This report tracks SPINAPS (SPN40), a study of synaptic density measured with [18F]SynVesT-1 PET in emerging and young adults with autism (with impaired or intact neurocognition) and typically developing controls. It covers recruitment, progress towards the PET targets, the data shared from the studies participants came from (SPIN-ASD, SPIN-R) and their clinical and cognitive scores.

For questions about the methods or code, contact Hassan Abdulrasul ().

Overview: progress towards the PET targets

How this is counted. Each participant is counted once, at the furthest point they have reached: enrolled (has a SPINAPS record), eligible (Eligibility Checklist says eligible), PET done (PET Scan Information form completed), then PET usable on QC. A PET whose QC form is still empty is shown as QC pending rather than unusable, because no QC decision has been made yet. Targets count usable PETs only, because the protocol replaces participants whose PET cannot be used. The pilot target (Aim 1) is 10 per group; the full sample (Aim 2) is 28 ASD-Impaired, 27 ASD-Intact and 29 TDC (config/targets.csv).

Group Enrolled Eligible PET done QC pending PET usable Withdrawn
Pilot (Aim 1)
Full sample (Aim 2)
Pilot target Pilot met Full target Full met Still needed
ASD-Impaired 22 22 21 0 21 0 10 210% 28 75% 7
ASD-Intact 1 1 1 0 1 0 10 10% 27 4% 26
TDC 19 19 19 9 10 0 10 100% 29 34% 19
Not assigned 7 2 2 2 0 1




TOTAL 49 44 43 11 32 1 30 107% 84 38% 52
Notes. Counts are participants. PET usable = reconstructed image judged usable on QC; QC pending = PET done but the QC form is not filled in yet. Targets count usable PETs only. Not assigned = no group recorded on the Eligibility Checklist (no target).

Recruitment

By month

How this is counted. There is no e-consent project for SPINAPS, so a participant is counted as recruited in the month of their eligibility assessment (elg_doa, Eligibility Checklist), the first study procedure after consent. Participants without an eligibility date are left out of these plots (5 at present).

Where participants came from

How this is counted. The protocol recruits mainly from SPIN-ASD and SPIN-R, and also from TAY, SYNAPSIS, a cannabis and alcohol PET study, CAMH clinics and referrals, and advertising. REDCap records only the first three: a participant is counted under SPIN-ASD or SPIN-R when they are linked to a record there (the IDs on the Shared Data Availability form, checked against the origin project, or the matching SPN40 number; see Data Quality, Origin IDs). Participants in both are shown once, under SPIN-ASD and SPIN-R. TAY is not pulled (no API access), so TAY participants are counted only when the Shared Data form ticks TAY. Not linked covers everyone else: other studies, clinics, advertising, or an origin ID that is missing or wrong. The source of those participants is not recorded in REDCap.

Source
ASD
TDC Not assigned Total
ASD-Impaired ASD-Intact All ASD
SPIN-R 9 0 9 12 5 26
SPIN-ASD 6 0 6 6 0 12
SPIN-ASD and SPIN-R 7 1 8 1 0 9
Not linked to SPIN-ASD or SPIN-R 0 0 0 0 2 2

Withdrawals

How this is counted. A participant is withdrawn when the Early Termination/Withdrawal Checklist says they were prematurely withdrawn (term_premature_yn); the reason is the one ticked on that form. This includes participants who never received a group, so they appear under Not assigned.

Reason Not assigned
Lost to follow-up 1

Participant Flow

Summary of who is in the study, where they came from and whether they completed it, for the SPINAPS paper.

What REDCap can and cannot show. The flow starts at a SPINAPS record, which is created at consent. Who was contacted, who was interested and why people did not consent are recorded only in the screening log, which is not in REDCap, so those boxes of a CONSORT diagram cannot be filled from here.

How each step is counted.

  • Enrolled: recorded as eligible on the Eligibility Checklist. Not enrolled shows the criteria answered the ineligible way (config/eligibility_criteria.csv), or that the checklist is not filled in.
  • PET scan done: a PET date is entered or the PET Scan Information form is marked completed.
  • Withdrawn: the Early Termination/Withdrawal Checklist says the participant was prematurely withdrawn; before or after PET depends on whether the PET scan was done.
  • Completed: enrolled, PET scan done and not withdrawn. This counts what the participant did, not what has been entered: PET QC and data entry run behind the visits.
  • Data still in progress (grey box): for completed participants, what is not in REDCap yet: PET QC form, an MRI on the Shared Data Availability form (SPINAPS REDCap has no MRI form of its own), and IQ, MATRICS composite or RMET in SPINAPS or the origin study. These are not dropouts.

Flow

Each column follows the participants who came from one study. When a participant was in both SPIN-ASD and SPIN-R, they are counted under SPIN-R (the later study, and the preferred source on the Shared Data form). Beside each arrow: who dropped out at that point and why, or who is still waiting.

Please note : PET data missing refers to pending QC. The final completed number is calculated based on having all data points completed - from cog scales, PET QC, etc.

ASD in SPINAPS (consented)
n = 23
ASD-Impaired 22 · ASD-Intact 1
From SPIN-R
n = 17
ASD-Impaired 16 · ASD-Intact 1
Enrolled (eligible)
n = 17
ASD-Impaired 16 · ASD-Intact 1
PET scan done
n = 17
ASD-Impaired 16 · ASD-Intact 1
Completed
n = 17
ASD-Impaired 16 · ASD-Intact 1
Data still in progress (not dropouts)
IQ not yet entered: 9
From SPIN-ASD
n = 6
ASD-Impaired 6 · ASD-Intact 0
Enrolled (eligible)
n = 6
ASD-Impaired 6 · ASD-Intact 0
Still waiting for PET: 1
PET scan done
n = 5
ASD-Impaired 5 · ASD-Intact 0
Completed
n = 5
ASD-Impaired 5 · ASD-Intact 0
Data still in progress (not dropouts)
All data in
Controls (TDC) in SPINAPS (consented)
n = 19
From SPIN-R
n = 13
Enrolled (eligible)
n = 13
PET scan done
n = 13
Completed
n = 13
Data still in progress (not dropouts)
PET QC pending: 5
MRI not yet on Shared Data form: 1
IQ not yet entered: 4
MATRICS not yet entered: 1
From SPIN-ASD
n = 6
Enrolled (eligible)
n = 6
PET scan done
n = 6
Completed
n = 6
Data still in progress (not dropouts)
PET QC pending: 4
MRI not yet on Shared Data form: 1
No group recorded (consented)
n = 7
From SPIN-R
n = 7
Not enrolled: 5
• Eligibility Checklist not completed (5)
Enrolled (eligible)
n = 2
PET scan done
n = 2
Completed
n = 2
Data still in progress (not dropouts)
PET QC pending: 2
IQ not yet entered: 2
MATRICS not yet entered: 1
From SPIN-ASD
n = 0
Enrolled (eligible)
n = 0
PET scan done
n = 0
Completed
n = 0
Data still in progress (not dropouts)
All data in

Participants

One row per participant: where they came from, their status, and the data still in progress for anyone scanned.

Participant Group Came from Origin IDs Status Data still in progress Withdrawal reason Not enrolled because
SPN40_CMH_100104 Not assigned SPIN-R SPN31_CMH_100104 Not enrolled
Lost to follow-up Eligibility Checklist not completed
SPN40_CMH_500010/90076 Not assigned Not linked to SPIN-ASD or SPIN-R
Not enrolled

Eligibility Checklist not completed
SPN40_CMH_50010/90084 Not assigned SPIN-R SPN31_CMH_050010 Not enrolled

Eligibility Checklist not completed
SPN40_CMH_50016/90108 Not assigned SPIN-R SPN30_CMH_050016 Not enrolled

Eligibility Checklist not completed
SPN40_CMH_90037 Not assigned Not linked to SPIN-ASD or SPIN-R
Not enrolled

Eligibility Checklist not completed
SPN40_CMH_100133 ASD-Impaired SPIN-ASD SPASD_CMP_0133 Enrolled, awaiting PET


SPN40_CMH_0116 ASD-Impaired SPIN-ASD SPASD_CMP_0116 Completed


SPN40_CMH_0118 ASD-Impaired SPIN-ASD SPASD_CMP_0118 Completed


SPN40_CMH_0142 ASD-Impaired SPIN-ASD SPASD_CMP_0142 Completed


SPN40_CMH_0146 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0146, SPN31_CMH_100146 Completed


SPN40_CMH_100002 ASD-Impaired SPIN-R SPN31_CMH_100002 Completed IQ

SPN40_CMH_100003 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0003, SPN31_CMH_100003 Completed


SPN40_CMH_100006 ASD-Impaired SPIN-R SPN31_CMH_100006 Completed IQ

SPN40_CMH_100020 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0020, SPN31_CMH_100020 Completed


SPN40_CMH_100029 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0029, SPN31_CMH_100029 Completed


SPN40_CMH_100035 ASD-Impaired SPIN-R SPN31_CMH_100035 Completed IQ

SPN40_CMH_100036 ASD-Impaired SPIN-R SPN31_CMH_100036 Completed IQ

SPN40_CMH_100047 ASD-Impaired SPIN-R SPN31_CMH_100047 Completed IQ

SPN40_CMH_100056 ASD-Impaired SPIN-R SPN31_CMH_100056 Completed IQ

SPN40_CMH_100060 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0060, SPN31_CMH_100060 Completed


