Neuroimage-Clinical最新文献

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Predicting depression risk in early adolescence via multimodal brain imaging 通过多模态脑成像预测青春期早期的抑郁风险
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103604
Zeus Gracia-Tabuenca , Elise B. Barbeau , Yu Xia , Xiaoqian Chai
{"title":"Predicting depression risk in early adolescence via multimodal brain imaging","authors":"Zeus Gracia-Tabuenca ,&nbsp;Elise B. Barbeau ,&nbsp;Yu Xia ,&nbsp;Xiaoqian Chai","doi":"10.1016/j.nicl.2024.103604","DOIUrl":"https://doi.org/10.1016/j.nicl.2024.103604","url":null,"abstract":"<div><p>Depression is an incapacitating psychiatric disorder with increased risk through adolescence. Among other factors, children with family history of depression have significantly higher risk of developing depression. Early identification of pre-adolescent children who are at risk of depression is crucial for early intervention and prevention. In this study, we used a large longitudinal sample from the Adolescent Brain Cognitive Development (ABCD) Study (2658 participants after imaging quality control, between 9–10 years at baseline), we applied advanced machine learning methods to predict depression risk at the two-year follow-up from the baseline assessment, using a set of comprehensive multimodal neuroimaging features derived from structural MRI, diffusion tensor imaging, and task and rest functional MRI. Prediction performance underwent a rigorous cross-validation method of leave-one-site-out. Our results demonstrate that all brain features had prediction scores significantly better than expected by chance, with brain features from rest-fMRI showing the best classification performance in the high-risk group of participants with parental history of depression (N = 625). Specifically, rest-fMRI features, which came from functional connectomes, showed significantly better classification performance than other brain features. This finding highlights the key role of the interacting elements of the connectome in capturing more individual variability in psychopathology compared to measures of single brain regions. Our study contributes to the effort of identifying biological risks of depression in early adolescence in population-based samples.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000433/pdfft?md5=7e468a99735216037dbcb473b424a467&pid=1-s2.0-S2213158224000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140539238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Structural neuroimaging changes associated with subjective cognitive decline from a clinical sample 与临床样本主观认知能力下降相关的神经影像结构变化
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103615
Mario Riverol , Mirla M. Ríos-Rivera , Laura Imaz-Aguayo , Sergio M. Solis-Barquero , Carlota Arrondo , Genoveva Montoya-Murillo , Rafael Villino-Rodríguez , Reyes García-Eulate , Pablo Domínguez , Maria A. Fernández-Seara
{"title":"Structural neuroimaging changes associated with subjective cognitive decline from a clinical sample","authors":"Mario Riverol ,&nbsp;Mirla M. Ríos-Rivera ,&nbsp;Laura Imaz-Aguayo ,&nbsp;Sergio M. Solis-Barquero ,&nbsp;Carlota Arrondo ,&nbsp;Genoveva Montoya-Murillo ,&nbsp;Rafael Villino-Rodríguez ,&nbsp;Reyes García-Eulate ,&nbsp;Pablo Domínguez ,&nbsp;Maria A. Fernández-Seara","doi":"10.1016/j.nicl.2024.103615","DOIUrl":"https://doi.org/10.1016/j.nicl.2024.103615","url":null,"abstract":"<div><h3>Background</h3><p>Alzheimer’s disease (AD) is characterized by progressive deterioration of cognitive functions. Some individuals with subjective cognitive decline (SCD) are in the early phase of the disease and subsequently progress through the AD continuum. Although neuroimaging biomarkers could be used for the accurate and early diagnosis of preclinical AD, the findings in SCD samples have been heterogeneous. This study established the morphological differences in brain magnetic resonance imaging (MRI) findings between individuals with SCD and those without cognitive impairment based on a clinical sample of patients defined according to SCD-Initiative recommendations. Moreover, we investigated baseline structural changes in the brains of participants who remained stable or progressed to mild cognitive impairment or dementia.