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Individual-level metabolic connectivity from dynamic [F]FDG PET reveals glioma-induced impairments in brain architecture and offers novel insights beyond the SUVR clinical standard.

作者信息

Vallini Giulia, Silvestri Erica, Volpi Tommaso, Lee John J, Vlassenko Andrei G, Goyal Manu S, Cecchin Diego, Corbetta Maurizio, Bertoldo Alessandra

机构信息

Department of Information Engineering, University of Padova, Padova, Italy.

Padova Neuroscience Center, University of Padova, Padova, Italy.

出版信息

Eur J Nucl Med Mol Imaging. 2025 Feb;52(3):836-850. doi: 10.1007/s00259-024-06956-8. Epub 2024 Oct 30.


DOI:10.1007/s00259-024-06956-8
PMID:39472368
Abstract

PURPOSE: This study evaluates the potential of within-individual Metabolic Connectivity (wi-MC), from dynamic [F]FDG PET data, based on the Euclidean Similarity method. This approach leverages the biological information of the tracer's full temporal dynamics, enabling the direct extraction of individual metabolic connectomes. Specifically, the proposed framework, applied to glioma pathology, seeks to assess sensitivity to metabolic dysfunctions in the whole brain, while simultaneously providing further insights into the pathophysiological mechanisms regulating glioma progression. METHODS: We designed an index (Distance from Healthy Group, DfHG) based on the alteration of wi-MC in each patient (n = 44) compared to a healthy reference (from 57 healthy controls), to individually quantify metabolic connectivity abnormalities, resulting in an Impairment Map highlighting significantly compromised areas. We then assessed whether our measure of metabolic network alteration is associated with well-established markers of disease severity (tumor grade and volume, with and without edema). Subsequently, we investigated disruptions in wi-MC homotopic connectivity, assessing both affected and seemingly healthy tissue to deepen the pathology's impact on neural communication. Finally, we compared network impairments with local metabolic alterations determined from SUVR, a validated diagnostic tool in clinical practice. RESULTS: Our framework revealed how gliomas cause extensive alterations in the topography of brain networks, even in structurally unaffected regions outside the lesion area, with a significant reduction in connectivity between contralateral homologous regions. High-grade gliomas have a stronger impact on brain networks, and edema plays a mediating role in global metabolic alterations. As compared to the conventional SUVR-based analysis, our approach offers a more holistic view of the disease burden in individual patients, providing interesting additional insights into glioma-related alterations. CONCLUSION: Considering our results, individual PET connectivity estimates could hold significant clinical value, potentially allowing the identification of new prognostic factors and personalized treatment in gliomas or other focal pathologies.

摘要

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Individual-level metabolic connectivity from dynamic [F]FDG PET reveals glioma-induced impairments in brain architecture and offers novel insights beyond the SUVR clinical standard.

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引用本文的文献

[1]
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[2]
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本文引用的文献

[1]
Altered whole-brain functional network in patients with frontal low-grade gliomas: a resting-state functional MRI study.

Neuroradiology. 2024-5

[2]
The neuroscience of cancer.

Nature. 2023-6

[3]
Homotopic local-global parcellation of the human cerebral cortex from resting-state functional connectivity.

Neuroimage. 2023-6

[4]
Brain connectomics: time for a molecular imaging perspective?

Trends Cogn Sci. 2023-4

[5]
Identifying the individual metabolic abnormities from a systemic perspective using whole-body PET imaging.

Eur J Nucl Med Mol Imaging. 2022-7

[6]
Hemodynamic and metabolic correspondence of resting-state voxel-based physiological metrics in healthy adults.

Neuroimage. 2022-4-15

[7]
Brain and other central nervous system tumor statistics, 2021.

CA Cancer J Clin. 2021-9

[8]
Metabolic and Hemodynamic Resting-State Connectivity of the Human Brain: A High-Temporal Resolution Simultaneous BOLD-fMRI and FDG-fPET Multimodality Study.

Cereb Cortex. 2021-5-10

[9]
Functional connectivity within glioblastoma impacts overall survival.

Neuro Oncol. 2021-3-25

[10]
Neuronal signatures in cancer.

Int J Cancer. 2020-12-15

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