scholarly journals Electrophysiological Activity and Brain Network During Recovery of Propofol Anesthesia: A Stereoelectroencephalography-Based Analysis in Patients With Intractable Epilepsy—An Exploratory Research

2021 ◽  
Vol 12 ◽  
Author(s):  
Tao Liang ◽  
Fan Wu ◽  
Yongxing Sun ◽  
Baoguo Wang

Background: The oscillations and interactions between different brain areas during recovery of consciousness (ROC) from anesthesia in humans are poorly understood. Reliable stereoelectroencephalography (SEEG) signatures for transitions between unconsciousness and consciousness under anesthesia have not yet been fully identified.Objective: This study was designed to observe the change of electrophysiological activity during ROC and construct a ROC network based on SEEG data to describe the network property of cortical and deep areas during ROC from propofol-induced anesthetic epileptic patients.Methods: We analyzed SEEG data recorded from sixteen right-handed epileptic patients during ROC from propofol anesthesia from March 1, 2019, to December 31, 2019. Power spectrum density (PSD), correlation, and coherence were used to describe different brain areas' electrophysiological activity. The clustering coefficient, characteristic path length, modularity, network efficiency, degrees, and betweenness centrality were used to describe the network changes during ROC from propofol anesthesia. Statistical analysis was performed using MATLAB 2016b. The power spectral data from different contacts were analyzed using a one-way analysis of variance (ANOVA) test with Tukey's post-hoc correction. One sample t-test was used for the analysis of network property. Kolmogorov-Smirnov test was used to judge data distribution. Non-normal distribution was analyzed using the signed rank-sum test.Result: From the data of these 16 patients, 10 cortical, and 22 deep positions were observed. In this network, we observed that bilateral occipital areas are essential parts that have strong links with many regions. The recovery process is different in the bilateral cerebral cortex. Stage B (propofol 3.0-2.5 μg/ml) and E (propofol 1.5 μg/ml-ROC) play important roles during ROC exhibiting significant changes. The clustering coefficient gradually decreases with the recovery from anesthesia, and the changes mainly come from the cortical region. The characteristic path length and network efficiency do not change significantly during the recovery from anesthesia, and the changes of network modularity and clustering coefficient are similar. Deep areas tend to form functional modules. The left occipital lobe, the left temporal lobe, bilateral amygdala are essential nodes in the network. Some specific cortical regions (i.e., left angular gyrus, right angular gyrus, right temporal lobe, left temporal lobe, and right angular gyrus) and deep regions (i.e., right amygdala, left cingulate gyrus, right insular lobe, right amygdala) have more significant constraints on other regions.Conclusion: We verified that the bilateral cortex's recovery process is the opposite, which is not found in the deep regions. Significant PSD changes were observed in many areas at the beginning of stop infusion and near recovery. Our study found that during the ROC process, the modularity and clustering coefficient of the deep area network is significantly improved. However, the changes of the bilateral cerebral cortex were different. Power spectrum analysis shows that low-frequency EEG in anesthesia recovery accounts for a large proportion. The changes of the bilateral brain in the process of anesthesia recovery are different. The clustering coefficient gradually decreased with the recovery from anesthesia, and the changes mainly came from the cortical region. The characteristic path length and network efficiency do not change significantly during the recovery from anesthesia, and the changes of network modularity and clustering coefficient were similar. During ROC, the left occipital lobe, the left temporal lobe, bilateral amygdala were essential nodes in the network. The findings of the current study suggest SEEG as an effective tool for providing direct evidence of the anesthesia recovery mechanism.

2021 ◽  
Vol 13 ◽  
Author(s):  
Zhanxiong Wu ◽  
Yunyuan Gao ◽  
Thomas Potter ◽  
Julia Benoit ◽  
Jian Shen ◽  
...  

Normative aging and Alzheimer’s disease (AD) propagation alter anatomical connections among brain parcels. However, the interaction between the trajectories of age- and AD-linked alterations in the topology of the structural brain network is not well understood. In this study, diffusion-weighted magnetic resonance imaging (MRI) datasets of 139 subjects from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database were used to document their structural brain networks. The 139 participants consist of 45 normal controls (NCs), 37 with early mild cognitive impairment (EMCI), 27 with late mild cognitive impairment (LMCI), and 30 AD patients. All subjects were further divided into three subgroups based on their age (56–65, 66–75, and 71–85 years). After the structural connectivity networks were built using anatomically-constrained deterministic tractography, their global and nodal topological properties were estimated, including network efficiency, characteristic path length, transitivity, modularity coefficient, clustering coefficient, and betweenness. Statistical analyses were then performed on these metrics using linear regression, and one- and two-way ANOVA testing to examine group differences and interactions between aging and AD propagation. No significant interactions were found between aging and AD propagation in the global topological metrics (network efficiency, characteristic path length, transitivity, and modularity coefficient). However, nodal metrics (clustering coefficient and betweenness centrality) of some cortical parcels exhibited significant interactions between aging and AD propagation, with affected parcels including left superior temporal, right pars triangularis, and right precentral. The results collectively confirm the age-related deterioration of structural networks in MCI and AD patients, providing novel insight into the cross effects of aging and AD disorder on brain structural networks. Some early symptoms of AD may also be due to age-associated anatomic vulnerability interacting with early anatomic changes associated with AD.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Ke Song ◽  
Juan Li ◽  
Yuanqiang Zhu ◽  
Fang Ren ◽  
Lingcan Cao ◽  
...  

