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Hi Martin,

I come back on my previous question concerning survival bias in LME.

Do you have an advice ?

Best,
Matthieu

> Le 19 oct. 2018 à 16:30, Matthieu Vanhoutte <matthieuvanhou...@gmail.com> a 
> écrit :
> 
> Hi Martin,
> 
> Do you mean that high attrition (less time points with time) would induce 
> more variance on the slope estimates but this effect would be compensated by 
> LME modeling ?
> 
> Would there be proportion of early drop outs to respect in order to 
> compensate bias with LME ?
> 
> Thanks,
> Matthieu
> 
> 
> Le ven. 19 oct. 2018 à 16:19, Martin Reuter <mreu...@nmr.mgh.harvard.edu 
> <mailto:mreu...@nmr.mgh.harvard.edu>> a écrit :
> Hi Matthieu, 
> 
> in LME it is OK if subjects have differently many time points in
> general. You need to ask a statistician about your specific setup, but
> I think it might be OK (basically less time points, means more variance
> on the slope estimates, but that should be considered in LME). But I am
> not a statistician. 
> 
> Best, Martin
> 
> 
> On Wed, 2018-10-17 at 18:46 +0200, Matthieu Vanhoutte wrote:
> >         External Email - Use Caution        
> > Hi Martin,
> > 
> > Thanks for your answer.
> > 
> > I actually compare neurospychological scores at baseline between
> > drop-out subjects and subjects with full time-points. If I ever find
> > that drop-out subjects are more severely affected than the subjects
> > with full time-points, then there might be a bias in the results of
> > my LME study ?
> > 
> > How could I argue that significant patterns found in my LME study
> > between both groups are still valid accounting for this bias ? Is LME
> > method robust enough for compensating this kind of drop-out ?
> > 
> > Best,
> > Matthieu
> > 
> > 
> > Le mer. 17 oct. 2018 à 18:33, Martin Reuter <mreu...@nmr.mgh.harvard.
> > edu> a écrit :
> > > Hi Matthieu, 
> > > 
> > > 1) survival analysis is typically used if you want to detect if the
> > > time to an event is longer in one group vs the other (e.g. one
> > > group
> > > gets placebo the other drug and we want to know if recurrence is
> > > later
> > > in the drug group). Not sure this is what you need. The nice thing
> > > is,
> > > it can deal with drop-outs
> > > 
> > > 2) No, you can directly test that (e.g. do more dieseased drop out
> > > than
> > > healthy, or are the dropouts on average more advanced (test-scores,
> > > hippo-volume etc) than the diseased at baseline... many options.
> > > you
> > > could also test interactions with age , gender etc. However, not
> > > finding an interaction may not mean there is no bias, it is just
> > > small
> > > enough to go undetected with your data size. 
> > > 
> > > 3) Survival analysis is a different analysis than LME. 
> > > 
> > > Best, Martin
> > > 
> > > On Tue, 2018-10-16 at 16:15 +0000, Matthieu Vanhoutte wrote:
> > > >         External Email - Use Caution        
> > > > Hi Martin,
> > > > 
> > > > It's been a long time since this discussion but I return on this
> > > from
> > > > now... The problem is that I followed longitudinal images of two
> > > > groups where I had mainly missing time points at the end. Than
> > > you
> > > > suggested:
> > > > If you have mainly missing time points at the end, this will bias
> > > > your analysis to some extend, as the remaining ones may be
> > > extremely
> > > > healthy, as probably the more diseased ones drop out. You may
> > > want to
> > > > do a time-to-event (or survival-analysis) which considers early
> > > drop-
> > > > out.
> > > > 
> > > > 1) I know the survival analysis toolbox on matlab, but now I
> > > would
> > > > like to know what information will this survival analysis give to
> > > me
> > > > ? 
> > > > 2) Will this analysis tell me if there is a bias ?
> > > > 3) How to consider early drop-out with this type of analysis
> > > based on
> > > > mass-univariate LME analysis of longitudinal neuroimaging data ?
> > > > 
> > > > Thanks in advance for helping.
> > > > 
> > > > Best,
> > > > Matthieu
> > > > 
> > > > Le mer. 14 déc. 2016 à 22:14, Martin Reuter <mreu...@nmr.mgh.harv
> > > ard.
> > > > edu> a écrit :
> > > > > Hi Matthieu,
> > > > > 
> > > > > 1. yes, LME needs to be done first so that values can be
> > > sampled
> > > > > from the fitted model for the SA.
