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Stephan Wunderlich

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3 papers
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3

YNIMG Journal 2025 Journal Article

How to measure functional connectivity using resting-state fMRI? A comprehensive empirical exploration of different connectivity metrics

  • Lukas Roell
  • Stephan Wunderlich
  • David Roell
  • Florian Raabe
  • Elias Wagner
  • Zhuanghua Shi
  • Andrea Schmitt
  • Peter Falkai

BACKGROUND: Functional connectivity in the context of functional magnetic resonance imaging is typically quantified by Pearson´s or partial correlation between regional time series of the blood oxygenation level dependent signal. However, a recent interdisciplinary methodological work proposes >230 different metrics to measure similarity between different types of time series. OBJECTIVE: Hence, we systematically evaluated how the results of typical research approaches in functional neuroimaging vary depending on the functional connectivity metric of choice. We further explored which metrics most accurately detect presumed reductions in connectivity related to age and malignant brain tumors, aiming to initiate a debate on the best approaches for assessing brain connectivity in functional neuroimaging research. METHODS: We addressed both research questions using four independent neuroimaging datasets, comprising multimodal data from a total of 1187 individuals. We analyzed resting-state functional sequences to calculate functional connectivity using 20 representative metrics from four distinct mathematical domains. We further used T1- and T2-weighted images to compute regional brain volumes, diffusion-weighted imaging data to build structural connectomes, and pseudo-continuous arterial spin labeling to measure regional brain perfusion. RESULTS: First, our findings demonstrate that the results of typical functional neuroimaging approaches differ fundamentally depending on the functional connectivity metric of choice. Second, we show that correlational and distance metrics are most appropriate to cover reductions in connectivity linked to aging. In this context, partial correlation performs worse than other correlational metrics. Third, our findings suggest that the FC metric of choice depends on the utilized scanning parameters, the regions of interest, and the individual investigated. Lastly, beyond the major objective of this study, we provide evidence in favor of brain perfusion measured via pseudo-continuous arterial spin labeling as a robust neural entity mirroring age-related neural and cognitive decline. CONCLUSION: Our empirical evaluation supports a recent theoretical functional connectivity framework. Future functional imaging studies need to comprehensively define the study-specific theoretical property of interest, the methodological property to assess the theoretical property, and the confounding property that may bias the conclusions.

YNICL Journal 2025 Journal Article

Quantification of brain functional connectivity deviations in individuals: A scoping review of functional MRI studies

  • Artur Toloknieiev
  • Dmytro Voitsekhivskyi
  • Hlib Kholodkov
  • Roman Lvovich
  • Petro Matiushko
  • Daria Rekretiuk
  • Andrii Dikhtiar
  • Antonii Viter

Functional connectivity magnetic resonance imaging (fcMRI) is a well-established technique for studying brain networks in both healthy and diseased individuals. However, no fcMRI-based biomarker has yet achieved clinical relevance. To establish better understanding of the state of the art in quantifying abnormal connectivity in comparison to a reference distribution, for potential use in individual patients, we have conducted a scoping review over 5672 entries from the last 10 years. We have located five publications proposing metrics of abnormal connectivity quantification, reported these metrics, formalized their computing methods, assessed their technology readiness and estimated their computational efficiency. Building upon our findings, we have discussed the metrics' lesion data handling, region of interest level of detail and potential clinical use cases. We also proposed methodical and computational strategies for improvement of current and emerging abnormality quantification metrics in fcMRI research.

TMLR Journal 2024 Journal Article

A Survey on Graph Construction for Geometric Deep Learning in Medicine: Methods and Recommendations

  • Tamara T. Müller
  • Sophie Starck
  • Alina Dima
  • Stephan Wunderlich
  • Kyriaki-Margarita Bintsi
  • Kamilia Zaripova
  • Rickmer Braren
  • Daniel Rueckert

Graph neural networks are powerful tools that enable deep learning on non-Euclidean data structures like graphs, point clouds, and meshes. They leverage the connectivity of data points and can even benefit learning tasks on data, which is not naturally graph-structured -like point clouds. In these cases, the graph structure needs to be determined from the dataset, which adds a significant challenge to the learning process. This opens up a multitude of design choices for creating suitable graph structures, which have a substantial impact on the success of the graph learning task. However, so far no concrete guidance for choosing the most appropriate graph construction is available, not only due to the large variety of methods out there but also because of its strong connection to the dataset at hand. In medicine, for example, a large variety of different data types complicates the selection of graph construction methods even more. We therefore summarise the current state-of-the-art graph construction methods, especially for medical data. In this work, we introduce a categorisation scheme for graph types and graph construction methods. We identify two main strands of graph construction: static and adaptive methods, discuss their advantages and disadvantages, and formulate recommendations for choosing a suitable graph construction method. We furthermore discuss how a created graph structure can be assessed and to what degree it supports graph learning. We hope to support medical research with graph deep learning with this work by elucidating the wide variety of graph construction methods.

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