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Abstract
Causal Structure Discovery (CSD) is the problem of identifying causal relationships from large quantities of data through computational methods. With the limited ability of traditional association-based computational methods to discover causal relationships, CSD methodologies are gaining popularity. The goal of the study was to systematically examine whether (i) CSD methods can discover the known causal relationships from observational clinical data and (ii) to offer guidance to accurately discover known causal relationships. We used Alzheimer’s disease (AD), a complex progressive disease, as a model because the well-established evidence provides a “gold-standard” causal graph for evaluation. We evaluated two CSD methods, Fast Causal Inference (FCI) and Fast Greedy Equivalence Search (FGES) in their ability to discover this structure from data collected by the Alzheimer’s Disease Neuroimaging Initiative (ADNI). We used structural equation models (which is not designed for CSD) as control. We applied these methods under three scenarios defined by increasing amounts of background knowledge provided to the methods. The methods were evaluated by comparing the resulting causal relationships with the “gold standard” graph that was constructed from literature. Dedicated CSD methods managed to discover graphs that nearly coincided with the gold standard. For best results, CSD algorithms should be used with longitudinal data providing as much prior knowledge as possible.
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1 Institute for Health Informatics, University of Minnesota, Minneapolis, USA (GRID:grid.17635.36) (ISNI:0000000419368657)
2 Mayo Clinic, Rochester, USA (GRID:grid.66875.3a) (ISNI:0000 0004 0459 167X)
3 University of California, San Francisco, USA (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811)
4 University of Southern California, Los Angeles, USA (GRID:grid.42505.36) (ISNI:0000 0001 2156 6853)
5 Indiana University, Bloomington, USA (GRID:grid.411377.7) (ISNI:0000 0001 0790 959X)
6 University of California, Berkeley, USA (GRID:grid.47840.3f) (ISNI:0000 0001 2181 7878)
7 University of Pennsylvania, Philadelphia, USA (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972)
8 University of California, Davis, USA (GRID:grid.27860.3b) (ISNI:0000 0004 1936 9684)
9 Brigham and Women’s Hospital/Harvard Medical School, Boston, USA (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
10 Washington University St. Louis, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002)
11 Prevent Alzheimer’s Disease, Rockville, USA (GRID:grid.468171.d)
12 Siemens, Munich, Germany (GRID:grid.5406.7) (ISNI:000000012178835X)
13 Alzheimer’s Association, Illinois, USA (GRID:grid.422384.b) (ISNI:0000 0004 0614 7003)
14 University of Pittsburgh, Pennsylvania, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000)
15 Cornell University, New York, USA (GRID:grid.5386.8) (ISNI:000000041936877X)
16 Albert Einstein College of Medicine of Yeshiva University, New York, USA (GRID:grid.251993.5) (ISNI:0000000121791997)
17 AD Drug Discovery Foundation, New York, USA (GRID:grid.251993.5)
18 Acumen Pharmaceuticals, California, USA (GRID:grid.427650.2)
19 Northwestern University, Illinois, USA (GRID:grid.16753.36) (ISNI:0000 0001 2299 3507)
20 National Institute of Mental Health, Maryland, USA (GRID:grid.416868.5) (ISNI:0000 0004 0464 0574)
21 Brown University, Rhode Island, USA (GRID:grid.40263.33) (ISNI:0000 0004 1936 9094)
22 Eli Lilly, Indiana, USA (GRID:grid.417540.3) (ISNI:0000 0000 2220 2544)
23 University of Washington, Washington, USA (GRID:grid.34477.33) (ISNI:0000000122986657)
24 University of California, San Diego, USA (GRID:grid.266100.3) (ISNI:0000 0001 2107 4242)
25 University of London, London, UK (GRID:grid.4464.2) (ISNI:0000 0001 2161 2573)
26 University of California, Los Angeles, USA (GRID:grid.19006.3e) (ISNI:0000 0000 9632 6718)
27 University of Michigan, Michigan, USA (GRID:grid.214458.e) (ISNI:0000000086837370)
28 University of Utah, Utah, USA (GRID:grid.223827.e) (ISNI:0000 0001 2193 0096)
29 Banner Alzheimer’s Institute, Arizona, USA (GRID:grid.223827.e)
30 University of California, Irvine, USA (GRID:grid.266093.8) (ISNI:0000 0001 0668 7243)
