Measurement of axonal fiber connectivity in consciousness evaluation

Gerry Leisman, Rafael Rodríguez Rojas, Karla Batista, Maylen Carballo, Juan M. Morales, Yasser Iturria, Calixto Machado

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Background: Persistent vegetative states (PVS) and locked-in syndrome (LIS) are well-differentiated disorders of consciousness that can be reached after a localized brain injury in the brainstem. The relations of the lesion topography with the impairment in the whole-brain architecture and functional disconnections are poorly understood. Methods: Two patients (PVS and LIS) and 20 age-matched healthy volunteers were evaluated using diffusion tensor imaging (DTI). Anatomical network was modeled as a graph whose nodes are represented by 71 brain regions. Inter-region connections were quantified through Anatomical Connection Strength (ACS) and Density (ACD). Complex networks properties such as local and global efficiency and vulnerability were studied. Mass univariate testing was performed at every connection using network based statistic approach. Results: LIS patients' network showed significant differences from controls in the brainstem-thalamus-frontal cortex circuitry, while PVS patients showed a widespread disruption of anatomical connectivity in both hemispheres. Both patients showed a reorganization of network attributes, with decreased global and local efficiency, significantly more pronounced in PVS.

Original languageEnglish
Title of host publication2014 IEEE 28th Convention of Electrical and Electronics Engineers in Israel, IEEEI 2014
PublisherInstitute of Electrical and Electronics Engineers Inc.
ISBN (Electronic)9781479959877
DOIs
StatePublished - 2014
Externally publishedYes
Event2014 28th IEEE Convention of Electrical and Electronics Engineers in Israel, IEEEI 2014 - Eilat, Israel
Duration: 3 Dec 20145 Dec 2014

Publication series

Name2014 IEEE 28th Convention of Electrical and Electronics Engineers in Israel, IEEEI 2014

Conference

Conference2014 28th IEEE Convention of Electrical and Electronics Engineers in Israel, IEEEI 2014
Country/TerritoryIsrael
CityEilat
Period3/12/145/12/14

Bibliographical note

Publisher Copyright:
© Copyright 2015 IEEE All rights reserved.

Keywords

  • Consciousness
  • Diffusion tensor imaging
  • Functional disconnection
  • Graph theory
  • Locked-in syndrome
  • Persistent vegetative state

ASJC Scopus subject areas

  • Electrical and Electronic Engineering

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