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Network Analysis of the Default Mode Network Using Functional Connectivity MRI in Temporal Lobe Epilepsy
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Disrupted and reorganized connectivity of brain networks in multiple sclerosis: a systematic review and meta-analysis
Bingyi Qu1,2,3, Siyi Li1,2,3, Hongxi Chen4
1Department of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No. 37 Guoxue Xiang, Chengdu, 610041, Sichuan, China.
Background:
Abnormalities in large-scale brain functional networks are implicated in multiple sclerosis (MS) and linked to clinical impairments, but reported findings remain heterogeneous due to methodological and sample variations.
Methods:
Based on 25 resting-state functional magnetic resonance (rsfMRI) imaging studies (1,524 MS patients and 886 healthy controls (HCs)), in which the independent component analysis (ICA) method was used to evaluate the resting-state functional connectivity (rsFC) changes in default mode (DMN), sensorimotor (SMN), salience (SN), and visual (VN) networks, a meta-analysis was performed using the anisotropic effect size seed mapping (AES-SDM) software to quantify the differences between MS patients and HCs. The heterogeneity was assessed, and a meta-regression analysis was conducted on age, disease duration, Expanded Disability Status Scale scores, and T2-hyperintense lesion volume.
Results:
Compared with HCs, MS exhibited increased rsFC in left anterior cingulate/paracingulate gyri and right superior frontal gyrus (DMN), bilateral precentral gyrus and right postcentral gyrus (SMN), right angular gyrus (SN), whereas hypoconnectivity was observed in left posterior cingulate gyrus (DMN), right supplementary motor region and left precentral gyrus (SMN), right insula (SN), and left superior parietal gyrus (VN). The Meta-regression analysis revealed no significant correlation between these altered rsFC and clinical variables.
Data Conclusions:
This study demonstrates widespread and complex rsFC abnormalities in several neural networks in MS, particularly within core regions of the DMN, SMN, VN, and SN. Together with a descriptive synthesis of additional RSNs, these rsFC disruptions and reorganizations may represent intrinsic neuropathological alterations in MS, which further elucidate the pathophysiological mechanisms of functional abnormalities in MS at a large-scale level.
Insights
Multiple sclerosis (MS) shows widespread brain functional network abnormalities, particularly in the default mode (DMN) and sensorimotor (SMN) networks. These resting-state functional connectivity (rsFC) changes may reflect underlying neuropathology, but were not linked to clinical variables in this meta-analysis.
Area of Science:
- Neuroimaging
- Systems Neuroscience
- Clinical Neurology
Background:
- Large-scale brain functional network abnormalities are linked to multiple sclerosis (MS) and its clinical impairments.
- Existing findings on these abnormalities are heterogeneous due to variations in methodology and sample size.
Purpose of the Study:
- To meta-analyze resting-state functional connectivity (rsFC) changes in major brain networks in MS patients compared to healthy controls (HCs).
- To assess heterogeneity and explore correlations between rsFC alterations and clinical variables in MS.
Main Methods:
- A meta-analysis of 25 resting-state functional magnetic resonance imaging (rsfMRI) studies involving 1,524 MS patients and 886 HCs.
- Independent component analysis (ICA) was used to evaluate rsFC in default mode (DMN), sensorimotor (SMN), salience (SN), and visual (VN) networks.
- Anisotropic effect size seed mapping (AES-SDM) software and meta-regression were employed.
Main Results:
- MS patients exhibited increased rsFC in parts of the DMN, SMN, and SN compared to HCs.
- Hypoconnectivity was observed in core regions of the DMN, SMN, VN, and SN in MS patients.
- Meta-regression analysis found no significant correlation between altered rsFC and clinical variables like age or disease duration.
Conclusions:
- This meta-analysis reveals widespread and complex rsFC abnormalities across multiple neural networks in MS.
- These disruptions and reorganizations in functional connectivity likely represent intrinsic neuropathological alterations in MS.
- The findings enhance understanding of the pathophysiological mechanisms underlying functional abnormalities in MS.
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