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Mapping Brain Lesions to Conduction Delays: The Next Step for Personalized Brain Models in Multiple Sclerosis.

作者信息

Mazzara C, Ziaeemehr A, Troisi Lopez E, Cipriano L, Angiolelli M, Sparaco M, Quarantelli M, Granata C, Sorrentino G, Hashemi M, Jirsa V, Sorrentino P

机构信息

Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (PROMISE) G. D'alessandro, University of Palermo, Palermo, Italy.

Institute of Biophysics, National Research Council, Palermo, Italy.

出版信息

Hum Brain Mapp. 2025 May;46(7):e70219. doi: 10.1002/hbm.70219.


DOI:10.1002/hbm.70219
PMID:40317832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048862/
Abstract

Multiple sclerosis (MS) is a clinically heterogeneous, multifactorial autoimmune disorder affecting the central nervous system. Structural damage to the myelin sheath, resulting in the consequent slowing of the conduction velocities, is a key pathophysiological mechanism. In fact, the conduction velocities are closely related to the degree of myelination, with thicker myelin sheaths associated to higher conduction velocities. However, how the intensity of the structural lesions of the myelin translates to slowing of nerve conduction delays is not known. In this work, we use large-scale brain models and Bayesian model inversion to estimate how myelin lesions translate to longer conduction delays across the damaged tracts. A cohort of 38 subjects (20 healthy and 18 with MS) underwent MEG recordings during an eyes-closed resting-state condition, along with MRI acquisitions and detailed white matter tractography analysis. We observed that MS patients consistently showed decreased power within the alpha frequency band (8-13 Hz) as compared to the healthy group. We also derived a lesion matrix indicating the percentage of lesions for each tract in every patient. Using large-scale brain modeling, the neural activity of each region was represented as a Stuart-Landau oscillator operating in a regime showing damped oscillations, and the regions were coupled according to subject-specific connectomes. We propose a linear formulation to the relationship between the conduction delays and the amount of structural damage in each white matter tract. Dependent upon the parameter , this function translates lesions into edge-specific conduction delays (leading to shifts in the power spectra). Using deep neural density estimators, we found that the estimation of showed a strong correlation with the alpha peak in MEG recordings. The most probable inferred for each subject is inversely proportional to the observed peaks, while power peaks themselves do not correlate with total lesion volume. Furthermore, the estimated parameters were predictive (cross-sectionally) of individual clinical disability. This study represents the initial exploration showcasing the location-specific impact of myelin lesions on conduction delays, thereby enhancing the customization of models for individuals with multiple sclerosis.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/6187987fbd64/HBM-46-e70219-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/f9490dd0e31f/HBM-46-e70219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/5a92b10bed29/HBM-46-e70219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/b6d9b80796aa/HBM-46-e70219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/6187987fbd64/HBM-46-e70219-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/f9490dd0e31f/HBM-46-e70219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/5a92b10bed29/HBM-46-e70219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/b6d9b80796aa/HBM-46-e70219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/12048862/6187987fbd64/HBM-46-e70219-g005.jpg

相似文献

[1]
Mapping Brain Lesions to Conduction Delays: The Next Step for Personalized Brain Models in Multiple Sclerosis.

Hum Brain Mapp. 2025-5

[2]
Conduction delays in the visual pathways of progressive multiple sclerosis patients covary with brain structure.

Neuroimage. 2020-11-1

[3]
Whole-Brain Propagation Delays in Multiple Sclerosis, a Combined Tractography-Magnetoencephalography Study.

J Neurosci. 2022-11-23

[4]
Tractography in the presence of multiple sclerosis lesions.

Neuroimage. 2020-4-1

[5]
Myelin and axon pathology in multiple sclerosis assessed by myelin water and multi-shell diffusion imaging.

Brain. 2021-7-28

[6]
Comparing myelin-sensitive magnetic resonance imaging measures and resulting g-ratios in healthy and multiple sclerosis brains.

Neuroimage. 2022-12-1

[7]
Long-range connections are more severely damaged and relevant for cognition in multiple sclerosis.

Brain. 2020-1-1

[8]
Diffusivity in multiple sclerosis lesions: At the cutting edge?

Neuroimage Clin. 2016-7-5

[9]
Assessing the differential sensitivities of wave-CAIPI ViSTa myelin water fraction and magnetization transfer saturation for efficiently quantifying tissue damage in MS.

Mult Scler Relat Disord. 2021-11

[10]
In vivo characterization of cortical and white matter neuroaxonal pathology in early multiple sclerosis.

Brain. 2017-11-1

本文引用的文献

[1]
The virtual multiple sclerosis patient.

iScience. 2024-5-24

[2]
Virtual brain twins: from basic neuroscience to clinical use.

Natl Sci Rev. 2024-2-28

[3]
Metastable oscillatory modes emerge from synchronization in the brain spacetime connectome.

Commun Phys. 2022-7-15

[4]
Computational modeling of whole-brain dynamics: a review of neurosurgical applications.

J Neurosurg. 2024-1-1

[5]
Amortized Bayesian inference on generative dynamical network models of epilepsy using deep neural density estimators.

Neural Netw. 2023-6

[6]
Personalised virtual brain models in epilepsy.

Lancet Neurol. 2023-5

[7]
Delineating epileptogenic networks using brain imaging data and personalized modeling in drug-resistant epilepsy.

Sci Transl Med. 2023-1-25

[8]
The Role of Alpha Oscillations among the Main Neuropsychiatric Disorders in the Adult and Developing Human Brain: Evidence from the Last 10 Years of Research.

Biomedicines. 2022-12-8

[9]
Whole-Brain Propagation Delays in Multiple Sclerosis, a Combined Tractography-Magnetoencephalography Study.

J Neurosci. 2022-11-23

[10]
Whole-Brain Network Models: From Physics to Bedside.

Front Comput Neurosci. 2022-5-26

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