Disrupted anatomic white matter network in left mesial temporal lobe epilepsy

Summary Objective Brain imaging studies have shown widespread structural abnormalities in patients with temporal lobe epilepsy (TLE) within and beyond the affected temporal lobe, suggesting an altered network. Graph theoretical analysis based on white matter tractography has provided a new perspecti...

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Veröffentlicht in:Epilepsia (Copenhagen) 2014-05, Vol.55 (5), p.674-682
Hauptverfasser: Liu, Min, Chen, Zhang, Beaulieu, Christian, Gross, Donald W.
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container_title Epilepsia (Copenhagen)
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creator Liu, Min
Chen, Zhang
Beaulieu, Christian
Gross, Donald W.
description Summary Objective Brain imaging studies have shown widespread structural abnormalities in patients with temporal lobe epilepsy (TLE) within and beyond the affected temporal lobe, suggesting an altered network. Graph theoretical analysis based on white matter tractography has provided a new perspective to evaluate the connectivity of the brain. The alterations in the topologic properties of a whole brain white matter network in patients with TLE remain unknown. The purpose of this study was to examine the white matter network in a cohort of patients with left TLE and mesial temporal sclerosis (mTLE) compared to healthy controls. Methods Anatomic brain networks of 16 patients with left mTLE were compared to those of 21 healthy controls. A white matter structural network was constructed from diffusion tensor tractography for each participant, and network parameters were compared between the patient and control groups. Results Patients with left mTLE exhibited concurrent decreases of global and local efficiencies and widespread reduction of regional efficiency in ipsilateral temporal, bilateral frontal, and bilateral parietal areas. Communication hubs, such as the left precuneus, were also altered in patients with mTLE compared to controls. Significance Our results demonstrate white matter network disruption in patients with left mTLE, supporting the notion that mTLE is a systemic brain disorder. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here.
doi_str_mv 10.1111/epi.12581
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Graph theoretical analysis based on white matter tractography has provided a new perspective to evaluate the connectivity of the brain. The alterations in the topologic properties of a whole brain white matter network in patients with TLE remain unknown. The purpose of this study was to examine the white matter network in a cohort of patients with left TLE and mesial temporal sclerosis (mTLE) compared to healthy controls. Methods Anatomic brain networks of 16 patients with left mTLE were compared to those of 21 healthy controls. A white matter structural network was constructed from diffusion tensor tractography for each participant, and network parameters were compared between the patient and control groups. Results Patients with left mTLE exhibited concurrent decreases of global and local efficiencies and widespread reduction of regional efficiency in ipsilateral temporal, bilateral frontal, and bilateral parietal areas. Communication hubs, such as the left precuneus, were also altered in patients with mTLE compared to controls. Significance Our results demonstrate white matter network disruption in patients with left mTLE, supporting the notion that mTLE is a systemic brain disorder. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/epi.12581</identifier><identifier>PMID: 24650167</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Brain ; Brain - pathology ; Brain - physiopathology ; Cerebral Cortex - pathology ; Cerebral Cortex - physiopathology ; Diffusion Magnetic Resonance Imaging ; Diffusion tensor imaging ; Dominance, Cerebral - physiology ; Epilepsy, Temporal Lobe - diagnosis ; Epilepsy, Temporal Lobe - pathology ; Epilepsy, Temporal Lobe - physiopathology ; Female ; Graph theory ; Hippocampus - pathology ; Hippocampus - physiopathology ; Humans ; Image Enhancement ; Image Interpretation, Computer-Assisted ; Leukoencephalopathies - diagnosis ; Leukoencephalopathies - pathology ; Leukoencephalopathies - physiopathology ; Male ; Medical research ; Middle Aged ; Nerve Net - pathology ; Nerve Net - physiopathology ; Network ; Neuropsychological Tests ; Sclerosis ; Temporal Lobe - pathology ; Temporal Lobe - physiopathology ; Temporal lobe epilepsy ; Tractography ; Young Adult</subject><ispartof>Epilepsia (Copenhagen), 2014-05, Vol.55 (5), p.674-682</ispartof><rights>Wiley Periodicals, Inc. © 2014 International League Against Epilepsy</rights><rights>Wiley Periodicals, Inc. © 2014 International League Against Epilepsy.