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. 2021 Mar 26;23(3):967–989. doi: 10.1093/biostatistics/kxab007

Simultaneous differential network analysis and classification for matrix-variate data with application to brain connectivity

Hao Chen 1,b, Ying Guo 2, Yong He 3,, Jiadong Ji 4,b, Lei Liu 5, Yufeng Shi 6, Yikai Wang 7, Long Yu 8, Xinsheng Zhang 9; The Alzheimers Disease Neuroimaging Initiative
PMCID: PMC9295187  PMID: 33769450

Summary

Growing evidence has shown that the brain connectivity network experiences alterations for complex diseases such as Alzheimer’s disease (AD). Network comparison, also known as differential network analysis, is thus particularly powerful to reveal the disease pathologies and identify clinical biomarkers for medical diagnoses (classification). Data from neurophysiological measurements are multidimensional and in matrix-form. Naive vectorization method is not sufficient as it ignores the structural information within the matrix. In the article, we adopt the Kronecker product covariance matrices framework to capture both spatial and temporal correlations of the matrix-variate data while the temporal covariance matrix is treated as a nuisance parameter. By recognizing that the strengths of network connections may vary across subjects, we develop an ensemble-learning procedure, which identifies the differential interaction patterns of brain regions between the case group and the control group and conducts medical diagnosis (classification) of the disease simultaneously. Simulation studies are conducted to assess the performance of the proposed method. We apply the proposed procedure to the functional connectivity analysis of an functional magnetic resonance imaging study on AD. The hub nodes and differential interaction patterns identified are consistent with existing experimental studies, and satisfactory out-of-sample classification performance is achieved for medical diagnosis of AD.

Keywords: Classification and prediction, Ensemble learning, Heterogeneity analysis, Logistic regression, Matrix data, Network comparison

1. Introduction

Alzheimer’s disease (AD) is the most common neurodegenerative disease. For AD diagnosis, neuroscience researchers often resort to brain connectivity analysis (BCA) to reveal the underlying pathogenic mechanism through correlations in the neurophysiological measurement of brain activity. Functional magnetic resonance imaging (fMRI), which records the blood oxygen level dependent time series, has been the mainstream imaging modality to investigate brain functional connectivity. The observed fMRI data have a spatial by temporal matrix structure, where the rows correspond to the brain regions while the columns correspond to the time points, see the fMRI and matrix data in Figure 1(a).

Fig. 1.

Fig. 1

Workflow of the SDNCMV method: (a) estimate individual-specific network strengths with the spatial Inline graphic temporal data; (b) combine individual network information and confounders to fit PLR with bootstrap samples; (c) ensemble learning with the bootstrap results from the PLRs.

Growing evidence has shown that the brain connectivity network experiences alterations with the presence of AD (Ryali and others, 2012; Higgins and others, 2019; Xia and Li, 2019). Differential network analysis or network comparison, which is typically modeled as the difference of the partial correlation matrices of the case and control groups, has provided deep insights into disease pathologies (see, e.g., Yuan and others, 2015; Tian and others, 2016; Ji and others, 2016; Yuan and others, 2016; Ji and others, 2017; Zhang and others, 2017; He and others, 2018; Grimes and others, 2019). Most literature focuses on differential network modeling for vector-form data. For the observed fMRI spatial by temporal matrix data, directly applying the existing differential network analysis methods for vector-form data would ignore the intrinsic matrix structure and may result in unreliable conclusion. Zhu and Li (2018) employed nonconvex penalization to tackle the estimation of multiple graphs from matrix-valued data while Xia and Li (2019) formulated the problem as testing the equality of individual entries of partial correlation matrices, both under a matrix-normal distribution assumption. In addition, most existing literature assume that the individuals in the same group share the same spatial covariance matrix without allowing for individual heterogeneity. In neuroscience, it is in fact more suitable to consider static matrix-variate network comparison for the case and control groups while accommodating heterogeneity of individuals in the same group, which is a major focus of this article.

An ensuing problem is the image-guided medical diagnosis of AD, i.e., to classify a new subject into the AD or control group from the fMRI data. Classification or discriminant analysis is a classical problem in statistics. There have been a variety of standard vector-valued predictor classification methods, such as logistic regression and linear discriminant analysis, with modified versions to cope with the high-dimensionality of predictors (e.g., Bickel and Levina, 2004; Zhu and Hastie, 2004; Zou and Hastie, 2005; Park Mee and Hastie, 2008; Fan and Fan, 2008; Cai and Liu, 2011; Mai and others, 2012; He and others, 2016; Ma and others, 2020; He and others, 2020). For the fMRI matrix data, the naive idea, which first vectorizes the matrix and then adopts the standard vector-valued predictor classification, does not take advantage of the intrinsic matrix structure and thus leads to low classification accuracy. To address this issue, several authors presented logistic regression-based methods and linear discriminant criterion for classification with matrix-valued predictors: Zhou and Li (2014) proposed a nuclear norm penalized likelihood estimator of the regression coefficient matrix in a GLM; Li and Yuan (2005), Zhong and Suslick (2015), and Molstad and Rothman (2019) modified Fisher’s linear discriminant criterion for matrix-valued predictors. The literatures mentioned above all assume that there exists significant difference between the mean vectors/matrices across groups. In the case of fMRI data, the case and control groups tend to have similar mean (both zero after the centralization preprocess step) but different covariance structures. Quadratic discriminant analysis (QDA), which allows for both the mean and the covariance matrix difference for classification, seems to be suitable in the fMRI case. There exists a vast literature in the past decade on QDA for high-dimensional vector-valued data (e.g., Li and Shao, 2015; Jiang and others, 2018; Gaynanova and Wang, 2019; Cai and Zhang, 2020). There also exists literature on QDA for high-dimensional matrix-valued data, see Thompson and others (2020).

In the article, we propose a method which achieves Simultaneous Differential Network analysis and Classification for Matrix-Variate data (SDNCMV). The SDNCMV is indeed an ensemble learning algorithm, which involves three main steps. Firstly, we propose an individual-specific spatial graphical model to construct the between-region network measures (connection strengths), see Figure 1(a). In practice, we measure the between-region network strengths by a specific transformation function of the partial correlations in order to separate their values between the two groups. In the second step, with the constructed individual between-region network strengths and confounding factors, we adopt the bootstrap technique and train the penalized logistic regression (PLR) models with bootstrap samples, see Figure 1(b). Finally, we ensemble the results from the bootstrap PLRs to boost the classification accuracy and network comparison performance, see Figure 1(c).

