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Wang H, Zhu Z, Bi H, Jiang Z, Cao Y, Wang S, Zou L. Changes in Community Structure of Brain Dynamic Functional Connectivity States in Mild Cognitive Impairment. Neuroscience 2024; 544:1-11. [PMID: 38423166 DOI: 10.1016/j.neuroscience.2024.02.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 01/22/2024] [Accepted: 02/24/2024] [Indexed: 03/02/2024]
Abstract
Recent researches have noted many changes of short-term dynamic modalities in mild cognitive impairment (MCI) patients' brain functional networks. In this study, the dynamic functional brain networks of 82 MCI patients and 85 individuals in the normal control (NC) group were constructed using the sliding window method and Pearson correlation. The window size was determined using single-scale time-dependent (SSTD) method. Subsequently, k-means was applied to cluster all window samples, identifying three dynamic functional connectivity (DFC) states. Collective sparse symmetric non-negative matrix factorization (cssNMF) was then used to perform community detection on these states and quantify differences in brain regions. Finally, metrics such as within-community connectivity strength, community strength, and node diversity were calculated for further analysis. The results indicated high similarity between the two groups in state 2, with no significant differences in optimal community quantity and functional segregation (p < 0.05). However, for state 1 and state 3, the optimal community quantity was smaller in MCI patients compared to the NC group. In state 1, MCI patients had lower within-community connectivity strength and overall strength than the NC group, whereas state 3 showed results opposite to state 1. Brain regions with statistical difference included MFG.L, ORBinf.R, STG.R, IFGtriang.L, CUN.L, CUN.R, LING.R, SOG.L, and PCUN.R. This study on DFC states explores changes in the brain functional networks of patients with MCI from the perspective of alterations in the community structures of DFC states. The findings could provide new insights into the pathological changes in the brains of MCI patients.
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Affiliation(s)
- Hongwei Wang
- School of Computer Science and Artificial Intelligence, Aliyun School of Big Data, School of Software, Changzhou University, Changzhou, Jiangsu 213164, China
| | - Zhihao Zhu
- School of Microelectronics and Control Engineering, Changzhou University, Changzhou, Jiangsu 213164, China
| | - Hui Bi
- School of Computer Science and Artificial Intelligence, Aliyun School of Big Data, School of Software, Changzhou University, Changzhou, Jiangsu 213164, China
| | - Zhongyi Jiang
- School of Computer Science and Artificial Intelligence, Aliyun School of Big Data, School of Software, Changzhou University, Changzhou, Jiangsu 213164, China
| | - Yin Cao
- The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu 213164, China
| | - Suhong Wang
- Clinical Psychology, The Third Affiliated Hospital of Soochow University, Juqian Road No. 185, Changzhou, Jiangsu 213164, China
| | - Ling Zou
- School of Microelectronics and Control Engineering, Changzhou University, Changzhou, Jiangsu 213164, China; The Key Laboratory of Brain Machine Collaborative Intelligence Foundation of Zhejiang Province, Hangzhou, Zhejiang 310018, China.
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Nucera B, Perulli M, Alvisi L, Bisulli F, Bonanni P, Canafoglia L, Cantalupo G, Ferlazzo E, Granvillano A, Mecarelli O, Meletti S, Strigaro G, Tartara E, Assenza G. Use, experience and perspectives of high-density EEG among Italian epilepsy centers: a national survey. Neurol Sci 2024; 45:1625-1634. [PMID: 37932644 DOI: 10.1007/s10072-023-07159-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 10/22/2023] [Indexed: 11/08/2023]
Abstract
INTRODUCTION High-density EEG (hdEEG) is a validated tool in presurgical evaluation of people with epilepsy. The aim of this national survey is to estimate diffusion and knowledge of hdEEG to develop a network among Italian epilepsy centers. METHODS A survey of 16 items (and 15 additional items) was distributed nationwide by email to all members of the Italian League Against Epilepsy and the Italian Society of Clinical Neurophysiology. The data obtained were analyzed using descriptive statistics. RESULTS A total of 104 respondents were collected from 85 centers, 82% from the Centre-North of Italy; 27% of the respondents had a hdEEG. The main applications were for epileptogenic focus characterization in the pre-surgical evaluation (35%), biomarker research (35%) and scientific activity (30%). The greatest obstacles to hdEEG were economic resources (35%), acquisition of dedicated personnel (30%) and finding expertise (17%). Dissemination was limited by difficulties in finding expertise and dedicated personnel (74%) more than buying devices (9%); 43% of the respondents have already published hdEEG data, and 91% of centers were available to participate in multicenter hdEEG studies, helping in both pre-processing and analysis. Eighty-nine percent of respondents would be interested in referring patients to centers with established experience for clinical and research purposes. CONCLUSIONS In Italy, hdEEG is mainly used in third-level epilepsy centers for research and clinical purposes. HdEEG diffusion is limited not only by costs but also by lack of trained personnel. Italian centers demonstrated a high interest in educational initiatives on hdEEG as well as in clinical and research collaborations.
