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      Altered functional connectivity within default mode network after rupture of anterior communicating artery aneurysm

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          Abstract

          Background

          Rupture of anterior communicating artery (ACoA) aneurysm often leads to cognitive impairment, especially memory complaints. The medial superior frontal gyrus (SFGmed), a node of the default mode network (DMN), has been extensively revealed to participate in various cognitive processes. However, the functional connectivity (FC) characteristics of SFGmed and its relationship with cognitive performance remain unknown after the rupture of the ACoA aneurysm.

          Methods

          Resting-state functional MRI (fMRI) and cognitive assessment were acquired in 27 eligible patients and 20 controls. Seed-based FC between unilateral SFGmed and the rest of the brain was calculated separately, and then compared their intensity differences between the two groups. Furthermore, we analyzed the correlation between abnormal FC and cognitive function in patients with ruptured ACoA aneurysm.

          Results

          Cognitive impairment was confirmed in 51.9% of the patients. Compared with the controls, patients suffering from ruptured ACoA aneurysm exhibited a similar FC decline between each side of SFGmed and predominant nodes within DMN, including the precuneus, angular gyrus, cingulate cortex, left hippocampus, left amygdala, left temporal pole (TPO), and left medial orbitofrontal cortex (mOFC). Besides, significantly decreased FC of left SFGmed and left insula, right middle temporal gyrus (MTG), as well as right mOFC, were also found. In addition, only enhanced insular connectivity with right SFGmed was determined, whereas increased FC of the left SFGmed was not observed. Correlation analyses showed that lower total cognitive performance or stronger subjective memory complaints were related to reduced connectivity in the SFGmed and several cortical regions such as the angular gyrus and middle cingulate cortex (MCC).

          Conclusion

          Our results suggest that patients with ruptured ACoA aneurysm exist long-term cognitive impairment and intrinsic hypoconnectivity of cognition-related brain regions within DMN. Deactivation of DMN may be a potential neural mechanism leading to cognitive deficits in these patients.

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          Most cited references39

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          DPARSF: A MATLAB Toolbox for “Pipeline” Data Analysis of Resting-State fMRI

          Resting-state functional magnetic resonance imaging (fMRI) has attracted more and more attention because of its effectiveness, simplicity and non-invasiveness in exploration of the intrinsic functional architecture of the human brain. However, user-friendly toolbox for “pipeline” data analysis of resting-state fMRI is still lacking. Based on some functions in Statistical Parametric Mapping (SPM) and Resting-State fMRI Data Analysis Toolkit (REST), we have developed a MATLAB toolbox called Data Processing Assistant for Resting-State fMRI (DPARSF) for “pipeline” data analysis of resting-state fMRI. After the user arranges the Digital Imaging and Communications in Medicine (DICOM) files and click a few buttons to set parameters, DPARSF will then give all the preprocessed (slice timing, realign, normalize, smooth) data and results for functional connectivity, regional homogeneity, amplitude of low-frequency fluctuation (ALFF), and fractional ALFF. DPARSF can also create a report for excluding subjects with excessive head motion and generate a set of pictures for easily checking the effect of normalization. In addition, users can also use DPARSF to extract time courses from regions of interest.
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            The default mode network in cognition: a topographical perspective

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              Disruptions of network connectivity predict impairment in multiple behavioral domains after stroke.

              Deficits following stroke are classically attributed to focal damage, but recent evidence suggests a key role of distributed brain network disruption. We measured resting functional connectivity (FC), lesion topography, and behavior in multiple domains (attention, visual memory, verbal memory, language, motor, and visual) in a cohort of 132 stroke patients, and used machine-learning models to predict neurological impairment in individual subjects. We found that visual memory and verbal memory were better predicted by FC, whereas visual and motor impairments were better predicted by lesion topography. Attention and language deficits were well predicted by both. Next, we identified a general pattern of physiological network dysfunction consisting of decrease of interhemispheric integration and intrahemispheric segregation, which strongly related to behavioral impairment in multiple domains. Network-specific patterns of dysfunction predicted specific behavioral deficits, and loss of interhemispheric communication across a set of regions was associated with impairment across multiple behavioral domains. These results link key organizational features of brain networks to brain-behavior relationships in stroke.
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                Author and article information

                Contributors
                Journal
                Front Aging Neurosci
                Front Aging Neurosci
                Front. Aging Neurosci.
                Frontiers in Aging Neuroscience
                Frontiers Media S.A.
                1663-4365
                25 July 2022
                2022
                : 14
                : 905453
                Affiliations
                [1] 1Department of Neurosurgery, The First Affiliated Hospital, Neurosurgery Research Institute, Fujian Medical University , Fuzhou, China
                [2] 2Department of Neurosurgery, Binhai Branch of National Regional Medical Center, The First Affiliated Hospital, Fujian Medical University , Fuzhou, China
                [3] 3First Affiliated Hospital, Fujian Provincial Institutes of Brain Disorders and Brain Sciences, Fujian Medical University , Fuzhou, China
                [4] 4Department of Radiology, The First Affiliated Hospital of Fujian Medical University , Fuzhou, China
                [5] 5School of Information Engineering, Nanyang Institute of Technology , Nanyang, China
                Author notes

                Edited by: Gaiqing Wang, The Third People’s Hospital of Hainan Province, China

                Reviewed by: Yuanli Zhao, Beijing Tiantan Hospital, Capital Medical University, China; Shengxiang Liang, Fujian University of Traditional Chinese Medicine, China

                *Correspondence: Xi Sun, 3021064@ 123456nyist.edu.cn

                These authors have contributed equally to this work and share first authorship

                This article was submitted to Neurocognitive Aging and Behavior, a section of the journal Frontiers in Aging Neuroscience

                Article
                10.3389/fnagi.2022.905453
                9357996
                35959287
                fb2f5b1b-0375-474d-a65d-f8ada40d5653
                Copyright © 2022 Chen, Kang, Yu, Lin, Dai, Yu, Wang, Sun and Kang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 27 March 2022
                : 30 June 2022
                Page count
                Figures: 3, Tables: 3, Equations: 0, References: 39, Pages: 10, Words: 6394
                Categories
                Neuroscience
                Original Research

                Neurosciences
                anterior communicating artery aneurysm,subarachnoid hemorrhage,cognitive impairment,resting-state fmri,functional connectivity,default mode network

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