Predictors of real-time fMRI neurofeedback performance and improvement – A machine learning mega-analysis

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Amelie Haugg - , University of Zurich, University of Vienna (Author)
  • Fabian M. Renz - , University of Vienna (Author)
  • Andrew A. Nicholson - , University of Vienna (Author)
  • Cindy Lor - , University of Vienna (Author)
  • Sebastian J. Götzendorfer - , University of Vienna (Author)
  • Ronald Sladky - , University of Vienna (Author)
  • Stavros Skouras - , University of Bergen (Author)
  • Amalia McDonald - , University of Virginia (Author)
  • Cameron Craddock - , University of Texas at Austin (Author)
  • Lydia Hellrung - , University of Zurich (Author)
  • Matthias Kirschner - , University of Zurich, McGill University (Author)
  • Marcus Herdener - , University of Zurich (Author)
  • Yury Koush - , Yale University (Author)
  • Marina Papoutsi - , University College London, IXICO plc (Author)
  • Jackob Keynan - , Tel Aviv University (Author)
  • Talma Hendler - , Tel Aviv University (Author)
  • Kathrin Cohen Kadosh - , University of Surrey (Author)
  • Catharina Zich - , University of Oxford (Author)
  • Simon H. Kohl - , Jülich Research Centre (Author)
  • Manfred Hallschmid - , University of Tübingen, German Center for Diabetes Research (DZD e.V.) (Author)
  • Jeff MacInnes - , University of Washington (Author)
  • R. Alison Adcock - , Duke University (Author)
  • Kathryn C. Dickerson - , Duke University (Author)
  • Nan Kuei Chen - , University of Arizona (Author)
  • Kymberly Young - , University of Pittsburgh (Author)
  • Jerzy Bodurka - , Laureate Institute for Brain Research, University of Oklahoma (Author)
  • Michael Marxen - , Department of Psychiatry and Psychotherapy, TUD Dresden University of Technology (Author)
  • Shuxia Yao - , University of Electronic Science and Technology of China (Author)
  • Benjamin Becker - , University of Electronic Science and Technology of China (Author)
  • Tibor Auer - , University of Surrey (Author)
  • Renate Schweizer - , German Primate Center – Leibniz Institute for Primate Research (Author)
  • Gustavo Pamplona - , Asylum for the Blind Foundation (Author)
  • Ruth A. Lanius - , Western University (Author)
  • Kirsten Emmert - , Kiel University (Author)
  • Sven Haller - , Uppsala University (Author)
  • Dimitri Van De Ville - , Swiss Federal Institute of Technology Lausanne (EPFL), University of Geneva (Author)
  • Dong Youl Kim - , Korea University (Author)
  • Jong Hwan Lee - , Korea University (Author)
  • Theo Marins - , D'Or Institute for Research and Education (Author)
  • Fukuda Megumi - , RIKEN (Author)
  • Bettina Sorger - , Maastricht University (Author)
  • Tabea Kamp - , Maastricht University (Author)
  • Sook Lei Liew - , University of Southern California (Author)
  • Ralf Veit - , University of Tübingen, German Center for Diabetes Research (DZD e.V.), Max Planck Institute for Biological Cybernetics (Author)
  • Maartje Spetter - , University of Birmingham (Author)
  • Nikolaus Weiskopf - , Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig University (Author)
  • Frank Scharnowski - , University of Zurich, University of Vienna (Author)
  • David Steyrl - , University of Zurich, University of Vienna (Author)

Abstract

Real-time fMRI neurofeedback is an increasingly popular neuroimaging technique that allows an individual to gain control over his/her own brain signals, which can lead to improvements in behavior in healthy participants as well as to improvements of clinical symptoms in patient populations. However, a considerably large ratio of participants undergoing neurofeedback training do not learn to control their own brain signals and, consequently, do not benefit from neurofeedback interventions, which limits clinical efficacy of neurofeedback interventions. As neurofeedback success varies between studies and participants, it is important to identify factors that might influence neurofeedback success. Here, for the first time, we employed a big data machine learning approach to investigate the influence of 20 different design-specific (e.g. activity vs. connectivity feedback), region of interest-specific (e.g. cortical vs. subcortical) and subject-specific factors (e.g. age) on neurofeedback performance and improvement in 608 participants from 28 independent experiments. With a classification accuracy of 60% (considerably different from chance level), we identified two factors that significantly influenced neurofeedback performance: Both the inclusion of a pre-training no-feedback run before neurofeedback training and neurofeedback training of patients as compared to healthy participants were associated with better neurofeedback performance. The positive effect of pre-training no-feedback runs on neurofeedback performance might be due to the familiarization of participants with the neurofeedback setup and the mental imagery task before neurofeedback training runs. Better performance of patients as compared to healthy participants might be driven by higher motivation of patients, higher ranges for the regulation of dysfunctional brain signals, or a more extensive piloting of clinical experimental paradigms. Due to the large heterogeneity of our dataset, these findings likely generalize across neurofeedback studies, thus providing guidance for designing more efficient neurofeedback studies specifically for improving clinical neurofeedback-based interventions. To facilitate the development of data-driven recommendations for specific design details and subpopulations the field would benefit from stronger engagement in open science research practices and data sharing.

Details

Original languageEnglish
Article number118207
JournalNeuroImage
Volume237
Publication statusPublished - 15 Aug 2021
Peer-reviewedYes

External IDs

PubMed 34048901
ORCID /0000-0001-8870-0041/work/142251349

Keywords

ASJC Scopus subject areas

Keywords

  • Functional MRI, Learning, Machine learning, Mega-analysis, Neurofeedback, Real-time fMRI