Pre- and post-therapy functional MRI connectivity in severe acute brain injury with suppression of consciousness: a comparative analysis to epilepsy features Article Swipe
Emilio G. Cediel
,
Erika A Duran
,
Jeffrey Laux
,
William Reuther
,
Olivia Leggio
,
Belfin Robinson
,
Varina L. Boerwinkle
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fnimg.2024.1445952
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fnimg.2024.1445952
Severe acute brain injury (SABI) with suppressed consciousness is a major societal burden, with early prognosis being crucial for life-and-death treatment decisions. Resting-state functional MRI (rs-fMRI) is promising for prognosis and identifying epileptogenic activity in SABI. While established for SABI prognosis and seizure networks (SzNET) identification in epilepsy, the rs-fMRI use for SzNET detection in SABI is limited. This study compared evolution of SzNET and resting-state networks (RSN) pre-to-post treatment in SABI and epilepsy, hypothesizing that changes would align with clinical evolution. Therapies included epilepsy surgery for the epilepsy group and antiseizure medication for the SABI group. Independent component analysis (ICA) was used to identify SzNET and RSNs in all rs-fMRI. High-frequency BOLD (HF-BOLD), an ICA power spectrum-based index, quantified RSN and SzNET changes by the patient. Confidence intervals measured HF-BOLD changes pre-to-post-therapy. Baseline HF-BOLD and HF-BOLD changes were compared using linear-mixed models and interaction tests. Five SABI and ten epilepsy patients were included. SzNET were identified in all SABI's pre-therapy rs-fMRI. The clinical changes in SABI and epilepsy were consistent with rs-fMRI findings across groups. HF-BOLD reduced in the epilepsy group RSN post-therapy (−0.78, 95% CI −3.42 to −0.33), but the evidence was insufficient to determine an HF-BOLD reduction in SABI patients or SzNET. The HF-BOLD change trend in pre-to-post epilepsy surgery scans paralleled the clinical improvement, suggesting that the power spectrum may quantify the degree of abnormality on ICA-derived networks. Despite limitations such as small sample sizes, this exploratory study provides valuable insights into network dysfunction in SABI and epilepsy.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fnimg.2024.1445952
- OA Status
- diamond
- Cited By
- 1
- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4403046210Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fnimg.2024.1445952Digital Object Identifier
- Title
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Pre- and post-therapy functional MRI connectivity in severe acute brain injury with suppression of consciousness: a comparative analysis to epilepsy featuresWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-01Full publication date if available
- Authors
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Emilio G. Cediel, Erika A Duran, Jeffrey Laux, William Reuther, Olivia Leggio, Belfin Robinson, Varina L. BoerwinkleList of authors in order
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https://doi.org/10.3389/fnimg.2024.1445952Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.3389/fnimg.2024.1445952Direct OA link when available
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Epilepsy, Resting state fMRI, Medicine, Functional connectivity, Functional magnetic resonance imaging, Psychology, Neuroscience, PsychiatryTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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