SPN40_CMH_100068 ASD-Impaired SPIN-R SPN31_CMH_100068 Completed IQ

SPN40_CMH_100070 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0070, SPN31_CMH_100070 Completed


SPN40_CMH_100091 ASD-Impaired SPIN-R SPN31_CMH_100091 Completed IQ

SPN40_CMH_100113 ASD-Impaired SPIN-ASD SPASD_CMP_0113 Completed


SPN40_CMH_100115 ASD-Impaired SPIN-ASD SPASD_CMP_0115 Completed


SPN40_CMH_100125 ASD-Impaired SPIN-ASD and SPIN-R SPASD_CMP_0125, SPN31_CMH_100125 Completed


SPN40_CMH_60001 ASD-Impaired SPIN-R SPN31_CMH_060001 Completed IQ

SPN40_CMH_100012 ASD-Intact SPIN-ASD and SPIN-R SPASD_CMP_0012, SPN31_CMH_100012 Completed


SPN40_CMH_0122 TDC SPIN-ASD SPASD_CMP_0122 Completed


SPN40_CMH_0135 TDC SPIN-ASD SPASD_CMP_0135 Completed


SPN40_CMH_0156/90102 TDC SPIN-ASD SPASD_CMP_0156 Completed PET QC, MRI

SPN40_CMH_0157/90079 TDC SPIN-ASD SPASD_CMP_0157 Completed PET QC

SPN40_CMH_0158/90080 TDC SPIN-ASD SPASD_CMP_0158 Completed PET QC

SPN40_CMH_0159/90086 TDC SPIN-ASD SPASD_CMP_0159 Completed PET QC

SPN40_CMH_100094 TDC SPIN-ASD and SPIN-R SPASD_CMP_0094, SPN31_CMH_100094 Completed


SPN40_CMH_100117 TDC SPIN-R SPN31_CMH_100117 Completed IQ

SPN40_CMH_100119 TDC SPIN-R SPN31_CMH_100119 Completed IQ

SPN40_CMH_100132 TDC SPIN-R SPN30_CMH_010158 Completed IQ

SPN40_CMH_50001 TDC SPIN-R SPN30_CMH_050001 Completed


SPN40_CMH_50002/90073 TDC SPIN-R SPN30_CMH_050002 Completed PET QC

SPN40_CMH_50004 TDC SPIN-R SPN30_CMH_050004 Completed


SPN40_CMH_50005 TDC SPIN-R SPN31_CMH_050005 Completed


SPN40_CMH_50006/90087 TDC SPIN-R SPN31_CMH_050006 Completed


SPN40_CMH_50007/90075 TDC SPIN-R SPN31_CMH_050007 Completed PET QC

SPN40_CMH_50008/90081 TDC SPIN-R SPN31_CMH_050008 Completed PET QC

SPN40_CMH_50013/90091 TDC SPIN-R SPN30_CMH_050013 Completed PET QC

SPN40_CMH_50017/90105 TDC SPIN-R SPN30_CMH_050017 Completed PET QC, MRI, IQ, MATRICS

SPN40_CMH_60003 Not assigned SPIN-R SPN31_CMH_060003 Completed PET QC, IQ

SPN40_CMH_60004 Not assigned SPIN-R SPN31_CMH_060004 Completed PET QC, IQ, MATRICS

Descriptive Statistics

SPINAPS REDCap

What is shown. Everyone with a SPINAPS record, by group, using the SPINAPS Demographics and Height/Weight/Vitals forms. Gender is shown as recorded (check all that apply; none of the current participants ticked more than one). Mother’s education has two fields on the form and either is used. Handedness and parental education are only filled in for a few participants in SPINAPS; the From origin study tab adds them from the study each participant came from. Values entered as REDCap missing-data codes (e.g. ASKU) or outside their valid range count as missing. Current SSRI and antipsychotic use are added because the protocol matches the groups on them (3.2.1, with age, sex, gender and handedness); they come from the psychotropic medication form and are missing when that form is not completed (see Medications).

ASD-Impaired
(N=22)
ASD-Intact
(N=1)
TDC
(N=19)
Not assigned
(N=7)
Overall
(N=49)
Age at study entry (years)
Mean (SD) 24 (± 4.7) 28 (± NA) 25 (± 5.3) 21 (± 4.2) 25 (± 5.0)
Median [Min, Max] 24 [17, 35] 28 [28, 28] 23 [18, 33] 21 [16, 25] 23 [16, 35]
Missing 0 (0%) 0 (0%) 0 (0%) 3 (42.9%) 3 (6.1%)
Sex assigned at birth
Female 12 (55 %) 0 (0 %) 9 (47 %) 2 (29 %) 23 (47 %)
Male 10 (45 %) 1 (100 %) 10 (53 %) 2 (29 %) 23 (47 %)
Missing 0 (0%) 0 (0%) 0 (0%) 3 (42.9%) 3 (6.1%)
Gender identity
Gender fluid 2 (9 %) 0 (0 %) 0 (0 %) 0 (0 %) 2 (4 %)
Man 9 (41 %) 0 (0 %) 10 (53 %) 2 (29 %) 21 (43 %)
Non-binary 1 (5 %) 0 (0 %) 1 (5 %) 0 (0 %) 2 (4 %)
Not listed 1 (5 %) 0 (0 %) 0 (0 %) 1 (14 %) 2 (4 %)
Trans woman 0 (0 %) 1 (100 %) 0 (0 %) 0 (0 %) 1 (2 %)
Woman 9 (41 %) 0 (0 %) 8 (42 %) 1 (14 %) 18 (37 %)
Missing 0 (0%) 0 (0%) 0 (0%) 3 (42.9%) 3 (6.1%)
Handedness
Left 0 (0 %) 0 (0 %) 0 (0 %) 1 (14 %) 1 (2 %)
Right 0 (0 %) 0 (0 %) 4 (21 %) 2 (29 %) 6 (12 %)
Missing 22 (100%) 1 (100%) 15 (78.9%) 4 (57.1%) 42 (85.7%)
Education (years)
Mean (SD) 14 (± 2.0) 12 (± NA) 16 (± 2.1) 12 (± 2.6) 15 (± 2.4)
Median [Min, Max] 14 [10, 17] 12 [12, 12] 16 [12, 20] 12 [10, 16] 15 [10, 20]
Missing 1 (4.5%) 0 (0%) 1 (5.3%) 3 (42.9%) 5 (10.2%)
Mother's education (years)
Mean (SD) NA (± NA) NA (± NA) 14 (± 2.3) 19 (± 1.0) 16 (± 3.2)
Median [Min, Max] NA [NA, NA] NA [NA, NA] 14 [12, 16] 19 [18, 20] 16 [12, 20]
Missing 22 (100%) 1 (100%) 15 (78.9%) 4 (57.1%) 42 (85.7%)
Father's education (years)
Mean (SD) NA (± NA) NA (± NA) 15 (± 2.0) 18 (± 2.0) 16 (± 2.4)
Median [Min, Max] NA [NA, NA] NA [NA, NA] 16 [12, 16] 18 [16, 20] 16 [12, 20]
Missing 22 (100%) 1 (100%) 15 (78.9%) 4 (57.1%) 42 (85.7%)
BMI (kg/m²)
Mean (SD) 27 (± 7.1) 27 (± NA) 24 (± 3.4) 29 (± 11) 26 (± 6.0)
Median [Min, Max] 28 [15, 43] 27 [27, 27] 24 [19, 31] 29 [21, 36] 25 [15, 43]
Missing 1 (4.5%) 0 (0%) 1 (5.3%) 5 (71.4%) 7 (14.3%)
Current SSRI
Yes 7 (32 %) 0 (0 %) 1 (5 %) 2 (29 %) 10 (20 %)
No 15 (68 %) 1 (100 %) 18 (95 %) 1 (14 %) 35 (71 %)
Missing 0 (0%) 0 (0%) 0 (0%) 4 (57.1%) 4 (8.2%)
Current antipsychotic
Yes 2 (9 %) 0 (0 %) 0 (0 %) 0 (0 %) 2 (4 %)
No 20 (91 %) 1 (100 %) 19 (100 %) 3 (43 %) 43 (88 %)
Missing 0 (0%) 0 (0%) 0 (0%) 4 (57.1%) 4 (8.2%)

From origin study

What is shown. The SPINAPS demographics above, with the measures that come from the referring study (the assessment closest to the PET; see Data Sharing): IQ, handedness from the Edinburgh Handedness Inventory (laterality quotient from −1, fully left, to +1, fully right; ≥ 0.5 counted as right, ≤ −0.5 as left, in between as mixed) and parental education.

