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Targeted Neuronal Injury for the Non-Invasive Disconnection of Brain Circuitry
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Spinal Cord Injury Disrupts Resting-State Networks in the Human Brain.

Ammar H Hawasli1,2,3, Jerrel Rutlin4, Jarod L Roland1

  • 11 Department of Neurological Surgery, Washington University School of Medicine , Saint Louis, Missouri.

Journal of Neurotrauma
|November 29, 2017
PubMed
Summary
This summary is machine-generated.

Spinal cord injury (SCI) significantly alters brain functional networks, impacting connectivity within key resting-state networks (RSNs). These changes, particularly in complete SCI, may predict recovery and guide future therapies for brain plasticity.

Keywords:
MRISCIbiomarkersneuroplasticity

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Area of Science:

  • Neuroscience
  • Neurology
  • Radiology

Background:

  • Spinal cord injury (SCI) affects over 253,000 individuals in the US, yet its impact on brain networks remains poorly understood.
  • Standard spinal MRI offers only structural data, lacking insights into functional brain connectivity.
  • Resting-state functional MRI (RS-fMRI) is crucial for quantifying network connectivity and detecting disease-related changes.

Purpose of the Study:

  • To investigate how spinal cord injury (SCI) affects brain functional connectivity using resting-state functional MRI (RS-fMRI).
  • To identify specific resting-state networks (RSNs) altered by SCI and explore differences between complete and incomplete injuries.
  • To examine temporal changes in brain network connectivity following SCI.

Main Methods:

  • Acquired blood oxygen-dependent RS-fMRI data from 10 SCI subjects and performed functional assessments.
  • Utilized seed-based correlation mapping to analyze five RSNs: default-mode (DMN), dorsal-attention (DAN), salience (SAL), control (CON), and somatomotor (SMN).
  • Compared RSNs between SCI patients and controls using false-discovery rate-corrected t tests, analyzing complete vs. incomplete SCI cohorts and temporal changes.

Main Results:

  • SCI reduced connectivity within the SAL, SMN, and DMN, and disrupted anti-correlated connectivity between CON and SMN.
  • Complete SCI, unlike incomplete SCI, disrupted connectivity within SAL, DAN, SMN, DMN, and between CON and SMN.
  • Over time, SCI led to decreased connectivity between the primary motor and somatosensory cortices, and between visual and sensorimotor cortices.

Conclusions:

  • SCI induces significant functional network plasticity in the brain.
  • Altered brain connectivity following SCI may serve as potential biomarkers for predicting functional recovery.
  • These findings can inform the development of targeted therapies for SCI rehabilitation.