Abstract
The quest to identify genes that influence disease is now being extended to find genes that affect biological markers of disease, or endophenotypes. Brain images, in particular, provide exquisitely detailed measures of anatomy, function, and connectivity in the living brain, and have identified characteristic features for many neurological and psychiatric disorders. The emerging field of imaging genomics is discovering important genetic variants associated with brain structure and function, which in turn influence disease risk and fundamental cognitive processes. Statistical approaches for testing genetic associations are not straightforward to apply to brain images because the data in brain images is spatially complex and generally high dimensional. Neuroimaging phenotypes typically include 3D maps across many points in the brain, fiber tracts, shape-based analyses, and connectivity matrices, or networks. These complex data types require new methods for data reduction and joint consideration of the image and the genome. Image-wide, genome-wide searches are now feasible, but they can be greatly empowered by sparse regression or hierarchical clustering methods that isolate promising features, boosting statistical power. Here we review the evolution of statistical approaches to assess genetic influences on the brain. We outline the current state of multivariate statistics in imaging genomics, and future directions, including meta-analysis. We emphasize the power of novel multivariate approaches to discover reliable genetic influences with small effect sizes.
Introduction
Over the past decade, public and private funding institutions have invested billions of dollars in the fields of human neuroimaging and genetics (Akil et al., ). Recently, researchers have sought to use quantitative measures from brain images to test how genetic variation influences the brain. Imaging measures are thought to have a simpler genetic architecture than diagnostic measures based on cognitive or clinical assessments (Gottesman and Gould, ). In other words, the penetrance of an individual genetic polymorphism is expected to be higher at the imaging level than at the diagnostic level. As such, imaging-derived traits may offer more power to detect how specific genes contribute to brain disease. Genetic analysis of images has been used to discover how susceptibility genes affect brain integrity (Braskie et al., ). Recent studies have revealed gene effects operating within an entire population, in the form of a 3D brain map (Thompson et al., 2001; Stein et al., 2010a; Hibar et al., ).
Optimally merging these two well-developed fields requires innovative mathematics and computational methods, guided by genomics and neuroscience. Imaging genetics is still a nascent field, and many studies are relatively simplistic – they generally test how a single genetic variant, or a small set of such variants (usually single nucleotide polymorphisms, or SNPs) are associated with a single summary measure of the brain. These studies begin to bridge the gap between the two fields, but do not take full advantage of advanced methods from either field, which can survey the entire genome or allow an image-wide search. By contrast, multivariate statistical methods such as machine learning and sparse regression can handle high dimensional datasets. Many of these are being adapted to analyze a range of brain processes and biological markers of disease.
In this review, we summarize the recent evolution of imaging genetics, from candidate gene studies to multilocus methods and genome-wide searches to genome-wide, image-wide searches. We explain how images are used in different ways, ranging from single region-of-interest (ROI) methods – that assess the volume or shape of a specific brain region, such as the hippocampus – to voxelwise approaches that survey the whole brain at once in 3D. In these efforts, multivariate, “multilocus” techniques can model how several genetic variants affect the brain at once. Specialized approaches – such as sparse coding methods – can simultaneously handle the high dimensionality and high degree of correlation observed across the genome and in image-derived maps.
Candidate Gene Studies
In studies that scan a large number of patients or controls, candidate gene studies have often been used to assess genetic effects on the brain. This approach is appealing as one can test biologically plausible hypotheses and determine how specific, well-studied genetic variations affect brain structure and function. Early studies, for instance, explored how genes related to serotonin transport affected measures extracted from single-photon emission computed tomography (SPECT) and functional magnetic resonance imaging (fMRI; Heinz et al., ; Hariri et al., ). Serotonin’s role in neurotransmission and neuromodulation – and the well-known anatomy of the monoamine systems – made it possible to frame and confirm testable hypotheses for pertinent regions such as the raphe nuclei and amygdala (Munafo et al., ).
