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Progression from mild cognitive impairment to dementia in Alzheimer's disease: Whole cortex voxelwise functional connectivity analysis with multivariate distance matrix regression.

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Paper

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The authors' code

R · 89 lines · 2.4 KB · GPL-3.0

  1. # helper files for the main script
  2. load_csv_summarize_columns <- function(file_path, verbose = TRUE) {
  3. # Read the CSV file
  4. df <- read.csv(file_path, stringsAsFactors = TRUE)
  5. # Build and print the summary data frame
  6. if (verbose) {
  7. # Build the summary data frame
  8. summary_df <- data.frame(
  9. Column = names(df),
  10. Type = sapply(df, function(x) class(x)[1]),
  11. Levels = sapply(df, function(x) if (is.factor(x)) paste(levels(x), collapse = ", ") else NA),
  12. stringsAsFactors = FALSE
  13. )
  14. # Print the summary
  15. print(summary_df)
  16. }
  17. return(df)
  18. }
  19. extract_vxl_idx_from_fpath <- function(file_path) {
  20. # Extract the part after the last slash
  21. file_name <- basename(file_path)
  22. # Capture the voxel index numbers
  23. numbers <- regmatches(file_name, regexpr("\\d+_\\d+_\\d+", file_name))
  24. # Return the individual index numbers
  25. numbers_split <- unlist(strsplit(numbers, "_"))
  26. return(as.numeric(numbers_split))
  27. }
  28. read_vxl_fc_data <- function(fpath, ncores, subsample_idx = NULL) {
  29. # Read the CSV file with FC data (no header, rows = participants, cols = connections)
  30. vxl_fc <- as.matrix(
  31. data.table::fread(
  32. fpath,
  33. header = FALSE,
  34. data.table = FALSE,
  35. nThread = ncores
  36. )
  37. )
  38. # subsample
  39. if (!is.null(subsample_idx)) {
  40. vxl_fc <- vxl_fc[subsample_idx, , drop = FALSE]
  41. }
  42. # Extract voxel index from file path and ensure it is named (i, j, k)
  43. vxl_idx <- extract_vxl_idx_from_fpath(fpath)
  44. vxl_idx <- setNames(as.numeric(vxl_idx), c("i", "j", "k"))
  45. # Return both as a named list
  46. return(list(
  47. vxl_fc = vxl_fc,
  48. vxl_idx = vxl_idx
  49. ))
  50. }
  51. run_mdmr <- function(fpath, X, ncores = 1, nperm = 10000, distance_method = 'manhattan', y_row_indices=NULL) {
  52. # Runs MDMR for a single voxel's FC file.
  53. # Returns a named numeric vector: voxel indices (i, j, k) followed by the whole result of MDMR
  54. # Load voxel-level FC data
  55. vxl_data <- read_vxl_fc_data(fpath=fpath, ncores=ncores, subsample_idx=y_row_indices)
  56. vxl_zcc <- vxl_data$vxl_fc
  57. vxl_idx <- vxl_data$vxl_idx
  58. # Number of rows in X and vxl_zcc should match
  59. if (nrow(X) != nrow(vxl_zcc)) {
  60. stop("Mismatch between X and voxel FC rows.")
  61. }
  62. # Compute distance between participants
  63. D <- dist(vxl_zcc, method = distance_method)
  64. # Run MDMR
  65. res <- mdmr(X = X, D = D, ncores = ncores, nperm = nperm, perm.p = TRUE)
  66. # Return voxel indices and the whole mdmr results
  67. return(c(vxl_idx, res))
  68. }

helper_functions.R at commit 2e3e2a1, under GPL-3.0 · at the source

Overview

Authors: Luiz Kobuti Ferreira1,2, Eric Westman1,3, Lars-Olof Wahlund1, Rosaleena Mohanty1,3, for the Alzheimer's Disease Neuroimaging Initiative
  1. Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
  2. Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Sweden
  3. The Ageing Epidemiology Research Unit, School of Public Health, Imperial College London, London, UK
Institutions: Karolinska Institutet (Sweden); Imperial College London (United Kingdom)
Journal: Journal of Alzheimer's disease : JAD, volume 113, issue 3, pages 1384-1395
Dates: received 11 February 2026; accepted 4 July 2026; published online 12 August 2026; in print August 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1177/13872877261477016 · PMID 42585347 · PMCID PMC13583079 · OpenAlex W7202299544
Open access: hybrid, a free copy (OpenAlex)
Status: code verified
Categories: fMRI (modality), human (organism), Alzheimer's / dementia (population), systems (subfield)
Methods: Connectivity, Statistics, Smoothing, state filtering, decompositions, Preprocessing, Machine learning, fMRI & imaging
Keywords: Alzheimer's disease, functional connectivity, functional neuroimaging, mild cognitive impairment
Topic: Functional Brain Connectivity Studies (Cognitive Neuroscience, Neuroscience), according to OpenAlex
Funding: Vetenskapsrådet (2021-01861, 2025-02405, 2016-02282); EU Innovative Health Initiative Joint Undertaking (IHI JU) AD-RIDDLE and ACCESS-AD; VINNOVA (2025-03749); Olle Engkvists Stiftelse (224-0069, 186-0660); Hjärnfonden (FO2024-0239, FO2022-0084); the regional agreement on medical training and clinical research (ALF) between Stockholm County Council and Karolinska Institutet (FoUI-952838, FoUI-954893); The Strategic Research Programme in Neuroscience at Karolinska Institutet; Parkinsonfonden (1521/23, 1557/24, 1647/25); Alzheimerfonden (AF-967495, AF-1031812, AF-980387); Center for Innovative Medicine (FoUI-954459, FoUI-975174, FoUI-987392); Svenska Sällskapet för Medicinsk Forskning (PD21-0042); Åke Wiberg Stiftelse; King Gustaf V:s and Queen Victorias Foundation; Stiftelsen Lars Hiertas Minne; Neurofonden; NIA NIH HHS (U19 AG024904); Birgitta and Sten Westerberg; Demensfonden; Gun och Bertil Stohnes Stiftelse; Karolinska Institutet Research Grants; The Foundation for Old Maids
Citations: not cited yet (Europe PMC); 58 references in the paper

Abstract

Background: Differentiating individuals with mild cognitive impairment who convert to dementia due to Alzheimer's disease (MCI-C) from those who do not convert (MCI-NC) is increasingly important. Functional connectivity (FC) derived from resting state functional MRI (rs-fMRI) has been investigated as a potential biomarker. However, improved data analysis strategies are needed. One underexplored approach is pairwise voxel-to-voxel analysis.