ASD-Impaired
(N=22)
ASD-Intact
(N=1)
TDC
(N=19)
Not assigned
(N=7)
Overall
(N=49)
Age at study entry (years)
Mean (SD) 24 (± 4.7) 28 (± NA) 25 (± 5.3) 21 (± 4.2) 25 (± 5.0)
Median [Min, Max] 24 [17, 35] 28 [28, 28] 23 [18, 33] 21 [16, 25] 23 [16, 35]
Missing 0 (0%) 0 (0%) 0 (0%) 3 (42.9%) 3 (6.1%)
Sex assigned at birth
Female 12 (55 %) 0 (0 %) 9 (47 %) 2 (29 %) 23 (47 %)
Male 10 (45 %) 1 (100 %) 10 (53 %) 2 (29 %) 23 (47 %)
Missing 0 (0%) 0 (0%) 0 (0%) 3 (42.9%) 3 (6.1%)
Gender identity
Gender fluid 2 (9 %) 0 (0 %) 0 (0 %) 0 (0 %) 2 (4 %)
Man 9 (41 %) 0 (0 %) 10 (53 %) 2 (29 %) 21 (43 %)
Non-binary 1 (5 %) 0 (0 %) 1 (5 %) 0 (0 %) 2 (4 %)
Not listed 1 (5 %) 0 (0 %) 0 (0 %) 1 (14 %) 2 (4 %)
Trans woman 0 (0 %) 1 (100 %) 0 (0 %) 0 (0 %) 1 (2 %)
Woman 9 (41 %) 0 (0 %) 8 (42 %) 1 (14 %) 18 (37 %)
Missing 0 (0%) 0 (0%) 0 (0%) 3 (42.9%) 3 (6.1%)
Education (years)
Mean (SD) 14 (± 2.0) 12 (± NA) 16 (± 2.1) 12 (± 2.6) 15 (± 2.4)
Median [Min, Max] 14 [10, 17] 12 [12, 12] 16 [12, 20] 12 [10, 16] 15 [10, 20]
Missing 1 (4.5%) 0 (0%) 1 (5.3%) 3 (42.9%) 5 (10.2%)
Full-scale IQ
Mean (SD) 120 (± 15) 110 (± NA) 120 (± 14) 140 (± NA) 120 (± 14)
Median [Min, Max] 120 [89, 140] 110 [110, 110] 120 [84, 140] 140 [140, 140] 120 [84, 140]
Missing 9 (40.9%) 0 (0%) 4 (21.1%) 6 (85.7%) 19 (38.8%)
Handedness (Edinburgh)
Left 1 (5 %) 0 (0 %) 2 (11 %) 0 (0 %) 3 (6 %)
Mixed 4 (18 %) 0 (0 %) 2 (11 %) 1 (14 %) 7 (14 %)
Right 9 (41 %) 1 (100 %) 12 (63 %) 2 (29 %) 24 (49 %)
Missing 8 (36.4%) 0 (0%) 3 (15.8%) 4 (57.1%) 15 (30.6%)
Laterality quotient
Mean (SD) 0.48 (± 0.49) 0.87 (± NA) 0.55 (± 0.55) 0.23 (± 0.46) 0.51 (± 0.51)
Median [Min, Max] 0.69 [-0.67, 1.0] 0.87 [0.87, 0.87] 0.70 [-0.87, 1.0] 0.50 [-0.30, 0.50] 0.64 [-0.87, 1.0]
Missing 8 (36.4%) 0 (0%) 3 (15.8%) 4 (57.1%) 15 (30.6%)
Mother's education (years)
Mean (SD) 16 (± 2.2) 12 (± NA) 15 (± 2.6) 16 (± 2.5) 16 (± 2.4)
Median [Min, Max] 16 [12, 20] 12 [12, 12] 16 [11, 20] 16 [12, 19] 16 [11, 20]
Missing 0 (0%) 0 (0%) 0 (0%) 2 (28.6%) 2 (4.1%)
Father's education (years)
Mean (SD) 16 (± 2.2) 11 (± NA) 16 (± 2.4) 16 (± 0.89) 16 (± 2.3)
Median [Min, Max] 16 [12, 20] 11 [11, 11] 16 [12, 20] 16 [16, 18] 16 [11, 20]
Missing 0 (0%) 0 (0%) 0 (0%) 2 (28.6%) 2 (4.1%)
BMI (kg/m²)
Mean (SD) 27 (± 7.1) 27 (± NA) 24 (± 3.4) 29 (± 11) 26 (± 6.0)
Median [Min, Max] 28 [15, 43] 27 [27, 27] 24 [19, 31] 29 [21, 36] 25 [15, 43]
Missing 1 (4.5%) 0 (0%) 1 (5.3%) 5 (71.4%) 7 (14.3%)
Current SSRI
Yes 7 (32 %) 0 (0 %) 1 (5 %) 2 (29 %) 10 (20 %)
No 15 (68 %) 1 (100 %) 18 (95 %) 1 (14 %) 35 (71 %)
Missing 0 (0%) 0 (0%) 0 (0%) 4 (57.1%) 4 (8.2%)
Current antipsychotic
Yes 2 (9 %) 0 (0 %) 0 (0 %) 0 (0 %) 2 (4 %)
No 20 (91 %) 1 (100 %) 19 (100 %) 3 (43 %) 43 (88 %)
Missing 0 (0%) 0 (0%) 0 (0%) 4 (57.1%) 4 (8.2%)

Distributions

What is shown. The spread of the main descriptive variables by group, for everyone with a SPINAPS record (one bin = one year of age or education; 5 IQ points). Groups are overlaid, so where they overlap the colours mix. IQ comes from the origin studies (see Data Sharing), because no IQ has been entered in SPINAPS REDCap yet.

Age

Sex

Gender

Education

IQ (origin study)

Data Sharing

Most SPINAPS participants took part in SPIN-ASD or SPIN-R first, and the protocol reuses their assessments and MRI instead of repeating them. This section shows where each participant’s data came from, using the Shared Data Availability form and the origin studies’ REDCap projects.

Sources

How this is counted. The studies ticked on the Shared Data Availability form, separately for clinical data and MRI. A participant who was in SPIN-ASD and then SPIN-R can have both ticked.

Clinical data shared from ASD-Impaired ASD-Intact TDC Not assigned Total
None recorded 0 0 2 4 6
SPIN-ASD 7 0 5 0 12
SPIN-ASD + SPIN-R 5 1 1 0 7
SPIN-R 10 0 11 3 24
MRI shared from ASD-Impaired ASD-Intact TDC Not assigned Total
None recorded 0 0 2 4 6
SPIN-ASD 7 0 6 0 13
SPIN-R 15 1 11 3 30

Shared assessments

How this is read. One row per participant (sorted by group), one column per assessment on the form’s checklist. Green = ticked as shared from the referring study. Assessments not ticked were either done in SPINAPS or are not available.

MRI

Why it matters. SPINAPS does not repeat the MRI when a good-quality one exists from the referring study. Multi-shell diffusion is needed for the NODDI analyses in the exploratory aim, so it is counted separately.

Shared MRI quality ASD-Impaired ASD-Intact TDC Not assigned Total
Good 7 0 4 0 11
OK 13 1 6 2 22
Poor 0 0 0 1 1
Not recorded 2 0 9 4 15
Multi-shell DWI available ASD-Impaired ASD-Intact TDC Not assigned Total
No 22 1 19 6 48
Yes 0 0 0 1 1

Age of shared assessments

How this is chosen. For the From origin study tabs in this report, each participant’s score on each instrument comes from their linked origin visit (SPIN-ASD, or any SPIN-R visit) closest in time to their SPINAPS PET, or to their eligibility assessment if there is no PET yet. The protocol (3.4, version 5) reuses most assessments only if they are at most 6 months old, so the dashed line marks 6 months. IQ, ADOS-2, AQ, handedness and parental education (SES) are reused whatever their age; they are marked (no limit) and have no within / older counts. Within limit counts assessments up to 6 months either side of the PET. Hover over a point for the origin record and visit.

Instrument Participants From SPIN-ASD From SPIN-R Median months before PET Protocol limit Within limit Older than limit No date
ABAS-III 45 12 33 3.6 6 months 27 16 2
ADOS-2 (no limit) 15 14 1 16.2 None

0
AQ (no limit) 47 12 35 3.5 None

3
BPRS 25 6 19 5.9 6 months 12 12 1
Birchwood SFS 47 12 35 5.0 6 months 27 17 3
ER-40 47 12 35 3.5 6 months 28 16 3
Edinburgh Handedness (no limit) 34 21 13 3.6 None

1
MATRICS 44 12 32 3.8 6 months 26 16 2
Parental education (no limit) 47 12 35 5.1 None

3
RMET 47 12 35 3.5 6 months 28 16 3
TASIT-R 46 12 34 3.6 6 months 27 16 3
WASI-II (no limit) 30 21 9 7.2 None

1

Assessment Completion

SPINAPS REDCap

How this is read. One row per participant, one column per form given at the SPINAPS assessment event, in REDCap’s order, read from the REDCap project itself (no hand-kept form list). Each cell is the form’s “Was this form completed?” answer. Green = completed, gold = partly completed, red = recorded as not completed, grey = nothing entered. Forms without that question (AQ, ABAS-III) use REDCap’s own form status: “Incomplete” is gold when the form has answers and grey when it was never opened. Dates, rater, REDCap ID, notes, mode of administration, validity questions and calculated fields don’t count as answers, and an unticked checkbox doesn’t either. The two ABAS-III forms (summary scores and questionnaire) share one column. Logs (withdrawal checklist, progress notes, adverse events, change log) are left out. Hover over a cell for the recorded answer and, for forms marked not completed, the reason. Not shown: SCID-5. The REDCap API returns no fields from this form, which usually means the API user has no export rights on it.

