Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia

Background: Altered functional connectivity (FC) is related to pathophysiology of patients with cervical dystonia (CD). However, inconsistent results may be obtained due to different selected regions of interest. We explored voxel-wise brain-wide FC changes in patients with CD at rest in an unbiased...

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Main Authors: Pan Pan, Shubao Wei, Yangpan Ou, Wenyan Jiang, Wenmei Li, Yiwu Lei, Feng Liu, Wenbin Guo, Shuguang Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2019.01358/full
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author Pan Pan
Pan Pan
Shubao Wei
Yangpan Ou
Yangpan Ou
Wenyan Jiang
Wenmei Li
Yiwu Lei
Feng Liu
Wenbin Guo
Wenbin Guo
Shuguang Luo
author_facet Pan Pan
Pan Pan
Shubao Wei
Yangpan Ou
Yangpan Ou
Wenyan Jiang
Wenmei Li
Yiwu Lei
Feng Liu
Wenbin Guo
Wenbin Guo
Shuguang Luo
author_sort Pan Pan
collection DOAJ
description Background: Altered functional connectivity (FC) is related to pathophysiology of patients with cervical dystonia (CD). However, inconsistent results may be obtained due to different selected regions of interest. We explored voxel-wise brain-wide FC changes in patients with CD at rest in an unbiased manner and analyzed their correlations with symptomatic severity using the Tsui scale.Method: A total of 19 patients with CD and 21 sex- and age-matched healthy controls underwent resting-state functional magnetic resonance imaging scans. Global-brain FC (GFC) was applied to analyze the images. Support vector machine was used to distinguish the patients from the controls.Results: Patients with CD exhibited decreased GFC in the right precentral gyrus and right supplementary motor area (SMA) that belonged to the M1-SMA motor network. Significantly negative correlation was observed between GFC values in the right precentral gyrus and symptomatic severity in the patients (r = −0.476, p = 0.039, uncorrected). Decreased GFC values in these two brain regions could be utilized to differentiate the patients from the controls with good accuracies, sensitivities and specificities (83.33, 85.71, and 80.95% in the right precentral gyrus; and 87.59, 89.49, and 85.71% in the right SMA).Conclusions: Our investigation suggests that patients with CD show reduced GFC in brain regions of the M1-SMA motor network and provides further insights into the pathophysiology of CD. GFC values in the right precentral gyrus and right SMA may be used as potential biomarkers to recognize the patients from the controls.
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spelling doaj.art-c899eae958c74247b0995db40ef72e1b2022-12-21T18:46:16ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-01-011010.3389/fneur.2019.01358484639Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical DystoniaPan Pan0Pan Pan1Shubao Wei2Yangpan Ou3Yangpan Ou4Wenyan Jiang5Wenmei Li6Yiwu Lei7Feng Liu8Wenbin Guo9Wenbin Guo10Shuguang Luo11Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, ChinaNational Clinical Research Center on Mental Disorders, Changsha, ChinaDepartment of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, ChinaNational Clinical Research Center on Mental Disorders, Changsha, ChinaDepartment of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Radiology, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, ChinaNational Clinical Research Center on Mental Disorders, Changsha, ChinaDepartment of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaBackground: Altered functional connectivity (FC) is related to pathophysiology of patients with cervical dystonia (CD). However, inconsistent results may be obtained due to different selected regions of interest. We explored voxel-wise brain-wide FC changes in patients with CD at rest in an unbiased manner and analyzed their correlations with symptomatic severity using the Tsui scale.Method: A total of 19 patients with CD and 21 sex- and age-matched healthy controls underwent resting-state functional magnetic resonance imaging scans. Global-brain FC (GFC) was applied to analyze the images. Support vector machine was used to distinguish the patients from the controls.Results: Patients with CD exhibited decreased GFC in the right precentral gyrus and right supplementary motor area (SMA) that belonged to the M1-SMA motor network. Significantly negative correlation was observed between GFC values in the right precentral gyrus and symptomatic severity in the patients (r = −0.476, p = 0.039, uncorrected). Decreased GFC values in these two brain regions could be utilized to differentiate the patients from the controls with good accuracies, sensitivities and specificities (83.33, 85.71, and 80.95% in the right precentral gyrus; and 87.59, 89.49, and 85.71% in the right SMA).Conclusions: Our investigation suggests that patients with CD show reduced GFC in brain regions of the M1-SMA motor network and provides further insights into the pathophysiology of CD. GFC values in the right precentral gyrus and right SMA may be used as potential biomarkers to recognize the patients from the controls.https://www.frontiersin.org/article/10.3389/fneur.2019.01358/fullcervical dystoniaglobal-brain functional connectivityprecentral gyrussupplementary motor areanetwork
spellingShingle Pan Pan
Pan Pan
Shubao Wei
Yangpan Ou
Yangpan Ou
Wenyan Jiang
Wenmei Li
Yiwu Lei
Feng Liu
Wenbin Guo
Wenbin Guo
Shuguang Luo
Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia
Frontiers in Neurology
cervical dystonia
global-brain functional connectivity
precentral gyrus
supplementary motor area
network
title Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia
title_full Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia
title_fullStr Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia
title_full_unstemmed Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia
title_short Reduced Global-Brain Functional Connectivity and Its Relationship With Symptomatic Severity in Cervical Dystonia
title_sort reduced global brain functional connectivity and its relationship with symptomatic severity in cervical dystonia
topic cervical dystonia
global-brain functional connectivity
precentral gyrus
supplementary motor area
network
url https://www.frontiersin.org/article/10.3389/fneur.2019.01358/full
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