Reduced Global Efficiency and Random Network Features in Patients with Relapsing-Remitting Multiple Sclerosis with Cognitive Impairment.


Journal

AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708

Informations de publication

Date de publication:
03 2020
Historique:
received: 29 03 2019
accepted: 11 01 2020
pubmed: 23 2 2020
medline: 21 10 2020
entrez: 22 2 2020
Statut: ppublish

Résumé

Graph theory uses structural similarity to analyze cortical structural connectivity. We used a voxel-based definition of cortical covariance networks to quantify and assess the relationship of network characteristics to cognition in a cohort of patients with relapsing-remitting MS with and without cognitive impairment. We compared subject-specific structural gray matter network properties of 18 healthy controls, 25 patients with MS with cognitive impairment, and 55 patients with MS without cognitive impairment. Network parameters were compared, and predictive value for cognition was assessed, adjusting for confounders (sex, education, gray matter volume, network size and degree, and T1 and T2 lesion load). Backward stepwise multivariable regression quantified predictive factors for 5 neurocognitive domain test scores. Greater path length ( Patients with MS and cognitive impairment demonstrate more random network features and reduced global efficiency, impacting multiple cognitive domains. A model of normalized path length with normal-appearing white matter volume improved average cognitive

Sections du résumé

BACKGROUND AND PURPOSE
Graph theory uses structural similarity to analyze cortical structural connectivity. We used a voxel-based definition of cortical covariance networks to quantify and assess the relationship of network characteristics to cognition in a cohort of patients with relapsing-remitting MS with and without cognitive impairment.
MATERIALS AND METHODS
We compared subject-specific structural gray matter network properties of 18 healthy controls, 25 patients with MS with cognitive impairment, and 55 patients with MS without cognitive impairment. Network parameters were compared, and predictive value for cognition was assessed, adjusting for confounders (sex, education, gray matter volume, network size and degree, and T1 and T2 lesion load). Backward stepwise multivariable regression quantified predictive factors for 5 neurocognitive domain test scores.
RESULTS
Greater path length (
CONCLUSIONS
Patients with MS and cognitive impairment demonstrate more random network features and reduced global efficiency, impacting multiple cognitive domains. A model of normalized path length with normal-appearing white matter volume improved average cognitive

Identifiants

pubmed: 32079601
pii: ajnr.A6435
doi: 10.3174/ajnr.A6435
pmc: PMC7077890
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

449-455

Informations de copyright

© 2020 by American Journal of Neuroradiology.

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Auteurs

R Hawkins (R)

From the Department of Medical Imaging (R.H., A.S.S., A.S., L.Z.).

A S Shatil (AS)

From the Department of Medical Imaging (R.H., A.S.S., A.S., L.Z.).

L Lee (L)

Division of Neurology (L.L.), Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

A Sengupta (A)

From the Department of Medical Imaging (R.H., A.S.S., A.S., L.Z.).

L Zhang (L)

From the Department of Medical Imaging (R.H., A.S.S., A.S., L.Z.).

S Morrow (S)

Division of Neurology (S.M.), Lawson Health Research Institute, London Health Sciences Centre, University Hospital, London, Ontario, Canada.

R I Aviv (RI)

Institute of Biomaterials and Biomedical Engineering (R.I.A.), University of Toronto, Toronto, Ontario, Canada raviv@toh.ca.
Department of Radiology (R.I.A.), University of Ottawa, and Division of Neuroradiology, The Ottawa Hospital, Ottawa, Ontario, Canada.

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