ASD-Impaired

ASD-Intact

TDC

Not assigned

From origin study

How this is read. Whether a score for each instrument exists in the participant’s linked SPIN-ASD or SPIN-R records (see Data Sharing), and how old it is at the SPINAPS PET. Green = reusable under the protocol (3.4): within 6 months of the PET, or an instrument reused whatever its age (IQ, ADOS-2, AQ, handedness, parental education); gold = older than 6 months, or no assessment date; grey = no origin score. Each row is labelled with the SPN40 ID and the origin record(s) it is linked to (SPIN-ASD SPASD_..., SPIN-R SPN3x_...). Hover over a cell for the study, origin ID, visit and assessment date the score came from, or, for a grey cell, which linked records were searched. This is what could be uploaded to SPINAPS now, and what would need re-assessing.

ASD-Impaired

ASD-Intact

TDC

Not assigned

Group Assignment Check

What is checked. Whether each ASD participant’s recorded subgroup (Eligibility Checklist, elg_group) matches the protocol rule (3.3.2, version 5). ASD-Impaired means at least one of: MATRICS composite or RMET total at least 1 SD below the mean of the SPIN-ASD and SPINS typically developing controls aged 16-35, or IQ < 90. Otherwise ASD-Intact. The rule is applied to every participant, including those grouped before the protocol changed.

Why only cognition. Earlier, the rule also used the Birchwood SFS and ABAS-III; the protocol dropped them because too many participants were impaired on SFS. The REDCap Eligibility Checklist (elg_impaired, elg_comp_assess) still lists SFS and ABAS-III.

The cut-offs are the values the PI computed from those controls at the start of the study (config/group_cutoffs.csv). They are not recomputed here, because the control data have changed since.

Measure Impaired if
Full-scale IQ (WASI-II / WAIS-IV) < 90
MATRICS composite (T-score) ≤ 41.61391
RMET total ≤ 24.84015

SPINAPS REDCap

No IQ, MATRICS or RMET scores have been entered in SPINAPS REDCap yet.

From origin study

Recorded group
Group by the protocol rule
ASD-Impaired ASD-Intact ASD-Intact (incomplete scores)
ASD-Impaired 10 7 5
ASD-Intact 1 0 0

Participant Recorded group IQ MATRICS (T) RMET Below cut-off Group by rule Agrees
SPN40_CMH_0118 ASD-Impaired 123 46 29
ASD-Intact No
SPN40_CMH_0146 ASD-Impaired 133 65 28
ASD-Intact No
SPN40_CMH_100002 ASD-Impaired
54 28
ASD-Intact (incomplete scores) No
SPN40_CMH_100003 ASD-Impaired 137 62 29
ASD-Intact No
SPN40_CMH_100047 ASD-Impaired
51 31
ASD-Intact (incomplete scores) No
SPN40_CMH_100056 ASD-Impaired
47 27
ASD-Intact (incomplete scores) No
SPN40_CMH_100060 ASD-Impaired 117 55 26
ASD-Intact No
SPN40_CMH_100068 ASD-Impaired
49 32
ASD-Intact (incomplete scores) No
SPN40_CMH_100070 ASD-Impaired 121 47 30
ASD-Intact No
SPN40_CMH_100125 ASD-Impaired 127 62 29
ASD-Intact No
SPN40_CMH_100133 ASD-Impaired 120 52 28
ASD-Intact No
SPN40_CMH_60001 ASD-Impaired
55 26
ASD-Intact (incomplete scores) No
SPN40_CMH_100012 ASD-Intact 113 49 23 RMET ASD-Impaired No
SPN40_CMH_0116 ASD-Impaired 89 49 27 IQ < 90 ASD-Impaired Yes
SPN40_CMH_0142 ASD-Impaired 117 9 34 MATRICS ASD-Impaired Yes
SPN40_CMH_100006 ASD-Impaired
41 28 MATRICS ASD-Impaired Yes
SPN40_CMH_100020 ASD-Impaired 105 41 33 MATRICS ASD-Impaired Yes
SPN40_CMH_100029 ASD-Impaired 109 45 17 RMET ASD-Impaired Yes
SPN40_CMH_100035 ASD-Impaired
38 24 MATRICS, RMET ASD-Impaired Yes
SPN40_CMH_100036 ASD-Impaired
41 29 MATRICS ASD-Impaired Yes
SPN40_CMH_100091 ASD-Impaired
54 20 RMET ASD-Impaired Yes
SPN40_CMH_100113 ASD-Impaired 137 35 27 MATRICS ASD-Impaired Yes
SPN40_CMH_100115 ASD-Impaired 94 46 24 RMET ASD-Impaired Yes
Cut-offs: IQ < 90; MATRICS ≤ 41.6; RMET ≤ 24.8. Incomplete scores: no criterion is met but at least one score is missing, so impairment cannot be ruled out.

Structured Clinical Interview for DSM Disorders (SCID)

Bars show the number of participants in each group with each SCID-5 diagnosis. A participant with several diagnoses is counted once for each.

  • Current: meets symptomatic criteria within the time window the SCID-5 specifies for the disorder (the past month for most; up to the past 2 years for some).
  • Lifetime: has ever met diagnostic criteria (lifetime prevalence rated Threshold; in SPIN-ASD, any disorder recorded, since its form asks only for disorders meeting threshold criteria).
  • Past only: lifetime but not current. The hover says whether the current rating was absent or not entered, and whether the participant has another current diagnosis.

No current / lifetime diagnosis collects everyone with a SCID but no diagnosis meeting that tab’s definition; the hover gives the reason (the first that applies): no clinical disorder on the SCID; past disorder, no longer current; lifetime disorder, current rating not entered; below threshold only (subthreshold, absent or inadequate information); disorder selected, ratings not entered; disorder said to be present, but none selected. Gaps in data entry are also listed under Data Quality.

Known exceptions. In the SPINAPS / SPIN-R layout, disorders without a lifetime rating (e.g. premenstrual dysphoric, sleep-wake and somatic disorders, adult ADHD) use their current rating for both, so they never appear as Past only. In SPIN-ASD, Unspecified feeding or eating disorder has no current rating, so it is always Past only.

Rule SPINAPS / SPIN-R layout SPIN-ASD layout
Any disorder scid5_disorder_yn: 1 Yes, 0 No scid5_dis_yn: 1 Yes, 2 No
Which disorder category scid5_disorder_cat___1-12; dropdowns (categories 1-3) or checkboxes (4-11); free text (12) up to 10 slots: category scid5_dis<k>, disorder scid5_dis<k>_cat_<category>, chained by scid5_cont<k>
Lifetime scid5_cat<c>_<code>_lp = 3 Threshold (_pm when there is no _lp) any disorder recorded
Current scid5_cat<c>_<code>_pm = 3 (3.1-3.4 for bipolar episodes); asked only when _lp = 3 any scid5_dis<k>_past_1m/3m/6m/12m/2y = 3

From origin study: the SCID closest in time to the participant’s SPINAPS PET among their linked SPIN-ASD and SPIN-R visits, decoded with that study’s score sheet. The protocol reuses the SCID history when it is older than 6 months but re-assesses current status, so Current from an old SCID may be out of date. Decoding is the same as in the SPIN-R dashboard (config/scid_codes_spinr.csv, config/scid_codes_spasd.csv).

SPINAPS REDCap

Current

The SCID-5 form is not exported by the REDCap API (no fields from it are returned, which usually means the API user has no export rights on it).

Lifetime

The SCID-5 form is not exported by the REDCap API (no fields from it are returned, which usually means the API user has no export rights on it).

Past only

The SCID-5 form is not exported by the REDCap API (no fields from it are returned, which usually means the API user has no export rights on it).

From origin study

Current

Lifetime

Past only

Clinical Scores

Each instrument has two tabs: SPINAPS REDCap (scores entered in SPINAPS) and From origin study (the participant’s linked SPIN-ASD or SPIN-R assessment closest to their PET; see Data Sharing). Every participant is a point; hover for the participant and, in the origin tab, which record and visit the score came from and how old it was at the PET.

Autism-Spectrum Quotient (AQ)

Self-report of autistic traits (50 items; total 0-50, higher = more traits).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

ADOS-2

Observational assessment of autism; given to ASD participants only. Calibrated severity scores (CSS, 1-10) are comparable across modules: overall, social affect (SA) and restricted and repetitive behaviours (RRB).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

Brief Psychiatric Rating Scale (BPRS)

Clinician-rated psychopathology (18 items, each 1-7). Shown as the total and the five factor scores used in the SPIN studies.

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

PHQ-9 and GAD-7

Self-reported depression (PHQ-9, 0-27) and anxiety (GAD-7, 0-21) over the past two weeks. 5, 10 and 15 mark mild, moderate and (moderately) severe on both. These are SPINAPS-only questionnaires, so there is no origin tab content.

SPINAPS REDCap

From origin study

Not collected in the origin studies (SPINAPS only).

Cognition

IQ (WASI-II / WAIS-IV)

Full-scale IQ (standard score, mean 100, SD 15): the WAIS-IV when it was given, otherwise the WASI-II 4-subtest FSIQ, otherwise the 2-subtest FSIQ. IQ < 90 is one of the ASD-Impaired criteria (see Group Assignment Check). The protocol reuses IQ from the referring study regardless of age.

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

MATRICS Consensus Cognitive Battery

T-scores (mean 50, SD 10) for the seven cognitive domains and the overall composite. The composite is one of the ASD-Impaired criteria (see Group Assignment Check).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

Reading the Mind in the Eyes Test (RMET)

Choosing which of four words best describes the mental state shown in 36 photographs of the eye region (total 0-36, higher = better). A total at or below the cut-off is one of the ASD-Impaired criteria (see Group Assignment Check).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

The Awareness of Social Inference Test (TASIT-R)

Part 1: emotion evaluation (28 clips). Part 2: minimal social inference (sincere and sarcastic exchanges). Part 3: enriched social inference (lies and sarcasm); Part 3 total = sarcasm + lies. Higher = better.

