Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis.
Objectives: The abnormal functional connectivity (FC) pattern of default mode network (DMN) may be key markers for early identification of various cognitive disorders. However, the whole-brain FC changes of DMN in delayed neurocognitive recovery (DNR) are still unclear. Our study was aimed at explor...
| Publicado en: | Frontiers in Aging Neuroscience Vol. 14; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Frontiers Media S.A.
6/1/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161428847&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161428847 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16634365 BG2U jtl: Frontiers in Aging Neuroscience issn: 16634365 maglogo: N pubinfo: dt: 6/1/2023 vid: 14 pid: 40038 pub: Frontiers Media S.A. artinfo: ui: 161428847 161428847 161428847 10.3389/fnagi.2022.1109485 161428847 ppf: 1 ppct: 11 formats: tig: atl: Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis. aug: au: Zhaoshun Jiang Yuxi Cai Songbin Liu Pei Ye Yifeng Yang Guangwu Lin Shihong Li Yan Xu Yangjing Zheng Zhijun Bao Shengdong Nie Weidong Gu affil: Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China sug: subj: Mental Disorders Prognosis Visual Perception Biological Markers Magnetic Resonance Imaging Methods Machine Learning Methods Functional Connectivity Neural Pathways Prediction Models Evaluation Human Male Female Middle Age Aged China Decision Trees Validity Sensitivity and Specificity ROC Curve Case Control Studies Descriptive Statistics Data Analysis Software Analysis of Variance Chi Square Test Fisher's Exact Test Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objectives: The abnormal functional connectivity (FC) pattern of default mode network (DMN) may be key markers for early identification of various cognitive disorders. However, the whole-brain FC changes of DMN in delayed neurocognitive recovery (DNR) are still unclear. Our study was aimed at exploring the whole-brain FC patterns of all regions in DMN and the potential features as biomarkers for the prediction of DNR using machine-learning algorithms. Methods: Resting-state functional magnetic resonance imaging (fMRI) was conducted before surgery on 74 patients undergoing non-cardiac surgery. Seed-based whole-brain FC with 18 core regions located in the DMN was performed, and FC features that were statistically different between the DNR and non-DNR patients after false discovery correction were extracted. Afterward, based on the extracted FC features, machine-learning algorithms such as support vector machine, logistic regression, decision tree, and random forest were established to recognize DNR. The machine learning experiment procedure mainly included three following steps: feature standardization, parameter adjustment, and performance comparison. Finally, independent testing was conducted to validate the established prediction model. The algorithm performance was evaluated by a permutation test. Results: We found significantly decreased DMN connectivity with the brain regions involved in visual processing in DNR patients than in non-DNR patients. The best result was obtained from the random forest algorithm based on the 20 decision trees (estimators). The random forest model achieved the accuracy, sensitivity, and specificity of 84.0, 63.1, and 89.5%, respectively. The area under the receiver operating characteristic curve of the classifier reached 86.4%. The feature that contributed the most to the random forest model was the FC between the left retrosplenial cortex/posterior cingulate cortex and left precuneus. Conclusion: The decreased FC of DMN with regions involved in visual processing might be effective markers for the prediction of DNR and could provide new insights into the neural mechanisms of DNR. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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