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Research ArticleMethodologic Perspectives

Multivariate Classification of Blood Oxygen Level–Dependent fMRI Data with Diagnostic Intention: A Clinical Perspective

B. Sundermann, D. Herr, W. Schwindt and B. Pfleiderer
American Journal of Neuroradiology May 2014, 35 (5) 848-855; DOI: https://doi.org/10.3174/ajnr.A3713
B. Sundermann
aFrom the Department of Clinical Radiology (B.S., W.S., B.P.), University Hospital Münster, Münster, Germany
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D. Herr
bDepartment of Psychiatry and Psychotherapy (D.H.), University of Cologne, Cologne, Germany.
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W. Schwindt
aFrom the Department of Clinical Radiology (B.S., W.S., B.P.), University Hospital Münster, Münster, Germany
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B. Pfleiderer
aFrom the Department of Clinical Radiology (B.S., W.S., B.P.), University Hospital Münster, Münster, Germany
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    Fig 1.

    Illustration of the diagnostic workflow and data-processing pipeline proposed by most of the studies reviewed here.

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    Fig 2.

    Overview of MVPA-based diagnostic fMRI studies with an above-average statistical power to detect successful models (n ≥ 25 in every group of the training set; group size ratio ≤ 1.2 as a prerequisite for comparing the overall classification accuracies reported).34,43,45,55,61,72,74,85,95 Symbol sizes represent average group sizes in the respective study. a, Only minimum and maximum classification accuracies are shown here. b, Study of cross-validation findings also reports results in a smaller independent validation set. c, Only Gaussian process classifier overall accuracy is shown here. d, High overlap with another study is not shown here. FS indicates feature selection. For a complete list of studies, see On-line Tables 1 and 2.

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  • Proposed reporting standards for future studies applying multivariate classification techniques to fMRI data with a diagnostic intention in addition to general reporting standards in fMRI research

    Proposed Reporting StandardsDesirable Aspects of Study Design
    Report of overall classification accuracies/generalization rate (in addition to sensitivity and specificity if applicable)Sufficiently large, equally sized groups (25 subjects per group desirable, but depending on specific methodologies used and power analyses)
    Rigorous statistical testsSufficiently long scan duration for resting state fMRI (at least 5 minutes, evaluation of a potential benefit of longer acquisitions desirable)
    Report of all tested models (not only optimized/best models)Systematic model optimization
    Clearly identify inferential tests and explorative analysesWell-chosen and well-defined clinical problem
    Clearly identify feature extraction and feature selection/weighting strategiesMultisite/multiscanner studies
    Denominate origin of classification algorithms if an independent toolbox is used for pipeline buildingEvaluation of functionally/anatomically interpretable classifiers and methods with individual reliability measures
    Good clinical characterization of the sample including demographic data (psychometric data if applicable)Independent validation set
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American Journal of Neuroradiology: 35 (5)
American Journal of Neuroradiology
Vol. 35, Issue 5
1 May 2014
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Cite this article
B. Sundermann, D. Herr, W. Schwindt, B. Pfleiderer
Multivariate Classification of Blood Oxygen Level–Dependent fMRI Data with Diagnostic Intention: A Clinical Perspective
American Journal of Neuroradiology May 2014, 35 (5) 848-855; DOI: 10.3174/ajnr.A3713

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Multivariate Classification of Blood Oxygen Level–Dependent fMRI Data with Diagnostic Intention: A Clinical Perspective
B. Sundermann, D. Herr, W. Schwindt, B. Pfleiderer
American Journal of Neuroradiology May 2014, 35 (5) 848-855; DOI: 10.3174/ajnr.A3713
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