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

Penn Emotion Recognition Test (ER-40)

40 faces, each happy, sad, angry, fearful or neutral: correct responses in total and per emotion (8 faces each).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

Functioning

Birchwood Social Functioning Scale (SFS)

Interview-based social functioning across seven areas (withdrawal, interpersonal communication, independence-performance and -competence, recreation, prosocial activities, employment). The total uses whichever employment section applies. SFS is no longer an ASD-Impaired criterion (protocol version 5).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

Adaptive Behavior Assessment System (ABAS-III)

Adaptive behaviour composites (standard scores, mean 100, SD 15): general adaptive composite (GAC) and the conceptual, social and practical domains. ABAS-III is no longer an ASD-Impaired criterion (protocol version 5).

SPINAPS REDCap

No scores entered in SPINAPS REDCap yet.

From origin study

PET Session

What is shown. Participants whose PET Scan Information form is completed, by group: injected dose and mass, the arm used for the arterial line, samples collected, and whether the participant had side effects or complications from the arterial line or the scan. Technician notes are from the PET QC form (notes recorded for the scan or the blood draw). These are SPINAPS procedures, so there is no origin-study tab.

Specific activity (at synthesis and at injection) is not shown: the REDCap fields have no units and the values recorded differ by orders of magnitude, which suggests more than one unit is in use (see Data Quality). Dose and mass values outside their valid range (see Data Quality, Values) are left out and listed there.

ASD-Impaired
(N=21)
ASD-Intact
(N=1)
TDC
(N=19)
Not assigned
(N=2)
Overall
(N=43)
Injected dose (mCi)
Mean (SD) 5.1 (± 0.31) 5.1 (± NA) 5.1 (± 0.24) NA (± NA) 5.1 (± 0.28)
Median [Min, Max] 5.2 [4.3, 5.6] 5.1 [5.1, 5.1] 5.1 [4.8, 5.6] NA [NA, NA] 5.1 [4.3, 5.6]
Missing 0 (0%) 0 (0%) 8 (42.1%) 2 (100%) 10 (23.3%)
Injected mass (µg)
Mean (SD) 0.50 (± 0.34) 0.84 (± NA) 0.35 (± 0.086) NA (± NA) 0.47 (± 0.30)
Median [Min, Max] 0.38 [0.14, 1.6] 0.84 [0.84, 0.84] 0.36 [0.23, 0.51] NA [NA, NA] 0.38 [0.14, 1.6]
Missing 0 (0%) 0 (0%) 9 (47.4%) 2 (100%) 11 (25.6%)
Arterial line arm
Left 13 (62 %) 1 (100 %) 15 (79 %) 0 (0 %) 29 (67 %)
Right 8 (38 %) 0 (0 %) 2 (11 %) 2 (100 %) 12 (28 %)
Missing 0 (0%) 0 (0%) 2 (10.5%) 0 (0%) 2 (4.7%)
Arterial blood samples collected
Yes 21 (100 %) 1 (100 %) 19 (100 %) 2 (100 %) 43 (100 %)
No 0 (0 %) 0 (0 %) 0 (0 %) 0 (0 %) 0 (0 %)
Genetic blood sample collected
Yes 21 (100 %) 1 (100 %) 18 (95 %) 2 (100 %) 42 (98 %)
No 0 (0 %) 0 (0 %) 1 (5 %) 0 (0 %) 1 (2 %)
Side effects or complications
Yes 5 (24 %) 0 (0 %) 1 (5 %) 0 (0 %) 6 (14 %)
No 16 (76 %) 1 (100 %) 18 (95 %) 2 (100 %) 37 (86 %)
Technician notes: scan
Yes 18 (86 %) 1 (100 %) 7 (37 %) 0 (0 %) 26 (60 %)
No 3 (14 %) 0 (0 %) 3 (16 %) 0 (0 %) 6 (14 %)
Missing 0 (0%) 0 (0%) 9 (47.4%) 2 (100%) 11 (25.6%)
Technician notes: blood draw
Yes 9 (43 %) 1 (100 %) 2 (11 %) 0 (0 %) 12 (28 %)
No 12 (57 %) 0 (0 %) 8 (42 %) 0 (0 %) 20 (47 %)
Missing 0 (0%) 0 (0%) 9 (47.4%) 2 (100%) 11 (25.6%)

Safety

Adverse events

What is shown. Every adverse event recorded on the Adverse Events log, one row per event. 4 participants have at least one event recorded; 37 are recorded as having none.

Participant Group Event Onset Severity Related to study SAE Outcome
SPN40_CMH_0142 ASD-Impaired Pain at the arterial line insertion 2024-04-23 Mild Definitely No Resolved without sequelae
SPN40_CMH_100003 ASD-Impaired pressure point pain 2023-02-09 Mild Definitely No Resolved without sequelae
SPN40_CMH_100035 ASD-Impaired Pain at arterial and venous injection sites 2023-08-17 Mild Definitely No Resolved without sequelae
SPN40_CMH_100115 ASD-Impaired sensitivity to local anesthesia and/or latex gloves 2022-11-17 Mild Definitely No Resolved without sequelae
SPN40_CMH_100115 ASD-Impaired Client refused aftercare guidlines and experiences tingling due to excessive use of wrist 2022-11-18 Mild Probably No Resolved without sequelae

Urine toxicology

What is shown. The urine drug screen taken on the PET day. Positive results list the drugs recorded.

Urine drug screen ASD-Impaired ASD-Intact TDC Not assigned Total
Negative 18 1 15 0 34
Positive 1 0 3 2 6
Participant Group Positive for
SPN40_CMH_0142 ASD-Impaired Only positive for drugs on conmed: Fluoxetine
SPN40_CMH_50006/90087 TDC Diphenhydramine
SPN40_CMH_50013/90091 TDC Certirzine (antihistamine, not on conmed)
SPN40_CMH_60003 Not assigned All negative other than the known prescribed medication. This information is recorded on conmed.
SPN40_CMH_60004 Not assigned Sertaline
SPN40_CMH_100094 TDC Amphetamine, ephedrine, metformine, pantroprazole, Quetiapine, methylphenidate, venflaxine, hydromorphone

Medications

What is shown. Current psychotropic medications from the SPINAPS Concomitant Medication Record (Psychotropic), for participants whose form is completed. The protocol re-assesses medications in SPINAPS even when they were recorded in the referring study, so there is no origin-study tab. Medication names are free text; config/med_classes.csv maps each name (including the misspellings found) to a generic name and class. Entries with a discontinuation date or marked as not continuing are left out. SSRI and antipsychotic use are matching variables in the protocol.

ASD-Impaired
(N=22)
ASD-Intact
(N=1)
TDC
(N=19)
Not assigned
(N=3)
Overall
(N=45)
Any psychotropic
Yes 11 (50 %) 0 (0 %) 1 (5 %) 2 (67 %) 14 (31 %)
No 11 (50 %) 1 (100 %) 18 (95 %) 1 (33 %) 31 (69 %)
SSRI
Yes 7 (32 %) 0 (0 %) 1 (5 %) 2 (67 %) 10 (22 %)
No 15 (68 %) 1 (100 %) 18 (95 %) 1 (33 %) 35 (78 %)
SNRI
Yes 1 (5 %) 0 (0 %) 0 (0 %) 0 (0 %) 1 (2 %)
No 21 (95 %) 1 (100 %) 19 (100 %) 3 (100 %) 44 (98 %)
Other antidepressant
Yes 4 (18 %) 0 (0 %) 0 (0 %) 0 (0 %) 4 (9 %)
No 18 (82 %) 1 (100 %) 19 (100 %) 3 (100 %) 41 (91 %)
Antipsychotic
Yes 2 (9 %) 0 (0 %) 0 (0 %) 0 (0 %) 2 (4 %)
No 20 (91 %) 1 (100 %) 19 (100 %) 3 (100 %) 43 (96 %)
Stimulant
Yes 7 (32 %) 0 (0 %) 0 (0 %) 1 (33 %) 8 (18 %)
No 15 (68 %) 1 (100 %) 19 (100 %) 2 (67 %) 37 (82 %)
Non-stimulant ADHD
Yes 1 (5 %) 0 (0 %) 0 (0 %) 1 (33 %) 2 (4 %)
No 21 (95 %) 1 (100 %) 19 (100 %) 2 (67 %) 43 (96 %)
Sleep
Yes 1 (5 %) 0 (0 %) 0 (0 %) 0 (0 %) 1 (2 %)
No 21 (95 %) 1 (100 %) 19 (100 %) 3 (100 %) 44 (98 %)

Data Quality

Things to correct or confirm in REDCap, collected from every part of this report. Nothing here is changed in REDCap; values outside their valid range are left out of the tables and plots above, and typed IDs are corrected only for linking. The table counts the issues of each check (green = none); the tabs list them.