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Affiliation(s)
- Bruna Nucera
- Department of Neurology, Hospital of Merano (SABES-ASDAA), Franz Tappeiner Hospital, Via Rossini, 5-39012, Merano, Italy.
- Paracelsus Medical University, 5020, Salzburg, Austria.
| | - Marco Perulli
- Child Neurology and Psychiatry Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
- Department of Neuroscience, Catholic University of the Sacred Heart, Rome, Italy
| | - Lara Alvisi
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Epilepsy Center, (full member of the European Reference Network EpiCARE), Bologna, Italy
| | - Francesca Bisulli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Epilepsy Center, (full member of the European Reference Network EpiCARE), Bologna, Italy
| | - Paolo Bonanni
- Epilepsy and Clinical Neurophysiology Unit, Scientific Institute, IRCCS Eugenio Medea, Conegliano, Treviso, Italy
| | - Laura Canafoglia
- Department of Diagnostic and Technology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Gaetano Cantalupo
- Department of Engineering for Innovation Medicine, University of Verona, Verona, Italy
- UOC Di Neuropsichiatria Infantile, AOUI Di Verona (full member of the European Reference Network EpiCARE), Verona, Italy
- Centro Ricerca Per Le Epilessie in Età Pediatrica (CREP), AOUI Di Verona, Verona, Italy
| | - Edoardo Ferlazzo
- Regional Epilepsy Centre, Great Metropolitan "Bianchi-Melacrino-Morelli Hospital", Reggio Calabria, Italy
- Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Alice Granvillano
- Department of Diagnostic and Technology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Oriano Mecarelli
- Department of Human Neurosciences, Umberto I Polyclinic, Sapienza University of Rome, Rome, Italy
| | - Stefano Meletti
- Neurology Unit, OCB Hospital, AOU Modena, Modena, Italy
- Department of Biomedical, Metabolic and Neural Science, University of Modena and Reggio Emilia, Modena, Italy
| | - Gionata Strigaro
- Epilepsy Center, Neurology Unit, Department of Translational Medicine, University of Piemonte Orientale, and Azienda Ospedaliero-Universitaria "Maggiore Della Carità", Novara, Italy
| | - Elena Tartara
- Epilepsy Center, IRCCS Mondino Foundation, Pavia, Italy
| | - Giovanni Assenza
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, Via Álvaro del Portillo, 21, 00128, Rome, Italy
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Pitetzis D, Frantzidis C, Psoma E, Ketseridou SN, Deretzi G, Kalogera-Fountzila A, Bamidis PD, Spilioti M. The Pre-Interictal Network State in Idiopathic Generalized Epilepsies. Brain Sci 2023; 13:1671. [PMID: 38137119 PMCID: PMC10741409 DOI: 10.3390/brainsci13121671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Revised: 11/24/2023] [Accepted: 11/30/2023] [Indexed: 12/24/2023] Open
Abstract
Generalized spike wave discharges (GSWDs) are the typical electroencephalographic findings of Idiopathic Generalized Epilepsies (IGEs). These discharges are either interictal or ictal and recent evidence suggests differences in their pathogenesis. The aim of this study is to investigate, through functional connectivity analysis, the pre-interictal network state in IGEs, which precedes the formation of the interictal GSWDs. A high-density electroencephalogram (HD-EEG) was recorded in twenty-one patients with IGEs, and cortical connectivity was analyzed based on lagged coherence and individual anatomy. Graph theory analysis was used to estimate network features, assessed using the characteristic path length and clustering coefficient. The functional connectivity analysis identified two distinct networks during the pre-interictal state. These networks exhibited reversed connectivity attributes, reflecting synchronized activity at 3-4 Hz (delta2), and desynchronized activity at 8-10.5 Hz (alpha1). The delta2 network exhibited a statistically significant (p < 0.001) decrease in characteristic path length and an increase in the mean clustering coefficient. In contrast, the alpha1 network showed opposite trends in these features. The nodes influencing this state were primarily localized in the default mode network (DMN), dorsal attention network (DAN), visual network (VIS), and thalami. In conclusion, the coupling of two networks defined the pre-interictal state in IGEs. This state might be considered as a favorable condition for the generation of interictal GSWDs.
