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Alterations of white matter functional networks in pediatric drug-resistant temporal lobe epilepsy: A graph theory analysis study

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机构: [1]Department of Radiology, the Affiliated Hospital of Zunyi Medical University, Medical Imaging Center of Guizhou Province, Zunyi, Guizhou, China [2]Department of Radiology, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China [3]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China [4]Department of Radiology, The Second Affiliated Hospital of Guizhou University of TCM, Guiyang, Guizhou, China [5]Department of Medical Technology, Bijie Medical College, Bijie, Guizhou, China
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关键词: Children with drug-resistant temporal lobe epilepsy Rs-fMRI White matter Functional network Graph theory Cognitive

摘要:
Neurological disorder can cause functional network changes in white matter (WM). However, changes in the WM functional network in children with drug-resistant temporal lobe epilepsy (DRTLE) require further clarification. Therefore, we combine graph theory with resting-state functional magnetic resonance imaging (rs-fMRI) and T1-weighted imaging (T1WI) to investigate the topological features of the WM network in children with DRTLE, discover potential biomarkers, and understand the underlying neurological mechanisms. We included 91 children (43 with DRTLE and 48 healthy controls), acquiring structural and functional MRI data to construct WM functional networks. Graph theory was applied to evaluate topological differences and their correlation with onset age, disease duration and cognitive measures. A Support Vector Machine model classified individuals with DRTLE based on WM connectivity, with accuracy validated through leave-one-out cross-validation. The global topological properties of the WM network in children with DRTLE were altered, manifesting as an imbalance between global integration and segregation Local nodal efficiency changes in the association fibers exhibited reduced information transfer and centrality at several nodes. Conversely, commissural and projection fibers displayed increased network properties. Cognitive metrics correlated with nodal disturbances. The classification model achieved 73.6 % accuracy and an area under the curve (AUC) of 0.744. This indicates that the WM functional network in DRTLE presents with anomalies in the topological attributes, which are associated with cognitive impairments. The WM functional connectivity may serve as valuable indicators for clinical classification of the condition. The insights provided have augmented our understanding of the complex neurological mechanisms involved in epilepsy.Copyright © 2025. Published by Elsevier Inc.

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大类 | 3 区 医学
小类 | 3 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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第一作者机构: [1]Department of Radiology, the Affiliated Hospital of Zunyi Medical University, Medical Imaging Center of Guizhou Province, Zunyi, Guizhou, China
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通讯机构: [1]Department of Radiology, the Affiliated Hospital of Zunyi Medical University, Medical Imaging Center of Guizhou Province, Zunyi, Guizhou, China [5]Department of Medical Technology, Bijie Medical College, Bijie, Guizhou, China
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