# Statistical Methods for Multilevel Multivariate Functional Studies

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 2020 · $634,455

## Abstract

Abstract
 While imaging studies are widely used in clinical practice and research, the number of neuroimaging-
based biomarkers is small. For example, in clinical trials of immunomodulatory therapies for MS, the
only commonly used imaging biomarkers are the total lesion volume and the number of new and en-
hancing lesions. These biomarkers are essential, but do not capture the recovery process of lesions,
which is thought to decline in more severe, progressive disease. The partial or complete recovery
of lesions may depend both on the ability of the brain to heal and on external factors, such as treat-
ment or environmental and behavioral exposures. In this proposal we take the natural next step of
proposing imaging biomarkers for MS based on the formation and change of lesions as observed on
multi-sequence structural MRIs. To solve this problem we propose to address several general method-
ological problems: 1) develop models and methods for the longitudinal analysis of several images of
the same brain; 2) identify and estimate the length of history that is necessary to estimate recovery; 3)
study the association with known biomarkers of the disease (in this case total volume and number of
new and enhancing lesions); 4) develop methods that are robust to changes in imaging protocols that
inevitably arise in longitudinal neuroimaging studies; and 5) develop the computational tools that allow
for sophisticated methods to be implemented seamlessly in practice. While our scientific problem is
focused, the proposed statistical methods are general and can be applied to a wide variety of longitu-
dinal neuroimaging studies. For example, there are many ongoing longitudinal neuroimaging studies,
including the ADNI, AIBL, HBC, and MISTIE, where our methods could be used to study subtle or
large changes in lesions or in white and gray matter intensities.

## Key facts

- **NIH application ID:** 9888434
- **Project number:** 5R01NS060910-12
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **Principal Investigator:** Ciprian M Crainiceanu
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $634,455
- **Award type:** 5
- **Project period:** 2009-01-01 → 2022-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9888434

## Citation

> US National Institutes of Health, RePORTER application 9888434, Statistical Methods for Multilevel Multivariate Functional Studies (5R01NS060910-12). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9888434. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*