Enacted Assessment of Disability Support: A “Lived” Method for Assessing Student Life

How does an institution assess the experiences of only one one-thousandth of its overall population? And how does it assess something as non-discrete as “student experience”? In the on-going efforts to assess the quality of life for mobility-impaired students on a mid-sized residential campus, the authors built upon focus group research that identified areas of both success and shared concern by developing a novel form of video-based assessment utilizing split-screen analysis. This analysis was neither especially time-consuming, nor especially expensive, nor particularly difficult to conduct, yet produced immediate, valuable, and useful data. To view supplemental material that accompanies this article, the video, "Enacted Assessment of Disability Support: A "Lived" Method for Assessing Student Life," click http://vimeo.com/5944532

Imaging-based parcellations of the human brain

A defining aspect of brain organization is its spatial heterogeneity, which gives rise to multiple topographies at different scales. Brain parcellation — defining distinct partitions in the brain, be they areas or networks that comprise multiple discontinuous but closely interacting regions — is thus fundamental for understanding brain organization and function. The past decade has seen an explosion of in vivo MRI-based approaches to identify and parcellate the brain on the basis of a wealth of different features, ranging from local properties of brain tissue to long-range connectivity patterns, in addition to structural and functional markers. Given the high diversity of these various approaches, assessing the convergence and divergence among these ensuing maps is a challenge. Inter-individual variability adds to this challenge but also provides new opportunities when coupled with cross-species and developmental parcellation studies

Suppression of the quantum-confined Stark effect in polar nitride heterostructures

Recently, we suggested an unconventional approach (the so-called Internal-Field-Guarded-Active-Region Design “IFGARD”) for the elimination of the quantum-confined Stark effect in polar semiconductor heterostructures. The IFGARD-based suppression of the Stark redshift on the order of electronvolt and spatial charge carrier separation is independent of the specific polar semiconductor material or the related growth procedures. In this work, we demonstrate by means of micro-photoluminescence techniques the successful tuning as well as the elimination of the quantum-confined Stark effect in strongly polar [000-1] wurtzite GaN/AlN nanodiscs as evidenced by a reduction of the exciton lifetimes by up to four orders of magnitude. Furthermore, the tapered geometry of the utilized nanowires (which embed the investigated IFGARD nanodiscs) facilitates the experimental differentiation between quantum confinement and Stark emission energy shifts. Due to the IFGARD, both effects become independently adaptable.DFG, 43659573, SFB 787: Halbleiter - Nanophotonik: Materialien, Modelle, Bauelement

Towards increasing the clinical applicability of machine learning biomarkers in psychiatry.

Due to a lack of objective biomarkers, psychiatric diagnoses still rely strongly on patient reporting and clinician judgement. The ensuing subjectivity negatively affects the definition and reliability of psychiatric diagnoses1,2. Recent research has suggested that a combination of advanced neuroimaging and machine learning may provide a solution to this predicament by establishing such objective biomarkers for psychiatric conditions, improving the diagnostic accuracy, prognosis and development of novel treatments3.These promises led to widespread interest in machine learning applications for mental health4, including a recent paper that reports a biological marker for one of the most difficult yet momentous questions in psychiatry—the assessment of suicidal behaviour5. Just et al. compared a group of 17 participants with suicidal ideation with 17 healthy controls, reporting high discrimination accuracy using task-based functional magnetic resonance imaging signatures of life- and death-related concepts3. The authors further reported high discrimination between nine ideators who had attempted suicide versus eight ideators who had not. While being a laudable effort into a difficult topic, this study unfortunately illustrates some common conceptual and technical issues in the field that limit translation into clinical practice and raise unrealistic hopes when the results are communicated to the general public.From a conceptual point of view, machine learning studies aimed at clinical applications need to carefully consider any decisions that might hamper the interpretation or generalizability of their results. Restrictiveness to an arbitrary setting may become detrimental for machine learning applications by providing overly optimistic results that are unlikely to generalize. As an example, Just et al. excluded more than half of the patients and healthy controls initially enrolled in the study from the main analysis due to missing desired functional magnetic resonance imaging effects (a rank accuracy of at least 0.6 based on all 30 concepts). This exclusion introduces a non-assessable bias to the interpretation of the results, in particular when considering that only six of the 30 concepts were selected for the final classification procedure. While Just et al. attempt to address this question by applying the trained classifier to the initially excluded 21 suicidal ideators, they explicitly omit the excluded 24 controls from this analysis, preventing any interpretation of the extent to which the classifier decision is dependent on this initial choice.From a technical point of view, machine learning-based predictions based on neuroimaging data in small samples are intrinsically highly variable, as stable accuracy estimates and high generalizability are only achieved with several hundreds of participants6,7. The study by Just et al. falls into this category of studies with a small sample size. To estimate the impact of uncertainty on the results by Just et al., we adapted a simulation approach with the code and data kindly provided by the authors, randomly permuting (800 times) the labels across the groups using their default settings and computing the accuracies. These results showed that the 95% confidence interval for classification accuracy obtained using this dataset is about 20%, leaving large uncertainty with respect to any potential findings.Special care is also required with respect to any subjective choices in feature and classifier settings or group selection. While ad-hoc selection of a specific setting is subjective, testing of different ones and outcome-based post-hoc justification of such leads to overfitting, thus limiting the generalizability of any classification. Such overfitting may occur when multiple models or parameter choices are tested with respect to their ability to predict the testing data and only those that perform best are reported. To illustrate this issue, we performed an additional analysis with the code and data kindly provided by Just et al. More specifically, in the code and the manuscript, we identified the following non-exhaustive number of prespecified settings: (1) removal of occipital cortex data; (2) subdivision of clusters larger than 11 mm; (3) selection of voxels with at least four contributing participants in each group; (4) selection of stable clusters containing at least five voxels; (5) selection of the 1,200 most stable features; and (6) manual copying and replacing of a cluster for one control participant. Importantly, according to the publication or code documentation, all of these parameters were chosen ad hoc and for none of these settings was a parameter search performed. We systematically evaluated the effect of each of these choices on the accuracy for differentiation between suicide ideators and controls in the original dataset provided by Just et al. As shown in Fig. 1, each of the six parameters represents an optimum choice for differentiation accuracy in this dataset, with any (even minor) change often resulting in substantially lower accuracy estimates. Similarly, data leakage may also contribute to optimistic results when information outside the training set is used to build a prediction model. More generally, whenever human interventions guide the development of machine learning models for the prediction of clinical conditions, a careful evaluation and reporting of any researcher’s degrees of freedom is essential to avoid data leakage and overfitting. Subsequent sharing of data processing and analysis pipelines, as well as collected data, is a further key step to increase reproducibility and facilitate replication of potential findings