Check Issues Participants
Origin IDs
Typed IDs to correct on the Shared Data form 18 13
Candidate records not used 2 2
Date of birth or sex differs from the origin record 5 3
Participants with no linked origin record 2 2
Shared Data form
Ticked as shared, not found in origin records 21 9
Dates and PET QC
Impossible dates 5 4
PET QC not done 30+ days after the scan 11 11
Values
Values outside their range, not a number or a missing-data code 4 4
Scores of 0 treated as not administered 0 0
Specific activity on a different scale 9 9
Totals from forms not marked completed 0 0
REDCap forms
Marked completed, but no data entered 0 0
Data entered, but not marked completed 0 0
Marked not completed, but has data 0 0
Marked not completed, no reason given 0 0
Reason "Other" with no explanation 0 0
Eligibility
No group or eligibility recorded 7 7
Recorded ASD subgroup differs from the protocol rule 13 13
Enrolled outside age 16-35 0 0
Enrolled with IQ < 70 0 0
TDC with a diagnosis or psychotropic medication 4 3
SCID
SCID data entry gaps 1 1
REDCap setup
Forms not exported by the API 1
Medication names not classified 0 0

Origin IDs

Typed IDs to correct. IDs on the Shared Data Availability form that are not exactly an origin record ID. Most were corrected automatically for linking (the SOASD typo, CMH for CMP in SPIN-ASD, hyphens, a trailing . or /); some match no record. Please correct them on the form so the links do not depend on these fixes.

Participant Study Field Typed ID Record used Issue
SPN40_CMH_0116 SPIN-ASD MRI participant ID SOASD_CMP_0116 SPASD_CMP_0116 Corrected automatically; please fix in REDCap
SPN40_CMH_0116 SPIN-ASD Clinical participant ID SOASD_CMP_0116 SPASD_CMP_0116 Corrected automatically; please fix in REDCap
SPN40_CMH_0135 SPIN-ASD MRI participant ID SPASD_CMH_0135 SPASD_CMP_0135 Corrected automatically; please fix in REDCap
SPN40_CMH_0135 SPIN-ASD Clinical participant ID SPASD_CMH_0135 SPASD_CMP_0135 Corrected automatically; please fix in REDCap
SPN40_CMH_0142 SPIN-ASD MRI participant ID SPASD_CMP_0142. SPASD_CMP_0142 Corrected automatically; please fix in REDCap
SPN40_CMH_0142 SPIN-ASD Clinical participant ID SPASD_CMP_0142. SPASD_CMP_0142 Corrected automatically; please fix in REDCap
SPN40_CMH_0158/90080 SPIN-ASD MRI participant ID SPASD_CMP_0158/ SPASD_CMP_0158 Corrected automatically; please fix in REDCap
SPN40_CMH_0159/90086 SPIN-ASD MRI participant ID SPASD_CMP_0159/ SYNAPSIS_CMH_0086 SPASD_CMP_0159 Corrected automatically; please fix in REDCap
SPN40_CMH_50002/90073 SPIN-R MRI participant ID SPN31_CMH_050002 SPN30_CMH_050002 Corrected automatically; please fix in REDCap
SPN40_CMH_60004 SPIN-R MRI participant ID SPN40_CMH_60004 none Matches no record
SPN40_CMH_100003 SPIN-ASD Clinical participant ID SPASD-CMP-0003 SPASD_CMP_0003 Corrected automatically; please fix in REDCap
SPN40_CMH_100020 SPIN-ASD Clinical participant ID SPASD-CMH-0020 SPASD_CMP_0020 Corrected automatically; please fix in REDCap
SPN40_CMH_100020 SPIN-R MRI participant ID SPN31-CMH-100020 SPN31_CMH_100020 Corrected automatically; please fix in REDCap
SPN40_CMH_100020 SPIN-R Clinical participant ID SPN31-CMH-100020 SPN31_CMH_100020 Corrected automatically; please fix in REDCap
SPN40_CMH_100029 SPIN-R Clinical participant ID SPN31_CMH_10029 none Matches no record
SPN40_CMH_100060 SPIN-R Clinical participant ID SPN31-CMH-100060 SPN31_CMH_100060 Corrected automatically; please fix in REDCap
SPN40_CMH_100091 SPIN-R MRI participant ID SPN31-CMH-100091 SPN31_CMH_100091 Corrected automatically; please fix in REDCap
SPN40_CMH_100104 SPIN-R Clinical participant ID SPN40_CMH_100104 none Matches no record

Candidate records not used. The form and the SPN40 number point at different records of the same study; the record confirmed by both, then the one on the form, was used. Confirm the right record, then fix the form or add a line to config/id_overrides.csv.

Participant Study Record not used Found by
SPN40_CMH_50002/90073 SPIN-R SPN31_CMH_050008 form
SPN40_CMH_100132 SPIN-R SPN31_CMH_100132 number

Date of birth or sex differs. SPINAPS demographics against each linked origin record. A difference means a typing error in one study, or a link to the wrong person. Dates of birth are entered as the 15th of the month, so differences up to 31 days are ignored.

Participant Study origin_id SPINAPS DOB Origin DOB DOB differs by (days) SPINAPS sex Origin sex
SPN40_CMH_100020 SPIN-ASD SPASD_CMP_0020 1996-05-15 1996-01-15 121 Female Female
SPN40_CMH_100020 SPIN-R SPN31_CMH_100020 1996-05-15 1996-01-15 121 Female Female
SPN40_CMH_100068 SPIN-R SPN31_CMH_100068 1997-09-15 1996-09-15 365 Female Female
SPN40_CMH_100094 SPIN-ASD SPASD_CMP_0094 1989-03-15 1987-04-15 700 Male Male
SPN40_CMH_100094 SPIN-R SPN31_CMH_100094 1989-03-15 1987-04-15 700 Male Male

No linked origin record. These participants contribute nothing to the From origin study tabs.

Participant Group
SPN40_CMH_90037 Not assigned
SPN40_CMH_500010/90076 Not assigned

All links. Every SPINAPS participant and the origin records used, with how each link was found: form + number (the Shared Data form and the SPN40 number agree), form or number only, or override.

Participant Group Study Origin ID Found by
SPN40_CMH_0116 ASD-Impaired SPIN-ASD SPASD_CMP_0116 form + number
SPN40_CMH_0118 ASD-Impaired SPIN-ASD SPASD_CMP_0118 form + number
SPN40_CMH_0122 TDC SPIN-ASD SPASD_CMP_0122 form + number
SPN40_CMH_0135 TDC SPIN-ASD SPASD_CMP_0135 form + number
SPN40_CMH_0142 ASD-Impaired SPIN-ASD SPASD_CMP_0142 form + number
SPN40_CMH_0146 ASD-Impaired SPIN-ASD SPASD_CMP_0146 number
SPN40_CMH_0146 ASD-Impaired SPIN-R SPN31_CMH_100146 form
SPN40_CMH_0156/90102 TDC SPIN-ASD SPASD_CMP_0156 number
SPN40_CMH_0157/90079 TDC SPIN-ASD SPASD_CMP_0157 form + number
SPN40_CMH_0158/90080 TDC SPIN-ASD SPASD_CMP_0158 form + number
SPN40_CMH_0159/90086 TDC SPIN-ASD SPASD_CMP_0159 form + number
SPN40_CMH_100002 ASD-Impaired SPIN-R SPN31_CMH_100002 form + number
SPN40_CMH_100003 ASD-Impaired SPIN-ASD SPASD_CMP_0003 form
SPN40_CMH_100003 ASD-Impaired SPIN-R SPN31_CMH_100003 form + number
SPN40_CMH_100006 ASD-Impaired SPIN-R SPN31_CMH_100006 form + number
SPN40_CMH_100012 ASD-Intact SPIN-ASD SPASD_CMP_0012 form
SPN40_CMH_100012 ASD-Intact SPIN-R SPN31_CMH_100012 form + number
SPN40_CMH_100020 ASD-Impaired SPIN-ASD SPASD_CMP_0020 form
SPN40_CMH_100020 ASD-Impaired SPIN-R SPN31_CMH_100020 form + number
SPN40_CMH_100029 ASD-Impaired SPIN-ASD SPASD_CMP_0029 form
SPN40_CMH_100029 ASD-Impaired SPIN-R SPN31_CMH_100029 form + number
SPN40_CMH_100035 ASD-Impaired SPIN-R SPN31_CMH_100035 form + number
SPN40_CMH_100036 ASD-Impaired SPIN-R SPN31_CMH_100036 form + number
SPN40_CMH_100047 ASD-Impaired SPIN-R SPN31_CMH_100047 form + number
SPN40_CMH_100056 ASD-Impaired SPIN-R SPN31_CMH_100056 form + number
SPN40_CMH_100060 ASD-Impaired SPIN-ASD SPASD_CMP_0060 form
SPN40_CMH_100060 ASD-Impaired SPIN-R SPN31_CMH_100060 form + number
SPN40_CMH_100068 ASD-Impaired SPIN-R SPN31_CMH_100068 form + number
SPN40_CMH_100070 ASD-Impaired SPIN-ASD SPASD_CMP_0070 form
SPN40_CMH_100070 ASD-Impaired SPIN-R SPN31_CMH_100070 form + number
SPN40_CMH_100091 ASD-Impaired SPIN-R SPN31_CMH_100091 form + number
SPN40_CMH_100094 TDC SPIN-ASD SPASD_CMP_0094 form
SPN40_CMH_100094 TDC SPIN-R SPN31_CMH_100094 form + number
SPN40_CMH_100104 Not assigned SPIN-R SPN31_CMH_100104 form + number
SPN40_CMH_100113 ASD-Impaired SPIN-ASD SPASD_CMP_0113 form
SPN40_CMH_100115 ASD-Impaired SPIN-ASD SPASD_CMP_0115 form
SPN40_CMH_100117 TDC SPIN-R SPN31_CMH_100117 form + number
SPN40_CMH_100119 TDC SPIN-R SPN31_CMH_100119 form + number
SPN40_CMH_100125 ASD-Impaired SPIN-ASD SPASD_CMP_0125 form
SPN40_CMH_100125 ASD-Impaired SPIN-R SPN31_CMH_100125 number
SPN40_CMH_100132 TDC SPIN-R SPN30_CMH_010158 form
SPN40_CMH_100133 ASD-Impaired SPIN-ASD SPASD_CMP_0133 form
SPN40_CMH_50001 TDC SPIN-R SPN30_CMH_050001 form + number
SPN40_CMH_50002/90073 TDC SPIN-R SPN30_CMH_050002 form + number
SPN40_CMH_50004 TDC SPIN-R SPN30_CMH_050004 form + number
SPN40_CMH_50005 TDC SPIN-R SPN31_CMH_050005 form + number
SPN40_CMH_50006/90087 TDC SPIN-R SPN31_CMH_050006 form + number
SPN40_CMH_50007/90075 TDC SPIN-R SPN31_CMH_050007 form + number
SPN40_CMH_50008/90081 TDC SPIN-R SPN31_CMH_050008 form + number
SPN40_CMH_50010/90084 Not assigned SPIN-R SPN31_CMH_050010 number
SPN40_CMH_50013/90091 TDC SPIN-R SPN30_CMH_050013 form + number
SPN40_CMH_50016/90108 Not assigned SPIN-R SPN30_CMH_050016 number
SPN40_CMH_50017/90105 TDC SPIN-R SPN30_CMH_050017 number
SPN40_CMH_60001 ASD-Impaired SPIN-R SPN31_CMH_060001 form + number
SPN40_CMH_60003 Not assigned SPIN-R SPN31_CMH_060003 form + number
SPN40_CMH_60004 Not assigned SPIN-R SPN31_CMH_060004 form + number

