Abstract
Cortical thickness changes dramatically during development and is associated with adolescent drinking. However, previous findings have been inconsistent and limited by region-of-interest approaches that are underpowered because they do not conform to the underlying spatially heterogeneous effects of alcohol. In this study, adolescents (n = 657; 12–22 years at baseline) from the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) study who endorsed little to no alcohol use at baseline were assessed with structural magnetic resonance imaging and followed longitudinally at four yearly intervals. Seven unique spatial patterns of covarying cortical thickness were obtained from the baseline scans by applying an unsupervised machine learning method called non-negative matrix factorization (NMF). The cortical thickness maps of all participants’ longitudinal scans were projected onto vertex-level cortical patterns to obtain participant-specific coefficients for each pattern. Linear mixed-effects models were fit to each pattern to investigate longitudinal effects of alcohol consumption on cortical thickness. We found in six NMF-derived cortical thickness patterns, the longitudinal rate of decline in no/low drinkers was similar for all age cohorts. Among moderate drinkers the decline was faster in the younger adolescent cohort and slower in the older cohort. Among heavy drinkers the decline was fastest in the younger cohort and slowest in the older cohort. The findings suggested that unsupervised machine learning successfully delineated spatially coordinated patterns of vertex-level cortical thickness variation that are unconstrained by neuroanatomical features. Age-appropriate cortical thinning is more rapid in younger adolescent drinkers and slower in older adolescent drinkers, an effect that is strongest among heavy drinkers.
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Data availability
Data used here are from the data release NCANDA_PUBLIC_3Y_REDCAP_V03 (https://doi.org/10.7303/syn23702728) and NCANDA_PUBLIC_3Y_STRUCTURAL_V01 (https://doi.org/10.7303/syn22213272) distributed to the public according to the NCANDA Data Distribution agreement (www.niaaa.nih.gov/research/major-initiatives/nationalconsortium-alcohol-and-neurodevelopment-adolescence/ncandadata).
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Acknowledgements
We would like to recognize Mary Nicole Buckley and Molly Monsour for their help with the visual inspection of segmentations. We also thank the anonymous reviewers for their thoughtful comments and suggestions.
Funding
RAM was supported by the Department of Veterans Affairs Mid-Atlantic MIRECC. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government. This work was made possible with support by NIH Grants AA021697, AA021695, AA021692, AA021696, AA021681, AA021690, AA021691, and R01AG067103.
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DS analyzed data and drafted the manuscript. VA analyzed data and drafted the manuscript, RP analyzed data. HB drafted the manuscript. AS developed the analysis methods. AM coordinated the research. FB coordinated the research. ST coordinated the research. SB coordinated the research. DC coordinated the research. DG coordinated the research. KN coordinated the research. BN coordinated the research. WT coordinated the research. MDB coordinated and designed the research. RM designed and coordinated the research and drafted the manuscript.
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Sun, D., Adduru, V.R., Phillips, R.D. et al. Adolescent alcohol use is linked to disruptions in age-appropriate cortical thinning: an unsupervised machine learning approach. Neuropsychopharmacol. 48, 317–326 (2023). https://doi.org/10.1038/s41386-022-01457-4
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DOI: https://doi.org/10.1038/s41386-022-01457-4
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