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Electroencephalogram (EEG) provides noninvasive measures of brain activity and is found to be valuable for the diagnosis of some chronic disorders. Specifically, pre‐treatment EEG signals in the alpha and theta frequency bands have demonstrated some association with antidepressant response, which is well‐known to have a low response rate. We aim to design an integrated pipeline that improves the response rate of patients with major depressive disorder by developing a treatment policy guided by the resting state pre‐treatment EEG recordings and other treatment effects modifiers. First, we design an innovative automatic site‐specific EEG preprocessing pipeline to extract features with stronger signals than raw data. We then estimate the conditional average treatment effect (CATE) using causal forests and use a doubly robust technique to improve efficiency in the estimation of the average treatment effect. We present evidence of heterogeneity in the treatment effect and the modifying power of the EEG features, as well as a significant average treatment effect, a result that cannot be obtained with conventional methods. Finally, we employ an efficient policy learning algorithm to learn an optimal depth‐2 treatment assignment decision tree and compare its performance with Q‐Learning and outcome‐weighted learning via simulation studies and an application to a large multi‐site, double‐blind, randomized controlled clinical trial, EMBARC. [ABSTRACT FROM AUTHOR]

Major depressive disorder (MDD) is one of the leading causes of disability-adjusted life years. Emerging evidence indicates the presence of reward processing abnormalities in MDD. An important scientific question is whether the abnormalities are due to reduced sensitivity to received rewards or reduced learning ability. Motivated by the probabilistic reward task (PRT) experiment in the EMBARC study, we propose a semiparametric inverse reinforcement learning (RL) approach to characterize the reward-based decision-making of MDD patients. The model assumes that a subject's decision-making process is updated based on a reward prediction error weighted by the subject-specific learning rate. To account for the fact that one favors a decision leading to a potentially high reward, but this decision process is not necessarily linear, we model reward sensitivity with a nondecreasing and nonlinear function. For inference, we estimate the latter via approximation by I-splines and then maximize the joint conditional log-likelihood. We show that the resulting estimators are consistent and asymptotically normal. Through extensive simulation studies, we demonstrate that under different reward-generating distributions, the semiparametric inverse RL outperforms the parametric inverse RL. We apply the proposed method to EMBARC and find that MDD and control groups have similar learning rates but different reward sensitivity functions. There is strong statistical evidence that reward sensitivity functions have nonlinear forms. Using additional brain imaging data in the same study, we find that both reward sensitivity and learning rate are associated with brain activities in the negative affect circuitry under an emotional conflict task. for this article are available online. [ABSTRACT FROM AUTHOR]

Mental disorders present challenges in diagnosis and treatment due to their complex and heterogeneous nature. Electroencephalogram (EEG) has shown promise as a source of potential biomarkers for these disorders. However, existing methods for analyzing EEG signals have limitations in addressing heterogeneity and capturing complex brain activity patterns between regions. This paper proposes a novel random effects state-space model (RESSM) for analyzing large-scale multi-channel resting-state EEG signals, accounting for the heterogeneity of brain connectivities between groups and individual subjects. We incorporate multi-level random effects for temporal dynamical and spatial mapping matrices and address non-stationarity so that the brain connectivity patterns can vary over time. The model is fitted under a Bayesian hierarchical model framework coupled with a Gibbs sampler. Compared to previous mixed-effects state-space models, we directly model high-dimensional random effects matrices of interest without structural constraints and tackle the challenge of identifiability. Through extensive simulation studies, we demonstrate that our approach yields valid estimation and inference. We apply RESSM to a multi-site clinical trial of major depressive disorder (MDD). Our analysis uncovers significant differences in resting-state brain temporal dynamics among MDD patients compared to healthy individuals. In addition, we show the subject-level EEG features derived from RESSM exhibit a superior predictive value for the heterogeneous treatment effect compared to the EEG frequency band power, suggesting the potential of EEG as a valuable biomarker for MDD., (© The Author(s) 2024. Published by Oxford University Press on behalf of The International Biometric Society.)

Major depressive disorder (MDD), a leading cause of years of life lived with disability, presents challenges in diagnosis and treatment due to its complex and heterogeneous nature. Emerging evidence indicates that reward processing abnormalities may serve as a behavioral marker for MDD. To measure reward processing, patients perform computer-based behavioral tasks that involve making choices or responding to stimulants that are associated with different outcomes, such as gains or losses in the laboratory. Reinforcement learning (RL) models are fitted to extract parameters that measure various aspects of reward processing (e.g. reward sensitivity) to characterize how patients make decisions in behavioral tasks. Recent findings suggest the inadequacy of characterizing reward learning solely based on a single RL model; instead, there may be a switching of decision-making processes between multiple strategies. An important scientific question is how the dynamics of strategies in decision-making affect the reward learning ability of individuals with MDD. Motivated by the probabilistic reward task within the Establishing Moderators and Biosignatures of Antidepressant Response in Clinical Care (EMBARC) study, we propose a novel RL-HMM (hidden Markov model) framework for analyzing reward-based decision-making. Our model accommodates decision-making strategy switching between two distinct approaches under an HMM: subjects making decisions based on the RL model or opting for random choices. We account for continuous RL state space and allow time-varying transition probabilities in the HMM. We introduce a computationally efficient Expectation-maximization (EM) algorithm for parameter estimation and use a nonparametric bootstrap for inference. Extensive simulation studies validate the finite-sample performance of our method. We apply our approach to the EMBARC study to show that MDD patients are less engaged in RL compared to the healthy controls, and engagement is associated with brain activities in the negative affect circuitry during an emotional conflict task., (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. [br]For permissions, please e-mail: journals.permissions@oup.com.)

High-throughput plant phenotyping-the use of imaging and remote sensing to record plant growth dynamics-is becoming more widely used. The first step in this process is typically plant segmentation, which requires a well-labeled training dataset to enable accurate segmentation of overlapping plants. However, preparing such training data is both time and labor intensive. To solve this problem, we propose a plant image processing pipeline using a self-supervised sequential convolutional neural network method for in-field phenotyping systems. This first step uses plant pixels from greenhouse images to segment nonoverlapping in-field plants in an early growth stage and then applies the segmentation results from those early-stage images as training data for the separation of plants at later growth stages. The proposed pipeline is efficient and self-supervising in the sense that no human-labeled data are needed. We then combine this approach with functional principal components analysis to reveal the relationship between the growth dynamics of plants and genotypes. We show that the proposed pipeline can accurately separate the pixels of foreground plants and estimate their heights when foreground and background plants overlap and can thus be used to efficiently assess the impact of treatments and genotypes on plant growth in a field environment by computer vision techniques. This approach should be useful for answering important scientific questions in the area of high-throughput phenotyping., (Copyright © 2023 Xingche Guo et al.)