Journal Article DZNE-2020-06890

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The inner fluctuations of the brain in presymptomatic Frontotemporal Dementia: The chronnectome fingerprint.

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2019
Academic Press Orlando, Fla.

NeuroImage 189, 645-654 () [10.1016/j.neuroimage.2019.01.080]

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Abstract: Frontotemporal Dementia (FTD) is preceded by a long period of subtle brain changes, occurring in the absence of overt cognitive symptoms, that need to be still fully characterized. Dynamic network analysis based on resting-state magnetic resonance imaging (rs-fMRI) is a potentially powerful tool for the study of preclinical FTD. In the present study, we employed a 'chronnectome' approach (recurring, time-varying patterns of connectivity) to evaluate measures of dynamic connectivity in 472 at-risk FTD subjects from the Genetic Frontotemporal dementia research Initiative (GENFI) cohort. We considered 249 subjects with FTD-related pathogenetic mutations and 223 mutation non-carriers (HC). Dynamic connectivity was evaluated using independent component analysis and sliding-time window correlation to rs-fMRI data, and meta-state measures of global brain flexibility were extracted. Results show that presymptomatic FTD exhibits diminished dynamic fluidity, visiting less meta-states, shifting less often across them, and travelling through a narrowed meta-state distance, as compared to HC. Dynamic connectivity changes characterize preclinical FTD, arguing for the desynchronization of the inner fluctuations of the brain. These changes antedate clinical symptoms, and might represent an early signature of FTD to be used as a biomarker in clinical trials.

Keyword(s): Adult (MeSH) ; Connectome: methods (MeSH) ; Female (MeSH) ; Frontotemporal Dementia: diagnostic imaging (MeSH) ; Frontotemporal Dementia: genetics (MeSH) ; Frontotemporal Dementia: physiopathology (MeSH) ; Heterozygote (MeSH) ; Humans (MeSH) ; Magnetic Resonance Imaging (MeSH) ; Male (MeSH) ; Middle Aged (MeSH) ; Nerve Net: diagnostic imaging (MeSH) ; Nerve Net: physiopathology (MeSH) ; Prodromal Symptoms (MeSH) ; Time Factors (MeSH)

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Contributing Institute(s):
  1. U Clinical Researchers - München (U Clinical Researchers - München)
  2. Clinical Neurodegeneration (AG Levin)
Research Program(s):
  1. 344 - Clinical and Health Care Research (POF3-344) (POF3-344)

Appears in the scientific report 2019
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Medline ; Creative Commons Attribution-NonCommercial-NoDerivs CC BY-NC-ND 4.0 ; OpenAccess ; BIOSIS Previews ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; DOAJ Seal ; Ebsco Academic Search ; IF >= 5 ; JCR ; NationallizenzNationallizenz ; SCOPUS ; Web of Science Core Collection
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 Record created 2020-02-18, last modified 2024-05-29


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