Candidate gene studies, such as those above, may assess a single measure derived from a specific ROI in the image. This may be the whole brain, or a subregion such as the gray matter, or the volume or mean activation of a subcortical region. More recently, voxel-by-voxel searches have been conducted to assess candidate gene effects throughout the whole brain in 3D. This unbiased search across the brain makes no prior assumptions on which regions may be affected. Statistical maps are also widely used in neuroimaging. Spatial statistics, such as principal components analysis (PCA) or ICA, may also be performed for dimension reduction, and multiple comparisons corrections, such as the false discovery rate (FDR) method, can help to decide if a pattern of gene effects is significant across the voxels searched. For example, Ho et al. () investigated the effects of a proxy SNP in the fat mass and obesity-associated (FTO) gene reliably associated with increased risk for obesity (rs3751812; Frayling et al., ) on brain structure. They used MRI along with tensor-based morphometry (TBM), to evaluate 206 healthy elderly subjects. FTO risk allele carriers had lower frontal and occipital lobe volumes (Figure 1). In such studies, maps of statistical associations are created by performing separate association tests at each imaging voxel in the brain. As the number of statistical tests is very large, a standard correction for multiple comparisons can be used, such as the FDR method (Benjamini and Hochberg, ) or its more advanced variants such as topological FDR (Chumbley et al., ), which consider the geometry of the effects. These corrections assess how likely it is that the overall pattern of associations could be observed by chance. Voxel-based analyses may also be informed by prior hypotheses: ROI may be defined as search regions, such as the temporal lobes, to include prior information on the expected location or patterns of effects (Stein et al., 2010a).
Figure 1
Brain imaging measures used in genetic studies should ideally be highly heritable and be genetically related to a biological process affected by genetic variation, such as a disease process (Gottesman and Gould,
Figure 2

Corrected p-values (A) and regression coefficients (B) are shown for the voxelwise effects of a candidate polymorphism in the CLU gene – a highly prevalent Alzheimer’s susceptibility gene – on fractional anisotropy maps derived from DTI scans of 398 young adults. The axial slice shows the extensive influence of the genetic variant on white matter structure. Adapted from Braskie et al. (
Genome-Wide Associations with Single Imaging Measures
Candidate gene studies have successfully discovered patterns of brain differences associated with genetic variants whose function is relatively well-known (such as ApoE, for example – a risk gene for late-onset AD; Shaw et al., 2007). The choice of a candidate gene, however, requires a strong prior hypothesis, and most of the genetic determinants of the highly heritable imaging measures (connectivity or cortical thickness, for example) are unknown. In most candidate gene studies in imaging, there is a correction for multiple comparisons to control the rate of false discoveries across the image, but this does not take into account the genetic variant tested, or the fact that it could have been selected from a wide list of possibly associated genes. In genetics, and by extension imaging genetics, there is a high risk of false-positive findings unless appropriate corrections are made. Moving beyond candidate gene studies to an unbiased search of the whole genome clearly requires an appropriate genome-wide significance criterion. Otherwise, many false-positive associations will be reported that would not be replicated in the future (Ioannidis,
Genome-wide association (GWA) studies typically assess associations between hundreds of thousands of SNPs and a phenotype of interest (such as a disease, or a specific image-derived measure). GWA studies have discovered hundreds of common risk loci for diseases and traits in recent years (Hindorff et al.,
Measures derived from brain images in principle are closer to the underlying biology of gene action, offering an alternative target for genome-wide searches, by serving as intermediate phenotypes or endophenotypes for GWA studies (Gottesman and Gould,
The GWA study design has been extended to analyze whole images, but one of the shortcomings of all GWAS studies is their limited power (or alternatively, the large sample sizes needed) to detect relevant gene variants. Most SNPs affecting the brain have modest effect sizes (often explaining <1% of the variance in a quantitative phenotype). Meta-analysis can provide added statistical power to discover variants with small effects. Replication, and meta-analysis in particular, have been widely embraced as a way to aggregate evidence from multiple genetic studies, including studies of disease risk, and normally varying traits such as height (de Bakker et al.,
Even so, most imaging GWA studies consider under a thousand subjects, so are limited in detection power. This led many researchers in the field to band together to search for relevant genetic associations with imaging traits meta-analytically, in many large samples. One promising initiative is called Enhancing Neuro Imaging Genetics through Meta-Analysis (ENIGMA) and is currently accepting research groups who want to become involved in meta-analytic imaging genomics projects (http://enigma.loni.ucla.edu/). The ENIGMA pilot project is a large meta-analysis to discover genes associated with hippocampal volume on brain MRI in over 9,000 subjects scanned by 21 research centers (The ENIGMA Consortium, 2011). Future imaging genetics studies may rely on large meta-analyses and international collaborations to overcome the low power and relatively small effect sizes. However, some genetic associations can be found and replicated without vast meta-analytic approaches like ENIGMA. For example, Stein et al. (2011) discovered and replicated an association between caudate volume and the SNP rs163030 located in and around two genes, WDR41 and PDE8B. These genes are involved in dopamine signaling and development; a Mendelian mutation in one leads to severe caudate atrophy. Similarly, Joyner et al. (
