Breakthrough as US researchers 'crack the autism code'

Researchers have developed a method for diagnosing autism which could spare families years of uncertainty and spur crucial earlier treatments.

The new AI analysis can identify the genetic markers of autism via biological activity in the brain, they report, with 89 to 95 percent accuracy. 

This new method starts out with standard brain-mapping via magnetic resonance imaging (MRI) before re-analyzing those scans via AI to detect the movements of proteins, nutrients and other processes within the brain that may indicate autism. 

'Autism is traditionally diagnosed behaviorally,' via a person's speech, for example, as the medical team behind the process noted. 'But [it] has a strong genetic basis.'

A new method of diagnosing autism starts with standard brain-mapping via magnetic resonance imaging or MRI (pictured above) - but re-analyzes those scans via AI to detect the movements of proteins, nutrients and other processes in the brain that indicate the condition

Above, brain-scan data comparing a control brain without autism (top row) vs. a brain that contains deletions or duplications of genetic material linked to autism (bottom row). 'Noise' in this scanning data was reduced on a 3D-pixel-by-pixel basis via the 'Z-score mapping' method

Today, autism affects one in 36 children, according to the CDC, meaning that more than 90,000 children are born annually with this developmental disorder in the US.

But, autism is notoriously hard to spot and the vast majority of children with the condition won't be diagnosed until the age of five and show clear behavioral signs.

Worse, that identification process usually involves years of uncertainty, dozens of trips to the hospital and a battery of tests, including speech and language exams, observational interviews and more, which can be stressful for children and families.

The new diagnostic technique, the researchers hope, will soon allow doctors to locate more specific genes responsible for autism — by first revealing the actual biological pathways through which autism changes how a brain grows and operates.

As a spokesperson for a university behind the new method put it, the method 'cracks the autism code,' although there is no word yet on when it may enter common use.

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Dr Shinjini Kundu, an assistant professor of radiology at Washington University in St. Louis, developed this new machine-learning AI, mathematical brain-modelling technique while she was a grad student-researcher.

The method, named 'transport-based morphometry' after the transport of biological matter in the brain, focuses in on identifying patterns linked to key bits of genetic code.

Those sequences of genetic code, called 'copy number variations' (CNVs) reveal segments of DNA that have been deleted or duplicated — alterations which have been linked to autism in past research.

'Some copy number variations [CNVs] are known to be associated with autism,' according to biomedical engineering professor Dr Gustavo Rohde, who taught Dr Kundu during her PhD studies.  

'But their link to brain morphology — in other words, how different types of brain tissues such as gray or white matter, are arranged in our brain — is not well known,' according to Dr Rohde, who now teaches at the University of Virginia. 

'Finding out how CNV relates to brain tissue morphology,' he explained, 'is an important first step in understanding autism's biological basis.'

Drs Kundu and Rohde, and their collaborators from the department of neurology at the University of California in San Francisco, published their results developing this new autism identification method in June with the journal Science Advances. 

Participants in the nonprofit Simons Variation in Individuals Project, a cohort of subjects with known autism-linked genetic variations, contributed key data used in the new study.

'Finding out how CNV [deletion or duplication of genetic code] relates to brain tissue morphology,' study co-author Dr Gustavo Rohde said, 'is an important first step in understanding autism's biological basis.' The new method IDs such brain morphology shifts

The researchers recruited their 'control subject' patients from other medical or clinical settings based on their similarities to the Simons group (such as same age, sex, and non-verbal IQ), to reduce variables that could muddy their results.

Most machine learning methods that plow through medical data like MRI scans, according to Rohde, do not incorporate a mathematical model for the many biological processes that happen to be contained hidden in that data.

Instead, past AI models, were only seeking out patterns to identify abnormalities or statistical anomalies in various patients' health data.

Dr Kundu's 'transport-based morphometry,' however, could help researchers distinguish even more tell-tale biological variations within brain structures — beyond the deletions or duplications associated with CNVs and autism. 

Given reports that 90 percent of all medical data comes from similar imaging, the team hopes this method could help draw new helpful information out of old tools.

'Major discoveries from such vast amounts of data may lie ahead if we utilize more appropriate mathematical models to extract such information,' Dr Rohde opined. 

'We hope that the findings,' he added, 'could point to brain regions and eventually mechanisms that can be leveraged for therapies.'

EXPLAINED: MAGNETIC RESONANCE IMAGING USED MAGNETIC FIELDS TO SEE INSIDE THE BODY

Magnetic resonance imaging (MRI) is a type of scan that uses strong magnetic fields and radio waves to produce detailed images of the inside of the body.

An MRI scanner is a large tube that contains powerful magnets. You lie inside the tube during the scan.

An MRI scan can be used to examine almost any part of the body, including the brain and spinal cord, bones and joints, breasts, heart and blood vessels and internal organs - such as the liver, womb or prostate gland. 

Magnetic resonance imaging (MRI) is a type of scan that uses strong magnetic fields and radio waves to produce detailed images of the inside of the body. An MRI scanner is a large tube that contains powerful magnets. You lie inside the tube during the scan

The results of an MRI scan can be used to help diagnose conditions, plan treatments and assess how effective previous treatment has been.

Most of the human body is made up of water molecules, which consist of hydrogen and oxygen atoms. At the centre of each hydrogen atom is an even smaller particle, called a proton. Protons are like tiny magnets and are very sensitive to magnetic fields.

When you lie under the powerful scanner magnets, the protons in your body line up in the same direction, in the same way that a magnet can pull the needle of a compass.

Short bursts of radio waves are then sent to certain areas of the body, knocking the protons out of alignment. When the radio waves are turned off, the protons realign. This sends out radio signals, which are picked up by receivers.

These signals provide information about the exact location of the protons in the body. They also help to distinguish between the various types of tissue in the body, because the protons in different types of tissue realign at different speeds and produce distinct signals.

In the same way that millions of pixels on a computer screen can create complex pictures, the signals from the millions of protons in the body are combined to create a detailed image of the inside of the body.