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Impaired functional network properties contribute to white matter hyperintensity related cognitive decline in patients with cerebral small vessel disease

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机构: [1]Fudan Univ, Eye & ENT Hosp, Dept Radiol, Shanghai Med Sch, Shanghai, Peoples R China [2]Beijing Jiaotong Univ, Sch Comp & Informat Technol, 3 Shangyuan Village, Beijing 100089, Peoples R China [3]Univ Shanghai Sci & Technol, Sch Med Instrument & Food Engn, Inst Med Imaging Engn, Shanghai 200093, Peoples R China [4]Fudan Univ, Acad Engn & Technol, 539 Handan Rd, Shanghai 200433, Peoples R China [5]Minist Educ, Key Lab Ind Dust Prevent & Control & Occupat Hlth, Beijing, Peoples R China [6]Anhui Prov Engn Lab Occupat Hlth & Safety, Huainan, Peoples R China [7]Lab Ind Dust Deep Reduct & Occupat Hlth & Safety, Hefei, Peoples R China [8]Shanghai Jiao Tong Univ, Tongren Hosp, Dept Radiol, Sch Med, 1111 XianXia Rd, Shanghai 200050, Peoples R China [9]Beijing Hosp, Natl Ctr Gerontol, Dept Neurosurg, Beijing, Peoples R China
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关键词: Cerebral small vessel disease White matter hyperintensity Functional network Graph theoretical analysis Cognitive impairment

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Background White matter hyperintensity (WMH) is one of the typical neuroimaging manifestations of cerebral small vessel disease (CSVD), and the WMH correlates closely to cognitive impairment (CI). CSVD patients with WMH own altered topological properties of brain functional network, which is a possible mechanism that leads to CI. This study aims to identify differences in the characteristics of some brain functional network among patients with different grades of WMH and estimates the correlations between these different brain functional network characteristics and cognitive assessment scores. Methods 110 CSVD patients underwent 3.0 T Magnetic resonance imaging scans and neuropsychological cognitive assessments. WMH of each participant was graded on the basis of Fazekas grade scale and was divided into two groups: (A) WMH score of 1-2 points (n = 64), (B) WMH score of 3-6 points (n = 46). Topological indexes of brain functional network were analyzed using graph-theoretical method. T-test and Mann-Whitney U test was used to compare the differences in topological properties of brain functional network between groups. Partial correlation analysis was applied to explore the relationship between different topological properties of brain functional networks and overall cognitive function. Results Patients with high WMH scores exhibited decreased clustering coefficient values, global and local network efficiency along with increased shortest path length on whole brain level as well as decreased nodal efficiency in some brain regions on nodal level (p < 0.05). Nodal efficiency in the left lingual gyrus was significantly positively correlated with patients' total Montreal Cognitive Assessment (MoCA) scores (p < 0.05). No significant difference was found between two groups on the aspect of total MoCA and Mini-mental State Examination (MMSE) scores (p > 0.05). Conclusion Therefore, we come to conclusions that patients with high WMH scores showed less optimized small-world networks compared to patients with low WMH scores. Global and local network efficiency on the whole-brain level, as well as nodal efficiency in certain brain regions on the nodal level, can be viewed as markers to reflect the course of WMH.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 核医学
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出版当年[2020]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Fudan Univ, Eye & ENT Hosp, Dept Radiol, Shanghai Med Sch, Shanghai, Peoples R China
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通讯机构: [2]Beijing Jiaotong Univ, Sch Comp & Informat Technol, 3 Shangyuan Village, Beijing 100089, Peoples R China [4]Fudan Univ, Acad Engn & Technol, 539 Handan Rd, Shanghai 200433, Peoples R China [5]Minist Educ, Key Lab Ind Dust Prevent & Control & Occupat Hlth, Beijing, Peoples R China [6]Anhui Prov Engn Lab Occupat Hlth & Safety, Huainan, Peoples R China [7]Lab Ind Dust Deep Reduct & Occupat Hlth & Safety, Hefei, Peoples R China [8]Shanghai Jiao Tong Univ, Tongren Hosp, Dept Radiol, Sch Med, 1111 XianXia Rd, Shanghai 200050, Peoples R China
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