Alterations of resting-state regional and network-level neural function after acute spinal cord injury
•Regional and network functional changes could be seen in the early stage of SCI.•Functional changes were associated with clinical symptom severity in SCI patients.•Functional reorganization may reflect a compensatory role in the recovery of SCI. The purpose of this study was to investigate function...
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| Vydáno v: | Neuroscience Ročník 277; s. 446 - 454 |
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| Hlavní autoři: | , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Elsevier Ltd
26.09.2014
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| ISSN: | 0306-4522, 1873-7544, 1873-7544 |
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| Abstract | •Regional and network functional changes could be seen in the early stage of SCI.•Functional changes were associated with clinical symptom severity in SCI patients.•Functional reorganization may reflect a compensatory role in the recovery of SCI.
The purpose of this study was to investigate functional alterations of the brain in the early stage of spinal cord injury (SCI) and further investigate how these functional alterations relate to SCI patients’ sensorimotor functions.
Twenty-five patients with SCI and 25 matched healthy controls underwent imaging by using resting-state functional magnetic resonance imaging (fMRI). The amplitude of low-frequency fluctuations (ALFF) were used to characterize regional neural function, and the seed-based functional connectivity (FC) was used to evaluate the functional integration of the brain network.
Compared to healthy controls, patients with SCI showed decreased ALFF in the bilateral primary sensorimotor cortex, and increased ALFF in the bilateral cerebellum and right orbitofrontal cortex (OFC). The ALFF value in the left cerebellum was negatively correlated with the clinical total motor score in patients with SCI. Furthermore, SCI patients mainly showed decreased inter-hemispheric FC between the bilateral primary sensorimotor cortex, as well as increased intra-hemispheric FC within the motor network, including the primary sensorimotor cortex, premotor cortex, supplementary motor area (SMA), thalamus and cerebellum. Subsequent correlation analyses revealed that increased FC within the primary sensorimotor cortex, SMA, and cerebellum negatively correlated with the total American Spinal Cord Injury Association (ASIA) motor score.
Our findings provide evidence that SCI can induce significant regional and network-level functional alterations in the early stage of the disease. We hypothesized these alterations may be an adaptive phenomenon following SCI, reflecting a compensatory mechanism during the early stage of SCI. |
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| AbstractList | The purpose of this study was to investigate functional alterations of the brain in the early stage of spinal cord injury (SCI) and further investigate how these functional alterations relate to SCI patients' sensorimotor functions.
Twenty-five patients with SCI and 25 matched healthy controls underwent imaging by using resting-state functional magnetic resonance imaging (fMRI). The amplitude of low-frequency fluctuations (ALFF) were used to characterize regional neural function, and the seed-based functional connectivity (FC) was used to evaluate the functional integration of the brain network.
Compared to healthy controls, patients with SCI showed decreased ALFF in the bilateral primary sensorimotor cortex, and increased ALFF in the bilateral cerebellum and right orbitofrontal cortex (OFC). The ALFF value in the left cerebellum was negatively correlated with the clinical total motor score in patients with SCI. Furthermore, SCI patients mainly showed decreased inter-hemispheric FC between the bilateral primary sensorimotor cortex, as well as increased intra-hemispheric FC within the motor network, including the primary sensorimotor cortex, premotor cortex, supplementary motor area (SMA), thalamus and cerebellum. Subsequent correlation analyses revealed that increased FC within the primary sensorimotor cortex, SMA, and cerebellum negatively correlated with the total American Spinal Cord Injury Association (ASIA) motor score.
