Clin Psychopharmacol Neurosci.  2023 Nov;21(4):693-700. 10.9758/cpn.22.1025.

Classifying Children with ADHD Based on Prefrontal Functional Near-infrared Spectroscopy Using Machine Learning

Affiliations
  • 1Department of Psychiatry, Wonkwang University School of Medicine, Iksan, Korea
  • 2Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea
  • 3Department of Electronic Engineering, Wonkwang University, Iksan, Korea
  • 4Department of Psychiatry, Hanyang University Medical Center, Seoul, Korea

Abstract


Objective
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children and adults characterized by cognitive and emotional self-control deficiencies. Previous functional near-infrared spectroscopy (fNIRS) studies found significant group differences between ADHD children and healthy controls during cognitive flexibility tasks in several brain regions. This study aims to apply a machine learning approach to identify medication-naive ADHD patients and healthy control (HC) groups using task-based fNIRS data.
Methods
fNIRS signals from 33 ADHD children and 39 HC during the Stroop task were analyzed. In addition, regularized linear discriminant analysis (RLDA) was used to identify ADHD individuals from healthy controls, and classification performance was evaluated.
Results
We found that participants can be correctly classified in RLDA leave-one-out cross validation, with a sensitivity of 0.67, specificity of 0.93, and accuracy of 0.82.
Conclusion
RLDA using only fNIRS data can effectively discriminate children with ADHD from HC. This study suggests the potential utility of the fNIRS signal as a diagnostic biomarker for ADHD children.

Keyword

Child; Attention deficit disorder with hyperactivity; Near-infrared spectroscopy, NIRS; Machine learning
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