> > > > > 
> > > > > 2. yes, I was talking about gradient non-linearities etc that
> > > could
> > > > > be in the image from the acquisition. We currently don’t use
> > > non-
> > > > > linear registration across time points (only rigid). 
> > > > > 
> > > > > Best, Martin
> > > > > 
> > > > > 
> > > > > > On Nov 22, 2016, at 9:31 PM, Matthieu Vanhoutte
> > > <matthieuvanhoutt
> > > > > > e...@gmail.com <mailto:e...@gmail.com>> wrote:
> > > > > > 
> > > > > > Hi Martin,
> > > > > > 
> > > > > > Please see inline below:
> > > > > > 
> > > > > > > Le 22 nov. 2016 à 17:04, Martin Reuter <mreu...@nmr.mgh.har
> > > vard
> > > > > > > .edu> a écrit :
> > > > > > > 
> > > > > > > Hi Matthieu, 
> > > > > > > (also inline)
> > > > > > > 
> > > > > > > > On Nov 21, 2016, at 10:28 PM, Matthieu Vanhoutte
> > > <matthieuvan
> > > > > > > > hou...@gmail.com <mailto:hou...@gmail.com>> wrote:
> > > > > > > > 
> > > > > > > > Hi Martin,
> > > > > > > > 
> > > > > > > > Thanks for replying. Please see inline below:
> > > > > > > > 
> > > > > > > > > Le 21 nov. 2016 à 20:26, Martin Reuter <mreu...@nmr.mgh
> > > .har
> > > > > > > > > vard.edu <http://vard.edu/>> a écrit :
> > > > > > > > > 
> > > > > > > > > Hi Matthieu, 
> > > > > > > > > 
> > > > > > > > > a few quick answers. Maybe Jorge knows more. 
> > > > > > > > > Generally number of subjects / time points etc. cannot
> > > be
> > > > > > > > > specified generally. All depends on how noisy your data
> > > is
> > > > > > > > > and how large the effect is that you expect to detect.
> > > You
> > > > > > > > > can do a power analysis in order to figure out how many
> > > > > > > > > subject / time points would be needed. There are some
> > > tools
> > > > > > > > > for that in the LME toolbox:
> > > > > > > > > https://surfer.nmr.mgh.harvard.edu/fswiki/LinearMixedEf 
> > > > > > > > > <https://surfer.nmr.mgh.harvard.edu/fswiki/LinearMixedEf>
> > > fect
> > > > > > > > > sModels#Poweranalysis 
> > > > > > > > > 
> > > > > > > > > 1. see above
> > > > > > > > > 2. yes, also time points can miss from the middle. If
> > > you
> > > > > > > > > have mainly missing time points at the end, this will
> > > bias
> > > > > > > > > your analysis to some extend, as the remaining ones may
> > > be
> > > > > > > > > extremely healthy, as probably the more diseased ones
> > > drop
> > > > > > > > > out. You may want to do a time-to-event (or survival-
> > > > > > > > > analysis) which considers early drop-out.
> > > > > > > > 
> > > > > > > > Is there any way to do with Freesurfer this kind of
> > > analysis
> > > > > > > > ?
> > > > > > > 
> > > > > > > https://surfer.nmr.mgh.harvard.edu/fswiki/SurvivalAnalysis 
> > > > > > > <https://surfer.nmr.mgh.harvard.edu/fswiki/SurvivalAnalysis> 
> > > > > > > Yes, there is also a paper where we do this. It is a
> > > > > > > combination of LME and Survival Analysis (as for the SA you
> > > > > > > need to have measurements of all subjects at all time
> > > points,
> > > > > > > so you estimate that from the LME model). 
> > > > > > 
> > > > > > Thank you for the link, I will take a look at. So if
> > > understand,
> > > > > > this analysis has to be done after LME statistical analysis ?
> > > > > > Thereafter since SA need all time points, LME model will
> > > allow me
> > > > > > to estimate missing time points ?
> > > > > > 
> > > > > > > > > 3. see above (power analysis)
> > > > > > > > > 4. GIGO means garbage in, garbage out, so the less you
> > > QC,
> > > > > > > > > the more likely will your results be junk. The more you
> > > QC
> > > > > > > > > the less likely will it be junk, but could still be.
