Choline on the Brain? A Guide to Choline in Chronic Fatigue Syndrome
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Structural brain changes versus self-report: machine-learning classification of CFS patients

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    Exp Brain Res. 2018 May 30. doi: 10.1007/s00221-018-5301-8. [Epub ahead of print]

    Structural brain changes versus self-report: machine-learning classification of chronic fatigue syndrome patients.

    Sevel LS1, Boissoneault J1, Letzen JE1, Robinson ME1, Staud R2.
    Author information
    Abstract

    Chronic fatigue syndrome (CFS) is a disorder associated with fatigue, pain, and structural/functional abnormalities seen during magnetic resonance brain imaging (MRI). Therefore, we evaluated the performance of structural MRI (sMRI) abnormalities in the classification of CFS patients versus healthy controls and compared it to machine learning (ML) classification based upon self-report (SR). Participants included 18 CFS patients and 15 healthy controls (HC). All subjects underwent T1-weighted sMRI and provided visual analogue-scale ratings of fatigue, pain intensity, anxiety, depression, anger, and sleep quality. sMRI data were segmented using FreeSurfer and 61 regions based on functional and structural abnormalities previously reported in patients with CFS. Classification was performed in RapidMiner using a linear support vector machine and bootstrap optimism correction. We compared ML classifiers based on (1) 61 a priori sMRI regional estimates and (2) SR ratings. The sMRI model achieved 79.58% classification accuracy. The SR (accuracy = 95.95%) outperformed both sMRI models. Estimates from multiple brain areas related to cognition, emotion, and memory contributed strongly to group classification. This is the first ML-based group classification of CFS. Our findings suggest that sMRI abnormalities are useful for discriminating CFS patients from HC, but SR ratings remain most effective in classification tasks.

    KEYWORDS:
    Chronic fatigue; Classification; Gray matter; Machine learning; Self-report

    PMID:
    29846797
    DOI:
    10.1007/s00221-018-5301-8
     
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