Genetic Analysis of Mass Univariate Imaging Phenotypes
Studying a single imaging measure with a genome-wide search is as limited as picking a single candidate gene from the entire genome – it may not fully reflect how a given genetic variant influences the brain, or it may miss an important effect by being too restrictive. Important links may be overlooked if a gene variant influences a brain feature present but not measured in the images. To broaden the range of measures surveyed in each image, Shen et al. (2010) studied patients with AD and mild cognitive impairment (MCI) using whole-brain voxel-based morphometry (VBM; Good et al.,
Some researchers have combined unbiased tests of association across the genome with unbiased searches of the entire brain, instead of relying on summary measures derived from ROI. Combining GWA scans with an image-wide search is computationally intensive, requiring new methods to handle the high dimensionality and multiple statistical comparisons. Three dimensional brain images may contain over 100,000 voxels, and a completely unbiased search may test up to one million SNPs for association at each voxel. This is extremely computationally intensive, but can be completed in a feasible time frame if the process is parallelized. Stein et al. (2010b) performed a full GWA scan at each voxel in maps of regional brain volume calculated by TBM (Leow et al.,
Figure 3

The five most highly associated SNPs identified by vGWAS are shown on slices of an averaged brain MRI template, indicating regions where these SNPs were the most highly associated out of all SNPs (in purple). Coordinates refer to the ICBM standard space, and the cohort is the ADNI sample. Adapted from Stein et al. (2010a).
Multivariate Imaging Genetics Methods
Multivariate methods can be used to assess the joint effect of multiple genetic variants simultaneously, and are widely used in genetics (Phillips and Belknap, 2002; Gianola et al.,
An alternative to set-based methods is to group SNPs into a single statistical model and then test that model for overall association. One classical example of this strategy is multiple linear regression (MLR). However, a problem with applying MLR to genetic data is that SNPs tend to be highly correlated, as they co-segregate in haplotype blocks (Frazer et al.,
Some data reduction methods compute a new set of statistically orthogonal variables, for inclusion in a classical MLR model. A data reduction method such as PCA transforms a matrix of SNP predictors into a new orthogonal set of predictors, ranked in descending order based on the amount of the variance in the data that each component explains (Jolliffe,
One method, known as PCReg first performs PCA on a set of predictors. It then builds a multiple partial-F regression model where the number of components included is based on the desired proportion of variance to be explained (Massy,
Figure 4

Cumulative distribution function (CDF) plot of corrected p-values from vGeneWAS (Hibar et al.,
An extension of PCReg and other data reduction techniques is to perform data reduction on both the genome and the 3D brain imaging traits. One approach that appears to be promising is parallel independent components analysis (Parallel ICA or PICA; Liu et al.,
Figure 5

Clustering regions of a brain image that have common genetic determination. In a DTI study of twins, the known kinship structure made it possible to estimate the genetic correlation matrix and a “topological overlap (TO)” index matrix. This was used to gage the similarity of genetic influences on all pairs of brain regions (A). The 18 largest clusters – parts of the image with common genetic influences – were selected as regions of interest (ROIs) for GWAS. By associating the mean white matter integrity of these regions with genetic variants, a genetic interconnection network was obtained (B), where each network node represents a single SNP (colored circles). The figure shows only those SNPs associated with white matter integrity in at least one ROI with a significance p-value < 10−5. SNPs whose associations reach genome-wide significance are colored in red, with their names labeled. White lines indicate that SNPs are “connected,” i.e., their effects on white matter integrity are strongly correlated. Adapted from Chiang et al. (
Variants near each other on the genome can be highly correlated due to linkage disequilibrium. This leads to problems if all variants are included in a standard multiple regression model to predict the values of a trait. To address this, many new mathematical methods have been used to handle the high dimensionality in the genome (a p ≫ n problem) and interactions between genetic variants. These include penalized and sparse regression techniques, such as ridge regression (Hoerl,
Figure 6

Imaging and genomic data are incorporated into a sparse, reduced-rank regression model, where regions of interest (ROIs), and single nucleotide polymorphisms (SNPs) attain sparse coefficients, simultaneously. This approach can select pertinent SNPs and ROIs. In simulations, it demonstrates higher power than mass univariate models for detecting effects of genetic variants. Adapted with authors’ and publishers’ permission from Vounou et al. (2010).
