Radiation-induced changes in small world network in patients with nasopharyngeal carcinoma: a three-dimensional structure MRI imaging study

X. Xin, Chen Chuandong, Churong Li, Jie Li, Pei Wang, Yin Tian, G. Yin, J. Lang
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Abstract

Objective To investigate the radiotherapy (RT)-induced changes in the brain structural network in patients with nasopharyngeal carcinoma (NPC). Methods Three-dimensional structural magnetic resonance data (3D-T1W) was adopted to investigate the structural network in 103 patients with NPC before and after receiving RT. The structural networks were then reconstructed using 3D-T1W. The radiation-induced changes in topology properties of small world network were analyzed by using graph theoretical analysis. Results Patients showed small world properties before and after RT. Compared with the pre-RT group, the global and local efficiency were lower, the shortest path length was longer and the clustering coefficient was less in the post-RT group. In addition, the hub regions in the post-RT group were significantly different from those in the pre-RT group, mainly located in the left rolandic operculum, right inferior frontal gyrus, right parahippocampal gyrus, right lingual gyrus, bilateral supramarginal gyrus, left superior temporal gyrus and temporal pole of the right middle temporal gyrus. Conclusion It is speculated that RT leads to high efficiency of network topology and information transmission, which provides a novel perspective for exploring the RT-induced brain changes, diagnosis of RT-induced injury and evaluation of RT efficacy. Key words: Nasopharyngeal neoplasm/radiotherapy; Voxel-based morphometry; Gray matter; Small world property
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鼻咽癌患者放射引起的小世界网络改变:三维结构MRI成像研究
目的探讨放疗(RT)对鼻咽癌(NPC)患者脑结构网络的影响。方法采用三维结构磁共振(3D-T1W)对103例鼻咽癌患者接受rt前后的结构网络进行研究,并利用3D-T1W对结构网络进行重建。利用图论分析方法分析了辐射引起的小世界网络拓扑性质变化。结果患者在放疗前后均表现出小世界特征,与放疗前相比,放疗后患者整体和局部效率较低,最短路径长度较长,聚类系数较低。此外,rt后组中枢区与rt前组有显著性差异,主要位于左侧罗兰盖、右侧额下回、右侧海马旁回、右侧舌回、双侧边缘上回、左侧颞上回和右侧颞中回颞极。结论推测RT可提高网络拓扑和信息传递的效率,为RT致脑改变的探索、RT致损伤的诊断和RT疗效的评价提供了新的视角。关键词:鼻咽肿瘤/放疗;分布形态测量学;灰质;小世界性质
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期刊介绍: The Chinese Journal of Radiation Oncology is a national academic journal sponsored by the Chinese Medical Association. It was founded in 1992 and the title was written by Chen Minzhang, the former Minister of Health. Its predecessor was the Chinese Journal of Radiation Oncology, which was founded in 1987. The journal is an authoritative journal in the field of radiation oncology in my country. It focuses on clinical tumor radiotherapy, tumor radiation physics, tumor radiation biology, and thermal therapy. Its main readers are middle and senior clinical doctors and scientific researchers. It is now a monthly journal with a large 16-page format and 80 pages of text. For many years, it has adhered to the principle of combining theory with practice and combining improvement with popularization. It now has columns such as monographs, head and neck tumors (monographs), chest tumors (monographs), abdominal tumors (monographs), physics, technology, biology (monographs), reviews, and investigations and research.
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