Academic Journal

Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis

التفاصيل البيبلوغرافية
العنوان: Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis
المؤلفون: Zhaoshun Jiang, Yuxi Cai, Songbin Liu, Pei Ye, Yifeng Yang, Guangwu Lin, Shihong Li, Yan Xu, Yangjing Zheng, Zhijun Bao, Shengdong Nie, Weidong Gu
المصدر: Frontiers in Aging Neuroscience, Vol 14 (2023)
بيانات النشر: Frontiers Media S.A., 2023.
سنة النشر: 2023
المجموعة: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
مصطلحات موضوعية: whole-brain functional connectivity, default mode network, delayed neurocognitive recovery, machine learning, visual processing, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: ObjectivesThe abnormal functional connectivity (FC) pattern of default mode network (DMN) may be key markers for early identification of various cognitive disorders. However, the whole-brain FC changes of DMN in delayed neurocognitive recovery (DNR) are still unclear. Our study was aimed at exploring the whole-brain FC patterns of all regions in DMN and the potential features as biomarkers for the prediction of DNR using machine-learning algorithms.MethodsResting-state functional magnetic resonance imaging (fMRI) was conducted before surgery on 74 patients undergoing non-cardiac surgery. Seed-based whole-brain FC with 18 core regions located in the DMN was performed, and FC features that were statistically different between the DNR and non-DNR patients after false discovery correction were extracted. Afterward, based on the extracted FC features, machine-learning algorithms such as support vector machine, logistic regression, decision tree, and random forest were established to recognize DNR. The machine learning experiment procedure mainly included three following steps: feature standardization, parameter adjustment, and performance comparison. Finally, independent testing was conducted to validate the established prediction model. The algorithm performance was evaluated by a permutation test.ResultsWe found significantly decreased DMN connectivity with the brain regions involved in visual processing in DNR patients than in non-DNR patients. The best result was obtained from the random forest algorithm based on the 20 decision trees (estimators). The random forest model achieved the accuracy, sensitivity, and specificity of 84.0, 63.1, and 89.5%, respectively. The area under the receiver operating characteristic curve of the classifier reached 86.4%. The feature that contributed the most to the random forest model was the FC between the left retrosplenial cortex/posterior cingulate cortex and left precuneus.ConclusionThe decreased FC of DMN with regions involved in visual processing might be effective markers for the prediction of DNR and could provide new insights into the neural mechanisms of DNR.Clinical Trial Registration: Chinese Clinical Trial Registry, ChiCTR-DCD-15006096.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1663-4365
Relation: https://www.frontiersin.org/articles/10.3389/fnagi.2022.1109485/full; https://doaj.org/toc/1663-4365
DOI: 10.3389/fnagi.2022.1109485
URL الوصول: https://doaj.org/article/fc7aa704bd6044c49ba73637861d1b94
رقم الانضمام: edsdoj.fc7aa704bd6044c49ba73637861d1b94
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16634365
DOI:10.3389/fnagi.2022.1109485