COVID-19 and the Brain: A Psychological and Resting-state Functional Magnetic Resonance Imagin (fMRI) Study of the Whole-brain Functional Connectivity.

Mohammad Niroumand Sarvandani, Javad Sheikhi Koohsar, Raheleh Rafaiee, Maryam Saeedi, Seyedeh Masoumeh Seyedhosseini Tamijani, Hamed Ghazvini, Hossein Sheibani
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Abstract

Introduction: Coronavirus-2019 (COVID-19) spreads rapidly worldwide and causes severe acute respiratory syndrome. The current study aims to evaluate the relationship between the whole-brain functional connections in a resting state and cognitive impairments in patients with COVID-19 compared to the healthy control group.

Methods: Resting-state functional magnetic resonance imaging (rs-fMRI) and Montreal cognitive assessment (MoCA) data were obtained from 29 patients of the acute stage of COVID-19 on the third day of admission and 20 healthy controls. Cross-correlation of the mean resting-state signals was determined in the voxels of 23 independent components (IC) of brain neural circuits. To assess cognitive function and neuropsychological status, MoCA was performed on all participants. The relationship between rs-fMRI information, neuropsychological status, and paraclinical data was analyzed.

Results: The COVID-19 group got a lower mean MoCA score and showed a significant reduction in the functional connectivity of the IC14 (P<0.001) and IC38 (P<0.001) regions compared to the controls. The increase in functional connectivity was observed in the COVID-19 group compared to the controls at baseline in the default mode network (DMN) IC00 (P<0.001) and dorsal attention network (DAN) IC08 (P<0.001) regions. Furthermore, the alternation of functional connectivity in the mentioned ICs was significantly correlated with the mean MoCA scores and inflammatory parameters, i.e. erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP).

Conclusion: Functional connectivity abnormalities in four brain neural circuits are associated with cognitive impairment and increased inflammatory markers in patients with COVID-19.

Highlights: The patients with coronavirus-2019 (COVID-19) got a lower mean Montreal cognitive assessment (MoCA) score.The patients with COVID-19 showed significant reduction in the functional connectivity of the IC14 and IC38 regions.The patients with COVID-19 showed significant increase of functional connectivity in the default mode network (DMN) IC00 and dorsal attention network (DAN) IC08 regions.Alternation of functional connectivity was significantly correlated with the mean MoCA scores and ESR and CRP.

Plain language summary: The researcher aimed at assessing cognitive impairments and investigating the whole-brain functional connectivity using resting state fMRI in patients with COVID-19 compared with healthy control group. The result showed That COVID-19 group got a lower mean cognitive score and showed a significant reduction in the functional connectivity of the IC14 and IC38 regions of brain compared with controls. Also, the increase of functional connectivity was observed in the COVID-19 group compared with controls at baseline in the default mode network (DMN) and dorsal attention network (DAN) regions of brain. Moreover, Functional connectivity abnormalities in four brain neural circuits associated with cognitive impairment and increased inflammatory markers in patients with COVID-19.

COVID-19 与大脑:全脑功能连接的心理和静息态功能磁共振成像 (fMRI) 研究。
导言:冠状病毒-2019(COVID-19)在全球迅速传播并导致严重急性呼吸系统综合征。本研究旨在评估与健康对照组相比,COVID-19 患者在静息状态下的全脑功能连接与认知障碍之间的关系:静息态功能磁共振成像(rs-fMRI)和蒙特利尔认知评估(MoCA)数据来自入院第三天的29名COVID-19急性期患者和20名健康对照组。在大脑神经回路的 23 个独立分量(IC)体素中测定了平均静息态信号的交叉相关性。为了评估认知功能和神经心理状态,对所有参与者进行了MoCA测试。分析了rs-fMRI信息、神经心理状态和准临床数据之间的关系:结果:COVID-19 组的 MoCA 平均得分较低,IC14(PC)的功能连接性显著降低:四个大脑神经回路的功能连接异常与COVID-19患者的认知障碍和炎症标志物增加有关:冠状病毒-2019(COVID-19)患者的蒙特利尔认知评估(MoCA)平均得分较低;COVID-19患者的IC14和IC38区域的功能连通性显著降低;COVID-19患者的默认模式网络(DMN)IC00和背侧注意网络(DAN)IC08区域的功能连通性显著增加。功能连接的交替与平均MoCA评分、ESR和CRP显著相关。结果显示,与对照组相比,COVID-19 组患者的平均认知评分较低,大脑 IC14 和 IC38 区域的功能连接性显著降低。同时,与对照组相比,COVID-19 组大脑默认模式网络(DMN)和背侧注意网络(DAN)区域的功能连接在基线时有所增加。此外,COVID-19 患者四个大脑神经回路的功能连接异常与认知障碍和炎症标志物增加有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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