The advantages of SDNCMV over the existing state-of-the-art methods lie in the following aspects. First, as far as we know, the SDNCMV is the first proposal in the neuroscience literature to achieve network comparison and classification for matrix fMRI data simultaneously. Second, the SDNCMV performs much better than the existing competitors in terms of classification accuracy and network comparison performance, especially when the two populations share the same mean (the preprocessed fMRI data are usually demeaned) while differ in population (partial) correlation structures. Third, the SDNCMV is an ensemble machine learning procedure, which makes a strategic decision based on the different fitted PLRs with bootstrap samples. It is thus more robust and powerful. Fourth, the SDNCMV addresses an important issue in brain network comparison, i.e., it can adjust confounding factors such as age and gender, which has not been taken into full account in the past literature. The results are illustrated both through simulation studies and the real fMRI data of AD. We emphasize that though we focus on disease pathologies and medical diagnosis of AD, our proposal also works for other neurological diseases, such as attention deficit hyperactivity disorder.

The rest of the article is organized as follows. In Section 2, we present the two-stage procedure which achieves classification and network comparison simultaneously. In Section 3, we assess the performances of our method and some state-of-the-art competitors via the Monte Carlo simulation studies. Section 4 illustrates the proposed method through an AD study. We summarize our method and present some future directions in Section 5.

2. Methods

2.1. Notations and model setup

In this section, we introduce the notations and model setup. We adopt the following notations throughout the article. For any vector Inline graphic, let Inline graphic, Inline graphic. Let Inline graphic be a square matrix of dimension Inline graphic, define Inline graphic, Inline graphic, Inline graphic. We denote the trace of Inline graphic as Inline graphic and let Inline graphic be the vector obtained by stacking the columns of Inline graphic. Let Inline graphic be the operator that stacks the columns of the upper triangular elements of matrix Inline graphic excluding the diagonal elements to a vector. For instance, Inline graphic, then Inline graphic. The notation Inline graphic represents Kronecker product. For a set Inline graphic, denote by Inline graphic the cardinality of Inline graphic. For two real numbers Inline graphic, define Inline graphic.

Let Inline graphic be the spatial–temporal matrix-variate data from fMRI with Inline graphic spatial locations and Inline graphic time points. We assume that the spatial–temporal matrix-variate Inline graphic follows the matrix-normal distribution with the Kronecker product covariance structure defined as follows.

Definition 2.1

Inline graphic follows a matrix-normal distribution with the Kronecker product covariance structure Inline graphic, denoted as

Definition 2.1

if and only if Inline graphic follows a multivariate normal distribution with mean Inline graphic and covariance Inline graphic, where Inline graphic and Inline graphic denote the covariance matrices of Inline graphic spatial locations and Inline graphic times points, respectively.

The matrix-normal distribution framework is scientifically relevant in neuroimaging analysis and BCA study (e.g., Yin and Li, 2012; Leng and Tang, 2012; Zhou, 2014; Xia and Li, 2017; Zhu and Li, 2018; Xia and Li, 2019). Under the matrix-normal distribution assumption of Inline graphic, we have

graphic file with name Equation2.gif

where Inline graphic and Inline graphic denote the spatial precision matrix and temporal precision matrix, respectively. Inline graphic and Inline graphic are only identifiable up to a scaled factor. In fact, in the brain connected network analysis, the partial correlation or equivalently the scaled precision matrix is a commonly adopted correlation measure (Peng and others, 2009; Zhu and Li, 2018). In addition, the primary interest in the BCA study is to infer the connectivity network characterized by the spatial precision matrix Inline graphic while the temporal precision matrix Inline graphic is of little interest. Under the matrix-normal framework, a region-by-region spatial partial correlation matrix, Inline graphic, characterizes the brain connectivity graph, where Inline graphic is the diagonal matrix of Inline graphic. BCA is in essence to infer the spatial partial correlation matrix Inline graphic. The advantage of partial correlation has been recognized in the neuroscience community, as it measures the direct connectivity between two regions and avoids spurious effects in network modeling (see Smith, 2012; Wang and others, 2016).

In the current article, we focus on the brain connectivity alteration detection (BCAD) of AD, i.e., to identify the differences in the spatial partial correlation matrices of the AD group and the control group. The most notable feature that differentiates our proposal from the existing BCAD-related literature is that we take both the variations of the strengths of spatial network connections across subjects and adjustment of confounders into account. We focus on the fMRI-guided medical diagnosis of AD. Let Inline graphic be the subjects from the AD group and Inline graphic from the control group, which are all spatial-temporal matrices. We assume that Inline graphic and Inline graphic, which indicates the individual-specific between-region connectivity strengths.

Remark 2.1

Most existing literature assume that the individuals in the same group share the same spatial matrix while our proposal allows individual heterogeneity. Recent medical studies provide evidence for the presence of substantial heterogeneity of covariance network connections among individuals or subgroups of individuals (e.g., Chen and others, 2011; Alexander-Bloch and others, 2013; Xie and others, 2020). It is also reasonable to assume that the network structures of subjects in the same group are similar while there is a significant difference in the network structures between the case and control groups.

2.2. The SDNCMV procedure

In this section, we present the detailed procedure for SDNCMV. The SDNCM involves the following three main steps: (i) construct the individual-specific between-region network measures; (ii) train the PLR models with bootstrap samples; and (iii) ensemble results from the bootstrap PLRs to boost the classification accuracy and network comparison performance. We give the details in the following subsections.

2.2.1. Individual-specific between-region network measures.

In the section, we introduce the procedure to construct the individual-specific between-region network measures. We focus on the AD group while the control group can be dealt similarly. Recall that Inline graphic is the Inline graphicth subject from the AD group, and let Inline graphic be the Inline graphicth column of Inline graphic, respectively. The individual spatial sample covariance matrix is simply

graphic file with name Equation3.gif (2.1)

where Inline graphic. We assume that Inline graphic is larger than or comparable to Inline graphic, which is typically the case for fMRI data. We also assume that the Inline graphic is a Inline graphic sparse matrix and estimate it by the Constrained Inline graphic-minimization for Inverse Matrix Estimation (CLIME) method by Cai and others (2011). That is,

graphic file with name Equation4.gif (2.2)

where Inline graphic is a tuning parameter. In the optimization problem in (2.2), the symmetric condition is not imposed on Inline graphic, and the solution is not symmetric in general. We construct the final CLIME estimator Inline graphic by symmetrizing Inline graphic as follows. We compare the pair of nondiagonal entries at symmetric positions Inline graphic and Inline graphic and assign the one with smaller magnitude to both entries. That is,

graphic file with name Equation5.gif

One may also use other individual-graph estimation methods such as Graphical Lasso (Friedman and others, 2008). We adopt CLIME for the sake of computational efficiency, which is very attractive for high-dimensional data as it can be easily implemented by linear programming. We select the tuning parameter Inline graphic by the Dens criterion function proposed by Wang and others (2016). We use the R package “DensParcorr” to implement the procedure for inferring the individual partial correlation matrix, which allows the user to specify the desired density level Inline graphic. In practice, we set the desired density level at Inline graphic by designating the parameter “dens.level” as 0.5 in the function DensParcorr, which is shown to work well in various scenarios.

