1 Division of Geriatrics and General Internal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia .
2 Department of Radiology and Imaging Sciences, Emory University School of Medicine , Atlanta, Georgia .
Brain Connect. 2017 Sep;7(7):401-412. doi: 10.1089/brain.2017.0509. Epub 2017 Aug 10.
Previous functional magnetic resonance imaging (fMRI) investigations suggest that the intrinsically organized large-scale networks and the interaction between them might be crucial for cognitive activities. A triple network model, which consists of the default-mode network, salience network, and central-executive network, has been recently used to understand the connectivity patterns of the cognitively normal brains versus the brains with disorders. This model suggests that the salience network dynamically controls the default-mode and central-executive networks in healthy young individuals. However, the patterns of interactions have remained largely unknown in healthy aging or those with cognitive decline. In this study, we assess the patterns of interactions between the three networks using dynamical causal modeling in resting state fMRI data and compare them between subjects with normal cognition and mild cognitive impairment (MCI). In healthy elderly subjects, our analysis showed that the salience network, especially its dorsal subnetwork, modulates the interaction between the default-mode network and the central-executive network (Mann-Whitney U test; p < 0.05), which was consistent with the pattern of interaction reported in young adults. In contrast, this pattern of modulation by salience network was disrupted in MCI (p < 0.05). Furthermore, the degree of disruption in salience network control correlated significantly with lower overall cognitive performance measured by Montreal Cognitive Assessment (r = 0.295; p < 0.05). This study suggests that a disruption of the salience network control, especially the dorsal salience network, over other networks provides a neuronal basis for cognitive decline and may be a candidate neuroimaging biomarker of cognitive impairment.
先前的功能磁共振成像(fMRI)研究表明,内在组织的大规模网络及其之间的相互作用可能对认知活动至关重要。最近,使用三重网络模型(由默认模式网络、突显网络和中央执行网络组成)来理解认知正常大脑与障碍大脑的连接模式。该模型表明,突显网络在健康年轻人中动态控制默认模式和中央执行网络。然而,在健康衰老或认知能力下降的人群中,交互模式在很大程度上仍不清楚。在这项研究中,我们使用静息态 fMRI 数据中的动态因果建模来评估三个网络之间的相互作用模式,并在认知正常和轻度认知障碍(MCI)的受试者之间进行比较。在健康的老年受试者中,我们的分析表明,突显网络,特别是其背侧子网,调节默认模式网络和中央执行网络之间的相互作用(Mann-Whitney U 检验;p<0.05),这与年轻人报告的相互作用模式一致。相比之下,在 MCI 中,这种突显网络调节的模式被破坏(p<0.05)。此外,突显网络控制的破坏程度与蒙特利尔认知评估(MoCA)测量的整体认知表现显著相关(r=0.295;p<0.05)。这项研究表明,突显网络控制的破坏,特别是背侧突显网络,对其他网络的控制破坏为认知下降提供了神经基础,并且可能是认知障碍的候选神经影像学生物标志物。