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Research ArticleBrain
Open Access

Modeling the Relationship among Gray Matter Atrophy, Abnormalities in Connecting White Matter, and Cognitive Performance in Early Multiple Sclerosis

A.F. Kuceyeski, W. Vargas, M. Dayan, E. Monohan, C. Blackwell, A. Raj, K. Fujimoto and S.A. Gauthier
American Journal of Neuroradiology April 2015, 36 (4) 702-709; DOI: https://doi.org/10.3174/ajnr.A4165
A.F. Kuceyeski
aFrom the Departments of Radiology (A.F.K., M.D., A.R.)
cThe Brain and Mind Research Institute (A.F.K., A.R., S.A.G.), Weill Cornell Medical College, New York, New York.
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  • ORCID record for A.F. Kuceyeski
W. Vargas
bNeurology (W.V., E.M., C.B., K.F., S.A.G.)
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M. Dayan
aFrom the Departments of Radiology (A.F.K., M.D., A.R.)
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E. Monohan
bNeurology (W.V., E.M., C.B., K.F., S.A.G.)
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C. Blackwell
bNeurology (W.V., E.M., C.B., K.F., S.A.G.)
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A. Raj
aFrom the Departments of Radiology (A.F.K., M.D., A.R.)
cThe Brain and Mind Research Institute (A.F.K., A.R., S.A.G.), Weill Cornell Medical College, New York, New York.
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K. Fujimoto
bNeurology (W.V., E.M., C.B., K.F., S.A.G.)
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S.A. Gauthier
bNeurology (W.V., E.M., C.B., K.F., S.A.G.)
cThe Brain and Mind Research Institute (A.F.K., A.R., S.A.G.), Weill Cornell Medical College, New York, New York.
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    Fig 1.

    The workflow for the NeMo Tool and some examples. T2 FLAIR lesion (blue) and RD abnormality masks (red) were created and normalized to Montreal Neurological Institute space (left). The NeMo Tool was used to calculate the Change in Connectivity score that quantifies the effect of those areas of abnormality on regional structural connectivity (middle). ChaCo scores are shown for the T2 FLAIR lesions and RD abnormality masks for 3 particular individuals via the glass brain display (right). Each region in the atlas is represented by a sphere at its center whose color denotes functional membership (blue indicates visual; magenta, somatomotor; green, dorsal attention; red, ventral attention; cyan, limbic; yellow, frontoparietal; black, default mode; orange, cerebellar/subcortical) and whose size indicates the amount of connectivity abnormalities (larger indicates more connectivity abnormalities). Note that the T2 FLAIR WM lesion-based ChaCo spheres are at a scale that is 10 times that of the RD-based ChaCo spheres for visibility.

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    Fig 2.

    Median ChaCo for the 2 abnormality masks (T2 FLAIR lesions and RD abnormalities), mean atrophy, and corresponding correlation over 121 patients with MS. Each sphere indicates the center of a given gray matter region, while the color denotes functional network membership (blue indicates visual; magenta, somatomotor; green, dorsal attention; red, ventral attention; cyan, limbic; yellow, frontoparietal; black, default mode; orange, cerebellar/subcortical). Larger spheres indicate more connectivity abnormalities, more atrophy, or higher correlation, respectively. Note that the T2 FLAIR WM lesion-based ChaCo spheres are at a scale that is 10 times that of the RD-based ChaCo spheres for visibility.

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    Fig 3.

    Partial least-squares regression results. A, The predicted versus actual normalized SDMT scores for the 2 models (T2 FLAIR lesion-based ChaCo and RD abnormality–based ChaCo), along with the R2 value in the legend. The red line represents perfect prediction (x = y). B, Glass brain displays show regression coefficients for the ChaCo scores (top row) and atrophy (bottom row) of each gray matter region for the T2 FLAIR–based PLSR model. Sphere color denotes that the regression coefficient was the following: 1) nonzero and positive (blue), 2) nonzero and negative (red), or 3) not significantly different from zero (black). Sphere size is proportional to the mean of the bootstrapped sample of the regression coefficient. C, Same plot as in B, but for the RD abnormality–based PLSR model.

Tables

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  • Demographics (mean ± standard deviation) for the early MS cohort and the healthy control group

    All Subjects with MSSubgroup of Subjects with MS with SDMTHealthy Controls
    Total No.1216615
    Female77449
    Age (yr)37.5 ± 9.836.5 ± 9.336.3 ± 13.2
    Disease duration2.1 ± 1.51.6 ± 1.5NA
    SDMTN/A49.8 ± 10.5NA
    EDSS1.2 ± 1.41.04 ± 1.06NA
    • Note:—EDSS indicates Expanded Disability Status Scale; NA, not applicable.

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American Journal of Neuroradiology: 36 (4)
American Journal of Neuroradiology
Vol. 36, Issue 4
1 Apr 2015
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A.F. Kuceyeski, W. Vargas, M. Dayan, E. Monohan, C. Blackwell, A. Raj, K. Fujimoto, S.A. Gauthier
Modeling the Relationship among Gray Matter Atrophy, Abnormalities in Connecting White Matter, and Cognitive Performance in Early Multiple Sclerosis
American Journal of Neuroradiology Apr 2015, 36 (4) 702-709; DOI: 10.3174/ajnr.A4165

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Modeling the Relationship among Gray Matter Atrophy, Abnormalities in Connecting White Matter, and Cognitive Performance in Early Multiple Sclerosis
A.F. Kuceyeski, W. Vargas, M. Dayan, E. Monohan, C. Blackwell, A. Raj, K. Fujimoto, S.A. Gauthier
American Journal of Neuroradiology Apr 2015, 36 (4) 702-709; DOI: 10.3174/ajnr.A4165
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