For each subject in the AD group, we can obtain an estimator of the individual spatial precision matrix by the CLIME procedure, that is, Inline graphic. Parallelly, we can obtain Inline graphic for the control group subjects. We then scale the spatial precision matrices to obtain the partial correlation matrices

graphic file with name Equation6.gif

where Inline graphic, Inline graphic are the diagonal matrices of Inline graphic, Inline graphic, respectively. We then define the individual-specific between-region network measures as follows:

graphic file with name Equation7.gif

where Inline graphic and Inline graphic are the Inline graphicth element of Inline graphic, Inline graphic, respectively. In fact, the defined between-region network measures are the Fisher transformation of the estimated partial correlations. Fisher transformation is well known as an approximate variance-stabilizing transformation, which alleviates the possible effects of skewed distributions and/or outliers and contributes to the outstanding performance of the PLR in the second stage.

Remark 2.2

For the estimator Inline graphic in (2.1), one may consider many alternatives, such as the estimator from the “flip-flop” algorithm in Dutilleul (1999). We may also adopt the common “whitening” technique to remove the effect of temporal correlation and induce independent columns (Manjari and Allen, 2016; Xia and Li, 2017). However, the extra endeavor to take temporal dependence into account when we estimate Inline graphic would result in heavy computational burden and both the simulation study and real data example show that the gain in terms of classification accuracy is very limited. The numerical comparisons with and without “whitening” and further discussions are put in Appendix S4 of the Supplementarymaterial available at Biostatistics online.

2.2.2. Penalized logistic regression.

Logistic regression is a classical statistical model for a binary classification problem. In this section, we introduce the PLR model and the bootstrap procedure.

Let Inline graphic and let the binary response variable be denoted as Inline graphic and its observations are Inline graphic, where

graphic file with name Equation8.gif

Denote Inline graphic as the probability of the event Inline graphic, i.e., Inline graphic. The second-stage logistic model for AD outcome is:

graphic file with name Equation9.gif (2.3)

where Inline graphic denote the confounder covariates (e.g., age and gender) and Inline graphic is the Fisher transformation of the spatial partial correlation between the Inline graphicth and Inline graphicth regions Inline graphic, i.e.,

graphic file with name Equation10a.gif

Note that it adds up to Inline graphic variables in (2.3), which could be very large when Inline graphic is large. Thus, we are motivated to consider a sparse penalty on the coefficients Inline graphic. Finally, the PLR model for estimating Inline graphic is as follows:

graphic file with name Equation10.gif (2.4)

where Inline graphic, Inline graphic is the Inline graphicth observation of Inline graphic, Inline graphic is a penalty function and Inline graphic is the individual-specific network strengths estimated from the first-stage model, i.e.,

graphic file with name Equation11.gif

The penalty function Inline graphic is selected as the elastic net penalty (Zou and Hastie, 2005) to balance the Inline graphic and Inline graphic penalties of the lasso and ridge methods, i.e.,

graphic file with name Equation12.gif

where Inline graphic is a tuning parameter. The tuning parameters can be selected by the cross-validation (CV) in practice.

If the coefficient Inline graphic, there exists an edge between the brain regions Inline graphic and Inline graphic in the differential network, which can be used by PLR to discriminant the AD subjects from the control subjects. Thus, with the estimated support set of Inline graphic, we can recover the differential edges and at the same time, the subjects in the test set are classified based on the fitted Inline graphic. That is how our proposal achieves SDNCMV. It is worth pointing out that we can modify the model in (2.3) such that it includes the original variables Inline graphic as a part of the confounders Inline graphic with a penalty for Inline graphic. In the current article, we mainly focus on the predictive ability of the individual-specific network strengths irrespective of the original variables.

2.2.3. Ensemble learning with bootstrap.

In this section, we introduce a bootstrap-based ensemble learning method which further boosts the classification accuracy and the network comparison performance. With the Inline graphic subjects from the AD group and Inline graphic subjects from the control group, we randomly sample Inline graphic subjects from the AD group and Inline graphic samples from the control group separately, both with replacement, and then conduct the two steps as introduced in the last two sections. We repeat the re-sampling Inline graphic times and then we denote the regression coefficients as Inline graphic and the out-sample classification label Inline graphic. We classify the new test sample as AD if Inline graphic. Similarly, to boost the network comparison performance, we calculate the differential edge weight for each pair of nodes Inline graphic, defined as Inline graphic. For a pre-specified threshold Inline graphic, there exists an edge Inline graphic in the differential network if Inline graphic. A simple way to determine Inline graphic is simply to take the value Inline graphic. We also recommend to determine Inline graphic by a scree plot, see the real example in Section 4. The simulation study in the following section shows that the bootstrap-assisted ensemble learning boosts the classification accuracy and the network comparison performance considerably. The entire SDNCMV procedure is summarized in Algorithm 1.

Algorithm 1 Ensemble Learning Algorithm for the SDNCMV

Input: Inline graphic , Inline graphic

Output: Predicted labels of the test samples in Inline graphic, differential edge weights Inline graphic.

  1. procedure

  2.   Perform the CLIME procedure in (2.2) for each subject in Inline graphic and Inline graphic.

  3.   Calculate the network strengths Inline graphic for subjects in Inline graphic and Inline graphic.

  4.   for Inline graphictoInline graphic

  5.     Sample Inline graphic from Inline graphic with replacement, and obtain bootstrap samples Inline graphic.

  6.     Solve the PLR in (2.4) with Inline graphic, and obtain Inline graphic.

  7.     Calculate the predicted labels for each subject in Inline graphic with Inline graphic, and obtain Inline graphic.

  8.   endfor

  9.   Classify the test subject to AD if Inline graphic.

  10.   Let Inline graphic and the differential network edges are estimated as Inline graphic.

  11. end procedure

3. Simulation study

In this section, we conducted simulation studies to investigate the performance of the proposed method SDNCMV in terms of classification accuracy and network comparison performance. In Section 3.1, we introduce the synthetic data generating settings, and show the classification accuracy and network comparison results in Sections 3.2 and 3.3, respectively.