Aim. This study investigated changes in small-world topology and brain functional connectivity in patients with optic neuritis (ON) by resting-state functional magnetic resonance imaging (rs-fMRI) and based on graph theory. Methods. A total of 21 patients with ON (8 males and 13 females) and 21 matched healthy control subjects (8 males and 13 females) were enrolled and underwent rs-fMRI. Data were preprocessed and the brain was divided into 116 regions of interest. Small-world network parameters and area under the integral curve (AUC) were calculated from pairwise brain interval correlation coefficients. Differences in brain network parameter AUCs between the 2 groups were evaluated with the independent sample t -test, and changes in brain connection strength between ON patients and control subjects were assessed by network-based statistical analysis. Results. In the sparsity range from 0.08 to 0.48, both groups exhibited small-world attributes. Compared to the control group, global network efficiency, normalized clustering coefficient, and small-world value were higher whereas the clustering coefficient value was lower in ON patients. There were no differences in characteristic path length, local network efficiency, and normalized characteristic path length between groups. In addition, ON patients had lower brain functional connectivity strength among the rolandic operculum, medial superior frontal gyrus, insula, median cingulate and paracingulate gyri, amygdala, superior parietal gyrus, inferior parietal gyrus, supramarginal gyrus, angular gyrus, lenticular nucleus, pallidum, superior temporal gyrus, and cerebellum compared to the control group ( P < 0.05 ). Conclusion. Patients with ON show typical “small world” topology that differed from that detected in HC brain networks. The brain network in ON has a small-world attribute but shows reduced and abnormal connectivity compared to normal subjects and likely causes symptoms of cognitive impairment.


Author(s):  
Ke Song ◽  
Juan Li ◽  
Yuanqiang Zhu ◽  
Fang Ren ◽  
Lingcan Cao ◽  
...  

AbstractPurposeThis study investigated changes in small-world topology and brain functional connectivity in patients with optic neuritis (ON) by resting-state functional magnetic resonance imaging (rs-fMRI) and based on graph theory.MethodsA total of 21 patients with ON (8 males and 13 females) and 21 matched healthy control subjects (8 males and 13 females) were enrolled at the First Affiliated Hospital of Nanchang University and underwent rs-fMRI. Data were preprocessed and the brain was divided into 116 regions of interest. Small-world network parameters and area under the integral curve (AUC) were calculated from pairwise brain interval correlation coefficients. Differences in brain network parameter AUCs between the 2 groups were evaluated with the independent sample t-test, and changes in brain connection strength between ON patients and control subjects were assessed by network-based statistical analysis.ResultsIn the sparsity range from 0.08 to 0.48, both groups exhibited small-world attributes.Compared to the control group, global network efficiency, normalized clustering coefficient, and small-world value were higher whereas the clustering coefficient value was lower in ON patients. There were no differences in characteristic path length, local network efficiency, and normalized characteristic path length between groups. In addition, ON patients had lower brain functional connectivity strength among the rolandic operculum, medial superior frontal gyrus, insula, median cingulate and paracingulate gyri, amygdala, superior parietal gyrus, inferior parietal gyrus, supramarginal gyrus, angular gyrus, lenticular nucleus, pallidum, superior temporal gyrus, cerebellum_Crus1_L, and left cerebellum_Crus6_L compared to the control group (P < 0.05).ConclusionThe brain network in ON has a small-world attributes but shows reduced and abnormal connectivity compared to normal subjects. These findings provide a further insight into the neural pathogenesis of ON and reveal specific fMRI findings that can serve as diagnostic and prognostic indices.


Nosotchu ◽  
2013 ◽  
Vol 35 (4) ◽  
pp. 306-311
Author(s):  
Tomomasa Ishikawa ◽  
Akihiro Ueda ◽  
Yoshiki Niimi ◽  
Chika Hikichi ◽  
Naoki Kawamura ◽  
...  