</p></div><div><h3>Methods</h3><p>This study included 309 participants with SCD and 43 healthy controls (HCs) with high-quality brain MRI at baseline. Among the 99 subjects in the SCD group who were followed clinically, 32 progressed (SCDp) and 67 remained stable (SCDnp). A voxel-wise statistical comparison of gray and white matter (WM) volume was performed between the HC and SCD groups and between the HC, SCDp, and SCDnp groups. XTRACT ATLAS was used to define the anatomical location of WM tract damage. Region-of-interest (ROI) analyses were performed to determine brain volumetric differences. White matter lesion (WML) burden was established in each group.</p></div><div><h3>Results</h3><p>Voxel-based morphometry (VBM) analysis revealed that the SCD group exhibited gray matter atrophy in the middle frontal gyri, superior orbital gyri, superior frontal gyri, right rectal gyrus, whole occipital lobule, and both thalami and precunei. Meanwhile, ROI analysis revealed decreased volume in the left rectal gyrus, bilateral medial orbital gyri, middle frontal gyri, superior frontal gyri, calcarine fissure, and left thalamus. The SCDp group exhibited greater hippocampal atrophy (<em>p</em> &lt; 0.001) than the SCDnp and HC groups on ROI analyses. On VBM analysis, however, the SCDp group exhibited increased hippocampal atrophy only when compared to the SCDnp group (<em>p</em> &lt; 0.001). The SCD group demonstrated lower WM volume in the uncinate fasciculus, cingulum, inferior fronto-occipital fasciculus, anterior thalamic radiation, and callosum forceps than the HC group. However, no significant differences in WML number (<em>p</em> = 0.345) or volume (<em>p</em> = 0.156) were observed between the SCD and HC groups.</p></div><div><h3>Conclusions</h3><p>The SCD group showed brain atrophy mainly in the frontal and occipital lobes. However, only the SCDp group demonstrated atrophy in the medial temporal lobe at baseline. Structural damage in the brain regions was anatomically connected, which may contribute to early memory decline.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000548/pdfft?md5=361b08689abba6d96d138ce45d3bc2da&pid=1-s2.0-S2213158224000548-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140918428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal and spatial progression of microstructural cerebral degeneration in ALS: A multicentre longitudinal diffusion tensor imaging study ALS 患者大脑微结构退化的时间和空间进展:多中心纵向弥散张量成像研究
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103633
Hans-Peter Müller , Agessandro Abrahao , Christian Beaulieu , Michael Benatar , Annie Dionne , Angela Genge , Richard Frayne , Simon J. Graham , Summer Gibson , Lawrence Korngut , Collin Luk , Robert C. Welsh , Lorne Zinman , Jan Kassubek , Sanjay Kalra
{"title":"Temporal and spatial progression of microstructural cerebral degeneration in ALS: A multicentre longitudinal diffusion tensor imaging study","authors":"Hans-Peter Müller ,&nbsp;Agessandro Abrahao ,&nbsp;Christian Beaulieu ,&nbsp;Michael Benatar ,&nbsp;Annie Dionne ,&nbsp;Angela Genge ,&nbsp;Richard Frayne ,&nbsp;Simon J. Graham ,&nbsp;Summer Gibson ,&nbsp;Lawrence Korngut ,&nbsp;Collin Luk ,&nbsp;Robert C. Welsh ,&nbsp;Lorne Zinman ,&nbsp;Jan Kassubek ,&nbsp;Sanjay Kalra","doi":"10.1016/j.nicl.2024.103633","DOIUrl":"10.1016/j.nicl.2024.103633","url":null,"abstract":"<div><h3>Objective</h3><p>The corticospinal tract (CST) reveals progressive microstructural alterations in ALS measurable by DTI. The aim of this study was to evaluate fractional anisotropy (FA) along the CST as a longitudinal marker of disease progression in ALS.</p></div><div><h3>Methods</h3><p>The study cohort consisted of 114 patients with ALS and 110 healthy controls from the second prospective, longitudinal, multicentre study of the Canadian ALS Neuroimaging Consortium (CALSNIC-2). DTI and clinical data from a harmonized protocol across 7 centres were collected. Thirty-nine ALS patients and 61 controls completed baseline and two follow-up visits and were included for longitudinal analyses. Whole brain-based spatial statistics and hypothesis-guided tract-of-interest analyses were performed for cross-sectional and longitudinal analyses.