3.1. Simulation settings

In this section, we introduce the data generating procedure for numerical study. We mainly focus on the predictive ability of the between-region network measures without regard to the confounder factors. To this end, the data were generated from matrix-normal distribution with mean zero, i.e., for AD group, we generated Inline graphic independent samples Inline graphicInline graphic from Inline graphic with Inline graphic; and for the control group, we generated Inline graphic independent samples Inline graphicInline graphic from Inline graphic with Inline graphic and the scenarios for the covariance matrices Inline graphic are introduced in detail below.

For the temporal covariance matrices: Inline graphic and Inline graphic, the first structural type is the auto-regressive (AR) correlation, where Inline graphic and Inline graphic. The second structural type is band correlation (BC), where Inline graphic for Inline graphic and 0 otherwise and Inline graphic for Inline graphic and 0 otherwise. The temporal covariance matrices of the individuals in the same group are exactly the same for simplicity.

For the spatial covariance matrices, we first construct the graph structure Inline graphic. We consider two types of graph structure: the Hub structure and the Small-World structure. We resort to R package “huge” to generate Hub structure with five equally sized and non-overlapping graph and use R package “rags2ridges” to generate Small-World structure with 10 small-world graph and 5% probability of rewiring. The two graph structures and the corresponding heat maps of the partial correlation matrix are shown in Figure 2. For further details of these two graph structures, one may refer to Zhao and others (2012) and Van Wieringen and Peeters (2016). Then, based on the graph structure Inline graphic, we generate two base matrices, Inline graphic for AD group and Inline graphic for control group. In detail, we determine the positions of nonzero elements of matrices Inline graphic and Inline graphic by Inline graphic. Then, we fill the nonzero positions in matrix Inline graphic with random numbers from a uniform distribution with support Inline graphic. We randomly select two blocks of Inline graphic and change the sign of the element values to obtain Inline graphic. To ensure that these two matrices are positive definite, we let Inline graphic and Inline graphic. The differential network is in essence modeled as Inline graphic. With the base matrices Inline graphic, we then generate the individual-specific precision matrices. We generate Inline graphic independent matrices Inline graphic which shares the same support as Inline graphic while their non-zero elements are randomly sampled from the normal distribution Inline graphic. Finally, we get Inline graphic individual-specific precision matrices by Inline graphic, with the same support but different non-zero elements. To guarantee the symmetry and positive definiteness of Inline graphic, we first set Inline graphic, then let Inline graphic, where Inline graphic is the upper diagonal matrix of Inline graphic. The covariance matrices Inline graphic are set to be Inline graphic for Inline graphic. By a similar procedure, we get precision matrices Inline graphic and covariance matrices Inline graphic for Inline graphic. By this way, Inline graphic are similar, Inline graphic are similar, which is consistent with the assumption in Remark 2.1.

Fig. 2.

Fig. 2

Graph structures and the corresponding heat maps of correlation matrices considered in our simulation studies: (a) Hub structure; (b) Small-World structure.

To sum up, we consider four covariance structure scenarios for Inline graphic and Inline graphic:

  • Scenario 1: Inline graphic and Inline graphic, where Inline graphic and Inline graphic are AR covariance structure type and Inline graphic and Inline graphic are based on Inline graphic with Hub structure.

  • Scenario 2: Inline graphic and Inline graphic, where Inline graphic and Inline graphic are AR covariance structure type and Inline graphic and Inline graphic are based on Inline graphic with Small-World structure.

  • Scenario 3: Inline graphic and Inline graphic, where Inline graphic and Inline graphic are BC covariance structure type and Inline graphic and Inline graphic are based on Inline graphic with Hub structure.

  • Scenario 4: Inline graphic and Inline graphic, where Inline graphic and Inline graphic are BC covariance structure type and Inline graphic and Inline graphic are based on Inline graphic with Small-World structure.

We set Inline graphic, Inline graphic and Inline graphic, and all simulation results are based on 100 replications. Simulation results in Appendix S1 of the Supplementarymaterial available at Biostatistics online show that SDNCMV is not very sensitive to the number of bootstrap replicates Inline graphic and we set Inline graphic as a balance between better performance and higher computational burden. For the assessment of classification accuracy, we also generate Inline graphic test samples independently for each replication, where Inline graphic are the sizes of test samples from the AD group and the control group, respectively. Also note that even Inline graphic, there are Inline graphic variables in the second-stage PLR.

3.2. Classification accuracy assessment

To evaluate the classification performance of our method, we considered competitors including the matrix-valued linear discriminant analysis (MLDA) by Molstad and Rothman (2019), the matrix quadratic discriminant analysis (MQDA) by Thompson and others (2020) and three classical vector-valued machine learning methods: random forest (vRF), support vector machine (vSVM), and vector-valued penalized logistic regression (vPLR). To implement the vector-valued machine learning methods, we simply vectorize the matrices Inline graphic of dimension Inline graphic and treat them as observations of a random vector of dimension Inline graphic. For fair comparison, we also consider the random forest (RF), support vector machine (SVM) and PLR methods with the same input variables as SDNCMV, i.e., the Inline graphic variables Inline graphic. It is worth noting that these methods have not been used for classification with Inline graphic in the neuroscience community. We also consider two more PLR models as competitors, briefly denoted as mPLR and iPLR, respectively. For the first model mPLR, we take the average across columns for each subject such that each subject has predictors Inline graphicInline graphic, then apply PLR with predictors Inline graphic. For the second model iPLR, we consider PLR with all pairwise interactions, motivated by the connection between QDA and regression with interactions (Zheng and others, 2017). We adopt the existing R packages to implement these competitors, i.e., “MatrixLDA” for MLDA, “MixMatrix” for MQDA, “randomForest” for RF and vRF, “e1071” for SVM and vSVM, and “glmnet” for PLR, vPLR, mPLR and iPLR. For the proposed SDNCMV, we also consider an oracle version in which the true spatial precision (TSP) matrices are used to construct the Inline graphic in (2.4). We compute the misclassification error rate on the same test set of size Inline graphic for each replication to compare classification accuracy.