Comprehensive modeling of whole-brain voxelwise and genome-wide data remains challenging, due to the high dimensionality of the data. This causes both statistical and computational problems. Recently, there have been new developments applying sparse regression methods to genome-wide data; one such method is iterative sure independence screening (ISIS; Fan and Lv,
Conclusion
The field of imaging genetics started with candidate gene studies, where hypotheses about gene action on brain structure and function could be tested in a novel way. More recently, candidate gene studies have been extended to investigate voxelwise associations between genetic variants and images of the brain, to map 3D profiles of genetic effects without requiring a priori selection of ROI.
To consider the entirety of the genome and discover potentially new variants, however, GWA studies have been introduced to the field of imaging genetics. In these studies, quantitative measures derived from images are considered as intermediate phenotypes, which are in some respects closer to the underlying biology of brain disorders and processes of interest. Despite their unbiased consideration of the whole genome, the standard, univariate GWA approach considers only one SNP at a time and has several limitations. From a genetic perspective, it does not take into account the interdependence between genetic variants due to linkage disequilibrium; and in regard to imaging, such studies typically rely on single summary measures from images, which only weakly represent the wealth of information in a full 3D scan.
Among the most promising applications of imaging genetics are those that use sparse methods to reduce the data dimensionality. Sparse methods create efficient models, and boost power to identify patterns of association. A major advantage of penalized or sparse regression methods is that they accommodate collinearity inherent in the genome and in the images, but they still offer a familiar regression framework to accommodate covariates and confounding variables. Penalized regression models may include a large number of genetic predictors. This may discover genetic effects undetected by other data reduction methods, such as PICA and PCReg. For studies of large 3D statistical maps of imaging phenotypes, methods to penalize the selection of both voxels from the image and associated genetic variants from the genome seem to have higher power than related discovery-based methods. Even so, this is largely an empirical question that depends on the structure of the true signal. Indeed, Vounou et al. (2010) demonstrated the increased power of the sRRR method, which favors the selection of an efficient set of ROI and a reduced number of SNPs has increased power. A major limitation of penalized methods is that they may fail to converge on a solution when the data dimensions are very high. Even methods designed for p ≫ n problems such as least angle regression (Efron et al.,
Once we have a set of validated genetic variants that affect the brain, multivariate models may be used to combine imaging, genetics, and other physiological biomarkers to predict outcomes in patients with brain disorders. The resulting combination of imaging and genetic data, with other biomarkers, can be used to predict an individual’s personalized aggregate risk for specific types of brain disorders. As genomic and proteomic data are added, prognosis and diagnosis may be possible at an earlier stage or more accurate than is possible with current biomarkers. Machine learning algorithms (e.g., decision trees, support vector machines, and neural networks) have shown promise for making disease predictions from genomic and proteomic data (Cruz and Wishart,
Statements
Acknowledgments
This work is supported in part by NIH grants R01 EB008432, EB008281 HD050735 AG020098, RC2 AG036535, P41 RR013642 (to Paul M. Thompson). Derrek P. Hibar is partially supported by NSF grant DGE-0707424. Omid Kohannim was supported in part by the UCLA MSTP. Jason L. Stein is partially supported by a T32 post-doctoral training grant in Neurobehavioral Genetics.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
GWAS, MRI, brain, penalized regression, sparse regression
Citation
Hibar DP, Kohannim O, Stein JL, Chiang M-C and Thompson PM (2011) Multilocus Genetic Analysis of Brain Images. Front. Gene. 2:73. doi: 10.3389/fgene.2011.00073
Received
28 July 2011
Accepted
03 October 2011
Published
21 October 2011
Volume
2 - 2011
Edited by
Lin S. Chen, The University of Chicago, USA
Reviewed by
Li Shen, Indiana University School of Medicine, USA; Donghui Yan, Fred Hutchinson Cancer Research Center, USA; Hongyuan Cao, The University of Chicago, USA
Copyright
© 2011 Hibar, Kohannim, Stein, Chiang and Thompson.
This is an open-access article subject to a non-exclusive license between the authors and Frontiers Media SA, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and other Frontiers conditions are complied with.
*Correspondence: Paul M. Thompson, Laboratory of Neuro Imaging, Department of Neurology, University of California Los Angeles School of Medicine, Neuroscience Research Building 225E, 635 Charles Young Drive, Los Angeles, CA 90095-1769, USA. e-mail: thompson@loni.ucla.edu
†Derrek P. Hibar and Omid Kohannim have contributed equally to this work.
This article was submitted to Frontiers in Statistical Genetics and Methodology, a specialty of Frontiers in Genetics.
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