Abstract
Contralateral regions play critical role in functional compensation in glioma patients. Voxel-mirrored homotopic connectivity (VMHC) characterizes the internal functional connectivity of the brain, which is considered to have a regional functional basis. This study aims to investigate the alterations of brain regional function and VMHC in patients with frontal glioma, and further investigate physiological significance of these alterations. We enrolled 22 patients with frontal glioma and 22 demography matched healthy controls (HC). We determined degree centrality (DC), regional homogeneity (ReHo), and VMHC to investigate the alterations of regional function and internal functional connectivity in patients. Furthermore, partial correlation analysis was conducted to explore the relationship between these indicators and cognitive functions.Compared with HC, patients showed decrease in static VMHC, DC, ReHo and dynamic ReHo (dReHo) within right middle frontal gyrus (MFG.R), left middle frontal gyrus (MFG.L), right precuneus(PCUN.R), left precuneus(PCUN.L), left limbic lobe (LIMB.L), right superior frontal gyrus (SFG.R), right postcentral gyrus (POCG.R), right inferior parietal lobule (IPL.R), but increase in dynamic VMHC (dVMHC) within PCUN.R and PCUN.L. Meanwhile, MFG.R with decreased VMHC, LIMB.L with decreased DC, LIMB.L with decreased ReHo, and PCUN.R with increased dVMHC were significantly positively correlated with cognitive function, but the SFG.R with decreased DC was significantly negatively correlated with memory. This study preliminarily confirmed glioma not only cause regional dysfunction, but also disturb long-distance functional connectivity, and the long-distance functional connectivity showed strong instability in patients with frontal glioma. Meanwhile, the altered functional indicators may compensate cognitive function in patients with frontal glioma.