Table 1 shows the misclassification rates averaged over 100 replications for Scenarios 1–4 with Inline graphic, from which we can clearly see that SDNCMV performs slightly better than RF, SVM, PLR, and MQDA while shows overwhelming superiority over the vector-valued competitors (vRF, vSVM, vPLR) and MLDA in various scenarios. The methods MLDA, vSVM, vRF vPLR, iPLR, and mPLR yield results close to a coin toss. The proposed SDNCMV, in contrast, has misclassification rates 0.0% in all simulation settings. RF, SVM, and PLR also perform well, and RF seems better than SVM and PLR. This indicates that the constructed network strength variables are powerful for classification of imaging-type data. From Table 1, we can see that the TSP method is always the best. Also, our method is only slightly worse than the oracle TSP method, which further illustrates the SDNCMV’s efficiency under the ideal case. Furthermore, our method is superior to other competitors.

Table 1.

Misclassification rates (standard errors) averaged of the 100 replications (%) for Scenario 1–4

Inline graphic SDNCMV RF SVM PLR vRF vSVM vPLR MLDA MQDA mPLR iPLR TSP
    Scenario 1: AR for temporal structure and Hub for spatial structure
Inline graphic   0.0 (0.2) 0.8 (1.2) 8.8 (4.9) 1.2 (1.5) 49.8 (6.2) 49.4 (6.0) 49.7 (6.4) 50.6 (6.1) 0.3 (0.8) 50.8 (6.3) 48.4 (6.3) 0.0 (0.0)
Inline graphic   0.0 (0.2) 1.4 (1.6) 17.5 (6.8) 1.3 (1.7) 50.3 (7.2) 50.4 (6.5) 49.8 (6.9) 49.0 (8.4) 0.5 (0.9) 50.9 (6.0) 48.9 (6.0) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.2) 3.3 (2.6) 0.9 (1.8) 50.2 (6.2) 49.0 (6.9) 50.6 (6.4) 50.2 (7.8) 0.0 (0.1) 49.1 (7.3) 48.1 (6.6) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.1 (0.4) 4.5 (3.3) 1.0 (1.6) 50.2 (5.9) 48.8 (5.8) 49.5 (6.7) 49.5 (7.9) 0.0 (0.2) 50.8 (6.6) 50.1 (5.9) 0.0 (0.0)
    Scenario 2: AR for temporal structure and Small-World for spatial structure
Inline graphic   0.0 (0.2) 0.1 (0.5) 2.7 (2.5) 1.6 (2.2) 49.3 (6.4) 48.7 (5.8) 51.0 (5.9) 50.3 (6.2) 0.0 (0.0) 50.0 (7.0) 48.6 (6.6) 0.0 (0.0)
Inline graphic   0.0 (0.2) 0.1 (0.4) 3.3 (3.1) 1.4 (1.8) 49.1 (7.4) 45.9 (5.2) 49.6 (6.6) 49.9 (6.9) 0.0 (0.0) 49.1 (7.1) 48.4 (6.7) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.0) 0.4 (0.8) 0.8 (1.5) 50.5 (5.4) 49.8 (5.8) 50.3 (6.8) 50.7 (7.7) 0.0 (0.0) 49.9 (6.9) 48.2 (6.7) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.0) 1.1 (1.4) 1.2 (1.9) 49.4 (6.7) 48.1 (5.1) 50.2 (6.4) 49.4 (6.1) 0.0 (0.0) 50.6 (6.7) 48.8 (6.3) 0.0 (0.0)
    Scenario 3: BC for temporal structure and Hub for spatial structure
Inline graphic   0.0 (0.0) 0.7 (1.0) 14.6 (4.6) 1.4 (1.8) 50.2 (6.4) 50.5 (6.6) 49.9 (6.2) 50.4 (5.8) 0.0 (0.3) 49.3 (6.4) 46.9 (7.1) 0.0 (0.0)
Inline graphic   0.0 (0.2) 1.0 (1.5) 17.6 (5.9) 1.3 (1.8) 50.9 (6.5) 50.4 (5.9) 49.9 (6.1) 49.6 (5.7) 0.0 (0.3) 49.8 (6.8) 48.9 (6.5) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.3) 7.6 (3.3) 0.9 (1.7) 50.8 (5.7) 49.8 (6.0) 50.5 (6.1) 49.6 (7.6) 0.0 (0.0) 49.9 (5.9) 47.5 (6.0) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.3) 10.2 (4.9) 1.1 (1.7) 49.0 (5.9) 50.5 (5.9) 49.6 (6.5) 48.4 (9.8) 0.0 (0.0) 48.8 (6.9) 48.9 (6.0) 0.0 (0.0)
    Scenario 4: BC for temporal structure and Small-World for spatial structure
Inline graphic   0.0 (0.2) 0.2 (0.5) 2.9 (2.5) 1.6 (2.1) 50.7 (5.9) 50.0 (5.4) 48.9 (6.1) 50.6 (6.8) 0.0 (0.0) 50.5 (6.6) 48.3 (5.8) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.1 (0.3) 1.4 (1.6) 1.5 (2.3) 50.1 (6.2) 50.0 (6.1) 49.7 (6.6) 50.1 (5.7) 0.0 (0.0) 50.2 (7.3) 48.9 (6.0) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.0) 0.5 (0.9) 1.2 (1.8) 49.6 (7.1) 49.7 (5.8) 49.9 (6.9) 48.3 (9.1) 0.0 (0.0) 50.4 (6.5) 49.1 (6.2) 0.0 (0.0)
Inline graphic   0.0 (0.0) 0.0 (0.0) 0.1 (0.3) 1.1 (1.4) 49.9 (6.5) 49.6 (5.5) 50.2 (5.4) 49.5 (6.9) 0.0 (0.0) 49.2 (6.4) 48.6 (6.3) 0.0 (0.0)

With fixed Inline graphic, increasing Inline graphic from 50 to 100 results in much better performance for SDNCMV, RF, SVM, MQDA, and PLR. In contrast, with fixed Inline graphic, increasing Inline graphic from 100 to 150 results in worse performance. A question naturally aries, why the MLDA, vSVM, vPLR, vRF, mPLR perform so poorly? The reason lies in the fact that MLDA, vSVM, vPLR, vRF rely on the mean difference for classification, while the two groups both have mean zero in the data generating procedure. Our proposal provides an effective solution to classifying the test samples to the correct class, when two matrix-variate populations have the similar mean but different covariance structure. Most existing literature on classification except QDA assume that the two populations have mean difference but a common covariance matrix, which is not the case for the fMRI data. We also consider the scenarios where the mean matrices of individuals/two groups are different in Appendix S3 of the Supplementarymaterial available at Biostatistics online, and the results show that SDNCMV performs very well in these settings as well. Thus our proposal indeed serves as a powerful alternative to the QDA and can also take confounders into account in the matrix-variate setting.