Shared Data form

Ticked as shared, not found. Assessments ticked on the Shared Data Availability checklist that none of the participant’s linked origin records contain. Either the assessment is in a study not linked here (e.g. TAY or SYNAPSIS), the link is wrong, or the tick is wrong.

Participant Instrument Records searched
SPN40_CMH_50006/90087 BPRS SPN31_CMH_050006
SPN40_CMH_60001 WASI-II SPN31_CMH_060001
SPN40_CMH_60003 ADOS-2 SPN31_CMH_060003
SPN40_CMH_60003 WASI-II SPN31_CMH_060003
SPN40_CMH_60004 BPRS SPN31_CMH_060004
SPN40_CMH_60004 MATRICS SPN31_CMH_060004
SPN40_CMH_60004 WASI-II SPN31_CMH_060004
SPN40_CMH_100002 ADOS-2 SPN31_CMH_100002
SPN40_CMH_100002 Edinburgh Handedness SPN31_CMH_100002
SPN40_CMH_100002 WASI-II SPN31_CMH_100002
SPN40_CMH_100036 ADOS-2 SPN31_CMH_100036
SPN40_CMH_100036 WASI-II SPN31_CMH_100036
SPN40_CMH_100047 ADOS-2 SPN31_CMH_100047
SPN40_CMH_100047 Edinburgh Handedness SPN31_CMH_100047
SPN40_CMH_100047 WASI-II SPN31_CMH_100047
SPN40_CMH_100056 ADOS-2 SPN31_CMH_100056
SPN40_CMH_100056 Edinburgh Handedness SPN31_CMH_100056
SPN40_CMH_100056 WASI-II SPN31_CMH_100056
SPN40_CMH_100091 ADOS-2 SPN31_CMH_100091
SPN40_CMH_100091 Edinburgh Handedness SPN31_CMH_100091
SPN40_CMH_100091 WASI-II SPN31_CMH_100091

Checklist vs origin records, by instrument. Found, not ticked usually means the checklist was not completed in full; it matters if the assessment was meant to be repeated in SPINAPS instead.

Instrument Ticked and found Found, not ticked Ticked, not found
Parental education 5 42 0
ER-40 26 21 0
Edinburgh Handedness 18 16 4
MATRICS 28 16 1
ABAS-III 31 14 0
Birchwood SFS 36 11 0
WASI-II 19 11 8
RMET 38 9 0
AQ 40 7 0
TASIT-R 39 7 0
ADOS-2 12 3 6
BPRS 24 1 2

Dates and PET QC

Impossible dates. Dates of assessment in the future, PETs dated before the eligibility assessment, and PET QC dated before the PET.

Participant Issue Detail
SPN40_CMH_100006 PET QC dated before the PET pet_doa = 2023-05-26, pet_qc_doa = 2022-06-19
SPN40_CMH_100056 PET before eligibility assessment elg_doa = 2022-11-10, pet_doa = 2022-10-13
SPN40_CMH_100115 PET before eligibility assessment elg_doa = 2022-11-21, pet_doa = 2022-11-17
SPN40_CMH_60004 Date in the future demo_doa = 2026-11-26
SPN40_CMH_60004 Date in the future npmed_doa = 2026-11-26

PET QC backlog. PETs whose Reconstructed PET Image QC form is still empty more than 30 days after the scan. Until QC is done they cannot count towards the targets.

Participant Group PET date Days waiting
SPN40_CMH_50007/90075 TDC 2025-05-09 535
SPN40_CMH_50002/90073 TDC 2025-05-23 521
SPN40_CMH_0157/90079 TDC 2025-06-10 503
SPN40_CMH_50008/90081 TDC 2025-06-18 495
SPN40_CMH_0158/90080 TDC 2025-07-31 452
SPN40_CMH_0159/90086 TDC 2025-08-29 423
SPN40_CMH_50013/90091 TDC 2025-09-16 405
SPN40_CMH_60004 Not assigned 2025-12-03 327
SPN40_CMH_60003 Not assigned 2026-02-27 241
SPN40_CMH_0156/90102 TDC 2026-05-06 173
SPN40_CMH_50017/90105 TDC 2026-06-10 138

Values

Outside the range, not a number, or a missing-data code. Scores from both sources, and the other checked SPINAPS fields, against their valid range (table below). These values are left out of every table and plot. REDCap missing-data codes (e.g. ASKU) are read as missing and listed for completeness. Source is SPINAPS REDCap, the origin scores used in this report, or the origin record where a value that is not a number was found.

Participant Group Source Field Value Issue
SPN40_CMH_0158/90080 TDC SPINAPS REDCap BMI 10000 Outside 12 to 60
SPN40_CMH_100132 TDC SPINAPS REDCap PET injected mass (ug) 4584 Outside 0 to 10
SPN40_CMH_60001 ASD-Impaired SPIN-R SPN31_CMH_060001 WASI-II: Composite Score NI REDCap missing-data code (read as missing)
SPN40_CMH_60003 Not assigned SPIN-R SPN31_CMH_060003 WASI-II: Composite Score NI REDCap missing-data code (read as missing)

Scores of 0 treated as not administered. A TASIT-R part total of 0, or an ER-40 total, happy, angry or neutral score of 0, cannot come from a test that was taken (the same rule as the SPINR dashboard). These scores (for an ER-40 total of 0, all ER-40 scores) are left out; confirm the test was not given, or correct the score.

No scores of 0 treated as not administered.

Ranges used. From each field’s REDCap validation where it has one; otherwise from config/score_ranges.csv, which says how the range was worked out. Origin-study scores are checked under their SPINAPS names (the validation is the same in SPIN-ASD and SPIN-R).