31 National Institute on Aging, Maryland, USA (GRID:grid.419475.a) (ISNI:0000 0000 9372 4913)
32 Johns Hopkins University, Maryland, USA (GRID:grid.21107.35) (ISNI:0000 0001 2171 9311)
33 Richard Frank Consulting, New Hampshire, USA (GRID:grid.21107.35)
34 Oregon Health and Science University, Oregon, USA (GRID:grid.5288.7) (ISNI:0000 0000 9758 5690)
35 Baylor College of Medicine, Texas, USA (GRID:grid.39382.33) (ISNI:0000 0001 2160 926X)
36 Columbia University Medical Center, New York, USA (GRID:grid.239585.0) (ISNI:0000 0001 2285 2675)
37 University of Alabama-, Birmingham, USA (GRID:grid.265892.2) (ISNI:0000000106344187)
38 Mount Sinai School of Medicine, New York, USA (GRID:grid.59734.3c) (ISNI:0000 0001 0670 2351)
39 Rush University Medical Center, Rush University, Illinois, USA (GRID:grid.59734.3c)
40 Wien Center, Florida, USA (GRID:grid.59734.3c)
41 NewYork University, New York, USA (GRID:grid.21107.35)
42 Duke University Medical Center, North Carolina, USA (GRID:grid.189509.c) (ISNI:0000000100241216)
43 University of Kentucky, Kentucky, USA (GRID:grid.266539.d) (ISNI:0000 0004 1936 8438)
44 University of Rochester Medical Center, New York, USA (GRID:grid.412750.5) (ISNI:0000 0004 1936 9166)
45 University of Texas Southwestern Medical School, Texas, USA (GRID:grid.267313.2) (ISNI:0000 0000 9482 7121)
46 Emory University, Georgia, USA (GRID:grid.189967.8) (ISNI:0000 0001 0941 6502)
47 University of Kansas, Medical Center, Kansas, USA (GRID:grid.412016.0) (ISNI:0000 0001 2177 6375)
48 Mayo Clinic, Jacksonville, USA (GRID:grid.417467.7) (ISNI:0000 0004 0443 9942)
49 Yale University School of Medicine, Connecticut, USA (GRID:grid.47100.32) (ISNI:0000000419368710)
50 McGill University, Montreal-Jewish General Hospital, Quebec, Canada (GRID:grid.14709.3b) (ISNI:0000 0004 1936 8649)
51 Sunnybrook Health Sciences, Ontario, Canada (GRID:grid.14709.3b)
52 U.B.C. Clinic for AD & Related Disorders, British Columbia, Canada (GRID:grid.14709.3b)
53 Cognitive Neurology-St. Joseph’s, Ontario, Canada (GRID:grid.14709.3b)
54 Cleveland Clinic Lou Ruvo Center for Brain Health, Ohio, USA (GRID:grid.239578.2) (ISNI:0000 0001 0675 4725)
55 Premiere Research Inst (Palm Beach Neurology), Florida, USA (GRID:grid.16753.36)
56 Georgetown University Medical Center, Washington, USA (GRID:grid.411667.3) (ISNI:0000 0001 2186 0438)
57 Stanford University, California, USA (GRID:grid.168010.e) (ISNI:0000000419368956)
58 Banner Sun Health Research Institute, Arizona, USA (GRID:grid.414208.b) (ISNI:0000 0004 0619 8759)
59 Boston University, Massachusetts, USA (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558)
60 Howard University, Washington, USA (GRID:grid.257127.4) (ISNI:0000 0001 0547 4545)
61 Case Western Reserve University, Ohio, USA (GRID:grid.67105.35) (ISNI:0000 0001 2164 3847)
62 Neurological Care of CNY, New York, USA (GRID:grid.27860.3b)
63 Parkwood Hospital, Pennsylvania, USA (GRID:grid.27860.3b)
64 University of Wisconsin, Wisconsin, USA (GRID:grid.267461.0) (ISNI:0000 0001 0559 7692)
65 Banner Alzheimer’s Institute, Arizona, USA (GRID:grid.267461.0)
66 Dent Neurologic Institute, New York, USA (GRID:grid.417854.b)
67 Ohio State University, Ohio, USA (GRID:grid.261331.4) (ISNI:0000 0001 2285 7943)
68 Albany Medical College, New York, USA (GRID:grid.413558.e) (ISNI:0000 0001 0427 8745)
69 Hartford Hospital, Olin Neuropsychiatry Research Center, Connecticut, USA (GRID:grid.277313.3) (ISNI:0000 0001 0626 2712)
70 Dartmouth-Hitchcock Medical Center, New Hampshire, USA (GRID:grid.413480.a) (ISNI:0000 0004 0440 749X)
71 Wake Forest University Health Sciences, North Carolina, USA (GRID:grid.412860.9) (ISNI:0000 0004 0459 1231)
72 Rhode Island Hospital, Rhode Island, USA (GRID:grid.240588.3) (ISNI:0000 0001 0557 9478)
73 Butler Hospital, Rhode Island, USA (GRID:grid.273271.2) (ISNI:0000 0000 8593 9332)
74 Medical University South Carolina, Carolina, USA (GRID:grid.259828.c) (ISNI:0000 0001 2189 3475)
75 Nathan Kline Institute, New York, USA (GRID:grid.250263.0) (ISNI:0000 0001 2189 4777)
76 University of Iowa College of Medicine, Iowa, USA (GRID:grid.214572.7) (ISNI:0000 0004 1936 8294)
77 USF Health Byrd Alzheimer’s Institute, University of South Florida, Florida, USA (GRID:grid.170693.a) (ISNI:0000 0001 2353 285X)