</p></div><div><h3>Results</h3><p>FA was reduced at baseline and longitudinally in the CST, mid-corpus callosum (CC), frontal lobe, and other ALS-related tracts, with alterations most evident in the CST and mid-CC. CST and pontine FA correlated with functional impairment (ALSFRS-R), upper motor neuron function, and clinical disease progression rate. Reduction in FA was largely located in the upper CST; however, the longitudinal decline was greatest in the lower CST. Effect sizes were dependent on region, resulting in study group sizes between 17 and 31 per group over a 9-month interval. Cross-sectional effect sizes were maximal in the upper CST; whereas, longitudinal effect sizes were maximal in mid-callosal tracts.</p></div><div><h3>Conclusions</h3><p>Progressive microstructural alterations in ALS are most prominent in the CST and CC. DTI can provide a biomarker of cerebral degeneration in ALS, with longitudinal changes in white matter demonstrable over a reasonable observation period, with a feasible number of participants, and within a multicentre framework.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221315822400072X/pdfft?md5=5fef73c3f46e2dde46f979f9533ebae9&pid=1-s2.0-S221315822400072X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increased whole-brain functional heterogeneity in psychosis during rest and task 精神病患者在休息和执行任务时全脑功能异质性增加。
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103630
Brian P. Keane , Yonatan T. Abrham , Luke J. Hearne , Howard Bi , Boyang Hu
{"title":"Increased whole-brain functional heterogeneity in psychosis during rest and task","authors":"Brian P. Keane ,&nbsp;Yonatan T. Abrham ,&nbsp;Luke J. Hearne ,&nbsp;Howard Bi ,&nbsp;Boyang Hu","doi":"10.1016/j.nicl.2024.103630","DOIUrl":"10.1016/j.nicl.2024.103630","url":null,"abstract":"<div><p>Past work has shown that people with schizophrenia exhibit more cross-subject heterogeneity in their functional connectivity patterns. However, it remains unclear whether specific brain networks are implicated, whether common confounds could explain the results, or whether task activations might also be more heterogeneous. Unambiguously establishing the existence and extent of functional heterogeneity constitutes a first step toward understanding why it emerges and what it means clinically. Methods. We first leveraged data from the HCP Early Psychosis project. Functional connectivity (FC) was extracted from 718 parcels via principal components regression. Networks were defined via a brain network partition (<span>Ji et al., 2019</span>). We also examined an independent data set with controls, later-stage schizophrenia patients, and ADHD patients during rest and during a working memory task. We quantified heterogeneity by averaging the Pearson correlation distance of each subject’s FC or task activity pattern to that of every other subject of the same cohort. Results. Affective and non-affective early psychosis patients exhibited more cross-subject whole-brain heterogeneity than healthy controls (ps &lt; 0.001, Hedges’ g &gt; 0.74). Increased heterogeneity could be found in up to seven networks. In-scanner motion, medication, nicotine, and comorbidities could not explain the results. Later-stage schizophrenia patients exhibited heterogeneous connectivity patterns and task activations compared to ADHD and control subjects. Interestingly, individual connection weights, parcel-wise task activations, and network averages thereof were not more variable in patients, suggesting that heterogeneity becomes most obvious over large-scale patterns. Conclusion. Whole-brain cross-subject functional heterogeneity characterizes psychosis during rest and task. Developmental and pathophysiological consequences are discussed.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221315822400069X/pdfft?md5=00570ab0a646f81522276e39f3386c0a&pid=1-s2.0-S221315822400069X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of a four-week oral Phe administration on neural activation and cerebral blood flow in adults with early-treated phenylketonuria 连续四周口服 Phe 对早期苯丙酮尿症成人神经激活和脑血流的影响