A connectivity ­based parcellation of the left dorsal premotor cortex

peer reviewe

A Connectivity-Based Psychometric Prediction Framework for Brain-Behavior Relationship Studies.

peer reviewedThe recent availability of population-based studies with neuroimaging and behavioral measurements opens promising perspectives to investigate the relationships between interindividual variability in brain regions' connectivity and behavioral phenotypes. However, the multivariate nature of connectivity-based prediction model severely limits the insight into brain-behavior patterns for neuroscience. To address this issue, we propose a connectivity-based psychometric prediction framework based on individual regions' connectivity profiles. We first illustrate two main applications: 1) single brain region's predictive power for a range of psychometric variables and 2) single psychometric variable's predictive power variation across brain region. We compare the patterns of brain-behavior provided by these approaches to the brain-behavior relationships from activation approaches. Then, capitalizing on the increased transparency of our approach, we demonstrate how the influence of various data processing and analyses can directly influence the patterns of brain-behavior relationships, as well as the unique insight into brain-behavior relationships offered by this approach

Interregional compensatory mechanisms of motor functioning in progressing preclinical neurodegeneration.

Understanding brain reserve in preclinical stages of neurodegenerative disorders allows determination of which brain regions contribute to normal functioning despite accelerated neuronal loss. Besides the recruitment of additional regions, a reorganisation and shift of relevance between normally engaged regions are a suggested key mechanism. Thus, network analysis methods seem critical for investigation of changes in directed causal interactions between such candidate brain regions. To identify core compensatory regions, fifteen preclinical patients carrying the genetic mutation leading to Huntington's disease and twelve controls underwent fMRI scanning. They accomplished an auditory paced finger sequence tapping task, which challenged cognitive as well as executive aspects of motor functioning by varying speed and complexity of movements. To investigate causal interactions among brain regions a single Dynamic Causal Model (DCM) was constructed and fitted to the data from each subject. The DCM parameters were analysed using statistical methods to assess group differences in connectivity, and the relationship between connectivity patterns and predicted years to clinical onset was assessed in gene carriers. In preclinical patients, we found indications for neural reserve mechanisms predominantly driven by bilateral dorsal premotor cortex, which increasingly activated superior parietal cortices the closer individuals were to estimated clinical onset. This compensatory mechanism was restricted to complex movements characterised by high cognitive demand. Additionally, we identified task-induced connectivity changes in both groups of subjects towards pre- and caudal supplementary motor areas, which were linked to either faster or more complex task conditions. Interestingly, coupling of dorsal premotor cortex and supplementary motor area was more negative in controls compared to gene mutation carriers. Furthermore, changes in the connectivity pattern of gene carriers allowed prediction of the years to estimated disease onset in individuals. Our study characterises the connectivity pattern of core cortical regions maintaining motor function in relation to varying task demand. We identified connections of bilateral dorsal premotor cortex as critical for compensation as well as task-dependent recruitment of pre- and caudal supplementary motor area. The latter finding nicely mirrors a previously published general linear model-based analysis of the same data. Such knowledge about disease specific inter-regional effective connectivity may help identify foci for interventions based on transcranial magnetic stimulation designed to stimulate functioning and also to predict their impact on other regions in motor-associated networks