate, with 80.7% specificity and 63.1% sensitivity. Using the random forest model, the FRF then measures the proximity of each subject to every other subject, generating a distance matrix between participants. This matrix is then used in a community detection algorithm to identify subgroups within the ASD and TD groups, and revealed 3 ASD and 4 TD putative subgroups with unique behavioral profiles. We then examined differences in functional brain systems between diagnostic groups and putative subgroups using resting-state functional connectivity magnetic resonance imaging (rsfcMRI). Chi-square tests revealed a significantly greater number of between group differences (p 
ISSN:1053-8119
1095-9572