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Research ArticleFunctional

Functional MRI Shows Altered Deactivation and a Corresponding Decrease in Functional Connectivity of the Default Mode Network in Patients with Gliomas

Y.M. Maniar, K.K. Peck, M. Jenabi, M. Gene and A.I. Holodny
American Journal of Neuroradiology August 2021, 42 (8) 1505-1512; DOI: https://doi.org/10.3174/ajnr.A7138
Y.M. Maniar
aFrom the Department of Radiology (Y.M.M., K.K.P., M.J., M.G., A.I.H.), Memorial Sloan Kettering Cancer Center, New York, New York
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K.K. Peck
aFrom the Department of Radiology (Y.M.M., K.K.P., M.J., M.G., A.I.H.), Memorial Sloan Kettering Cancer Center, New York, New York
bDepartment of Medical Physics (K.K.P.), Memorial Sloan Kettering Cancer Center, New York, New York
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M. Jenabi
aFrom the Department of Radiology (Y.M.M., K.K.P., M.J., M.G., A.I.H.), Memorial Sloan Kettering Cancer Center, New York, New York
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M. Gene
aFrom the Department of Radiology (Y.M.M., K.K.P., M.J., M.G., A.I.H.), Memorial Sloan Kettering Cancer Center, New York, New York
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A.I. Holodny
aFrom the Department of Radiology (Y.M.M., K.K.P., M.J., M.G., A.I.H.), Memorial Sloan Kettering Cancer Center, New York, New York
cDepartment of Radiology (A.I.H.), Weill Medical College of Cornell University, New York, New York
dDepartment of Neuroscience (A.I.H.), Weill-Cornell Graduate School of the Medical Sciences, New York, New York
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  • FIG 1.
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    FIG 1.

    Group correlation maps for controls (n = 10). A, Group analysis map created from task-paradigm correlation maps (2 axial views). A positive correlation (orange) in the Broca area can be seen in the left hemisphere. A negative correlation (blue) in the DMN is also apparent. The 4 major DMN regions (PCC, mPFC, LIPL, and RIPL) are clearly anticorrelated, and the left-hemisphere Broca area is positively correlated with the language task. B, Mean group analysis map (t = 6, P < .001) created from PCC ROI task-based correlation maps. DMN connectivity is apparent (orange). As expected, the regions of strongest connectivity to the PCC are the other major DMN regions. Thus, this figure illustrates a baseline level of DMN FC in healthy controls that can be visualized using the tb-fMRI correlation map with a PCC ROI.

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    FIG 2.

    Examples of correlation maps in an axial view for patients with gliomas in different locations (patient A, posterior DMN; patient B, anterior DMN; patient C, outside DMN). The first row of images shows task-paradigm correlation maps. Blue represents areas of negative correlation, and orange represents areas of positive correlation to the language task. The second row of images illustrates the PCC ROI task-based fMRI correlation maps. Red and yellow represent areas of increased connectivity to the PCC ROI. The third row of images illustrates PCC ROI resting-state fMRI correlation maps. Patient A has a right-hemisphere glioblastoma invading the posterior DMN. Patient B has a left-hemisphere anaplastic oligodendroglioma invading the anterior DMN. Patient C has a left-hemisphere oligodendroglioma outside the DMN. The first 2 rows demonstrate a decreased anticorrelation in the DMN in the area of the tumor that corresponds to a decrease in both resting-state and task-based fMRI connectivity.

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    FIG 3.

    Box-and-whisker plots illustrating the distribution of average correlation values in the term of task-induced deactivation of PCC region of the DMN for controls and patients by tumor location (A), tumor hemisphere (C), and tumor grade (E) and average correlation values of the mPFC region of the DMN for controls and patients in both the PCC ROI task-based correlation map and the PCC ROI resting-state correlation map by tumor location (B), tumor hemisphere (D), and tumor grade (F) .

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    FIG 4.

    Box-and-whisker plots illustrating the ratio of the average correlation values of nontumor/tumor IPL versus tumor location for patients and of left/right IPL versus tumor location for controls in task-based fMRI (A) and resting-state fMRI (B).

Tables

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    CharacteristicPatients (n = 30)
    Age (mean, range) (yr)46.1, 19–79
    Sex
        Male19
        Female11
    Handedness
        Right25
        Left5
    Tumor hemisphere
        Right7
        Left23
    Tumor location
        Posterior DMN14
        Anterior DMN8
        Outside DMN8
    Tumor grade
        II11 (5 Astrocytomas, 6 oligodendrogliomas)
        III7 (3 Anaplastic astrocytomas, 3 anaplastic oligodendrogliomas, 1 anaplastic ganglioglioma)
        IV12 Glioblastomas
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American Journal of Neuroradiology: 42 (8)
American Journal of Neuroradiology
Vol. 42, Issue 8
1 Aug 2021
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Cite this article
Y.M. Maniar, K.K. Peck, M. Jenabi, M. Gene, A.I. Holodny
Functional MRI Shows Altered Deactivation and a Corresponding Decrease in Functional Connectivity of the Default Mode Network in Patients with Gliomas
American Journal of Neuroradiology Aug 2021, 42 (8) 1505-1512; DOI: 10.3174/ajnr.A7138

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Functional MRI Shows Altered Deactivation and a Corresponding Decrease in Functional Connectivity of the Default Mode Network in Patients with Gliomas
Y.M. Maniar, K.K. Peck, M. Jenabi, M. Gene, A.I. Holodny
American Journal of Neuroradiology Aug 2021, 42 (8) 1505-1512; DOI: 10.3174/ajnr.A7138
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