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Hierarchical Network Adaptations and Structure-Function Scaffolding in the Deaf Adult Brain.

Uttam Kumar1, Kalpana Dhanik2, Himanshu R Pandey2

  • 1Centre of Bio-Medical Research, Sanjay Gandhi Postgraduate Institute of Medical Sciences Campus, Lucknow, Uttar Pradesh, 226014, India. dr.uttam.kumar@gmail.com.

Brain Topography
|June 9, 2026
PubMed
Summary

Congenital deafness alters brain networks, shifting towards distributed integration and reduced regional specialization. This reorganization is linked to specific white-matter changes, particularly in auditory regions.

Keywords:
Brain plasticityCongenital deafnessGlobal efficiencyLocal efficiencyfMRI-Graph theory

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Area of Science:

  • Neuroscience
  • Neuroimaging
  • Systems Neuroscience

Background:

  • Early sensory deprivation, such as congenital deafness, is known to induce cortical network reorganization.
  • The precise relationship between the brain's structural architecture and its large-scale functional organization following sensory loss is not fully understood.

Purpose of the Study:

  • To investigate the connectome organization in congenitally deaf adults compared to hearing controls.
  • To explore the relationship between structural white-matter architecture and functional network topology in the context of congenital deafness.

Main Methods:

  • Utilized resting-state functional MRI (fMRI) and diffusion tensor imaging (DTI) in 54 congenitally deaf adults and matched hearing controls.
  • Applied graph-theoretical analysis to examine global and local network efficiency and white-matter integrity (fractional anisotropy).

Main Results:

  • Deaf individuals showed higher global efficiency and lower local efficiency, indicating a shift towards distributed integration and reduced regional segregation.
  • These topological changes were most pronounced in auditory, multisensory, and associative cortices.
  • Reduced fractional anisotropy was observed in auditory pathways, while visual and parietal white-matter organization remained relatively preserved, with regionally specific structure-function alignment.

Conclusions:

  • Congenital deafness is associated with a large-scale reconfiguration of cortical network topology.
  • This reorganization is accompanied by spatially selective variations in white-matter architecture, suggesting coordinated, regionally specific adaptations.
  • Early sensory experience significantly shapes intrinsic brain connectome organization.