López Maria E, Engels Marjolein M A, van Straaten Elisabeth C W, Bajo Ricardo, Delgado María L, Scheltens Philip, Hillebrand Arjan, Stam Cornelis J, Maestú Fernando
Laboratory of Neuropsychology, Universitat de les Illes BalearsPalma de Mallorca, Spain.
Networking Research Center on Bioengineering, Biomaterials and NanomedicineMadrid, Spain.
Front Aging Neurosci. 2017 Apr 25;9:107. doi: 10.3389/fnagi.2017.00107. eCollection 2017.
Subjects with mild cognitive impairment (MCI) have an increased risk of developing Alzheimer's disease (AD), and their functional brain networks are presumably already altered. To test this hypothesis, we compared magnetoencephalography (MEG) eyes-closed resting-state recordings from 29 MCI subjects and 29 healthy elderly subjects in the present exploratory study. Functional connectivity in different frequency bands was assessed with the phase lag index (PLI) in source space. Normalized weighted clustering coefficient (normalized Cw) and path length (normalized Lw), as well as network measures derived from the minimum spanning tree [MST; i.e., betweenness centrality (BC) and node degree], were calculated. First, we found altered PLI values in the lower and upper alpha bands in MCI patients compared to controls. Thereafter, we explored network differences in these frequency bands. Normalized Cw and Lw did not differ between the groups, whereas BC and node degree of the MST differed, although these differences did not survive correction for multiple testing using the False Discovery Rate (FDR). As an exploratory study, we may conclude that: (1) the increases and decreases observed in PLI values in lower and upper alpha bands in MCI patients may be interpreted as a dual pattern of disconnection and aberrant functioning; (2) network measures are in line with connectivity findings, indicating a lower efficiency of the brain networks in MCI patients; (3) the MST centrality measures are more sensitive to detect subtle differences in the functional brain networks in MCI than traditional graph theoretical metrics.
轻度认知障碍(MCI)患者患阿尔茨海默病(AD)的风险增加,其大脑功能网络可能已经发生改变。为了验证这一假设,在本探索性研究中,我们比较了29名MCI患者和29名健康老年人闭眼静息状态下的脑磁图(MEG)记录。在源空间中,使用相位滞后指数(PLI)评估不同频段的功能连接性。计算归一化加权聚类系数(归一化Cw)和路径长度(归一化Lw),以及从最小生成树[MST;即介数中心性(BC)和节点度]导出的网络指标。首先,我们发现与对照组相比,MCI患者在上下α频段的PLI值发生了改变。此后,我们探索了这些频段的网络差异。两组之间的归一化Cw和Lw没有差异,而MST的BC和节点度存在差异,尽管使用错误发现率(FDR)进行多重检验校正后,这些差异并不显著。作为一项探索性研究,我们可以得出以下结论:(1)MCI患者上下α频段PLI值的增加和减少可能被解释为断开连接和功能异常的双重模式;(2)网络指标与连接性研究结果一致,表明MCI患者大脑网络的效率较低;(3)与传统的图论指标相比,MST中心性指标在检测MCI患者大脑功能网络的细微差异方面更敏感。