Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss

Sudden sensorineural hearing loss (SSNHL) is a sudden-onset hearing impairment that rapidly develops within 72 h and is mostly unilateral. Only a few patients can be identified with a defined cause by routine clinical examinations. Recently, some studies have shown that unilateral SSNHL is associate...

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Main Authors: Yan Zou, Hui Ma, Bo Liu, Dan Li, Dingxi Liu, Xinrong Wang, Siqi Wang, Wenliang Fan, Ping Han
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2021.666651/full
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author Yan Zou
Yan Zou
Hui Ma
Hui Ma
Bo Liu
Dan Li
Dingxi Liu
Dingxi Liu
Xinrong Wang
Siqi Wang
Siqi Wang
Wenliang Fan
Wenliang Fan
Ping Han
Ping Han
author_facet Yan Zou
Yan Zou
Hui Ma
Hui Ma
Bo Liu
Dan Li
Dingxi Liu
Dingxi Liu
Xinrong Wang
Siqi Wang
Siqi Wang
Wenliang Fan
Wenliang Fan
Ping Han
Ping Han
author_sort Yan Zou
collection DOAJ
description Sudden sensorineural hearing loss (SSNHL) is a sudden-onset hearing impairment that rapidly develops within 72 h and is mostly unilateral. Only a few patients can be identified with a defined cause by routine clinical examinations. Recently, some studies have shown that unilateral SSNHL is associated with alterations in the central nervous system. However, little is known about the topological organization of white matter (WM) networks in unilateral SSNHL patients in the acute phase. In this study, 145 patients with SSNHL and 91 age-, gender-, and education-matched healthy controls were evaluated using diffusion tensor imaging (DTI) and graph theoretical approaches. The topological properties of WM networks, including global and nodal parameters, were investigated. At the global level, SSNHL patients displayed decreased clustering coefficient, local efficiency, global efficiency, normalized clustering coefficient, normalized characteristic path length, and small-worldness and increased characteristic path length (p < 0.05) compared with healthy controls. At the nodal level, altered nodal centralities in brain regions involved the auditory network, visual network, attention network, default mode network (DMN), sensorimotor network, and subcortical network (p < 0.05, Bonferroni corrected). These findings indicate a shift of the WM network topology in SSNHL patients toward randomization, which is characterized by decreased global network integration and segregation and is reflected by decreased global connectivity and altered nodal centralities. This study could help us understand the potential pathophysiology of unilateral SSNHL.
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spelling doaj.art-53e2f37b019d4167853c85f107cc53ac2022-12-21T19:57:35ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2021-07-011510.3389/fnins.2021.666651666651Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing LossYan Zou0Yan Zou1Hui Ma2Hui Ma3Bo Liu4Dan Li5Dingxi Liu6Dingxi Liu7Xinrong Wang8Siqi Wang9Siqi Wang10Wenliang Fan11Wenliang Fan12Ping Han13Ping Han14Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaGE Healthcare, Shanghai, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSudden sensorineural hearing loss (SSNHL) is a sudden-onset hearing impairment that rapidly develops within 72 h and is mostly unilateral. Only a few patients can be identified with a defined cause by routine clinical examinations. Recently, some studies have shown that unilateral SSNHL is associated with alterations in the central nervous system. However, little is known about the topological organization of white matter (WM) networks in unilateral SSNHL patients in the acute phase. In this study, 145 patients with SSNHL and 91 age-, gender-, and education-matched healthy controls were evaluated using diffusion tensor imaging (DTI) and graph theoretical approaches. The topological properties of WM networks, including global and nodal parameters, were investigated. At the global level, SSNHL patients displayed decreased clustering coefficient, local efficiency, global efficiency, normalized clustering coefficient, normalized characteristic path length, and small-worldness and increased characteristic path length (p < 0.05) compared with healthy controls. At the nodal level, altered nodal centralities in brain regions involved the auditory network, visual network, attention network, default mode network (DMN), sensorimotor network, and subcortical network (p < 0.05, Bonferroni corrected). These findings indicate a shift of the WM network topology in SSNHL patients toward randomization, which is characterized by decreased global network integration and segregation and is reflected by decreased global connectivity and altered nodal centralities. This study could help us understand the potential pathophysiology of unilateral SSNHL.https://www.frontiersin.org/articles/10.3389/fnins.2021.666651/fulldiffusional tensor imagingdeterministic tractographygraph theorysmall-worldnessunilateral sudden sensorineural hearing loss
spellingShingle Yan Zou
Yan Zou
Hui Ma
Hui Ma
Bo Liu
Dan Li
Dingxi Liu
Dingxi Liu
Xinrong Wang
Siqi Wang
Siqi Wang
Wenliang Fan
Wenliang Fan
Ping Han
Ping Han
Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss
Frontiers in Neuroscience
diffusional tensor imaging
deterministic tractography
graph theory
small-worldness
unilateral sudden sensorineural hearing loss
title Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss
title_full Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss
title_fullStr Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss
title_full_unstemmed Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss
title_short Disrupted Topological Organization in White Matter Networks in Unilateral Sudden Sensorineural Hearing Loss
title_sort disrupted topological organization in white matter networks in unilateral sudden sensorineural hearing loss
topic diffusional tensor imaging
deterministic tractography
graph theory
small-worldness
unilateral sudden sensorineural hearing loss
url https://www.frontiersin.org/articles/10.3389/fnins.2021.666651/full
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