Altered functional connectivity of the default mode network in non-arteritic anterior ischemic optic neuropathy

Pengde Guo, Jian Zhou, Yan Su, Weixin Wang, Haiqin Hua, Pengbo Zhao, Yan Wang, Shaohong Kang, Ming Liu
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Abstract

The functional connectivity of the default mode network is important in understanding the neuro-pathophysiological abnormalities in patients with non-arteritic anterior ischemic optic neuropathy. Independent component analysis can effectively determine within and between network connectivity of different brain components. Therefore, in order to explore the association between the default mode network and other brain regions, we utilized independent component analysis to investigate the alteration of functional connectivity of the default mode network. Thirty-one patients with non-arteritic anterior ischemic optic neuropathy and 31 healthy controls, matched for age, sex, and years of education, were recruited. For patients and healthy controls, functional connectivity within and between the default mode network and other brain regions were evaluated by independent component analysis. Compared with healthy controls, patients with non-arteritic anterior ischemic optic neuropathy showed reduced functional connectivity within the default mode network in the right cerebellar tonsil and left cerebellum posterior lobe and increased functional connectivity in the left inferior temporal and right middle frontal gyri. Furthermore, patients with non-arteritic anterior ischemic optic neuropathy showed reduced functional connectivity between the default mode network and other brain regions in the left cerebellar tonsil and increased functional connectivity in the right putamen, left thalamus, right middle temporal, and left middle frontal gyri. In conclusion, negative correlations between several clinical parameters and functional connectivity of the default mode network were observed. The study contributes to understanding the mechanism of functional reorganization in non-arteritic anterior ischemic optic neuropathy.
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非动脉炎性前部缺血性视神经病变中默认模式网络功能连接的改变
默认模式网络的功能连接对于了解非动脉炎性前部缺血性视神经病变患者的神经病理生理异常非常重要。独立成分分析能有效确定不同大脑成分内部和之间的网络连接。因此,为了探讨默认模式网络与其他脑区之间的关联,我们利用独立成分分析法研究了默认模式网络功能连接的改变。我们招募了 31 名非动脉炎性前部缺血性视神经病变患者和 31 名健康对照者,他们的年龄、性别和受教育年限均匹配。通过独立成分分析评估了患者和健康对照组默认模式网络内部以及默认模式网络与其他脑区之间的功能连接性。与健康对照组相比,非动脉炎性前部缺血性视神经病变患者右侧小脑扁桃体和左侧小脑后叶默认模式网络内的功能连接性降低,而左侧下颞叶和右侧额叶中部的功能连接性增加。此外,非动脉炎性前部缺血性视神经病变患者左侧小脑扁桃体的默认模式网络与其他脑区之间的功能连接性降低,而右侧丘脑、左侧丘脑、右侧颞叶中部和左侧额叶中部的功能连接性增加。总之,多项临床参数与默认模式网络的功能连通性呈负相关。该研究有助于理解非动脉炎性前部缺血性视神经病变的功能重组机制。
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