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      Modular reorganization of brain resting state networks and its independent validation in Alzheimer's disease patients

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          Abstract

          Previous studies have demonstrated disruption in structural and functional connectivity occurring in the Alzheimer's Disease (AD). However, it is not known how these disruptions alter brain network reorganization. With the modular analysis method of graph theory, and datasets acquired by the resting-state functional connectivity MRI (R-fMRI) method, we investigated and compared the brain organization patterns between the AD group and the cognitively normal control (CN) group. Our main finding is that the largest homotopic module (defined as the insula module) in the CN group was broken down to the pieces in the AD group. Specifically, it was discovered that the eight pairs of the bilateral regions (the opercular part of inferior frontal gyrus, area triangularis, insula, putamen, globus pallidus, transverse temporal gyri, superior temporal gyrus, and superior temporal pole) of the insula module had lost symmetric functional connection properties, and the corresponding gray matter concentration (GMC) was significant lower in AD group. We further quantified the functional connectivity changes with an index (index A) and structural changes with the GMC index in the insula module to demonstrate their great potential as AD biomarkers. We further validated these results with six additional independent datasets (271 subjects in six groups). Our results demonstrated specific underlying structural and functional reorganization from young to old, and for diseased subjects. Further, it is suggested that by combining the structural GMC analysis and functional modular analysis in the insula module, a new biomarker can be developed at the single-subject level.

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          Most cited references53

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          Modularity and community structure in networks

          M. Newman (2006)
          Many networks of interest in the sciences, including a variety of social and biological networks, are found to divide naturally into communities or modules. The problem of detecting and characterizing this community structure has attracted considerable recent attention. One of the most sensitive detection methods is optimization of the quality function known as "modularity" over the possible divisions of a network, but direct application of this method using, for instance, simulated annealing is computationally costly. Here we show that the modularity can be reformulated in terms of the eigenvectors of a new characteristic matrix for the network, which we call the modularity matrix, and that this reformulation leads to a spectral algorithm for community detection that returns results of better quality than competing methods in noticeably shorter running times. We demonstrate the algorithm with applications to several network data sets.
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            Finding and evaluating community structure in networks

            We propose and study a set of algorithms for discovering community structure in networks -- natural divisions of network nodes into densely connected subgroups. Our algorithms all share two definitive features: first, they involve iterative removal of edges from the network to split it into communities, the edges removed being identified using one of a number of possible "betweenness" measures, and second, these measures are, crucially, recalculated after each removal. We also propose a measure for the strength of the community structure found by our algorithms, which gives us an objective metric for choosing the number of communities into which a network should be divided. We demonstrate that our algorithms are highly effective at discovering community structure in both computer-generated and real-world network data, and show how they can be used to shed light on the sometimes dauntingly complex structure of networked systems.
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              Structural insights into aberrant topological patterns of large-scale cortical networks in Alzheimer's disease.

              Recent research on Alzheimer's disease (AD) has shown that cognitive and memory decline in this disease is accompanied by disrupted changes in the coordination of large-scale brain functional networks. However, alterations in coordinated patterns of structural brain networks in AD are still poorly understood. Here, we used cortical thickness measurement from magnetic resonance imaging to investigate large-scale structural brain networks in 92 AD patients and 97 normal controls. Brain networks were constructed by thresholding cortical thickness correlation matrices of 54 regions and analyzed using graph theoretical approaches. Compared with controls, AD patients showed decreased cortical thickness intercorrelations between the bilateral parietal regions and increased intercorrelations in several selective regions involving the lateral temporal and parietal cortex as well as the cingulate and medial frontal cortex regions. Specially, AD patients showed abnormal small-world architecture in the structural cortical networks (increased clustering and shortest paths linking individual regions), implying a less optimal topological organization in AD. Moreover, AD patients were associated with reduced nodal centrality predominantly in the temporal and parietal heteromodal association cortex regions and increased nodal centrality in the occipital cortex regions. Finally, the brain networks of AD were about equally as robust to random failures as those of controls, but more vulnerable against targeted attacks, presumably because of the effects of pathological topological organization. Our findings suggest that the coordinated patterns of cortical morphology are widely altered in AD patients, thus providing structural evidence for disrupted integrity in large-scale brain networks that underlie cognition. This work has implications for our understanding of how functional deficits in patients are associated with their underlying structural (morphological) basis.
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                Author and article information

                Journal
                Front Hum Neurosci
                Front Hum Neurosci
                Front. Hum. Neurosci.
                Frontiers in Human Neuroscience
                Frontiers Media S.A.
                1662-5161
                09 August 2013
                2013
                : 7
                : 456
                Affiliations
                [1] 1Department of Biophysics, Medical College of Wisconsin Milwaukee, WI, USA
                [2] 2Department of Radiology, Jiangsu Key Laboratory of Molecule Imaging and Functional Imaging, Medical School of Southeast University Nanjing, PR China
                [3] 3Department of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou University Yangzhou, PR China
                [4] 4Department of Neuropsychiatry, Affiliated Zhong Da Hospital of Southeast University Nanjing, PR China
                [5] 5Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin Milwaukee, WI, USA
                Author notes

                Edited by: Yong He, Beijing Normal University, China

                Reviewed by: Christian Sorg, Klinikum rechts der Isar Technische Universität München, Germany; Jinhui Wang, Beijing Normal University, China

                *Correspondence: Gao-Jun Teng, Department of Radiology, Jiangsu Key Laboratory of Molecule Imaging and Functional Imaging, Medical School of Southeast University, 87 Dingjiaqiao Road, Nanjing 210009, PR China e-mail: gjteng@ 123456vip.sina.com ;
                Shi-Jiang Li, Department of Biophysics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA e-mail: sjli@ 123456mcw.edu
                Article
                10.3389/fnhum.2013.00456
                3739061
                23950743
                037ae8ce-cc74-4ff4-8ebd-57ac5fd27bfa
                Copyright © 2013 Chen, Zhang, Xie, Chen, Zhang, Teng and Li.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 06 May 2013
                : 22 July 2013
                Page count
                Figures: 4, Tables: 2, Equations: 4, References: 75, Pages: 10, Words: 7916
                Categories
                Neuroscience
                Original Research Article

                Neurosciences
                alzheimer's disease,mci,validation,module analysis,resting-state functional connectivity,brain network,gray matter concentration,graph theory

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