Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area

Focal brain lesions, such as stroke and tumors, can lead to remote structural alterations across the whole-brain networks. Brain arteriovenous malformations (AVMs), usually presumed to be congenital, often result in tissue degeneration and functional displacement of the perifocal areas, but it remai...

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Main Authors: Maogui Li, Pengjun Jiang, Jun Wu, Rui Guo, Xiaofeng Deng, Yong Cao, Shuo Wang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2020/8886803
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author Maogui Li
Pengjun Jiang
Jun Wu
Rui Guo
Xiaofeng Deng
Yong Cao
Shuo Wang
author_facet Maogui Li
Pengjun Jiang
Jun Wu
Rui Guo
Xiaofeng Deng
Yong Cao
Shuo Wang
author_sort Maogui Li
collection DOAJ
description Focal brain lesions, such as stroke and tumors, can lead to remote structural alterations across the whole-brain networks. Brain arteriovenous malformations (AVMs), usually presumed to be congenital, often result in tissue degeneration and functional displacement of the perifocal areas, but it remains unclear whether AVMs may produce long-range effects upon the whole-brain white matter organization. In this study, we used diffusion tensor imaging and graph theory methods to investigate the alterations of brain structural networks in 14 patients with AVMs in the presumed Broca’s area, compared to 27 normal controls. Weighted brain structural networks were constructed based on deterministic tractography. We compared the topological properties and network connectivity between patients and normal controls. Functional magnetic resonance imaging revealed contralateral reorganization of Broca’s area in five (35.7%) patients. Compared to normal controls, the patients exhibited preserved small-worldness of brain structural networks. However, AVM patients exhibited significantly decreased global efficiency (p=0.004) and clustering coefficient (p=0.014), along with decreased corresponding nodal properties in some remote brain regions (p<0.05, family-wise error corrected). Furthermore, structural connectivity was reduced in the right perisylvian regions but enhanced in the perifocal areas (p<0.05). The vulnerability of the left supramarginal gyrus was significantly increased (p=0.039, corrected), and the bilateral putamina were added as hubs in the AVM patients. These alterations provide evidence for the long-range effects of AVMs on brain white matter networks. Our preliminary findings contribute extra insights into the understanding of brain plasticity and pathological state in patients with AVMs.
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spelling doaj-art-e293258e0ba947619b5e2f08acf295232025-02-03T01:28:18ZengWileyNeural Plasticity2090-59041687-54432020-01-01202010.1155/2020/88868038886803Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s AreaMaogui Li0Pengjun Jiang1Jun Wu2Rui Guo3Xiaofeng Deng4Yong Cao5Shuo Wang6Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaFocal brain lesions, such as stroke and tumors, can lead to remote structural alterations across the whole-brain networks. Brain arteriovenous malformations (AVMs), usually presumed to be congenital, often result in tissue degeneration and functional displacement of the perifocal areas, but it remains unclear whether AVMs may produce long-range effects upon the whole-brain white matter organization. In this study, we used diffusion tensor imaging and graph theory methods to investigate the alterations of brain structural networks in 14 patients with AVMs in the presumed Broca’s area, compared to 27 normal controls. Weighted brain structural networks were constructed based on deterministic tractography. We compared the topological properties and network connectivity between patients and normal controls. Functional magnetic resonance imaging revealed contralateral reorganization of Broca’s area in five (35.7%) patients. Compared to normal controls, the patients exhibited preserved small-worldness of brain structural networks. However, AVM patients exhibited significantly decreased global efficiency (p=0.004) and clustering coefficient (p=0.014), along with decreased corresponding nodal properties in some remote brain regions (p<0.05, family-wise error corrected). Furthermore, structural connectivity was reduced in the right perisylvian regions but enhanced in the perifocal areas (p<0.05). The vulnerability of the left supramarginal gyrus was significantly increased (p=0.039, corrected), and the bilateral putamina were added as hubs in the AVM patients. These alterations provide evidence for the long-range effects of AVMs on brain white matter networks. Our preliminary findings contribute extra insights into the understanding of brain plasticity and pathological state in patients with AVMs.http://dx.doi.org/10.1155/2020/8886803
spellingShingle Maogui Li
Pengjun Jiang
Jun Wu
Rui Guo
Xiaofeng Deng
Yong Cao
Shuo Wang
Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area
Neural Plasticity
title Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area
title_full Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area
title_fullStr Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area
title_full_unstemmed Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area
title_short Altered Brain Structural Networks in Patients with Brain Arteriovenous Malformations Located in Broca’s Area
title_sort altered brain structural networks in patients with brain arteriovenous malformations located in broca s area
url http://dx.doi.org/10.1155/2020/8886803
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