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Lifespan Normative Models of White Matter Fractional Anisotropy: Applications to Early Psychosis

Cirstian, Ramona; Forde, Natalie J; Zhang, Gary; Hellemann, Gerhard S; Beckmann, Christian F; Kraguljac, Nina V; Marquand, Andre F; (2025) Lifespan Normative Models of White Matter Fractional Anisotropy: Applications to Early Psychosis. Biological Psychiatry 10.1016/j.biopsych.2025.07.021. Green open access

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Abstract

BACKGROUND: This study presents large-scale normative models of white matter (WM) organization across the lifespan, using diffusion MRI data from over 25,000 healthy individuals aged 0-100 years. These models capture lifespan trajectories and inter-individual variation in fractional anisotropy (FA), a marker of white matter integrity. METHODS: By addressing non-Gaussian data distributions, self-reported race, and site effects, the models offer reference baselines across diverse ages, and scanning conditions. We applied these FA models to the HCP Early Psychosis cohort and performed a multivariate analysis to map symptoms onto deviations from multimodal normative models using multi-view sparse canonical correlation analysis (msCCA). RESULTS: Our results reveal extensive white matter heterogeneity in psychosis, which is not captured by group-level analyses, with key regions identified, including the right uncinate fasciculus and thalami. CONCLUSION: These normative models offer valuable tools for individualized WM deviation identification, improving precision in psychiatric assessments. All models are publicly available for community use.

Type: Article
Title: Lifespan Normative Models of White Matter Fractional Anisotropy: Applications to Early Psychosis
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.biopsych.2025.07.021
Publisher version: https://doi.org/10.1016/j.biopsych.2025.07.021
Language: English
Additional information: Under a Creative Commons license https://creativecommons.org/licenses/by/4.0/
Keywords: Diffusion MRI, Lifespan trajectories, Normative models, Precision medicine, Psychosis, White matter integrity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10214139
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