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Altered brain connectivity in sudden unexpected death in epilepsy (SUDEP) revealed using resting-state fMRI.
The circumstances surrounding SUDEP suggest autonomic or respiratory collapse, implying central failure of regulation or recovery. Characterisation of the communication among brain areas mediating such processes may shed light on mechanisms and noninvasively indicate risk. We used rs-fMRI to examine network properties among brain structures in people with epilepsy who suffered SUDEP (nāÆ=āÆ8) over an 8-year follow-up period, compared with matched high- and low-risk subjects (nāÆ=āÆ16/group) who did not suffer SUDEP during that period, and a group of healthy controls (nāÆ=āÆ16). Network analysis was employed to explore connectivity within a 'regulatory-subnetwork' of brain regions involved in autonomic and respiratory regulation, and over the whole-brain. Modularity, the extent of network organization into separate modules, was significantly reduced in the regulatory-subnetwork, and the whole-brain, in SUDEP and high-risk. Increased participation, a local measure of inter-modular belonging, was evident in SUDEP and high-risk groups, particularly among thalamic structures. The medial prefrontal thalamus was increased in SUDEP compared with all other control groups, including high-risk. Patterns of hub topology were similar in SUDEP and high-risk, but were more extensive in low-risk patients, who displayed greater hub prevalence and a radical reorganization of hubs in the subnetwork. SUDEP is associated with reduced functional organization among cortical and sub-cortical brain regions mediating autonomic and respiratory regulation. Living high-risk subjects demonstrated similar patterns, suggesting such network measures may provide prospective risk-indicating value, though a crucial difference between SUDEP and high-risk was altered connectivity of the medial thalamus in SUDEP, which was also elevated compared with all sub-groups. Disturbed thalamic connectivity may reflect a potential non-invasive marker of elevated SUDEP risk
Dynamic reconfiguration of human brain networks during learning
Human learning is a complex phenomenon requiring flexibility to adapt
existing brain function and precision in selecting new neurophysiological
activities to drive desired behavior. These two attributes -- flexibility and
selection -- must operate over multiple temporal scales as performance of a
skill changes from being slow and challenging to being fast and automatic. Such
selective adaptability is naturally provided by modular structure, which plays
a critical role in evolution, development, and optimal network function. Using
functional connectivity measurements of brain activity acquired from initial
training through mastery of a simple motor skill, we explore the role of
modularity in human learning by identifying dynamic changes of modular
organization spanning multiple temporal scales. Our results indicate that
flexibility, which we measure by the allegiance of nodes to modules, in one
experimental session predicts the relative amount of learning in a future
session. We also develop a general statistical framework for the identification
of modular architectures in evolving systems, which is broadly applicable to
disciplines where network adaptability is crucial to the understanding of
system performance.Comment: Main Text: 19 pages, 4 figures Supplementary Materials: 34 pages, 4
figures, 3 table
A Novel Joint Brain Network Analysis Using Longitudinal Alzheimer's Disease Data.
There is well-documented evidence of brain network differences between individuals with Alzheimer's disease (AD) and healthy controls (HC). To date, imaging studies investigating brain networks in these populations have typically been cross-sectional, and the reproducibility of such findings is somewhat unclear. In a novel study, we use the longitudinal ADNI data on the whole brain to jointly compute the brain network at baseline and one-year using a state of the art approach that pools information across both time points to yield distinct visit-specific networks for the AD and HC cohorts, resulting in more accurate inferences. We perform a multiscale comparison of the AD and HC networks in terms of global network metrics as well as at the more granular level of resting state networks defined under a whole brain parcellation. Our analysis illustrates a decrease in small-worldedness in the AD group at both the time points and also identifies more local network features and hub nodes that are disrupted due to the progression of AD. We also obtain high reproducibility of the HC network across visits. On the other hand, a separate estimation of the networks at each visit using standard graphical approaches reveals fewer meaningful differences and lower reproducibility
Fluctuations between high- and low-modularity topology in time-resolved functional connectivity
Modularity is an important topological attribute for functional brain
networks. Recent studies have reported that modularity of functional networks
varies not only across individuals being related to demographics and cognitive
performance, but also within individuals co-occurring with fluctuations in
network properties of functional connectivity, estimated over short time
intervals. However, characteristics of these time-resolved functional networks
during periods of high and low modularity have remained largely unexplored. In
this study we investigate spatiotemporal properties of time-resolved networks
in the high and low modularity periods during rest, with a particular focus on
their spatial connectivity patterns, temporal homogeneity and test-retest
reliability. We show that spatial connectivity patterns of time-resolved
networks in the high and low modularity periods are represented by increased
and decreased dissociation of the default mode network module from
task-positive network modules, respectively. We also find that the instances of
time-resolved functional connectivity sampled from within the high (low)
modularity period are relatively homogeneous (heterogeneous) over time,
indicating that during the low modularity period the default mode network
interacts with other networks in a variable manner. We confirmed that the
occurrence of the high and low modularity periods varies across individuals
with moderate inter-session test-retest reliability and that it is correlated
with previously-reported individual differences in the modularity of functional
connectivity estimated over longer timescales. Our findings illustrate how
time-resolved functional networks are spatiotemporally organized during periods
of high and low modularity, allowing one to trace individual differences in
long-timescale modularity to the variable occurrence of network configurations
at shorter timescales.Comment: Reorganized the paper; to appear in NeuroImage; arXiv abstract
shortened to fit within character limit
Structural subnetwork evolution across the life-span: rich-club, feeder, seeder
The impact of developmental and aging processes on brain connectivity and the
connectome has been widely studied. Network theoretical measures and certain
topological principles are computed from the entire brain, however there is a
need to separate and understand the underlying subnetworks which contribute
towards these observed holistic connectomic alterations. One organizational
principle is the rich-club - a core subnetwork of brain regions that are
strongly connected, forming a high-cost, high-capacity backbone that is
critical for effective communication in the network. Investigations primarily
focus on its alterations with disease and age. Here, we present a systematic
analysis of not only the rich-club, but also other subnetworks derived from
this backbone - namely feeder and seeder subnetworks. Our analysis is applied
to structural connectomes in a normal cohort from a large, publicly available
lifespan study. We demonstrate changes in rich-club membership with age
alongside a shift in importance from 'peripheral' seeder to feeder subnetworks.
Our results show a refinement within the rich-club structure (increase in
transitivity and betweenness centrality), as well as increased efficiency in
the feeder subnetwork and decreased measures of network integration and
segregation in the seeder subnetwork. These results demonstrate the different
developmental patterns when analyzing the connectome stratified according to
its rich-club and the potential of utilizing this subnetwork analysis to reveal
the evolution of brain architectural alterations across the life-span
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