Brain diffusion tensor imaging reveals altered connections and networks in epilepsy patients

Author:

Wang Meixia,Cheng Xiaoyu,Shi Qianru,Xu Bo,Hou Xiaoxia,Zhao Huimin,Gui Qian,Wu Guanhui,Dong Xiaofeng,Xu Qinrong,Shen Mingqiang,Cheng Qingzhang,Xue Shouru,Feng Hongxuan,Ding Zhiliang

Abstract

IntroductionAccumulating evidence shows that epilepsy is a disease caused by brain network dysfunction. This study explored changes in brain network structure in epilepsy patients based on graph analysis of diffusion tensor imaging data.MethodsThe brain structure networks of 42 healthy control individuals and 26 epilepsy patients were constructed. Using graph theory analysis, global and local network topology parameters of the brain structure network were calculated, and changes in global and local characteristics of the brain network in epilepsy patients were quantitatively analyzed.ResultsCompared with the healthy control group, the epilepsy patient group showed lower global efficiency, local efficiency, clustering coefficient, and a longer shortest path length. Both healthy control individuals and epilepsy patients showed small-world attributes, with no significant difference between groups. The epilepsy patient group showed lower nodal local efficiency and nodal clustering coefficient in the right olfactory cortex and right rectus and lower nodal degree centrality in the right olfactory cortex and the left paracentral lobular compared with the healthy control group. In addition, the epilepsy patient group showed a smaller fiber number of edges in specific regions of the frontal lobe, temporal lobe, and default mode network, indicating reduced connection strength.DiscussionEpilepsy patients exhibited lower global and local brain network properties as well as reduced white matter fiber connectivity in key brain regions. These findings further support the idea that epilepsy is a brain network disorder.

Publisher

Frontiers Media SA

Subject

Behavioral Neuroscience,Biological Psychiatry,Psychiatry and Mental health,Neurology,Neuropsychology and Physiological Psychology

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