Tao Chen, Rebekah M. Ahmed, Manisha Narasimhan, Tianyu Yang, David Foxe, Olivier Piguet, Muireann Irish
The behavioural variant of frontotemporal dementia (bvFTD) is a younger-onset dementia syndrome characterised by early atrophy of frontoinsular cortices, manifesting in profound socioemotional disturbances. Converging evidence from correlational, data-driven, and computational approaches indicates large-scale network degeneration in bvFTD. While the insula is consistently implicated, it remains unclear whether insular atrophy causally impacts progressive large-scale structural network alterations in bvFTD. Eighty-two patients with clinically probable bvFTD were classified as very mild/mild (n = 35), moderate (n = 30), and severe (n = 17) using the CDR plus NACC FTLD. Grey matter volume comparison between the entire bvFTD group and a healthy control group matched for age and education identified the left anterior insula as the initial maximal site of atrophy in bvFTD. To determine potential causal effects of insular atrophy on network-based dysfunction in bvFTD, a voxel-wise causal structural covariance network (CaSCN) was constructed based on pseudo-time-series morphometric data using the left anterior insula as the seed region. Sex, age, years of education, total intracranial volume (TIV), and scanning site were included as covariates, along with the difference between the sum of boxes score for the CDR plus NACC FTLD across the two pseudo–time points. Finally, an event-based model (EBM) was applied to confirm the sequence of regional atrophy precipitated by left anterior insula atrophy, which emerged in the CaSCN analysis. BvFTD patients in the very mild/mild disease subgroup showed predominant atrophy of frontotemporal (e.g., insula, middle frontal gyrus), limbic (e.g., hippocampus, amygdala), and subcortical (e.g., putamen, nucleus accumbens) structures. Widespread grey matter atrophy was evident in the moderate bvFTD subgroup, extending to the middle cingulate, paracingulate gyri, and the thalamus, which progressed to posterior brain regions, including the fusiform gyrus and the cerebellum in the severe subgroup. Importantly, the CaSCN and event-based model analysis reinforced the disease-staging results by revealing progression of atrophy from the initial seed region of the left anterior insula to the orbitofrontal cortex, putamen/nucleus accumbens, anterior cingulate cortex, dorsolateral prefrontal cortex, inferior temporal gyrus, and supramarginal gyrus, before progressing posteriorly to the lingual gyrus. Using causal structural covariance network analysis and event-based modelling, our findings indicate a causal role for the left anterior insula in driving the spread of pathology in bvFTD through well-delineated functional brain networks known to support higher-order cognitive and socioemotional processing. By capturing the direction of atrophy progression, our findings hold utility for potentially monitoring and tracking the efficacy of novel therapeutics on brain function in bvFTD.
{"title":"Anterior Insula Drives Progressive Structural Brain Network Atrophy in the Behavioural Variant of Frontotemporal Dementia","authors":"Tao Chen, Rebekah M. Ahmed, Manisha Narasimhan, Tianyu Yang, David Foxe, Olivier Piguet, Muireann Irish","doi":"10.1002/hbm.70374","DOIUrl":"10.1002/hbm.70374","url":null,"abstract":"<p>The behavioural variant of frontotemporal dementia (bvFTD) is a younger-onset dementia syndrome characterised by early atrophy of frontoinsular cortices, manifesting in profound socioemotional disturbances. Converging evidence from correlational, data-driven, and computational approaches indicates large-scale network degeneration in bvFTD. While the insula is consistently implicated, it remains unclear whether insular atrophy causally impacts progressive large-scale structural network alterations in bvFTD. Eighty-two patients with clinically probable bvFTD were classified as <i>very mild/mild</i> (<i>n</i> = 35), <i>moderate</i> (<i>n</i> = 30), and <i>severe</i> (<i>n</i> = 17) using the CDR plus NACC FTLD. Grey matter volume comparison between the entire bvFTD group and a healthy control group matched for age and education identified the left anterior insula as the initial maximal site of atrophy in bvFTD. To determine potential causal effects of insular atrophy on network-based dysfunction in bvFTD, a voxel-wise causal structural covariance network (CaSCN) was constructed based on pseudo-time-series morphometric data using the left anterior insula as the seed region. Sex, age, years of education, total intracranial volume (TIV), and scanning site were included as covariates, along with the difference between the sum of boxes score for the CDR plus NACC FTLD across the two pseudo–time points. Finally, an event-based model (EBM) was applied to confirm the sequence of regional atrophy precipitated by left anterior insula atrophy, which emerged in the CaSCN analysis. BvFTD patients in the very mild/mild disease subgroup showed predominant atrophy of frontotemporal (e.g., insula, middle frontal gyrus), limbic (e.g., hippocampus, amygdala), and subcortical (e.g., putamen, nucleus accumbens) structures. Widespread grey matter atrophy was evident in the moderate bvFTD subgroup, extending to the middle cingulate, paracingulate gyri, and the thalamus, which progressed to posterior brain regions, including the fusiform gyrus and the cerebellum in the severe subgroup. Importantly, the CaSCN and event-based model analysis reinforced the disease-staging results by revealing progression of atrophy from the initial seed region of the left anterior insula to the orbitofrontal cortex, putamen/nucleus accumbens, anterior cingulate cortex, dorsolateral prefrontal cortex, inferior temporal gyrus, and supramarginal gyrus, before progressing posteriorly to the lingual gyrus. Using causal structural covariance network analysis and event-based modelling, our findings indicate a causal role for the left anterior insula in driving the spread of pathology in bvFTD through well-delineated functional brain networks known to support higher-order cognitive and socioemotional processing. By capturing the direction of atrophy progression, our findings hold utility for potentially monitoring and tracking the efficacy of novel therapeutics on brain function in bvFTD.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 14","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xin Li, Nira Cedres, Jonas Olofsson, Jonas Persson