> > > The FS
> > > > > > > > > wiki has lots of tutorial information on checking
> > > > > > > > > freesurfer recons. For longitudinal, you should
> > > > > > > > > additionally check the surfaces in the base, the brain
> > > mask
> > > > > > > > > in the base, and the alignment of the time points
> > > (although
> > > > > > > > > there is some wiggle space for the alignment, as most
> > > > > > > > > things are allowed to evolve further for each time
> > > point). 
> > > > > > > > 
> > > > > > > > For the alignment of the time points, should I better
> > > > > > > > comparing brainmask or norm.mgz ?
> > > > > > > 
> > > > > > > It does not really matter, I would use norm.mgz. I would
> > > load
> > > > > > > images on top of each other and then use the opacity slider
> > > in
> > > > > > > Freeview to blend between them (that way the eye can pick
> > > up
> > > > > > > small motions). I would not worry too much about local
> > > > > > > deformations which could be caused by non-linearity
> > > (gradient).
> > > > > > > But if you see global misalignment (rotation, translation)
> > > it
> > > > > > > is a cause for concern) .
> > > > > > 
> > > > > > Ok thank you. The non-linearity you are talking about are
> > > well
> > > > > > provoked by MRI system and not non-linear registration
> > > between
> > > > > > time points and template base, aren’t they ?
> > > > > > 
> > > > > > Best regards,
> > > > > > Matthieu
> > > > > > 
> > > > > > > > In order to avoid bias by adding further time points in
> > > the
> > > > > > > > model by the -add recon all command, is this better for
> > > each
> > > > > > > > subject to take into account all the time points existing
> > > for
> > > > > > > > it or only the ones that I will include in the model
> > > (three
> > > > > > > > time points / subject ; if existing 6 time points for any
> > > > > > > > subject ?)
> > > > > > > > 
> > > > > > > 
> > > > > > > Usually it is recommended to run all time points in the
> > > model
> > > > > > > (so a base with 6 time points) and not use the - - add
> > > flag.
> > > > > > > Also, Linear Mixed Effects models deal well with missing
> > > time
> > > > > > > points. It is perfectly OK to have differently many time
> > > points
> > > > > > > per subject for that. You should still check if there is a
> > > bias
> > > > > > > (e.g. one group always has 3 time points the other 6) that
> > > > > > > would not be good. Maybe also consult with a local
> > > > > > > biostatistician if you are not comfortable with the stats.
> > > The
> > > > > > > LME tools are matlab, and so are the survival-analysis
> > > > > > > scripts. 
> > > > > > > 
> > > > > > > Best, Martin
> > > > > > > 
> > > > > > > 
> > > > > > > 
> > > > > > > > Best regards,
> > > > > > > > Matthieu
> > > > > > > > 
> > > > > > > > > Best, Martin
> > > > > > > > > 
> > > > > > > > > > On Nov 21, 2016, at 7:07 PM, Matthieu Vanhoutte
> > > <matthieu
> > > > > > > > > > vanhou...@gmail.com <mailto:vanhou...@gmail.com>> wrote:
> > > > > > > > > > 
> > > > > > > > > > Dear Freesurfer’s experts,
> > > > > > > > > > 
> > > > > > > > > > I would have some questions regarding the LME model
> > > to be
> > > > > > > > > > used in longitudinal stream:
> > > > > > > > > > 
> > > > > > > > > > 1) Which are the ratio limits or % of missing
> > > timepoints
> > > > > > > > > > accepted ? (according time, I have less and less
> > > subjects
> > > > > > > > > > time points)
> > > > > > > > > > 
> > > > > > > > > > 2) Is it possible to include patients that would miss
> > > the
> > > > > > > > > > first timepoint but got the others ?
> > > > > > > > > > 
> > > > > > > > > > 3) Considering a group in longitudinal study, which
> > > is
> > > > > > > > > > the number of subjects minimal of this group accepted
> > > for
> > > > > > > > > > LME modeling ?
> > > > > > > > > > 
> > > > > > > > > > 4) Finally, concerning quality control and among a
> > > big
> > > > > > > > > > number of total time points, which essential controls
> > > are
> > > > > > > > > > necessary ? (Control of norm.mgz of the base,
> > > alignment
> > > > > > > > > > of longitudinal timepoints on base,… ?)
> > > > > > > > > > 
> > > > > > > > > > Best regards,
> > > > > > > > > > Matthieu
> > > > > > > > > > 
> > > > > > > > > > 
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