IF 3.4 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103654
{"title":"Effect of a four-week oral Phe administration on neural activation and cerebral blood flow in adults with early-treated phenylketonuria","authors":"","doi":"10.1016/j.nicl.2024.103654","DOIUrl":"10.1016/j.nicl.2024.103654","url":null,"abstract":"<div><h3>Background</h3><p>Phenylketonuria (PKU) is a rare inborn error of metabolism characterized by impaired catabolism of the amino acid phenylalanine (Phe) into tyrosine. Cross-sectional studies suggest slight alterations in cognitive performance and neural activation in adults with early-treated PKU. The influence of high Phe levels on brain function in adulthood, however, remains insufficiently studied. Therefore, we aimed to explore the effect of a four-week period of oral Phe administration − simulating a controlled discontinuation of Phe restriction and raising Phe to an off-diet scenario − on working memory-related neural activation and cerebral blood flow (CBF).</p></div><div><h3>Methods</h3><p>We conducted a randomized, placebo-controlled, double-blind, crossover, non-inferiority trial to assess the effect of a high Phe load on working memory-related neural activation and CBF in early-treated adults with classical PKU. Twenty-seven patients with early-treated classical PKU were included and underwent functional magnetic resonance imaging (fMRI) of the working memory network and arterial spin labeling (ASL) MRI to assess CBF before and after a four-week intervention with Phe and placebo. At each of the four study visits, fMRI working memory task performance (reaction time and accuracy) and plasma Phe, tyrosine, and tryptophan levels were obtained. Additionally, cerebral Phe was determined by <sup>1</sup>H-MR spectroscopy.</p></div><div><h3>Results</h3><p>Plasma Phe and cerebral Phe were significantly increased after the Phe intervention. However, no significant effect of Phe compared to placebo was found on neural activation and CBF. Regarding fMRI task performance, a significant impact of the Phe intervention on 1-back reaction time was observed with slower reaction times following the Phe intervention, whereas 3-back reaction time and accuracy did not differ following the Phe intervention compared to the placebo intervention.</p></div><div><h3>Conclusion</h3><p>Results from this present trial simulating a four-week discontinuation of the Phe-restricted diet showed that a high Phe load did not uniformly affect neural markers and cognition in a statistically significant manner. These results further contribute to the discussion on safe Phe levels during adulthood and suggest that a four-week discontinuation of Phe-restricted diet does not demonstrate significant changes in brain function.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000937/pdfft?md5=ae6cacb154743ac59c5318b8158c31f4&pid=1-s2.0-S2213158224000937-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141985140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal evolution of microstructural integrity in cerebellar peduncles in Parkinson’s disease: Stage-specific patterns and dopaminergic correlates 帕金森病小脑足部微结构完整性的时间演变:特定阶段的模式和多巴胺能相关性。
IF 3.4 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103679
{"title":"Temporal evolution of microstructural integrity in cerebellar peduncles in Parkinson’s disease: Stage-specific patterns and dopaminergic correlates","authors":"","doi":"10.1016/j.nicl.2024.103679","DOIUrl":"10.1016/j.nicl.2024.103679","url":null,"abstract":"<div><h3>Background</h3><div>Previous research revealed differences in cerebellar white matter integrity by disease stages, indicating a compensatory role in Parkinson’s disease (PD). However, the temporal evolution of cerebellar white matter microstructure in patients with PD (PwPD) remains unclear.</div></div><div><h3>Objective</h3><div>To unravel temporal evolution of cerebellar white matter and its dopaminergic correlates in PD.