Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry

A network-level investigation of the volumetric changes of subcortical stroke patients is still lacking. Here, we explored the alterations of structural covariance caused by subcortical stroke with automated brain volumetry. T1-weighed brain MRI scans were obtained from 63 normal controls (NC), 46 s...

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Main Authors: Caihong Wang, Lei Zhao, Yishan Luo, Jingchun Liu, Peifang Miao, Sen Wei, Lin Shi, Jingliang Cheng
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:NeuroImage: Clinical
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158219300324
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author Caihong Wang
Lei Zhao
Yishan Luo
Jingchun Liu
Peifang Miao
Sen Wei
Lin Shi
Jingliang Cheng
author_facet Caihong Wang
Lei Zhao
Yishan Luo
Jingchun Liu
Peifang Miao
Sen Wei
Lin Shi
Jingliang Cheng
author_sort Caihong Wang
collection DOAJ
description A network-level investigation of the volumetric changes of subcortical stroke patients is still lacking. Here, we explored the alterations of structural covariance caused by subcortical stroke with automated brain volumetry. T1-weighed brain MRI scans were obtained from 63 normal controls (NC), 46 stroke patients with infarct in left internal capsule (CI_L), 33 stroke patients with infarct in right internal capsule (CI_R). We performed automatic anatomical segmentation of the T1-weighted brain images with AccuBrain. Volumetric structural covariance analyses were first performed within the basal ganglia structures that were both identified by voxel-based morphometry with AAL atlas and AccuBrain. Subsequently, we additionally included the infratentorial regions that were particularly quantified by AccuBrain for the structural covariance analyses and investigated the alterations of anatomical connections within these subcortical regions in CI_L and CI_R compared with NC. The association between the regional brain volumetry and motor function was also evaluated in stroke groups. There were significant and extensive volumetric differences in stroke patients. These significant regions were generally symmetric for CI_L and CI_R group depending on the side of stroke, involving both regions close to lesions and remote regions. The structural covariance analyses revealed the synergy volume alteration in subcortical regions both in CI_L and CI_R group. In addition, the alterations of volumetric structural covariance were more extensive in CI_L group than CI_R group. Moreover, we found that the subcortical regions with atrophy contributed to the deficits of motor function in CI_R group but not CI_L group, indicating a lesion-side effect of brain volumetric changes after stroke. These findings indicated that the chronic subcortical stroke patients have extensive disordered anatomical connections involving the whole-brain level network, and the connections patterns depend on the lesion-side. Keywords: Brain segmentation, Brain volumetric changes, MRI imaging, Stroke, Structural covariance, Lesion-side effect
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spelling doaj.art-71e421b9b30a4e73844036fe6534988f2022-12-21T22:59:39ZengElsevierNeuroImage: Clinical2213-15822019-01-0122Structural covariance in subcortical stroke patients measured by automated MRI-based volumetryCaihong Wang0Lei Zhao1Yishan Luo2Jingchun Liu3Peifang Miao4Sen Wei5Lin Shi6Jingliang Cheng7Department of MRI, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaBrainNow Research Institute, Shenzhen, Guangdong Province, ChinaBrainNow Research Institute, Shenzhen, Guangdong Province, ChinaDepartment of Radiology, Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of MRI, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaBrainNow Research Institute, Shenzhen, Guangdong Province, China; Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, Hong Kong; Correspondence to: L. Shi, BrainNow Research Institute, Shenzhen, Guangdong Province, China.Department of MRI, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Corresponding author.A network-level investigation of the volumetric changes of subcortical stroke patients is still lacking. Here, we explored the alterations of structural covariance caused by subcortical stroke with automated brain volumetry. T1-weighed brain MRI scans were obtained from 63 normal controls (NC), 46 stroke patients with infarct in left internal capsule (CI_L), 33 stroke patients with infarct in right internal capsule (CI_R). We performed automatic anatomical segmentation of the T1-weighted brain images with AccuBrain. Volumetric structural covariance analyses were first performed within the basal ganglia structures that were both identified by voxel-based morphometry with AAL atlas and AccuBrain. Subsequently, we additionally included the infratentorial regions that were particularly quantified by AccuBrain for the structural covariance analyses and investigated the alterations of anatomical connections within these subcortical regions in CI_L and CI_R compared with NC. The association between the regional brain volumetry and motor function was also evaluated in stroke groups. There were significant and extensive volumetric differences in stroke patients. These significant regions were generally symmetric for CI_L and CI_R group depending on the side of stroke, involving both regions close to lesions and remote regions. The structural covariance analyses revealed the synergy volume alteration in subcortical regions both in CI_L and CI_R group. In addition, the alterations of volumetric structural covariance were more extensive in CI_L group than CI_R group. Moreover, we found that the subcortical regions with atrophy contributed to the deficits of motor function in CI_R group but not CI_L group, indicating a lesion-side effect of brain volumetric changes after stroke. These findings indicated that the chronic subcortical stroke patients have extensive disordered anatomical connections involving the whole-brain level network, and the connections patterns depend on the lesion-side. Keywords: Brain segmentation, Brain volumetric changes, MRI imaging, Stroke, Structural covariance, Lesion-side effecthttp://www.sciencedirect.com/science/article/pii/S2213158219300324
spellingShingle Caihong Wang
Lei Zhao
Yishan Luo
Jingchun Liu
Peifang Miao
Sen Wei
Lin Shi
Jingliang Cheng
Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry
NeuroImage: Clinical
title Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry
title_full Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry
title_fullStr Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry
title_full_unstemmed Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry
title_short Structural covariance in subcortical stroke patients measured by automated MRI-based volumetry
title_sort structural covariance in subcortical stroke patients measured by automated mri based volumetry
url http://www.sciencedirect.com/science/article/pii/S2213158219300324
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