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Related Experiment Video

Updated: Jan 27, 2026

Network Analysis of the Default Mode Network Using Functional Connectivity MRI in Temporal Lobe Epilepsy
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Two-year dynamic functional network connectivity in clinically isolated syndrome.

Maria A Rocca1, Milagros Hidalgo de La Cruz2, Paola Valsasina2

  • 1Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy/Department of Neurology, Institute of Experimental Neurology, Division of Neuroscience, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|March 20, 2019
PubMed
Summary
This summary is machine-generated.

Early changes in brain functional connectivity in clinically isolated syndrome (CIS) patients may indicate a protective mechanism. These findings in multiple sclerosis (MS) suggest preserved clinical function despite early network reorganization.

Keywords:
Multiple sclerosisclinically isolated syndromedefault-mode networkdynamic functional network connectivitylongitudinalresting state

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Area of Science:

  • Neuroimaging
  • Neurology
  • Systems Neuroscience

Background:

  • Functional network connectivity (FC) reorganization in early multiple sclerosis (MS) remains understudied.
  • Clinically isolated syndrome (CIS) represents the earliest clinical stage of MS, offering a critical window for investigation.

Purpose of the Study:

  • To investigate early functional connectivity changes in CIS patients using static and dynamic resting-state (RS) functional magnetic resonance imaging (fMRI) analysis.
  • To identify mechanisms underlying clinical dysfunction and recovery in the early stages of MS.

Main Methods:

  • Prospective acquisition of RS-fMRI and clinical data from 50 CIS patients and 13 healthy controls (HC) at baseline, 12, and 24 months.
  • Analysis of between-group differences and longitudinal evolution of FC across 41 functional networks.
  • Comparison of static and dynamic FC measures, including connectivity states and global dynamism.

Main Results:

  • At follow-up, 47 patients transitioned to MS with stable, low disability.
  • Baseline CIS patients showed reduced connectivity in default-mode and cerebellar networks (state 2) but no difference in global dynamism compared to HC.
  • Follow-up revealed increased state 2 connectivity strength and global dynamism in patients compared to HC, with selective FC reduction in affected networks.

Conclusions:

  • Longitudinal modifications in functional connectivity occur early in MS.
  • These early FC changes may serve as a compensatory or protective mechanism.
  • Such reorganization could contribute to preserving clinical function over time in MS patients.