</div></div><div><h3>Methods</h3><div>We recruited 124 PwPD from the PPMI study. The participants were divided into two subsets: Subset 1 (n = 41) had three MRI scans (baseline, 2 years, and 4 years), and Subset 2 (n = 106) had at least two MRI scans at baseline, 1 year, and/or 2 years. Free water-corrected diffusion metrics were used to measure the microstructural integrity in cerebellar peduncles (CP), the main white matter tracts connecting to and from the cerebellum. The ACAPULCO processing pipeline was used to assess cerebellar lobules volumes. Linear mixed-effect models were used to study longitudinal changes. We also examined the relationships between microstructural integrity in CP, striatal dopamine transporter specific binding ratio (SBR), and clinical symptoms.</div></div><div><h3>Results</h3><div>Microstructural changes in CP showed a non-linear pattern in PwPD. Free water-corrected fractional anisotropy (FAt) increased in the first two years but declined from 2 to 4 years, while free water-corrected mean diffusivity exhibited the opposite trend. The initial increased FAt in CP correlated with cerebellar regional volume atrophy, striatal dopaminergic SBR decline, and worsening clinical symptoms, but this correlation varied across disease stages.</div></div><div><h3>Conclusions</h3><div>Our findings suggest a non-linear evolution of microstructural integrity in CP throughout the course of PD, indicating the adaptive structural reorganization of the cerebellum simultaneously with progressive striatal dopaminergic degeneration in PD.</div></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variability in white matter structure relates to hallucination proneness 白质结构的变化与幻觉倾向有关。
IF 3.4 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103643
{"title":"Variability in white matter structure relates to hallucination proneness","authors":"","doi":"10.1016/j.nicl.2024.103643","DOIUrl":"10.1016/j.nicl.2024.103643","url":null,"abstract":"<div><p>Hallucinations are a prominent transdiagnostic psychiatric symptom but are also prevalent in individuals who do not require clinical care. Moreover, persistent psychosis-like experience in otherwise healthy individuals may be related to an increased risk to transition to a psychotic disorder. This suggests a common etiology across clinical and non-clinical individuals along a multidimensional psychosis continuum that may be detectable in structural variations of the brain. The current diffusion tensor imaging study assessed 50 healthy individuals (35 females) to identify possible differences in white matter associated with hallucination proneness (HP). This approach circumvents potential confounds related to medication, hospitalization, and disease progression common in clinical individuals. We determined how HP relates to white matter structure in selected association, commissural, and projection fiber pathways putatively linked to psychosis. Increased HP was associated with enhanced fractional anisotropy (FA) in the right uncinate fasciculus, the right anterior and posterior arcuate fasciculus, and the corpus callosum. These findings support the notion of a psychosis continuum, providing first evidence of structural white matter variability associated with HP in healthy individuals. Furthermore, alterations in the targeted pathways likely indicate an association between HP-related structural variations and the putative salience and attention mechanisms that these pathways subserve.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000822/pdfft?md5=097302df699c86edec38fc3fa8c2cd71&pid=1-s2.0-S2213158224000822-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brain microstructure and connectivity in COVID-19 patients with olfactory or cognitive impairment 患有嗅觉或认知障碍的 COVID-19 患者的大脑微观结构和连通性
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103631
Alberto Arrigoni , Mattia Previtali , Sara Bosticardo , Giulio Pezzetti , Sofia Poloni , Serena Capelli , Angela Napolitano , Andrea Remuzzi , Rosalia Zangari , Ferdinando Luca Lorini , Maria Sessa , Alessandro Daducci , Anna Caroli , Simonetta Gerevini
