Aberrant brain functional hubs convergence in the acute severe traumatic brain injury patients with rapidly recovering View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-09-03

AUTHORS

Jun Zhang, Hongying Zhang, Hengzhu Zhang, Fuli Yan, Enpeng Zhang, Yunlong Pei, Min Wei, Xingdong Wang, Xiaodong Wang, Lun Dong

ABSTRACT

PurposeWe aimed to identify the aberrant functional hubs in patients with acute severe traumatic brain injury (sTBI) and investigate whether they could help inform prognosis.MethodsTwenty-eight sTBI patients and health controls underwent imaging scanning. The graph-theoretical measure of degree centrality (DC) was applied to identify the abnormal brain functional hubs and conjoined with regions of interest-based analysis to investigate their interaction and impact on whole-brain. We further split sTBI patients into two subgroups according to their recovery to explore whether the fractional amplitude of low-frequency fluctuation (fALFF) roles in functional connectivity (FC) differential areas to help inform the patients’ long-term prognosis.ResultsWe identified the part of prefrontal cortex (PFC), precentral and postcentral gyrus (Pre-/Post-CG), cingulate gyrus (CgG), posterior medial cortex (PMC), and brainstem that could be core hubs whose DC was significantly increased in patients with acute sTBI. The interaction strength of the paired hubs could be enhanced (CG-PFC, CgG-PFC, CG-brainstem, CgG-brainstem, PMC-brainstem, and PFC-brainstem) and weakened (CG-CgG, CG-PMC, CgG-PMC, and PMC-PFC), compared with healthy controls. We also found abnormal FC in 5 hubs to whole-brain. The spontaneous brain activities in the FC differential regions [e.g., the fALFF and mean fALFF value] were valid to predict outcome at 6-month in patients with sTBI.ConclusionWe demonstrated a compensatory mechanism that part of brain regions will converge into abnormal functional hubs in patients with acute sTBI, which provides a potential approach to objectively predicting patients’ long-term outcome. More... »

PAGES

1-11

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00234-022-03048-y

DOI

http://dx.doi.org/10.1007/s00234-022-03048-y

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https://app.dimensions.ai/details/publication/pub.1150744208

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36056968


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