2021 ◽  
Vol 13 ◽  
Author(s):  
Cuibai Wei ◽  
Shuting Gong ◽  
Qi Zou ◽  
Wei Zhang ◽  
Xuechun Kang ◽  
...  

Background: Changes in the metabolic and structural brain networks in mild cognitive impairment (MCI) have been widely researched. However, few studies have compared the differences in the topological properties of the metabolic and structural brain networks in patients with MCI.Methods: We analyzedmagnetic resonance imaging (MRI) and fluoro-deoxyglucose positron emission tomography (FDG-PET) data of 137 patients with MCI and 80 healthy controls (HCs). The HC group data comes from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database. The permutation test was used to compare the network parameters (characteristic path length, clustering coefficient, local efficiency, and global efficiency) between the two groups. Partial Pearson’s correlation analysis was used to calculate the correlations of the changes in gray matter volume and glucose intake in the key brain regions in MCI with the Alzheimer’s Disease Assessment Scale-Cognitive (ADAS-cog) sub-item scores.Results: Significant changes in the brain network parameters (longer characteristic path length, larger clustering coefficient, and lower local efficiency and global efficiency) were greater in the structural network than in the metabolic network (longer characteristic path length) in MCI patients than in HCs. We obtained the key brain regions (left globus pallidus, right calcarine fissure and its surrounding cortex, left lingual gyrus) by scanning the hubs. The volume of gray matter atrophy in the left globus pallidus was significantly positively correlated with comprehension of spoken language (p = 0.024) and word-finding difficulty in spontaneous speech item scores (p = 0.007) in the ADAS-cog. Glucose intake in the three key brain regions was significantly negatively correlated with remembering test instructions items in ADAS-cog (p = 0.020, p = 0.014, and p = 0.008, respectively).Conclusion: Structural brain networks showed more changes than metabolic brain networks in patients with MCI. Some brain regions with significant changes in betweenness centrality in both structural and metabolic networks were associated with MCI.


2015 ◽  
Vol 122 (1) ◽  
pp. 140-149 ◽  
Author(s):  
Ahmad Khodayari-Rostamabad ◽  
Søren S. Olesen ◽  
Carina Graversen ◽  
Lasse P. Malver ◽  
Geana P. Kurita ◽  
...  

Abstract Background: The authors investigated the effect of remifentanil administration on resting electroencephalography functional connectivity and its relationship to cognitive function and analgesia in healthy volunteers. Methods: Twenty-one healthy male adult subjects were enrolled in this placebo-controlled double-blind cross-over study. For each subject, 2.5 min of multichannel electroencephalography recording, a cognitive test of sustained attention (continuous reaction time), and experimental pain scores to bone-pressure and heat stimuli were collected before and after infusion of remifentanil or placebo. A coherence matrix was calculated from the electroencephalogram, and three graph-theoretical measures (characteristic path-length, mean clustering coefficient, and relative small-worldness) were extracted to characterize the overall cortical network properties. Results: Compared to placebo, most graph-theoretical measures were significantly altered by remifentanil at the alpha and low beta range (8 to 18 Hz; all P &lt; 0.001). Taken together, these alterations were characterized by an increase in the characteristic path-length (alpha 17% and low beta range 24%) and corresponding decrements in mean clustering coefficient (low beta range −25%) and relative small-worldness (alpha −17% and low beta range −42%). Changes in characteristic path-lengths after remifentanil infusion were correlated to the continuous reaction time index (r = −0.57; P = 0.009), while no significant correlations between graph-theoretical measures and experimental pain tests were seen. Conclusions: Remifentanil disrupts the functional connectivity network properties of the electroencephalogram. The findings give new insight into how opioids interfere with the normal brain functions and have the potential to be biomarkers for the sedative effects of opioids in different clinical settings.


2021 ◽  
Author(s):  
Yiran Wei ◽  
Chao Li ◽  
Zaixu Cui ◽  
Roxanne C. Mayrand ◽  
Jingjing Zou ◽  
...  