{"title":"Brain microstructure and connectivity in COVID-19 patients with olfactory or cognitive impairment","authors":"Alberto Arrigoni ,&nbsp;Mattia Previtali ,&nbsp;Sara Bosticardo ,&nbsp;Giulio Pezzetti ,&nbsp;Sofia Poloni ,&nbsp;Serena Capelli ,&nbsp;Angela Napolitano ,&nbsp;Andrea Remuzzi ,&nbsp;Rosalia Zangari ,&nbsp;Ferdinando Luca Lorini ,&nbsp;Maria Sessa ,&nbsp;Alessandro Daducci ,&nbsp;Anna Caroli ,&nbsp;Simonetta Gerevini","doi":"10.1016/j.nicl.2024.103631","DOIUrl":"https://doi.org/10.1016/j.nicl.2024.103631","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has affected millions worldwide, causing mortality and multi-organ morbidity. Neurological complications have been recognized. This study aimed to assess brain structural, microstructural, and connectivity alterations in patients with COVID-19-related olfactory or cognitive impairment using post-acute (time from onset: 264[208–313] days) multi-directional diffusion-weighted MRI (DW-MRI).</p></div><div><h3>Methods</h3><p>The study included 16 COVID-19 patients with cognitive impairment (COVID-CM), 35 COVID-19 patients with olfactory disorder (COVID-OD), and 14 controls. A state-of-the-art processing pipeline was developed for DW-MRI pre-processing, mean diffusivity and fractional anisotropy computation, fiber density and cross-section analysis, and tractography of white-matter bundles. Brain parcellation required for probing network connectivity, region-specific microstructure and volume, and cortical thickness was based on T1-weighted scans and anatomical atlases.</p></div><div><h3>Results</h3><p>Compared to controls, COVID-CM patients showed overall gray matter atrophy (age and sex corrected p = 0.004), and both COVID-19 patient groups showed regional atrophy and cortical thinning. Both groups presented an increase in gray matter mean diffusivity (corrected p = 0.001), decrease in white matter fiber density and cross-section <strong>(corrected p &lt; 0.05)</strong>, , and COVID-CM patients also displayed an overall increased diffusivity (p = 0.022) and decreased anisotropy (corrected p = 0.038) in white matter. Graph-based analysis revealed reduced network modularity, with an extensive pattern of connectivity increase, in conjunction with a localized reduction in a few connections, mainly located in the left hemisphere. The left cingulate, anterior cingulate, and insula were primarily involved.</p></div><div><h3>Conclusion</h3><p>Expanding upon previous findings, this study further investigated significant alterations in brain morphology, microstructure, and connectivity in COVID-19 patients with olfactory or cognitive disfunction. These findings suggest underlying neurodegeneration, neuroinflammation, and concomitant compensatory mechanisms. Future longitudinal studies are required to monitor the alterations over time and assess their transient or permanent nature.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000706/pdfft?md5=f8fc657175c65328b36c2aeb6d2bdcb6&pid=1-s2.0-S2213158224000706-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fine hippocampal morphology analysis with a multi-dataset cross-sectional study on 2911 subjects 通过对 2911 名受试者进行多数据集横截面研究,对海马形态进行精细分析
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103620
Qinzhu Yang , Guojing Chen , Zhi Yang , Tammy Riklin Raviv , Yi Gao
{"title":"Fine hippocampal morphology analysis with a multi-dataset cross-sectional study on 2911 subjects","authors":"Qinzhu Yang ,&nbsp;Guojing Chen ,&nbsp;Zhi Yang ,&nbsp;Tammy Riklin Raviv ,&nbsp;Yi Gao","doi":"10.1016/j.nicl.2024.103620","DOIUrl":"10.1016/j.nicl.2024.103620","url":null,"abstract":"<div><p>CA1 subfield and subiculum of the hippocampus contain a series of dentate bulges, which are also called hippocampus dentation (HD). There have been several studies demonstrating an association between HD and brain disorders. Such as the number of hippocampal dentation correlates with temporal lobe epilepsy. And epileptic hippocampus have a lower number of dentation compared to contralateral hippocampus. However, most studies rely on subjective assessment by manual searching and counting in HD areas, which is time-consuming and labor-intensive to process large amounts of samples. And to date, only one objective method for quantifying HD has been proposed. Therefore, to fill