Tracking Functional Connectivity

Functional magnetic resonance imaging (fMRI) has been widely utilized to study the motor deficits and rehabilitation following stroke. In particular, functional connectivity(FC) analyses with fMRI at rest can be employed to reveal the neural connectivity rationale behind this post-stroke motor function impairment and recovery. However, the methods and findings have not been summarized in a review focusing on post-stroke functional connectivity analysis. In this context, we broadly review the static functional connectivity network analysis (SFC) and dynamic functional connectivity network analysis (DFC) for post-stroke motor dysfunction patients, aiming to provide method guides and the latest findings regarding post-stroke motor function recovery. Specifically, a brief overview of the SFC and DFC methods for fMRI analysis is provided, along with the preprocessing and denoising procedures that go into these methods. Following that, the current status of research in functional connectivity networks for post-stoke patients under these two views was synthesized individually. Results show that SFC is the most frequent post-stroke functional connectivity analysis method. The SFC findings demonstrate that the stroke lesion reduces FC between motor areas, and the FC increase positively correlates with functional recovery. Meanwhile, the current DFC analysis in post-stroke has just been uncovered as the tip of the iceberg of its prospect, and its exceptionally rapidly progressing development can be expected.

Introduction: Functional magnetic resonance imaging (fMRI) has shown that aging disturbs healthy brain organization and functional connectivity. However, how this age-induced alteration impacts dynamic brain function interaction has not yet been fully investigated. Dynamic function network connectivity (DFNC) analysis can produce a brain representation based on the time-varying network connectivity changes, which can be further used to study the brain aging mechanism for people at different age stages. Method: This presented investigation examined the dynamic functional connectivity representation and its relationship with brain age for people at an elderly stage as well as in early adulthood. Specifically, the resting-state fMRI data from the University of North Carolina cohort of 34 young adults and 28 elderly participants were fed into a DFNC analysis pipeline. This DFNC pipeline forms an integrated dynamic functional connectivity (FC) analysis framework, which consists of brain functional network parcellation, dynamic FC feature extraction, and FC dynamics examination. Results: The statistical analysis demonstrates that extensive dynamic connection changes in the elderly concerning the transient brain state and the method of functional interaction in the brain. In addition, various machine learning algorithms have been developed to verify the ability of dynamic FC features to distinguish the age stage. The fraction time of DFNC states has the highest performance, which can achieve a classification accuracy of over 88% by a decision tree. Discussion: The results proved there are dynamic FC alterations in the elderly, and the alteration was found to be correlated with mnemonic discrimination ability and could have an impact on the balance of functional integration and segregation.

The brain continually reorganizes its functional network to adapt to post-stroke functional impairments. Previous studies using static modularity analysis have presented global-level behavior patterns of this network reorganization. However, it is far from understood how the brain reconfigures its functional network dynamically following a stroke. This study collected resting-state functional MRI data from 15 stroke patients, with mild (n = 6) and severe (n = 9) two subgroups based on their clinical symptoms. Additionally, 15 age-matched healthy subjects were considered as controls. By applying a multilayer network method, a dynamic modular structure was recognized based on a time-resolved function network. Then dynamic network measurements (recruitment, integration, and flexibility) were calculated to characterize the dynamic reconfiguration of post-stroke brain functional networks, hence, to reveal the neural functional rebuilding process. It was found from this investigation that severe patients tended to have reduced recruitment and increased between-network integration, while mild patients exhibited low network flexibility and less network integration. It is also noted that this severity-dependent alteration in network interaction was not able to be revealed by previous studies using static methods. Clinically, the obtained knowledge of the diverse patterns of dynamic adjustment in brain functional networks observed from the brain signal could help understand the underlying mechanism of the motor, speech, and cognitive functional impairments caused by stroke attacks. The proposed method not only could be used to evaluate patients’ current brain status but also has the potential to provide insights into prognosis analysis and prediction.