Determining the association between cortical morphology and cognition in 10,145 children from the Adolescent Brain and Cognitive Development (ABCD) study using the MOSTest

Individuals undergo protracted changes in cortical morphology during childhood and adolescence, coinciding with cognitive development. Studies quantifying the association between brain structure and cognition do not always assess regional cortical morphology relative to global brain measures and typically rely on mass univariate statistics or ROI-based analyses. After controlling for global brain measures, it is possible to detect a residual regionalisation pattern indicating the size or thickness of different regions relative to the total cortical surface area or mean thickness. Individual variability in regionalisation may be important for understanding and predicting between subject variability in cognitive performance. Here we sought to determine whether the relative configuration of cortical architecture across the whole cortex was associated with cognition using a novel multivariate omnibus statistical test (MOSTest) in 10,145 children aged 9-10 years from the Adolescent Brain and Cognitive Development (ABCD) Study. MOSTest is better powered to detect associations that are widely distributed across the cortex compared to methods that assume sparse associations. We then quantified the magnitude of the association between vertex-wise cortical morphology and cognitive performance using a linear weighted sum across vertices, based on the estimated vertex-wise effect sizes. We show that the relative pattern of cortical architecture, after removing the effects of global brain measures, predicted unique variance associated with cognition across different imaging modalities and cognitive domains. SIGNIFICANCE STATEMENTThis paper demonstrates a significant advance in our understanding of the relationship between cortical morphology and individual variability in cognition. There is increasing evidence that brain-behaviour associations are distributed across the cortex. Using the unprecedented sample from the Adolescent Brain and Cognitive Development (ABCD) study and a novel application of a multivariate statistical approach (MOSTest), we have discovered specific distributed regionalization patterns across the cortex associated with cognition across multiple cognitive domains. This furthers our understanding of the relationship between brain structure and cognition, namely that these associations are not sparse and localized as assumed with traditional neuroimaging analyses. This multivariate method is extremely versatile and can be used in several different applications.