Brain functional connectivity differences between responders and non-responders to sleeve gastrectomy.

Purpose: To compare resting-state functional connectivity (RSFC) of obese patients responders or non-responders to sleeve gastrectomy (SG) with a group of obese patients with no past medical history of metabolic or bariatric surgery. Methods: MR images were acquired at 1.5 Tesla. Resting-state fMRI...

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Publicado en:Neuroradiology Vol. 65; no. 1; pp. 131 - 144
Autores principales: Mallio, Carlo A., Spagnolo, Giuseppe, Piervincenzi, Claudia, Petsas, Nikolaos, Boccetti, Danilo, Spani, Federica, Gallo, Ida Francesca, Sisto, Antonella, Quintiliani, Livia, Di Gennaro, Gianfranco, Bruni, Vincenzo, Quattrocchi, Carlo C.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-022-03043-3
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        atl: Brain functional connectivity differences between responders and non-responders to sleeve gastrectomy.
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          Mallio, Carlo A.
          Spagnolo, Giuseppe
          Piervincenzi, Claudia
          Petsas, Nikolaos
          Boccetti, Danilo
          Spani, Federica
          Gallo, Ida Francesca
          Sisto, Antonella
          Quintiliani, Livia
          Di Gennaro, Gianfranco
          Bruni, Vincenzo
          Quattrocchi, Carlo C.
        affil: Unit of Diagnostic Imaging, Fondazione Policlinico Universitario Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
      sug:
        subj:
          Brain Physiology
          Brain Mapping
          Gastrectomy Methods
          Obesity
          Bariatric Surgery
          Functional Connectivity
          Magnetic Resonance Imaging Methods
          Neural Pathways
          Human
          Male
          Female
          Adult
          Middle Age
          Weight Loss Physiology
          Spearman's Rank Correlation Coefficient
          Frontal Lobe
          Parietal Lobe
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: To compare resting-state functional connectivity (RSFC) of obese patients responders or non-responders to sleeve gastrectomy (SG) with a group of obese patients with no past medical history of metabolic or bariatric surgery. Methods: MR images were acquired at 1.5 Tesla. Resting-state fMRI data were analyzed with statistical significance threshold set at p < 0.05, family-wise error (FWE) corrected. Results: Sixty-two subjects were enrolled: 20 controls (age range 25–64; 14 females), 24 responders (excess weight loss > 50%; age range 23–68; 17 females), and 18 non-responders to sleeve gastrectomy (SG) (excess weight loss < 50%; age range 23–67; 13 females). About within-network RSFC, responders showed significantly lower RSFC with respect to both controls and non-responders in the default mode and frontoparietal networks, positively correlating with psychological scores. Non-responders showed significantly higher (p < 0.05, family-wise error (few) corrected) RSFC in regions of the lateral visual network as compared to controls. Regarding between-network RSFC, responders showed significantly higher anti-correlation between executive control and salience networks (p < 0.05, FWE corrected) with respect to both controls and non-responders. Significant positive correlation (Spearman rho = 0.48, p = 0.0012) was found between % of excess weight loss and executive control-salience network RSFC. Conclusion: There are differences in brain functional connectivity in either responders or non-responders patients to SG. The present results offer new insights into the neural correlates of outcome in patients who undergo SG and expand knowledge about neural mechanisms which may be related to surgical response.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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