The loss of smell is common in older age, reducing quality of life and often precedes the onset of cognitive decline and dementia. While age-related olfactory loss has been linked to cortical thinning and volume reductions in key olfactory areas, associations between white-matter (WM) integrity and olfaction are poorly understood. Here, we studied individuals aged 25–85 years from a population-based cohort study with diffusion weighted imaging, together with self-reported olfactory impairment, odor identification and odor threshold measures at baseline (N = 248) and follow-up 5 years later (N = 192). Performance on the odor identification and threshold tests were lower in older adults and declined longitudinally. Older individuals also reported more olfaction complaints, and such complaints increased over time. Results from general linear models showed no cross-sectional associations between WM integrity and olfaction. However, results from non-competitive random forest models identified several tracts as significant contributors to odor identification and subjective olfactory impairment, including the fornix, cingulum and uncinate fasciculus. Moreover, longitudinal analyses showed that olfactory threshold decline was associated with decline in WM integrity in the body of corpus callosum. Taken together, the results support a link between white-matter integrity and olfaction and provide initial evidence for its interplay with age.
{"title":"Cross-Sectional and Longitudinal Associations Between Olfaction and White-Matter Integrity Across the Lifespan","authors":"Xin Li, Nira Cedres, Jonas Olofsson, Jonas Persson","doi":"10.1002/hbm.70375","DOIUrl":"10.1002/hbm.70375","url":null,"abstract":"<p>The loss of smell is common in older age, reducing quality of life and often precedes the onset of cognitive decline and dementia. While age-related olfactory loss has been linked to cortical thinning and volume reductions in key olfactory areas, associations between white-matter (WM) integrity and olfaction are poorly understood. Here, we studied individuals aged 25–85 years from a population-based cohort study with diffusion weighted imaging, together with self-reported olfactory impairment, odor identification and odor threshold measures at baseline (<i>N</i> = 248) and follow-up 5 years later (<i>N</i> = 192). Performance on the odor identification and threshold tests were lower in older adults and declined longitudinally. Older individuals also reported more olfaction complaints, and such complaints increased over time. Results from general linear models showed no cross-sectional associations between WM integrity and olfaction. However, results from non-competitive random forest models identified several tracts as significant contributors to odor identification and subjective olfactory impairment, including the fornix, cingulum and uncinate fasciculus. Moreover, longitudinal analyses showed that olfactory threshold decline was associated with decline in WM integrity in the body of corpus callosum. Taken together, the results support a link between white-matter integrity and olfaction and provide initial evidence for its interplay with age.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 14","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rizhong Lin, Hamza Kebiri, Ali Gholipour, Yufei Chen, Jean-Philippe Thiran, Davood Karimi, Meritxell Bach Cuadra
The accurate estimation of fiber orientation distribution functions (fODFs) in diffusion magnetic resonance imaging (MRI) is crucial for understanding early brain development and its potential disruptions. Although supervised deep learning (DL) models have shown promise in fODF estimation from neonatal diffusion MRI (dMRI) data, the out-of-domain (OOD) performance of these models remains largely unexplored, especially under diverse domain shift scenarios. This study evaluated the robustness of three state-of-the-art DL architectures: multilayer perceptron (MLP), transformer, and U-Net/convolutional neural network (CNN) on fODF predictions derived from dMRI data. Using 488 subjects from the developing Human Connectome Project (dHCP) and the Baby Connectome Project (BCP) datasets, we reconstructed reference fODFs from the full dMRI series using single-shell three-tissue constrained spherical deconvolution (SS3T-CSD) and multi-shell multi-tissue CSD (MSMT-CSD) to generate reference fODF reconstructions for model training, and systematically assessed the impact of age, scanner/protocol differences, and input dimensionality on model performance. Our findings reveal that U-Net consistently outperformed other models when fewer diffusion gradient directions were used, particularly with the SS3T-CSD-derived ground truth, which showed superior performance in capturing crossing fibers. However, as the number of input diffusion gradient directions increased, MLP and the transformer-based model exhibited steady gains in accuracy. Nevertheless, performance nearly plateaued from 28 to 45 input directions in all models. Age-related domain shifts showed asymmetric patterns, being less pronounced in late developmental stages (late neonates, and babies), with SS3T-CSD demonstrating greater robustness to variability compared to MSMT-CSD. To address inter-site domain shifts, we implemented two adaptation strategies: the Method of Moments (MoM) and fine-tuning. Both strategies achieved significant improvements (