Key result
Task-based fMRI connectome modelling predicts cognitive reserve but fails to generalize to resting-state data.
Why the study?
Direct and accurate measurement of cognitive reserve using functional neuroimaging has clinical potential, but measures developed from task-based fMRI needed validation and application to independent resting-state data.
Can connectome-based predictive modelling using task-based functional connectivity accurately predict cognitive reserve and be applied to resting-state data?
Observational (n=514)
Can connectome-based predictive modelling using task-based functional connectivity accurately predict cognitive reserve and be applied to resting-state data?
Task-based functional connectivity can generate valid measures of cognitive reserve, but these models may not directly transfer to resting-state fMRI data.
Task-based fMRI models may aid cognitive reserve assessment in similar cohorts; leaves open generalization to resting-state data.
Cognitive reserve supports cognitive function in the presence of pathology or atrophy. Functional neuroimaging may enable direct and accurate measurement of cognitive reserve which could have considerable clinical potential. The present study aimed to develop and validate a measure of cognitive reserve using task-based fMRI data that could then be applied to independent resting-state data. Connectome-based predictive modelling with leave-one-out cross-validation was applied to predict a residual measure of cognitive reserve using task-based functional connectivity from the Cognitive Reserve/Reference Ability Neural Network studies (n = 220, mean age = 51.91 years, SD = 17.04 years). This model generated summary measures of connectivity strength that accurately predicted a residual measure of cognitive reserve in unseen participants. The theoretical validity of these measures was established via a positive correlation with a socio-behavioural proxy of cognitive reserve (verbal intelligence) and a positive correlation with global cognition, independent of brain structure. This fitted model was then applied to external test data: resting-state functional connectivity data from The Irish Longitudinal Study on Ageing (TILDA, n = 294, mean age = 68.3 years, SD = 7.18 years). The network-strength predicted measures were not positively associated with a residual measure of cognitive reserve nor with measures of verbal intelligence and global cognition. The present study demonstrated that task-based functional connectivity data can be used to generate theoretically valid measures of cognitive reserve. Further work is needed to establish if, and how, measures of cognitive reserve derived from task-based functional connectivity can be applied to independent resting-state data.
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Boyle et al. (2022) conducted an observational in Cognitive reserve (n=514). Connectome-based predictive modelling using task-based fMRI was evaluated on Residual measure of cognitive reserve. Connectome-based predictive modelling using task-based fMRI accurately predicted cognitive reserve in the training cohort (n=220) but did not generalize to independent resting-state data (n=294).
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