High-Order Resting-State Functional Connectivity is Predictive of Working Memory Decline After Brain Tumor Resection

Surgical resection is one of the main treatment options for brain tumors. However, there is a risk of postoperative cognitive deterioration associated with resective surgery. Recent studies suggest that pre-surgery brain dynamics captured using functional Magnetic Resonance Imaging (fMRI) could provide valuable information about the risk of post-surgery cognitive decline. However, most of these studies are based on simple regression analysis of the raw fMRI signals that do not capture the underlying complex brain dynamics. Here, we investigated the role of higher-order functional brain networks in predicting cognitive decline after surgical resection of brain tumors. More specifically, we looked at the predictive power of second-order functional brain networks in estimating post-surgery working memory (WM) performance. Our results show that the second-order functional brain networks can accurately predict the working memory decline in patients with glioma and meningioma tumors. These findings suggest that there is an interesting relationship between pre-surgical higher-order brain dynamics and the risk of cognitive decline after surgery, which could potentially yield a better prognostic marker for treatment planning of brain tumor patients.