Long-range connections damage in white matter hyperintensities affects information processing speed

Functional Near-Infrared Spectroscopy Signal as a Potential Biomarker for White Matter Hyperintensity Progression in Patients With Subcortical Vascular Cognitive Impairment: A Pilot Study

BACKGROUND

White matter hyperintensities (WMH) are a common cause of subcortical vascular cognitive impairment (SVCI). The silent yet progressive nature of WMH in cognitive decline underscores the need for reliable biomarkers for early detection and monitoring of its progression. This study aims to investigate the association between functional near-infrared spectroscopy (fNIRS) signals during mental and physical activities and WMH volume. Additionally, it explores the relationship between fNIRS signals and WMH progression.

MATERIAL AND METHODS

We recruited 27 patients with mild cognitive impairment (MCI) presenting WMH clinical characteristics. Data from fNIRS and MRI scans were collected during their first visit. Ten of them underwent fNIRS and MRI scans in a second visit two years later. WMH volume analysis used volBrain lesionBrain 1.0 (https://www.volbrain.net). ROC curve analysis was applied to the normalized WMH volume to determine a cut-off value for distinguishing between the subcortical vascular MCI (svMCI) and amnestic MCI (aMCI) groups. We compared fNIRS data during cognitive tests and physical activities between svMCI and aMCI groups at the first visit and in the two-year follow-up.

RESULTS

While cognitive profiles were similar between groups, svMCI patients showed significantly reduced fNIRS signals, particularly in the left orbitofrontal cortex (OFC) during verbal fluency tasks (P = 0.005), with further reductions in the left dorsolateral prefrontal cortex (P = 0.049), left OFC (P = 0.012), and right OFC (P = 0.02) over two years. Baseline WMH volume correlated negatively with fNIRS signals during the Stroop test (r = -0.837, P = 0.005). Changes in WMH volume over two years correlated positively with changes in fNIRS signals in the right ventrolateral prefrontal cortex during memory tasks (r = 0.886, P = 0.033) and left OFC during balance tasks (r = 0.786, P = 0.028).

CONCLUSION

Our results suggest that fNIRS signals have the potential to serve as biomarkers for WMH progression.

Age-related differences in resting-state, task-related, and structural brain connectivity: graph theoretical analyses and visual search performance

Previous magnetic resonance imaging (MRI) research suggests that aging is associated with a decrease in the functional interconnections within and between groups of locally organized brain regions (modules). Further, this age-related decrease in the segregation of modules appears to be more pronounced for a task, relative to a resting state, reflecting the integration of functional modules and attentional allocation necessary to support task performance. Here, using graph-theoretical analyses, we investigated age-related differences in a whole-brain measure of module connectivity, system segregation, for 68 healthy, community-dwelling individuals 18-78 years of age. We obtained resting-state, task-related (visual search), and structural (diffusion-weighted) MRI data. Using a parcellation of modules derived from the participants' resting-state functional MRI data, we demonstrated that the decrease in system segregation from rest to task (i.e., reconfiguration) increased with age, suggesting an age-related increase in the integration of modules required by the attentional demands of visual search. Structural system segregation increased with age, reflecting weaker connectivity both within and between modules. Functional and structural system segregation had qualitatively different influences on age-related decline in visual search performance. Functional system segregation (and reconfiguration) influenced age-related decline in the rate of visual evidence accumulation (drift rate), whereas structural system segregation contributed to age-related slowing of encoding and response processes (nondecision time). The age-related differences in the functional system segregation measures, however, were relatively independent of those associated with structural connectivity.