3.3. Network comparison assessment

In order to assess the performance of differential network estimation, we compare our method with two joint multiple matrix Gaussian graphs estimation approaches proposed by Zhu and Li (2018), denoted as “Nonconvex” and “Convex.” Zhu and Li (2018) compared the performance of differential network estimation between their methods and some state-of-the-art vector-valued methods. They concluded that the former is better, so we do not compare our method with any vector-valued approaches in this study.

The criteria that we employ to evaluate the performance of different approaches are true positive rate (TPR), true negative rate (TNR), and true discovery rate (TDR). Denote the true differential matrix by Inline graphic and its estimate by Inline graphic. Then, the TPR, TNR, and TDR are defined as:

TPR=#{(i,j):δij0δ^ij0}#{(i,j):δij0},   TNR=#{(i,j):δij=0δ^ij=0}#{(i,j):δij=0},TDR=#{(i,j):δij0δ^ij0}#{(i,j):δ^ij0}.

To evaluate the performance of the differential network estimators by these methods, we present the average values of TPR, TNR, and TDR over 100 replications, as well as the Precision-Recall (PR) curves.

Table 2 shows the TPRs, TNRs, and TDRs by different methods averaged over 100 replications for Scenarios 1–4 with Inline graphic, with the threshold Inline graphic selected by maximizing the sum of TPR and TDR. From Table 2, it can be seen that the three methods have comparable TPRs in all scenarios, while SDNCMV has comparable TNRs with the Nonconvex method, which are almost all higher than those of the Convex method. The superiority of SDNCMV is clearly shown from TDRs, which are higher than those of the Nonconvex and Convex methods by a large margin. Figure 3 shows the Precision-Recall curves for Scenarios 1–4 with different combinations of Inline graphic, Inline graphic, where red, blue, and green lines represent SDNCMV, Nonconvex, and Convex methods, respectively. From the PR curves, we can see the great advantages of SDNCMV over the Nonconvex and Convex methods in terms of differential network structure recovery.

Table 2.

TPR, TNR, and TDR averaged over 100 replications (%) for Scenario 1–4

    Inline graphic   Inline graphic   Inline graphic   Inline graphic
Methods TPR TNR TDR   TPR TNR TDR   TPR TNR TDR   TPR TNR TDR
    Scenario 1: AR for temporal structure and Hub for spatial structure
SDNCMV   88.6 99.9 94.9   81.6 99.9 92.3   95.9 99.9 98.1   89.4 99.9 96.9
Nonconvex   88.7 95.8 38.7   77.7 99.3 37.4   99.7 98.8 37.7   98.4 99.2 37.7
Convex   94.7 98.7 36.4   88.5 99.2 36.0   99.0 98.8 37.7   99.6 99.1 36.1
    Scenario 2: AR for temporal structure and Small-World for spatial structure
SDNCMV   80.2 99.9 91.7   71.0 99.9 90.1   91.3 99.9 97.5   84.0 99.9 96.4
Nonconvex   88.7 98.6 32.2   95.4 87.3 10.9   99.3 90.7 8.3   98.5 92.3 12.0
Convex   87.3 98.4 29.9   94.7 91.5 15.4   99.5 92.0 4.2   92.7 95.0 13.1
    Scenario 3: BC for temporal structure and Hub for spatial structure
SDNCMV   88.2 99.9 95.9   81.8 99.9 93.6   95.7 99.9 98.6   92.0 99.9 96.8
Nonconvex   88.6 98.6 32.7   80.8 99.1 32.6   97.5 98.7 35.9   98.6 98.9 32.8
Convex   94.4 98.0 27.2   89.3 98.8 27.4   96.9 98.8 37.4   97.0 99.0 33.7
    Scenario 4: BC for temporal structure and Small-World for spatial structure
SDNCMV   79.5 99.8 91.6   74.9 99.9 91.3   91.9 99.9 97.0   86.2 99.9 95.0
Nonconvex   1.00 10.3 2.0   95.4 80.9 7.6   99.7 79.2 6.7   98.3 89.6 11.7
Convex   95.3 86.9 9.2   92.7 89.5 12.7   94.0 93.8 8.8   99.1 88.5 5.2

Fig. 3.

Fig. 3

Precision-recall curve for Scenarios 1–4 with different combinations of Inline graphic, Inline graphic. Red, blue, and green lines represent SDNCMV, Nonconvex, and Convex methods, respectively.

In summary, the simulation results show that our method SDNCMV outperforms its competitors in terms of both classification accuracy and network comparison performance, illustrating its advantage in various scenarios.

4. The fMRI data of AD

4.1. Description of the data set and the preprocessing procedures

We apply the method to the Alzheimer’s Disease Neuroimaging Initiative (ADNI) study, which was launched in 2003 as a public–private partnership (Jack and others, 2008). One of the main purposes of the ADNI project is to examine differences in neuroimaging between AD patients and normal controls (NC). Data used in our analysis were downloaded from the ADNI website (http://www.adni.loni.usc.edu) and included resting state fMRI (rs-fMRI) images collected at screening for AD and CN participants. A T1-weighted high-resolution anatomical image (MPRAGE) and a series of resting state functional images were acquired with 3.0 T MRI scanner (Philips Systems) during longitudinal visits. The rs-fMRI scans were acquired with 140 volumes, TR/TE = 3000/30 ms, flip angle of 80 and effective voxel resolution of 3.3 mm Inline graphic 3.3 mm Inline graphic 3.3 mm. More details can be found at the ADNI website (http://www.adni.loni.usc.edu). Quality control was performed on the fMRI images both by following the Mayo clinic quality control documentation (version February 2, 2015) and by visual examination. After the quality control, 61 subjects are included for the analysis including Inline graphic AD patients and Inline graphic NC subjects. For gender distribution, there are 14 (47%) males for AD, and 14 (45%) males for CN. The mean (SD) of age for each group is 72.88 (7.12) for AD and 74.38 (5.93) for CN.

Standard procedures were taken to preprocess the rs-fMRI data. Skull stripping was conducted on T1 images to remove extra-cranial material. The first four volumes of the fMRI were removed to stabilize the signal, leaving 136 volumes for subsequent prepossessing. Each subject’s anatomical image was registered to the 8th volume of the slice-time-corrected functional image which was then normalized to the MNI (Montreal Neurological Institute) standard brain space. Spatial smoothing with a 6mm FWHM (full width at the half maximum) Gaussian kernel and motion corrections were applied to the function images. A validated confound regression approach (Satterthwaite and others, 2014; Wang and others, 2016; Kemmer and others, 2015) was performed on each subject’s rs-fMRI time series data to remove the potential confounding factors including motion parameters, global effects, white matter, and cerebrospinal fluid signals. Furthermore, motion-related spike regressors were included to bound the observed displacement and the functional time series data were band-pass filtered to retain frequencies between 0.01 Hz and 0.1 Hz—the relevant range for rs-fMRI.

