TY - INPR A1 - Libedinsky, Ilan A1 - Helwegen, Koen A1 - Guerrero Simón, Laura A1 - Gruber, Marius A1 - Repple, Jonathan A1 - Kircher, Tilo A1 - Dannlowski, Udo A1 - Heuvel, Martijn P. van den T1 - Quantifying brain connectivity signatures by means of polyconnectomic scoring T2 - bioRxiv N2 - A broad range of neuropsychiatric disorders are associated with alterations in macroscale brain circuitry and connectivity. Identifying consistent brain patterns underlying these disorders by means of structural and functional MRI has proven challenging, partly due to the vast number of tests required to examine the entire brain, which can lead to an increase in missed findings. In this study, we propose polyconnectomic score (PCS) as a metric designed to quantify the presence of disease-related brain connectivity signatures in connectomes. PCS summarizes evidence of brain patterns related to a phenotype across the entire landscape of brain connectivity into a subject-level score. We evaluated PCS across four brain disorders (autism spectrum disorder, schizophrenia, attention deficit hyperactivity disorder, and Alzheimer’s disease) and 14 studies encompassing ∼35,000 individuals. Our findings consistently show that patients exhibit significantly higher PCS compared to controls, with effect sizes that go beyond other single MRI metrics ([min, max]: Cohen’s d = [0.30, 0.87], AUC = [0.58, 0.73]). We further demonstrate that PCS serves as a valuable tool for stratifying individuals, for example within the psychosis continuum, distinguishing patients with schizophrenia from their first-degree relatives (d = 0.42, p = 4 x 10−3, FDR-corrected), and first-degree relatives from healthy controls (d = 0.34, p = 0.034, FDR-corrected). We also show that PCS is useful to uncover associations between brain connectivity patterns related to neuropsychiatric disorders and mental health, psychosocial factors, and body measurements. Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/79449 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-794492 UR - https://www.biorxiv.org/content/10.1101/2023.09.26.559327v1 IS - 2023.09.26.559327v1 PB - bioRxiv ER -