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@ARTICLE{Rehme:203262,
author = {Rehme, Anne and Volz, L. J. and Feis, D.-L. and
Bomilcar-Focke, I. and Liebig, T. and Eickhoff, Simon and
Fink, G. R. and Grefkes, C.},
title = {{I}dentifying {N}euroimaging {M}arkers of {M}otor
{D}isability in {A}cute {S}troke by {M}achine {L}earning
{T}echniques},
journal = {Cerebral cortex},
volume = {25},
number = {9},
issn = {1460-2199},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {FZJ-2015-05243},
pages = {3046 - 3056},
year = {2015},
abstract = {Conventional mass-univariate analyses have been previously
used to test for group differences in neural signals.
However, machine learning algorithms represent a
multivariate decoding approach that may help to identify
neuroimaging patterns associated with functional impairment
in “individual” patients. We investigated whether fMRI
allows classification of individual motor impairment after
stroke using support vector machines (SVMs). Forty acute
stroke patients and 20 control subjects underwent
resting-state fMRI. Half of the patients showed significant
impairment in hand motor function. Resting-state
connectivity was computed by means of whole-brain
correlations of seed time-courses in ipsilesional primary
motor cortex (M1). Lesion location was identified using
diffusion-weighted images. These features were used for
linear SVM classification of unseen patients with respect to
motor impairment. SVM results were compared with
conventional mass-univariate analyses. Resting-state
connectivity classified patients with hand motor deficits
compared with controls and nonimpaired patients with
$82.6–87.6\%$ accuracy. Classification was driven by
reduced interhemispheric M1 connectivity and enhanced
connectivity between ipsilesional M1 and premotor areas. In
contrast, lesion location provided only $50\%$ sensitivity
to classify impaired patients. Hence, resting-state fMRI
reflects behavioral deficits more accurately than structural
MRI. In conclusion, multivariate fMRI analyses offer the
potential to serve as markers for endophenotypes of
functional impairment.},
cin = {INM-3 / INM-1},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-1-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000361464000063},
pubmed = {pmid:24836690},
doi = {10.1093/cercor/bhu100},
url = {https://juser.fz-juelich.de/record/203262},
}