Field Measure Min Max Source
er40_cr ER-40: ER40_CR (column K) 0 40 REDCap validation
er40_crt ER-40: ER40_RTCR (column L) 0 6000 REDCap validation
er40ang ER-40: ER40_ANG (column R) 0 8 REDCap validation
er40fear ER-40: ER40_FEAR (column S) 0 8 REDCap validation
er40hap ER-40: ER40_HAP (column T) 0 8 REDCap validation
er40noe ER-40: ER40_NOE (column U) 0 8 REDCap validation
er40sad ER-40: ER40_SAD (column V) 0 8 REDCap validation
wasi_wais_fsiq WASI-II: WAIS FSIQ 0 200 REDCap validation
wasi_fsiq4_cs WASI-II: Composite Score 40 160 REDCap validation
wasi_fsiq2_cs WASI-II: Composite Score 40 160 REDCap validation
np_domain_tscore_process_speed MATRICS: Processing Speed -10 100 REDCap validation
np_domain_tscore_att_vigilance MATRICS: Attention/Vigilance -10 100 REDCap validation
np_domain_tscore_work_mem MATRICS: Working Memory -10 100 REDCap validation
np_domain_tscore_visual_learning MATRICS: Visual Learning -10 100 REDCap validation
np_domain_tscore_reasoning_ps MATRICS: Reasoning/PS -10 100 REDCap validation
np_domain_tscore_social_cog MATRICS: Social Cognition -10 100 REDCap validation
np_composite_tscore MATRICS: Overall (-10-100) -10 100 REDCap validation
demo_age_study_entry Age at study entry 16 35 Protocol inclusion criterion (calc; no REDCap validation)
hwv_bmi BMI 12 60 Plausible adult range (calc; no REDCap validation)
pet_inject_amount PET injected dose (mCi) 0 10 REDCap validation minimum 0; maximum set here (REDCap has none)
pet_inject_mass PET injected mass (ug) 0 10 REDCap validation minimum 0; maximum set here (REDCap has none)
phq9_calc PHQ-9 total 0 27 9 items scored 0-3 (calc)
gad_total GAD-7 total 0 21 7 items scored 0-3 (calc)
np_domain_tscore_verbal_learning MATRICS Verbal Learning (T-score) -10 100 No REDCap validation in SPINAPS; same as the other MATRICS T-scores
rmet_total RMET total 0 36 36 items scored 0/1 (calc)
tasit_correct_total TASIT-R part 1 total 0 28 7 emotions x 4 items scored 0/1 (calc)
tasit_part2_grandtotal TASIT-R part 2 total 0 60 15 vignettes x 4 questions scored 0/1 (calc)
tasit_part3_total TASIT-R part 3 total (sarcasm + lies) 0 64 Sum of the part 3 sarcasm and lies totals; 0-64 as on the SPIN-ASD form
ados_css_overall ADOS-2 overall CSS 1 10 Calibrated severity score: the calc maps the algorithm total to 1-10
ados_css_sa ADOS-2 social affect CSS 1 10 Calibrated severity score: the calc maps the SA total to 1-10
ados_css_rrb ADOS-2 RRB CSS 1 10 Calibrated severity score: the calc maps the RRB total to 1-10
ados_abd_tot ADOS-2 SA + RRB total 0 30 15 algorithm items converted to 0-2 (calc)
aq_total AQ total 0 50 50 items scored 0/1 (calc)
bprs_factor_total BPRS total 18 126 18 items rated 1-7 (calc)
bprs_factor_pos_symp BPRS positive symptoms 4 28 4 items rated 1-7 (calc)
bprs_factor_neg_symp BPRS negative symptoms 3 21 3 items rated 1-7 (calc)
bprs_factor_anxiety_depression BPRS anxiety/depression 4 28 4 items rated 1-7 (calc)
bprs_factor_activation BPRS activation 3 21 3 items rated 1-7 (calc)
bprs_factor_hostility BPRS hostility/suspiciousness 3 21 3 items rated 1-7 (calc)
bsfs_sec_grandtotal1 Birchwood SFS total (employed) 7 247 Sum of the section totals, ranges as labelled in REDCap (0-15, 0-30, 0-66, 0-48, 0-39, 0-39, employed 7-10)
bsfs_sec_grandtotal2 Birchwood SFS total (not employed) 0 243 Sum of the section totals, ranges as labelled in REDCap (0-15, 0-30, 0-66, 0-48, 0-39, 0-39, not employed 0-6)
abas_gac1 ABAS-III GAC 40 160 Standard score (mean 100, SD 15), 4 SD either side; no REDCap validation
abas_conc1 ABAS-III conceptual 40 160 Standard score (mean 100, SD 15), 4 SD either side; no REDCap validation
abas_social1 ABAS-III social 40 160 Standard score (mean 100, SD 15), 4 SD either side; no REDCap validation
abas_prac1 ABAS-III practical 40 160 Standard score (mean 100, SD 15), 4 SD either side; no REDCap validation
hand_laterality_quotient Edinburgh laterality quotient -1 1 (R - L) / (R + L) (calc)

Specific activity. The PET form’s specific-activity fields have no units, and the values span several orders of magnitude. Values more than 10 times away from the field’s median are listed: probably a different unit (e.g. GBq/µmol vs mCi/µmol). These fields are not used in this report until the unit is agreed.

Participant Field Value Field median
SPN40_CMH_100029 Specific activity at synthesis 5.630 4168
SPN40_CMH_100117 Specific activity at synthesis 7.310 4168
SPN40_CMH_100119 Specific activity at synthesis 10.390 4168
SPN40_CMH_100132 Specific activity at synthesis 1.292 4168
SPN40_CMH_100002 Specific activity at injection 174.500 3768
SPN40_CMH_100006 Specific activity at injection 214.300 3768
SPN40_CMH_100012 Specific activity at injection 68.200 3768
SPN40_CMH_100070 Specific activity at injection 197.640 3768
SPN40_CMH_100125 Specific activity at injection 85.800 3768

Totals from forms not marked completed. REDCap’s total-score calculations add up whichever items were answered, so a total from a form that is partly filled in, or marked not completed, can be too low. Listed: calculated totals that are range-checked here, whose form is not marked completed. They are still used; complete or correct the form.

No totals from forms that are not marked completed.

REDCap forms

Checks on each form’s “Was this form completed?” answer (or REDCap’s own form status, for AQ and ABAS-III) against what is entered, from the same data as the Assessment Completion heatmaps. Dates, rater, notes and other administrative fields don’t count as entered data. A form version marked not completed is not checked when the other version of the same form (ABAS-III) is marked completed.

Marked completed, but no data entered. The form says it was completed, but none of its questions are answered. Enter the data, or correct the answer.

None.

Data entered, but not marked completed. Questions are answered, but “Was this form completed?” is empty (or REDCap’s status is Incomplete). Answer it.

None.

Marked not completed, but has data. The form says it was not completed, but has answers. If it was partly done, mark it Partial (where the form allows it).

None.

Marked not completed, no reason given. The form says it was not completed, but “Why was this form not completed?” is empty.

None.

Reason “Other” with no explanation. The reason is “Other”, but the explanation is empty.

None.

Eligibility

No group or eligibility. Participants with no group on the Eligibility Checklist, or not recorded as eligible. They are counted as Not assigned throughout.

Participant Group Eligible Eligibility date PET date Withdrawn
SPN40_CMH_50010/90084 Not assigned Not recorded

No
SPN40_CMH_50016/90108 Not assigned Not recorded

No
SPN40_CMH_60003 Not assigned Yes 2026-02-26 2026-02-27 No
SPN40_CMH_60004 Not assigned Yes 2025-11-26 2025-12-03 No
SPN40_CMH_90037 Not assigned Not recorded

No
SPN40_CMH_100104 Not assigned Not recorded

Yes
SPN40_CMH_500010/90076 Not assigned Not recorded

No

Recorded subgroup differs from the protocol rule. From the Group Assignment Check, using origin-study scores.

Participant Recorded group Group by rule Below cut-off
SPN40_CMH_0118 ASD-Impaired ASD-Intact
SPN40_CMH_0146 ASD-Impaired ASD-Intact
SPN40_CMH_100003 ASD-Impaired ASD-Intact
SPN40_CMH_100012 ASD-Intact ASD-Impaired RMET
SPN40_CMH_100060 ASD-Impaired ASD-Intact
SPN40_CMH_100070 ASD-Impaired ASD-Intact
SPN40_CMH_100125 ASD-Impaired ASD-Intact
SPN40_CMH_100133 ASD-Impaired ASD-Intact
SPN40_CMH_100002 ASD-Impaired ASD-Intact (incomplete scores)
SPN40_CMH_100047 ASD-Impaired ASD-Intact (incomplete scores)
SPN40_CMH_100056 ASD-Impaired ASD-Intact (incomplete scores)
SPN40_CMH_100068 ASD-Impaired ASD-Intact (incomplete scores)
SPN40_CMH_60001 ASD-Impaired ASD-Intact (incomplete scores)

Enrolled outside age 16-35. The protocol includes participants aged 16-35. Age at the eligibility assessment, from the date of birth (or the Demographics age at study entry when a date is missing).

Every enrolled participant was 16-35 at eligibility.

Enrolled with IQ < 70. IQ < 70 (WASI-II or WAIS-IV) is an exclusion criterion for everyone. Listed: enrolled participants with a full-scale IQ below 70 in SPINAPS or the origin study.

No enrolled participant has IQ < 70.

TDC to confirm. Typically developing controls must have no DSM-5 disorder, except adjustment disorder, phobic disorder, or a single past major depressive episode at least two years ago and not currently treated. Listed: TDC with any lifetime diagnosis on their origin SCID, or a current psychotropic medication in SPINAPS. Whether an exception applies is for the study team to confirm.

Participant Issue Detail
SPN40_CMH_0135 SCID diagnosis (origin study, lifetime) Major depressive disorder
SPN40_CMH_0156/90102 SCID diagnosis (origin study, lifetime) Bulimia nervosa
SPN40_CMH_0157/90079 SCID diagnosis (origin study, lifetime) Major depressive disorder
SPN40_CMH_0135 Current psychotropic medication SSRI: fluoxetine

SCID

SCID data entry gaps. From the SCID section’s per-disorder tables, for each source: a disorder selected with its ratings left empty; a disorder at lifetime threshold whose current rating (asked because of that) is empty; “clinical disorder present” answered Yes with no disorder selected. For the origin study, the SCID used is the one closest to the PET.

Check Participant Group Source Disorder
Lifetime threshold, current rating not entered SPN40_CMH_0116 ASD-Impaired From origin study Posttraumatic stress disorder

REDCap setup

Forms not exported. Forms in the data dictionary for which the REDCap API returns no fields. This usually means the API user has no export rights on the form; ask the REDCap administrator to grant them.

Form
SCID-5

Medication names not classified. Psychotropic medication names that match no pattern in config/med_classes.csv. Add a line there to classify them.

Every medication name is classified.