Whole-Brain Structural Connectivity Alterations in Chronic Subjective Tinnitus: An Exploratory Diffusion Tensor
Pınar Elpen Karyemez1, Sıla Ulus2, Eren Yılmaz3
1Department of Medical Imaging Techniques, Vocational School of Health Sciences, Acıbadem Mehmet Ali Aydınlar University, Istanbul 34752, Turkey.
Brain Sciences
|July 28, 2026
Summary
Advanced brain imaging reveals significant differences in brain connectivity for individuals with chronic subjective tinnitus. Diffusion tensor imaging (DTI) shows altered structural integrity in auditory and limbic pathways, suggesting new avenues for understanding tinnitus.
Area of Science:
- Neuroimaging
- Auditory Neuroscience
- Connectomics
Background:
- Subjective tinnitus is common, but its mechanisms are poorly understood.
- Conventional MRI and audiometry have limited ability to detect organic causes.
- Advanced techniques like diffusion tensor imaging (DTI) can evaluate brain connectivity.
Purpose of the Study:
- To investigate microanatomical brain connectivity alterations in chronic subjective tinnitus using DTI.
- To compare whole-brain connectivity maps between tinnitus patients and healthy controls.
Main Methods:
- Comparative analysis of Diffusion Tensor Imaging (DTI) data from 47 tinnitus patients and 42 healthy controls.
- DTI datasets processed using DSI Studio with automatic anatomical labeling atlases.
- Evaluation of connectivity metrics in the central auditory pathway and limbic system.
Main Results:
- Significant microanatomical connectivity alterations were found in chronic subjective tinnitus patients.
- Structural integrity changes were observed in the central auditory pathway and limbic system, including frontal, parietal, and amygdala regions.
- Connectivity patterns were largely asymmetrical.
Conclusions:
- Chronic subjective tinnitus is associated with distinct whole-brain structural connectivity patterns.
- These patterns involve key networks like the salience, default-mode, and central-executive networks.
- Findings are exploratory and require further validation with behavioral and audiological data.


