Abstract
SUMMARY: Causal mediation analysis investigates the role of mediators in the relationship between exposure and outcome. In the analysis of omics or imaging data, mediators are often high-dimensional, presenting challenges such as multicollinearity and interpretability. Existing methods either compromise interpretability or fail to effectively prioritize mediators. To address these challenges and advance causal mediation analysis in high-dimensional contexts, we propose the Partial Sum Statistic and Sample Splitting Strategy (PS5) framework. Through extensive simulations, we demonstrate that PS5 offers superior type I error control, higher statistical power, reduced bias in mediation effect estimation, and more accurate mediator selection. We apply PS5 to an imaging genetics dataset of chronic obstructive pulmonary disease (COPD) patients from the COPDGene study. The results show successful estimation of the global indirect effect and identification of mediating image regions. Notably, we identify a region in the lower lobe of the lung that exhibits a strong and concordant mediation effect for both genetic and environmental exposures, suggesting potential targets for treatment to mitigate COPD severity caused by genetic and smoking effects. AVAILABILITY AND IMPLEMENTATION: PS5 is publicly available at https://github.com/hung-ching-chang/PS5Med.