Resting CMRO2 fluctuations show persistent network hyper-connectivity following exposure to sub-concussive collisions
Allen A Champagne1, Nicole S Coverdale1, Joseph Y Nashed1
1Centre for Neuroscience Studies, Room 260, Queen's University, Kingston, ON K7L 3N6, Canada.
Sub-concussive head impacts in football players increased default-mode network connectivity. This change was independent of altered cerebral blood flow and reactivity, suggesting robust neural alterations after head impacts.
Area of Science:
- Neuroscience
- Sports Medicine
- Medical Imaging
Background:
- Repetitive head impacts in sports may affect brain connectivity, particularly the default-mode network (DMN).
- Previous research has not fully accounted for how changes in resting cerebral blood flow (CBF0) and cerebrovascular reactivity (CVR) might influence connectivity after sub-concussive impacts.
Purpose of the Study:
- To investigate the relationship between neural and vascular factors in functional connectivity (FC) changes following sub-concussive impacts in collegiate football players.
- To examine the longitudinal effects of a football season on DMN connectivity, CBF0, and CVR.
Main Methods:
- Longitudinal study of 23 collegiate football players using calibrated resting-state MRI and helmet accelerometers.
- Analysis of functional connectivity (FC) using blood oxygen level dependent (BOLD) and cerebral metabolic rate of oxygen consumption (CMRO2) mapping.
- Assessment of resting cerebral blood flow (CBF0) and cerebrovascular reactivity (CVR) at multiple time points during and after the season.
Main Results:
- Cerebral blood flow (CBF0) decreased one month post-season, while cerebrovascular reactivity (CVR) was impaired mid-season and post-season compared to baseline.
- Default-mode network (DMN) connectivity increased throughout the season, irrespective of changes in CBF0 or CVR.
- No significant correlation was found between impact kinematics and DMN connectivity alterations.
Conclusions:
- Alterations in functional connectivity (FC) following sub-concussive impacts appear robust and independent of concurrent hemodynamic changes.
- Neurophysiological markers may exhibit different susceptibility timelines to head impacts compared to vascular markers.
- Findings support further research into the neural and vascular mechanisms underlying increased network connectivity after repeated head impacts to improve management strategies.
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