Functional connectivity in the dorsal network of the cervical spinal cord is correlated with diffusion tensor imaging indices in relapsing-remitting multiple sclerosis
Year: 2022
Type: article
Study design: Observational Study
Abstract: Focal lesions may affect functional connectivity (FC) of the ventral and dorsal networks in the cervical spinal cord of people with relapsing-remitting multiple sclerosis (RRMS). Resting-state FC can be measured using functional MRI (fMRI) at 3T. This study sought to determine whether alterations in FC may be related to the degree of damage in the normal-appearing tissue. Tissue integrity and FC in the cervical spinal cord were assessed with diffusion tensor imaging (DTI) and resting-state fMRI, respectively, in a group of 26 RRMS participants with high cervical lesion load, low disability, and minimally impaired sensorimotor function, and healthy controls. Lower fractional anisotropy (FA) and higher radial diffusivity (RD) were observed in the normal-appearing white matter in the RRMS group relative to controls. Average FC in ventral and dorsal networks was similar between groups. Significant associations were found between higher FC in the dorsal sensory network and several DTI markers of pathology in the normal-appearing tissue. In the normal-appearing grey matter, dorsal FC was positively correlated with axial diffusivity (AD) (r = 0.46, p = 0.020) and mean diffusivity (MD) (r = 0.43, p = 0.032). In the normal-appearing white matter, dorsal FC was negatively correlated with FA (r = -0.43, p = 0.028) and positively correlated with RD (r = 0.49, p = 0.012), AD (r = 0.42, p = 0.037) and MD (r = 0.53, p = 0.006). These results suggest that increased connectivity, while remaining within the normal range, may represent a compensatory mechanism in response to structural damage in support of preserved sensory function in RRMS.
Source: NeuroImage Clinical
Language: English
Subfield: Cognitive Neuroscience
Field: Neuroscience
Domain: Life Sciences
Open Access status: gold
Estimated APC paid: $3,240
Funders: U.S. Department of Veterans Affairs, National Multiple Sclerosis Society, Conrad N. Hilton Foundation, McKnight Foundation, Biogen, Radiological Society of North America, Biogen Idec, Vanderbilt University, Health Services Research and Development, National Institutes of Health, National Institute of Neurological Disorders and Stroke, National Institute of Biomedical Imaging and Bioengineering, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: G1095239896, G2127447307, G343284600, G3715356867, Replacement and Upgrade of a 3T MR Scanner for Research, G4048889152, G4067308512, Development of Advanced MRI for the Thoracolumbar Spinal Cord for Clinical Application, Longitudinal Measurement of Neurodegeneration in two Murine Models of Multiple Sclerosis: A Clinical and Histopathologic Validation Study, G5334109386, G6399140587, G7141493235, G7696535309, G770256197, G8620326619, Resting State FMRI as a Biomarker of Functional Integrity of Spinal Cord, G9000047303, Microstructure and connectivity modeling from the cortex to the spinal cord in Multiple Sclerosis, Evaluating Advanced Diffusion of the Human Spinal Cord: Application to MS, Institutional Career Development Core
OpenAlex ID: W4288056760