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Affiliation(s)
- Dimitrios Pitetzis
- Department of Neurology, Papageorgiou General Hospital, 56403 Thessaloniki, Greece;
- Lab of Medical Physics and Digital Innovation, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (C.F.); (S.N.K.); (P.D.B.)
| | - Christos Frantzidis
- Lab of Medical Physics and Digital Innovation, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (C.F.); (S.N.K.); (P.D.B.)
- School of Computer Science, University of Lincoln, Lincoln LN6 7TS, UK
| | - Elizabeth Psoma
- Department of Radiology, AHEPA General Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece; (E.P.); (A.K.-F.)
| | - Smaranda Nafsika Ketseridou
- Lab of Medical Physics and Digital Innovation, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (C.F.); (S.N.K.); (P.D.B.)
| | - Georgia Deretzi
- Department of Neurology, Papageorgiou General Hospital, 56403 Thessaloniki, Greece;
| | - Anna Kalogera-Fountzila
- Department of Radiology, AHEPA General Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece; (E.P.); (A.K.-F.)
| | - Panagiotis D. Bamidis
- Lab of Medical Physics and Digital Innovation, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (C.F.); (S.N.K.); (P.D.B.)
| | - Martha Spilioti
- 1st Department of Neurology, AHEPA General Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece;
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Ding Y, Guo K, Wang X, Chen M, Li X, Wu Y. Brain functional connectivity and network characteristics changes after vagus nerve stimulation in patients with refractory epilepsy. Transl Neurosci 2023; 14:20220308. [PMID: 37719745 PMCID: PMC10500639 DOI: 10.1515/tnsci-2022-0308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 08/05/2023] [Accepted: 08/17/2023] [Indexed: 09/19/2023] Open
Abstract
Objective This study aims to investigate the impact of vagus nerve stimulation (VNS) on the connectivity and small-world metrics of brain functional networks during seizure periods. Methods Ten refractory epilepsy patients underwent video encephalographic monitoring before and after VNS treatment. The 2-min electroencephalogram segment containing the ictal was selected for each participant, resulting in a total of 20 min of seizure data. The weighted phase lag index (wPLI) and small-world metrics were calculated for the whole frequency band and different frequency bands (delta, theta, alpha, beta, and gamma). Finally, the relevant metrics were statistically analyzed, and the false discovery rate was used to correct for differences after multiple comparisons. Results In the whole band, the wPLI was notably enhanced, and the network metrics, including degree (D), clustering coefficient (CC), and global efficiency (GE), increased, while characteristic path length (CPL) decreased (P < 0.01). In different frequency bands, the wPLI between the parieto-occipital and frontal regions was significantly strengthened in the delta and beta bands, while the wPLI within the frontal region and between the frontal and parieto-occipital regions were significantly reduced in the beta and gamma bands (P < 0.01). In the low-frequency band (<13 Hz), the small-world metrics demonstrated significantly increased CC, D, and GE, with a significantly decreased CPL, indicating a more efficient network organization. In contrast, in the gamma band, the GE decreased, and the CPL increased, suggesting a shift toward less efficient network organization. Conclusion VNS treatment can significantly change the wPLI and small-world metrics. These findings contribute to a deeper understanding of the impact of VNS therapy on brain networks and provide objective indicators for evaluating the efficacy of VNS.
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Affiliation(s)
- Yongqiang Ding
- Department of Neurosurgery, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Kunlin Guo
- Henan Key Laboratory of Brain Science and Brain–Computer Interface Technology, School of Electrical and Information Engineering, Zhengzhou University, Zhengzhou, China
| | - Xinjun Wang
- Department of Neurosurgery, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Mingming Chen
- Henan Key Laboratory of Brain Science and Brain–Computer Interface Technology, School of Electrical and Information Engineering, Zhengzhou University, Zhengzhou, China
| | - Xinxiao Li
- Department of Neurosurgery, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Yuehui Wu
- Department of Neurosurgery, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China
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