Forlim, C. G. | Search bioRxiv

bioRxiv2018

Reduced Resting-State Connectivity in the Precuneus is correlated with Apathy in Patients with Schizophrenia

A diagnosis of schizophrenia is associated with a heterogeneous psychopathology including positive and negative symptoms. The disconnection hypothesis, an early pathophysiological framework conceptualizes the diversity of symptoms as a result from disconnections in neural networks. In line with this hypothesis, previous neuroimaging studies of patients with schizophrenia reported alterations within the default mode network (DMN), the most prominent network at rest.\n\nAim of the present study was to investigate the functional connectivity during rest in patients with schizophrenia and healthy individuals and explore whether observed functional alterations are related to the psychopathology of patients. Therefore, functional magnetic resonance images at rest were recorded of 35 patients with schizophrenia and 41 healthy individuals. Independent component analysis (ICA) was used to extract resting state networks.\n\nComparing ICA results between groups indicated alterations only within the network of the DMN. More explicitly, reduced connectivity in the precuneus was observed in patients with schizophrenia compared to healthy controls. Connectivity in this area was negatively correlated with the severity of negative symptoms, more specifically with the domain of apathy.\n\nTaken together, the current results provide further evidence for a role DMN alterations might play in schizophrenia and especially in negative symptom such as apathy.

neuroscience↗

bioRxiv2018

New graph-theoretical-multimodal approach using temporal and structural correlations reveal disruption in the thalamo-cortical network in patients with schizophrenia

Schizophrenia has been understood as a network disease with altered functional and structural connectivity in multiple brain networks compatible to the extremely broad spectrum of psychopathological, cognitive and behavioral symptoms in this disorder.\n\nWhen building brain networks, functional and structural networks are typically modelled independently: functional network models are based on temporal correlations among brain regions, whereas structural network models are based on anatomical characteristics. Combining both features may give rise to more realistic and reliable models of brain networks.\n\nIn this study, we applied a new flexible graph-theoretical-multimodal model called FD (F, the functional connectivity matrix, and D, the structural matrix) to construct brain networks combining functional, structural and topological information of MRI measurements (structural and resting state imaging) to patients with schizophrenia (N=35) and matched healthy individuals (N=41). As a reference condition, the traditional pure functional connectivity (pFC) analysis was carried out.\n\nBy using the FD model, we found disrupted connectivity in the thalamo-cortical network in schizophrenic patients, whereas the pFC model failed to extract group differences after multiple comparison correction. We interpret this observation as evidence that the FD model is superior to conventional connectivity analysis, by stressing relevant features of the whole brain connectivity including functional, structural and topological signatures. The FD model can be used in future research to model subtle alterations of functional and structural connectivity resulting in pronounced clinical syndromes and major psychiatric disorders. Lastly, FD is not limited to the analysis of resting state fMRI, and can be applied to EEG, MEG etc.

neuroscience↗