To construct brain networks, we consider the Power’s 264 node system (Power and others, 2011) that provides good coverage of the whole brain. Therefore, the number of brain regions is Inline graphic, and the temporal dimension is Inline graphic. For each subject, we first use an efficient algorithm implemented by R package “DensParcorr” (Wang and others, 2016) to obtain the partial correlations between each pair of the 264 brain regions.

4.2. Classification results of the fMRI data

We apply the proposed SDNCMV method and other methods to classify AD and CN group based on the rs-fMRI connectivity. Since the number of between-region network measures is very large, i.e., Inline graphic, we first adopt a Sure Independence Screening (SIS) procedure (Fan and Lv, 2008) on the connectivity variables to avoid possible overfitting and improve computational efficiency. We use the R package “SIS” to filter out 85% of the variables, and retain the remaining Inline graphic variables in the active set. For a fair comparison, we adopt the same Inline graphic variables for the methods SDNCMV, RF, SVM, and PLR. For the method iPLR, we also filter out 85% of all the pairwise interaction variables. For the vector-valued methods vRF, vSVM, and vPLR, we apply the screening methods to filter 85% of the total Inline graphic. The MLDA is computationally intractable for this real data set and is thus omitted. For all the methods except MQDA, we take Inline graphic confounders into account: age, education level, gender, and APOlipoprotein E. In Appendix S2 of the Supplementarymaterial available at Biostatistics online, we show the necessity of adjusting the confounders in this real example by comparing the results with/without adjusting the four confounders.

To assess the classification accuracy of different methods, we randomly select 20 subjects from the AD group and 21 subjects from the NC group as training subjects, leaving 10 subjects in each group as the test subjects. That is, we have 41 subjects in the training set and 20 in the test set. We repeat this random sampling procedure for 100 times and report the average misclassification errors in Table 3, and further show the boxplots of the errors in Figure 4. From Table 3, we can see that the proposed SDNCMV does not make any mistake in classifying the test subjects, neither does the SVM method. RF method also performs very well, compared with the vector-valued methods. In summary, the proposed SDNCMV has comparable performance with these well accepted machine learning methods.

Table 3.

Averaged misclassification rates % (standard errors) over 100 bootstrap replicates for the ADNI fMRI data

Method SDNCMV RF SVM PLR vRF vSVM vPLR MQDA mPLR iPLR
Error 0.0 (0.0) 1.3 (2.7) 0.0 (0.0) 34.8 (9.0) 8.1 (6.5) 2.6 (3.5) 37.4 (10.3) 49.4 (2.6) 48.6 (3.8) 28.2 (7.1)

Fig. 4.

Fig. 4

Boxplot of classification errors for the fMRI data of Alzheimer’s disease over 100 bootstrap replicates.

4.3. Network comparison results of the fMRI data

For network comparisons between the AD and NC group, we use all the 30 AD subjects and 31 NC groups. We assign the 264 nodes in the Power’s system to 14 functional modules. Figure 5 visualizes the location and number of nodes for each functional module and nodes with different colors indicate that they belong to different function modules. For more information, see https://github.com/brainspaces/power264. All the brain visualizations in this article were created using BrainNet Viewer proposed by Xia and others (2013). For the SDNCMV method, we adopt the same screening procedure as described in the last section and we determine the threshold Inline graphic as follows. We draw a scree plot in Figure 6, the horizontal axis is the value of Inline graphic and the vertical axis is the number of the estimated differential edges by SDNCMV. From Figure 6, we can see that when Inline graphic is greater than about 100, the change in the number of differential edges begins to be stable. Therefore, we selected 100 as the predetermined value for threshold Inline graphic. For the Nonconvex and Convex methods, the tuning parameter Inline graphic was selected by minimizing a prediction criterion by using 5-fold CV as described in Zhu and Li (2018). Finally, there were totally 105 differential edges identified by SDNCMV, 3316 differential edges identified by Nonconvex and 14,826 differential edges identified by Convex. The Convex and Nonconvex methods select so many differential edges that we only show the top 10% edges with the largest absolute values in Figure 7. Even so, the differential edges identified by the Nonconvex and Convex methods are too dense to be biologically interpretable.

Fig. 5.

Fig. 5

Functional modules for the 264 nodes.

Fig. 6.

Fig. 6

Scree plot for the method SDNCMV.

Fig. 7.

Fig. 7

Differential edges identified by various methods for the AD resting-state fMRI data.

When examining the 105 differential edges identified by the proposed SDNCMV, we find that they mainly involve nodes located in the Somatomotor-Hand, Default Mode, and Cingulo-opercular modules. In Table 4, we show the top 15 differential edges identified by SDNCMV and their number of occurrences over 200 bootstrap replicates. The Somatomotor-Hand is the hand movement controlling part of the somatic motor area which occupies most of the central anterior gyrus and executes movements selected and planned by other areas of the brain. Suva and others (1999) indicated that the Somatomotor area significantly affects AD and suggested that motor dysfunction occurs in late and terminal stages of AD. The default mode is a group of brain regions that show lower levels of activity when we are engaged in a particular task like paying attention, but higher levels of activity when we are awake and not involved in any specific mental exercise. Abundance of literature has shown that default mode changes are closely related to AD (Grieder and others, 2018; Banks and others, 2018; Pei and others, 2018). Cingulo-opercular are composed of anterior insula/operculum, dorsal anterior cingulate cortex, and thalamus. The function of Cingulo-opercular has been particularly difficult to characterize due to the network’s pervasive activity and frequent co-activation with other control-related networks. Nevertheless, some scholars have studied its relationship with AD. For example, Tumati and others (2020) found that loss of segregation in Cingulo-opercular network is associated with apathy in AD and suggested that network-level changes in AD patients may underlie specific neuropsychiatric symptoms. In summary, the findings from the proposed SDNCMV are consistent with evidences from a wide range of neuroscience and clinical studies.

Table 4.