Objective: To describe differences in FC between amyloid positive MCI-C and MCI-NC using a whole-cortex voxel-to-voxel pairwise approach.

Methods: Baseline rs-fMRI from the Alzheimer's Disease Neuroimaging Initiative was retrieved for amyloid positive MCI participants. Voxel-to-voxel, pairwise, cortical FC was computed. Multivariate distance matrix regression was used to identify voxels presenting FC patterns that were significantly different between MCI-C and MCI-NC.

Results: 21 MCI-C and 28 MCI-NC were included. The primary analysis with voxel-level threshold at p < 0.001 combined with cluster-level p < 0.05 yielded no significant results. At voxel-level p < 0.01 and the same cluster-level threshold, three significant clusters on the right visual cortex were found. These clusters, however, were not robust to head motion, fMRI protocol and additionally clinical or biological severity.

Conclusions: Progression from Alzheimer-related MCI to dementia was not significantly associated with FC in the primary analysis. However, a less stringent threshold yielded FC differences in the occipital lobe in alignment with previous studies but were not robust to methodological and biological covariates between groups. Our findings highlight the need for larger samples and careful control of covariates to identify robust FC alterations related to dementia conversion.

Reproduced under the paper's license (CC BY), from the paper cited above.

Repository

Its files are read in the Code ↔ Paper reader above.

lkf-ki/mdmr-voxel-wise-mci-conversion

License: GPL-3.0
State: the link answers, verified on 27 September 2026
Evidence: files inventoried
Commit: 2e3e2a15d6035e57fedc15b71570b4e15e4a8694, 25 May 2026
Languages: R (2)
Size: 5 files, 2 scripts
Software Heritage: not archived
Found in: the text, “Footnotes”
Holds: README, license file
Not found: CITATION.cff, environment file, tests, continuous integration, documentation
Tools: data.table (1 file)
Availability: 1 check, the latest on 27 September 2026: the link answers
  • 27 September 2026: the link answers
4 files

Tracing map

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Versions

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Version 3, 28 September 2026

  • Publisher: n/a → IOS Press

Version 1, 27 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 5 authors, 4 keywords, 21 funders, 56 references.

Cite

This paper

Ferreira, L. K., Westman, E., Wahlund, L.-O., Mohanty, R., & for the Alzheimer's Disease Neuroimaging Initiative. (2026). Progression from mild cognitive impairment to dementia in Alzheimer's disease: Whole cortex voxelwise functional connectivity analysis with multivariate distance matrix regression. Journal of Alzheimer's disease : JAD, 113(3), 1384-1395. https://doi.org/10.1177/13872877261477016

BibTeX

@article{ferreira2026progression,
author = {Ferreira, Luiz Kobuti and Westman, Eric and Wahlund, Lars-Olof and Mohanty, Rosaleena and {for the Alzheimer's Disease Neuroimaging Initiative}},
title = {{Progression from mild cognitive impairment to dementia in Alzheimer's disease: Whole cortex voxelwise functional connectivity analysis with multivariate distance matrix regression}},
journal = {Journal of Alzheimer's disease : JAD},
year = {2026},
month = aug,
volume = {113},
number = {3},
pages = {1384--1395},
publisher = {IOS Press},
issn = {1387-2877},
doi = {10.1177/13872877261477016},
url = {https://doi.org/10.1177/13872877261477016},
pmid = {42585347},
pmcid = {PMC13583079}
}

RIS

TY - JOUR
AU - Ferreira, Luiz Kobuti
AU - Westman, Eric
AU - Wahlund, Lars-Olof
AU - Mohanty, Rosaleena
AU - for the Alzheimer's Disease Neuroimaging Initiative
TI - Progression from mild cognitive impairment to dementia in Alzheimer's disease: Whole cortex voxelwise functional connectivity analysis with multivariate distance matrix regression
T2 - Journal of Alzheimer's disease : JAD
J2 - J Alzheimers Dis
PY - 2026
DA - 2026/08/12
VL - 113
IS - 3
SP - 1384
EP - 1395
SN - 1387-2877
PB - IOS Press
DO - 10.1177/13872877261477016
UR - https://doi.org/10.1177/13872877261477016
LA - en
ER -

CSL-JSON

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"id": "10.1177/13872877261477016",
"type": "article-journal",
"title": "Progression from mild cognitive impairment to dementia in Alzheimer's disease: Whole cortex voxelwise functional connectivity analysis with multivariate distance matrix regression",
"container-title": "Journal of Alzheimer's disease : JAD",
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"family": "Ferreira",
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{
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"container-title-short": "J Alzheimers Dis",
"volume": "113",
"issue": "3",
"page": "1384-1395",
"DOI": "10.1177/13872877261477016",
"PMID": "42585347",
"PMCID": "PMC13583079",
"ISSN": "1387-2877",
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"language": "en",
"issued": {
"date-parts": [
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2026,
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12
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]
}
}

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