Our findings provide evidence that SCI can induce significant regional and network-level functional alterations in the early stage of the disease. We hypothesized these alterations may be an adaptive phenomenon following SCI, reflecting a compensatory mechanism during the early stage of SCI. The purpose of this study was to investigate functional alterations of the brain in the early stage of spinal cord injury (SCI) and further investigate how these functional alterations relate to SCI patients' sensorimotor functions.OBJECTThe purpose of this study was to investigate functional alterations of the brain in the early stage of spinal cord injury (SCI) and further investigate how these functional alterations relate to SCI patients' sensorimotor functions.Twenty-five patients with SCI and 25 matched healthy controls underwent imaging by using resting-state functional magnetic resonance imaging (fMRI). The amplitude of low-frequency fluctuations (ALFF) were used to characterize regional neural function, and the seed-based functional connectivity (FC) was used to evaluate the functional integration of the brain network.METHODSTwenty-five patients with SCI and 25 matched healthy controls underwent imaging by using resting-state functional magnetic resonance imaging (fMRI). The amplitude of low-frequency fluctuations (ALFF) were used to characterize regional neural function, and the seed-based functional connectivity (FC) was used to evaluate the functional integration of the brain network.Compared to healthy controls, patients with SCI showed decreased ALFF in the bilateral primary sensorimotor cortex, and increased ALFF in the bilateral cerebellum and right orbitofrontal cortex (OFC). The ALFF value in the left cerebellum was negatively correlated with the clinical total motor score in patients with SCI. Furthermore, SCI patients mainly showed decreased inter-hemispheric FC between the bilateral primary sensorimotor cortex, as well as increased intra-hemispheric FC within the motor network, including the primary sensorimotor cortex, premotor cortex, supplementary motor area (SMA), thalamus and cerebellum. Subsequent correlation analyses revealed that increased FC within the primary sensorimotor cortex, SMA, and cerebellum negatively correlated with the total American Spinal Cord Injury Association (ASIA) motor score.RESULTSCompared to healthy controls, patients with SCI showed decreased ALFF in the bilateral primary sensorimotor cortex, and increased ALFF in the bilateral cerebellum and right orbitofrontal cortex (OFC). The ALFF value in the left cerebellum was negatively correlated with the clinical total motor score in patients with SCI. Furthermore, SCI patients mainly showed decreased inter-hemispheric FC between the bilateral primary sensorimotor cortex, as well as increased intra-hemispheric FC within the motor network, including the primary sensorimotor cortex, premotor cortex, supplementary motor area (SMA), thalamus and cerebellum. Subsequent correlation analyses revealed that increased FC within the primary sensorimotor cortex, SMA, and cerebellum negatively correlated with the total American Spinal Cord Injury Association (ASIA) motor score.Our findings provide evidence that SCI can induce significant regional and network-level functional alterations in the early stage of the disease. We hypothesized these alterations may be an adaptive phenomenon following SCI, reflecting a compensatory mechanism during the early stage of SCI.CONCLUSIONSOur findings provide evidence that SCI can induce significant regional and network-level functional alterations in the early stage of the disease. We hypothesized these alterations may be an adaptive phenomenon following SCI, reflecting a compensatory mechanism during the early stage of SCI. Highlights • Regional and network functional changes could be seen in the early stage of SCI. • Functional changes were associated with clinical symptom severity in SCI patients. • Functional reorganization may reflect a compensatory role in the recovery of SCI. Object The purpose of this study was to investigate functional alterations of the brain in the early stage of spinal cord injury (SCI) and further investigate how these functional alterations relate to SCI patients' sensorimotor functions. Methods Twenty-five patients with SCI and 25 matched healthy controls underwent imaging by using resting-state functional magnetic resonance imaging (fMRI). The amplitude of low-frequency fluctuations (ALFF) were used to characterize regional neural function, and the seed-based functional connectivity (FC) was used to evaluate the functional integration of the brain network. Results Compared to healthy controls, patients with SCI showed decreased ALFF in the bilateral primary sensorimotor cortex, and increased ALFF in the bilateral cerebellum and right orbitofrontal cortex (OFC). The ALFF value in the left cerebellum was negatively correlated with the clinical total motor score in patients with SCI. Furthermore, SCI patients mainly showed decreased inter-hemispheric FC between the bilateral primary sensorimotor cortex, as well as increased intra-hemispheric FC within the motor network, including the primary sensorimotor cortex, premotor cortex, supplementary motor area (SMA), thalamus and cerebellum. Subsequent correlation analyses revealed that increased FC within the primary sensorimotor cortex, SMA, and cerebellum negatively correlated with the total American Spinal Cord Injury Association (ASIA) motor score. Conclusions Our findings provide evidence that SCI can induce significant regional and network-level functional alterations in the early stage of the disease. We hypothesized these alterations may be an adaptive phenomenon following SCI, reflecting a compensatory mechanism during the early stage of SCI. •Regional and network functional changes could be seen in the early stage of SCI.