The differential edges identified by SDNCMV whose number of occurrences over 200 bootstrap replicates are in top 15

Differential edges Occurrences/Percentages
Somatomotor-Hand Inline graphic Ventral Attention 198/99%
Cingulo-opercular Inline graphic Uncertain 197/98.5%
Default Mode Inline graphic Dorsal Attention 192/96%
Somatomotor-Mouth Inline graphic Cingulo-opercular 190/95%
Default Mode Inline graphic Default Mode 188/94%
Default Mode Inline graphic Dorsal Attention 186/93%
Somatomotor-Hand Inline graphic Visual 185/92.5%
Somatomotor-Hand Inline graphic Default Mode 183/91.5%
Front-oparietal Inline graphic Subcortical 183/91.5%
Default Mode Inline graphic Dorsal Attention 182/91%
Cingulo-opercular Inline graphic Subcortical 175/87.5%
Default Mode Inline graphic Salience 173/86.5%
Somatomotor-Hand Inline graphic Default Mode 170/85%
Default Mode Inline graphic Visual 170/85%
Uncertain Inline graphic Salience 169/84.5%

5. Summary and discussions

In the article, we focus on the network comparison and two-class classification problem for matrix-valued fMRI data. We propose an effective method which fulfills the goals of network comparison and classification simultaneously. Numerical study shows that SDNCMV has advantageous performance over the state-of-the-art methods for classification and network comparison methods. We also illustrate the utility of the SDNCMV method by analyzing the fMRI data of AD. Our method can be widely applied in BCAD and image-guided medical diagnoses of complex diseases.

The matrix-normal assumption of the matrix-valued data can be relaxed so that we only assume a Kronecker product covariance structure. In the presence of outliers or heavy-tailed data, we can propose a similar robust version of SDNCMV. In detail, the sample covariance matrix in (2.1) can be replaced by some robust estimators such as the adaptive Huber estimator and the median of means estimator (Avella-Medina and others, 2018). Another way to relax the matrix-normal assumption is the matrix-non-paranormal distribution in Ning and Liu (2013), which can be viewed as a latent-variable model. That is, the latent variables Inline graphic follow a matrix-normal distribution and must be symmetric, while the observed variables Inline graphic need not be symmetric. In this case, we adopt the Kendall’s tau based correlation estimators in (2.1), which has been widely studied in literature such as Liu and others (2012), He and others (2018,2019), Fan and others (2018), Yu and others (2019), etc.

In the second-stage model, we focus on a binary outcome response and adopt the logistic regression for classification. It is straightforward to extend to a general clinical outcome response with a more flexible generalized linear model (GLM). In addition, if some prior information on the network structure is known in advance, we may fully utilize this information by adjusting the corresponding penalty Inline graphic in (2.4). For instance, if hub nodes are desired in the differential network, a hierarchical group bridge penalty (Zhang and others, 2017) on Inline graphic may be added. The PLR with hierarchical group bridge penalty and elastic-net penalty may be solved by mainstream algorithm such as “Coordinate Descent.” This is also an interesting and promising research direction and we leave it as our future work. Finally, some future work remains to develop inferential tools on the significance of a selected edge, e.g., in both global testing and multiple testing problems based on the logistic regression model in (2.3).

6. Software

Software in the form of R package, together with a sample input data set and complete documentation is available at https://github.com/heyongstat/SDNCMV.

Supplementary Material

kxab007_Supplementary_Data

Acknowledgments

The authors would like to thank the Editors, the Associate Editor and three anonymous reviewers for helpful comments.

Conflict of Interest: None declared.

Footnotes

Data used in preparation of this article were obtained from the Alzheimers Disease Neuroimaging Initiative (ADNI) database (adni.loni.usc.edu). As such, the investigators within the ADNI contributed to the design and implementation of ADNI and/or provided data but did not participate in analysis or writing of this report. A complete listing of ADNI investigators can be found at: adni.loni.usc.edu/wp-content/uploads/how to apply/ADNI Acknowledgement List.pdf.

Contributor Information

Hao Chen, School of Statistics, Shandong University of Finance and Economics, Jinan, 250014, China.

Ying Guo, Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.

Yong He, Institute for Financial Studies, Shandong University, Jinan, 250100, China.

Jiadong Ji, Institute for Financial Studies, Shandong University, Jinan, 250100, China.

Lei Liu, Division of Biostatistics, Washington University in St.Louis, St. Louis, MO 63110, USA.

Yufeng Shi, Institute for Financial Studies, Shandong University, Jinan, 250100, China.

Yikai Wang, Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.

Long Yu, Department of Statistics, School of Management, Fudan University, Shanghai, 200433, China.

Xinsheng Zhang, Department of Statistics, School of Management, Fudan University, Shanghai, 200433, China.

Supplementary material

Supplementary material is available at http://biostatistics.oxfordjournals.org.

Funding

The National Natural Science Foundation of China (11801316, 81803336, 11871309, 11971116); the National Key R&D Program of China (2018YFA0703900); Natural Science Foundation of Shandong Province (ZR2018BH033, ZR2019QA002); “the Fundamental Research Funds of Shandong University” (2020GN051), and National Center for Advancing Translational Sciences (UL1TR002345 to L.L.). Data collection and sharing for this project was funded by the Alzheimer’s Disease Neuroimaging Initiative (ADNI) (National Institutes of Health Grant U01 AG024904) and DOD ADNI (Department of Defense award number W81XWH-12-2-0012). ADNI is funded by the National Institute on Aging, the National Institute of Biomedical Imaging and Bioengineering, and through generous contributions from the following: AbbVie, Alzheimer’s Association; Alzheimer’s Drug Discovery Foundation; Araclon Biotech; BioClinica, Inc.; Biogen; Bristol-Myers Squibb Company; CereSpir, Inc.; Cogstate; Eisai Inc.; ElanPharmaceuticals, Inc.; Eli Lilly and Company; EuroImmun; F. Hoffmann-La Roche Ltd and its affiliated company Genentech, Inc.; Fujirebio; GE Healthcare; IXICO Ltd.; Janssen Alzheimer Immunotherapy Research & Development, LLC.; Johnson & Johnson Pharmaceutical Research & Development LLC.; Lumosity; Lundbeck; Merck & Co., Inc.; Meso Scale Diagnostics, LLC.; NeuroRx Research; Neurotrack Technologies; Novartis Pharmaceuticals Corporation; Pfizer Inc.; Piramal Imaging; Servier; Takeda Pharmaceutical Company; and Transition Therapeutics. The Canadian Institutes of Health Research is providing funds to support ADNI clinical sites in Canada. Private sector contributions are facilitated by the Foundation for the National Institutes of Health (www.fnih.org). The grantee organization is the Northern California Institute for Research and Education, and the study is coordinated by the Alzheimer’s Therapeutic Research Institute at the University of Southern California. ADNI data are disseminated by the Laboratory for NeuroImaging at the University of Southern California.

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