Back

Evaluating Sample-Size Efficiency and Sensitivity of Tractometry in Alzheimer's Disease

Feng, Y.; Villalon-Reina, J. E.; Gari, I. B.; Alibrando, J. D.; Nir, T. M.; Jahanshad, N.; Chandio, B. Q.; Thompson, P. M.

2025-11-13 neuroscience
10.1101/2025.11.11.687878 bioRxiv
Show abstract

Tractometry allows quantitative analysis of white matter microstructure along the brains fiber tracts, but the impact of study design parameters--such as sample size and along-tract resolution--on sensitivity and specificity is not well understood. In this study, we conducted tractometry bootstrap analysis using linear-mixed models across four diffusion tensor imaging (DTI) metrics to systematically evaluate how these factors affect the detection of dementia- and amyloidrelated effects. While coarser along-tract segments yield greater sensitivity and higher mean effect sizes, finer segments tend to produce higher peak effect sizes, revealing more spatially localized effects. Dementia-related effects were more widespread and detectable with fewer subjects, whereas amyloid-related effects were more subtle and localized, requiring larger cohorts to detect them. These findings highlight that tractometry offers improved spatial specificity and can reliably detect small, fine-scale effects, but study design should be tailored to specific research questions, considering the expected spatial extent and magnitude of effects, to optimize sample size efficiency and interpretability.

Matching journals

The top 3 journals account for 50% of the predicted probability mass.

50% of probability mass above

"Similar papers" are the closest papers from that journal in the model's embedding space. They show what the match is built on, but the ranking comes mostly from a classifier over the whole training set, not from these examples alone.