•Functional changes were associated with clinical symptom severity in SCI patients.•Functional reorganization may reflect a compensatory role in the recovery of SCI. The purpose of this study was to investigate functional alterations of the brain in the early stage of spinal cord injury (SCI) and further investigate how these functional alterations relate to SCI patients’ sensorimotor functions. Twenty-five patients with SCI and 25 matched healthy controls underwent imaging by using resting-state functional magnetic resonance imaging (fMRI). The amplitude of low-frequency fluctuations (ALFF) were used to characterize regional neural function, and the seed-based functional connectivity (FC) was used to evaluate the functional integration of the brain network. Compared to healthy controls, patients with SCI showed decreased ALFF in the bilateral primary sensorimotor cortex, and increased ALFF in the bilateral cerebellum and right orbitofrontal cortex (OFC). The ALFF value in the left cerebellum was negatively correlated with the clinical total motor score in patients with SCI. Furthermore, SCI patients mainly showed decreased inter-hemispheric FC between the bilateral primary sensorimotor cortex, as well as increased intra-hemispheric FC within the motor network, including the primary sensorimotor cortex, premotor cortex, supplementary motor area (SMA), thalamus and cerebellum. Subsequent correlation analyses revealed that increased FC within the primary sensorimotor cortex, SMA, and cerebellum negatively correlated with the total American Spinal Cord Injury Association (ASIA) motor score. Our findings provide evidence that SCI can induce significant regional and network-level functional alterations in the early stage of the disease. We hypothesized these alterations may be an adaptive phenomenon following SCI, reflecting a compensatory mechanism during the early stage of SCI. |
| Author | Sun, T.-S. Xiang, Z.-M. Li, H.-T. Zhong, J.-F. Zhao, M. Zhang, J.-Z. Hou, J.-M. Liu, J. Zhang, Z.-C. Zhang, H. Yan, R.-B. Liu, H.-L. |
| Author_xml | – sequence: 1 givenname: J.-M. orcidid: 0000-0002-8964-0359 surname: Hou fullname: Hou, J.-M. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 2 givenname: T.-S. surname: Sun fullname: Sun, T.-S. email: suntiansheng-@163.com organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 3 givenname: Z.-M. surname: Xiang fullname: Xiang, Z.-M. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 4 givenname: J.-Z. surname: Zhang fullname: Zhang, J.-Z. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 5 givenname: Z.-C. surname: Zhang fullname: Zhang, Z.-C. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 6 givenname: M. surname: Zhao fullname: Zhao, M. organization: Department of Radiology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China – sequence: 7 givenname: J.-F. surname: Zhong fullname: Zhong, J.-F. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 8 givenname: J. surname: Liu fullname: Liu, J. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 9 givenname: H. surname: Zhang fullname: Zhang, H. organization: Department of Orthopedics, Chinese PLA Beijing Army General Hospital, Beijing 100700, China – sequence: 10 givenname: H.-L. surname: Liu fullname: Liu, H.-L. organization: Department of Rehabilitation, Southwest Hospital, Third Military Medical University, Chongqing 400038, China – sequence: 11 givenname: R.-B. surname: Yan fullname: Yan, R.-B. organization: Department of Rehabilitation, Southwest Hospital, Third Military Medical University, Chongqing 400038, China – sequence: 12 givenname: H.-T. surname: Li fullname: Li, H.-T. organization: Department of Radiology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China |
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| Keywords | spinal cord injury SMA SMC MNI OFC SPM8 fMRI TE functional MRI resting state ASIA ALFF FFT SCI functional organization BOLD FA FC DPARSF EPI Statistical Parametric Mapping echo time orbitofrontal cortex primary sensorimotor cortex blood oxygenation level dependent amplitude of low-frequency fluctuations American Spinal Cord Injury Association data-processing assistant for resting-state fast Fourier transform Montreal Neurological Institute supplementary motor area functional connectivity echo-planar-imaging flip angle functional magnetic resonance imaging |
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| SubjectTerms | Acute Disease Adult Brain - physiopathology Brain Mapping Female functional MRI functional organization Humans Magnetic Resonance Imaging Male Neural Pathways - physiopathology Neurology Rest resting state Signal Processing, Computer-Assisted Spinal Cord Injuries - physiopathology spinal cord injury |
| Title | Alterations of resting-state regional and network-level neural function after acute spinal cord injury |
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