AbstractBackgroundGlioblastoma is characterized by extensive invasion into brain parenchymal tissue through white matter tracts. Systematically quantifying invasion, however, is limited by the conventional imaging tools, and could potentially be achieved by a structural connectome approach.MethodsTwo prospective patient cohorts of newly diagnosed glioblastoma were included for network construction. A fiber template was firstly derived by employing probabilistic tractography on healthy subjects. Through performing tract-based spatial statistics in patients and age-matched controls, the connectivity strength of each fiber was estimated in patients for network construction. Contrast-enhancing and non-enhancing tumors were segmented and overlaid to the network to identify connectome disruption in lesion and distant areas. The connectome disruption probabilities were calculated across all patients. Disruption indices and network topological features were examined using survival models.ResultsThe distant areas accounted for higher proportion of disruption than the contrast-enhancing tumor (16.8 ± 12.0% vs 5.8 ± 5.1%, P < 0.001). Compared to healthy controls, patient networks demonstrated lower clustering coefficient, but higher characteristic path length (each P < 0.001). Higher distant area disruption (HR = 1.43, P = 0.027) and characteristic path length (HR = 1.59, P = 0.031) were associated with worse survival, while higher clustering coefficient (HR = 0.59, P = 0.016) was associated with prolonged survival.ConclusionThe occult invasion in glioblastoma could be identified and quantified using structural connectome, which may confer benefits to precise patient management.


Electronics ◽  
2021 ◽  
Vol 10 (23) ◽  
pp. 2978
Author(s):  
Giovanni Chiarion ◽  
Luca Mesin

The electroencephalogram (EEG) of patients suffering from inflammatory diseases of the brain may show specific waveforms called slow biphasic complexes (SBC). Recent studies indicated a correlation between the severity of encephalitis and some features of SBCs, such as location, amplitude and frequency of appearance. Moreover, EEG rhythms were found to vary before the onset of an SBC, as if the brain was preparing to the discharge (actually with a slowing down of the EEG oscillation). Here, we investigate possible variations of EEG functional connectivity (FC) in EEGs from pediatric patients with different levels of severity of encephalitis. FC was measured by the maximal crosscorrelation of EEG rhythms in different bipolar channels. Then, the indexes of network patterns (namely strength, clustering coefficient, efficiency and characteristic path length) were estimated to characterize the global behavior when they are measured during SBCs or far from them. EEG traces showed statistical differences in the two conditions: clustering coefficient, efficiency and strength are higher close to an SBC, whereas the characteristic path length is lower. Moreover, for more severe conditions, an increase in clustering coefficient, efficiency and strength and a decrease in characteristic path length were observed in the delta–theta band. These outcomes support the hypothesis that SBCs result from the anomalous coordination of neurons in different brain areas affected by the inflammation process and indicate FC as an additional key for interpreting the EEG in encephalitis patients.


2020 ◽  
Author(s):  
Yan Zhang ◽  
QILI HU ◽  
Jiali Liang ◽  
Zhenghui Hu ◽  
Tianyi Qian ◽  
...  

Abstract BackgroundThe simultaneous multislice echo planar imaging technique can shorten the repetition time (TR) of blood oxygen level-dependent acquisition and thus acquires more information. However, little is known about the influence of higher temporal resolution on functional networks. Whether the topological organization of small-world networks is modulated in the multispectra at high temporal resolution is still unclear. Results: The network reconstruction based on the shorter TR and the finer atlas, showed significant (p<0.05, Bonferroni correction) increases in normalized clustering coefficient, small-worldness, clustering coefficient, local efficiency and global efficiency, and reductions in normalized characteristic path length and characteristic path length. ConclusionsThe shorter TR coupled with the finer atlas can positively modulate topological characteristics of brain networks. Although five multispectra present properties of small-world networks, the properties of the network in 0.082-0.1 Hz are weaker than those in 0.01-0.082 Hz. These findings provide new insights into the topological patterns of brain networks and have implications for the study of brain connectomes and their applications in brain disease.


2009 ◽  
Vol 5 (3) ◽  
pp. 233-253 ◽  
Author(s):  
Maytham Safar ◽  
Hussain Sawwan ◽  
Mahmoud Taha ◽  
Talal Al-Fadhli

Location-based applications are one of the most anticipated new segments of the mobile industry. These new applications are enabled by GPS-equipped phones (e.g., emergency applications, buddy finders, games, location-based advertising, etc.). These services are designed to give consumers instant access to personalized, local content of their immediate location. Some applications couple LBS with notification services, automatically alerting users when they are close to a pre-selected destination. With the advances in the Internet and communications/mobile technology, it became vital to analyze the effect of such technologies on human communications. This work studies how humans can construct social networks as a method for group communications using the available technologies. We constructed and analyzed a friends network using different parameters. The parameters that were calculated to analyze the network are the distribution sequence, characteristic path length, clustering coefficient and centrality measures. In addition, we built a PDA application that implements the concept of LBS using two system modules. In the first module, we have developed an application for entertainment purpose; an application program which enables end users to send their birth year and get their horoscope in return. The second part of the project was, to build an application, which helps people to stay in touch with their friends and family members (Find Friend). It helps users to find which of their buddies are within the same area they are in.


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