this gap, we developed an automated and objective method to quantify HD and explore its relationship with neurodegenerative diseases. In this work, we performed a fine-scale morphological characterization of HD in 2911 subjects from four different cohorts of ADNI, PPMI, HCP, and IXI to quantify and explore differences between them in MR T1w images. The results showed that the degree of right hippocampal dentation are lower in patients with Alzheimer's disease than samples in mild cognitive impairment or cognitively normal, whereas this change is not significant in Parkinson's disease progression. The innovation of this paper that we propose a quantitative, robust, and fully automated method. These methodological innovation and corresponding results delineated above constitute the significance and novelty of our study. What’s more, the proposed method breaks through the limitations of manual labeling and is the first to quantitatively measure and compare HD in four different brain populations including thousands of subjects. These findings revealed new morphological patterns in the hippocampal dentation, which can help with subsequent fine-scale hippocampal morphology research.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000597/pdfft?md5=1d4bdcffccfdeb8d7f2c58484467e00d&pid=1-s2.0-S2213158224000597-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing the efficacy of awake and sedated MEG to TMS in mapping hand sensorimotor cortex in a clinical cohort 比较清醒和镇静状态下的 MEG 与 TMS 在绘制临床队列的手部感觉运动皮层图方面的功效
IF 4.2 2区 医学
Neuroimage-Clinical Pub Date : 2024-01-01 DOI: 10.1016/j.nicl.2024.103562
Negar Noorizadeh , Jackie Austin Varner , Liliya Birg , Theresa Williard , Roozbeh Rezaie , James Wheless , Shalini Narayana
{"title":"Comparing the efficacy of awake and sedated MEG to TMS in mapping hand sensorimotor cortex in a clinical cohort","authors":"Negar Noorizadeh ,&nbsp;Jackie Austin Varner ,&nbsp;Liliya Birg ,&nbsp;Theresa Williard ,&nbsp;Roozbeh Rezaie ,&nbsp;James Wheless ,&nbsp;Shalini Narayana","doi":"10.1016/j.nicl.2024.103562","DOIUrl":"10.1016/j.nicl.2024.103562","url":null,"abstract":"<div><p>Non-invasive methods such as Transcranial Magnetic Stimulation (TMS) and magnetoencephalography (MEG) aid in the pre-surgical evaluation of patients with epilepsy or brain tumor to identify sensorimotor cortices. MEG requires sedation in children or patients with developmental delay. However, TMS can be applied to awake patients of all ages with any cognitive abilities. In this study, we compared the efficacy of TMS with MEG (in awake and sedated states) in identifying the hand sensorimotor areas in patients with epilepsy or brain tumors. We identified 153 patients who underwent awake- (n = 98) or sedated-MEG (n = 55), along with awake TMS for hand sensorimotor mapping as part of their pre-surgical evaluation. TMS involved stimulating the precentral gyrus and recording electromyography responses, while MEG identified the somatosensory cortex during median nerve stimulation. Awake-MEG had a success rate of 92.35 % and TMS had 99.49 % (p-value = 0.5517). However, in the sedated-MEG cohort, TMS success rate of 95.61 % was significantly higher compared to MEG’s 58.77 % (p-value = 0.0001). Factors affecting mapping success were analyzed. Logistic regression across the entire cohort identified patient sedation as the lone significant predictor, contrary to age, lesion, metal, and number of antiseizure medications (ASMs). A subsequent analysis replaced sedation with anesthetic drug dosage, revealing no significant predictors impacting somatosensory mapping success under sedation. This study yields insights into the utility of TMS and MEG in mapping hand sensorimotor cortices and underscores the importance of considering factors that influence eloquent cortex mapping limitations during sedation.</p></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213158224000019/pdfft?md5=56206316987d486287d5a40883eee1d7&pid=1-s2.0-S2213158224000019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139396326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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