Individual cerebellar metabolic connectome in patients with MTLE and NTLE associated with surgical prognosis.
Purpose: This study aimed to comprehensively explore the different metabolic connectivity topological changes in MTLE and NTLE, as well as their association with surgical outcomes. Methods: This study enrolled a cohort of patients with intractable MTLE and NTLE. Each individual's metabolic connectom...
| Publicado en: | European Journal of Nuclear Medicine & Molecular Imaging Vol. 51; no. 12; pp. 3600 - 3617 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Oct2024
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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=180037087&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180037087 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16197070 NPC jtl: European Journal of Nuclear Medicine & Molecular Imaging issn: 16197070 maglogo: N pubinfo: dt: Oct2024 vid: 51 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 180037087 177507362 10.1007/s00259-024-06762-2 180037087 ppf: 3600 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Individual cerebellar metabolic connectome in patients with MTLE and NTLE associated with surgical prognosis. aug: au: Tang, Yongxiang Zhu, Haoyue Xiao, Ling Li, Rong Han, Honghao Tang, Weiting Liu, Ding Zhou, Chunyao Liu, Dingyang Yang, Zhiquan Zhou, Luo Xiao, Bo Rominger, Axel Shi, Kuangyu Hu, Shuo Feng, Li affil: Department of Nuclear Medicine, Xiangya Hospital, Central South University, 87 Xiangya Road, 410008, Changsha, Hunan, China sug: ab: Purpose: This study aimed to comprehensively explore the different metabolic connectivity topological changes in MTLE and NTLE, as well as their association with surgical outcomes. Methods: This study enrolled a cohort of patients with intractable MTLE and NTLE. Each individual's metabolic connectome, as determined by Kullback-Leibler divergence similarity estimation for the [18F]FDG PET image, was employed to conduct a comprehensive analysis of the cerebral metabolic network. Alterations in network connectivity were assessed by extracting and evaluating the strength of edge and weighted connectivity. By utilizing these two connectivity strength metrics with the cerebellum, we explored the network properties of connectivity and its association with prognosis in surgical patients. Results: Both MTLE and NTLE patients exhibited substantial alterations in the connectivity of the metabolic network at the edge and nodal levels (p < 0.01, FDR corrected). The key disparity between MTLE and NTLE was observed in the cerebellum. In MTLE, there was a predominance of increased connectivity strength in the cerebellum. Whereas, a decrease in cerebellar connectivity was identified in NTLE. It was found that in MTLE, higher edge connectivity and weighted connectivity strength in the contralateral cerebellar hemisphere correlated with improved surgical outcomes. Conversely, in NTLE, a higher edge metabolic connectivity strength in the ipsilateral cerebellar hemisphere suggested a worse surgical prognosis. Conclusion: The cerebellum exhibits distinct topological characteristics in the metabolic networks between MTLE and NTLE. The hyper- or hypo-metabolic connectivity in the cerebellum may be a prognostic biomarker of surgical prognosis, which might aid in therapeutic decision-making for TLE individuals. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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