“…Therefore, determination of ASD severity may assist in planning individualized treatment plans, tracking treatment effects or disease progression, and providing insight into the neural substrates underlying ASD phenotypic heterogeneity ( Moradi et al, 2017 ; Liu and Huang, 2020 ; Wadhera and Kakkar, 2021 ). Machine learning-based predictive modeling has recently been utilized to decode symptom severity from neuroimaging data ( Sui et al, 2020 ; Wadhera et al, 2021 ); however, compared to binary classification, severity prediction may be more challenging as it requires the quantitative estimation of specific scores along a continuous behavioral measure, over a wide range, rather than just determining group membership ( Shen et al, 2017 ; Sui et al, 2020 ). Although these models used neuroimaging measures like cortical thickness ( Sato et al, 2013 ; Moradi et al, 2017 ), surface area ( Pua et al, 2019 ), and functional connectivity ( Uddin, 2014 ; Yahata et al, 2016 ; Lake et al, 2019 ; D’Souza et al, 2020 ; Liu and Huang, 2020 ; Pua et al, 2021 ) as features, putative findings have demonstrated a lack of consistency and reproducibility among them.…”