</rights><rights>Copyright © 2014 International League Against Epilepsy</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4871-538689bed269656356d36970ab84f057ea803894a2345e0e25220d8f9199b1983</citedby><cites>FETCH-LOGICAL-c4871-538689bed269656356d36970ab84f057ea803894a2345e0e25220d8f9199b1983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fepi.12581$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fepi.12581$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24650167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Min</creatorcontrib><creatorcontrib>Chen, Zhang</creatorcontrib><creatorcontrib>Beaulieu, Christian</creatorcontrib><creatorcontrib>Gross, Donald W.</creatorcontrib><title>Disrupted anatomic white matter network in left mesial temporal lobe epilepsy</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Summary Objective Brain imaging studies have shown widespread structural abnormalities in patients with temporal lobe epilepsy (TLE) within and beyond the affected temporal lobe, suggesting an altered network. Graph theoretical analysis based on white matter tractography has provided a new perspective to evaluate the connectivity of the brain. The alterations in the topologic properties of a whole brain white matter network in patients with TLE remain unknown. The purpose of this study was to examine the white matter network in a cohort of patients with left TLE and mesial temporal sclerosis (mTLE) compared to healthy controls. Methods Anatomic brain networks of 16 patients with left mTLE were compared to those of 21 healthy controls. A white matter structural network was constructed from diffusion tensor tractography for each participant, and network parameters were compared between the patient and control groups. Results Patients with left mTLE exhibited concurrent decreases of global and local efficiencies and widespread reduction of regional efficiency in ipsilateral temporal, bilateral frontal, and bilateral parietal areas. Communication hubs, such as the left precuneus, were also altered in patients with mTLE compared to controls. Significance Our results demonstrate white matter network disruption in patients with left mTLE, supporting the notion that mTLE is a systemic brain disorder. 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Chen, Zhang ; Beaulieu, Christian ; Gross, Donald W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4871-538689bed269656356d36970ab84f057ea803894a2345e0e25220d8f9199b1983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Brain</topic><topic>Brain - pathology</topic><topic>Brain - physiopathology</topic><topic>Cerebral Cortex - pathology</topic><topic>Cerebral Cortex - physiopathology</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Diffusion tensor imaging</topic><topic>Dominance, Cerebral - physiology</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Epilepsy, Temporal Lobe - pathology</topic><topic>Epilepsy, Temporal Lobe - physiopathology</topic><topic>Female</topic><topic>Graph theory</topic><topic>Hippocampus - pathology</topic><topic>Hippocampus - physiopathology</topic><topic>Humans</topic><topic>Image Enhancement</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Leukoencephalopathies - diagnosis</topic><topic>Leukoencephalopathies - pathology</topic><topic>Leukoencephalopathies - physiopathology</topic><topic>Male</topic><topic>Medical research</topic><topic>Middle Aged</topic><topic>Nerve Net - pathology</topic><topic>Nerve Net - physiopathology</topic><topic>Network</topic><topic>Neuropsychological Tests</topic><topic>Sclerosis</topic><topic>Temporal Lobe - pathology</topic><topic>Temporal Lobe - physiopathology</topic><topic>Temporal lobe epilepsy</topic><topic>Tractography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Min</creatorcontrib><creatorcontrib>Chen, Zhang</creatorcontrib><creatorcontrib>Beaulieu, Christian</creatorcontrib><creatorcontrib>Gross, Donald W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Min</au><au>Chen, Zhang</au><au>Beaulieu, Christian</au><au>Gross, Donald W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disrupted anatomic white matter network in left mesial temporal lobe epilepsy</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2014-05</date><risdate>2014</risdate><volume>55</volume><issue>5</issue><spage>674</spage><epage>682</epage><pages>674-682</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary Objective Brain imaging studies have shown widespread structural abnormalities in patients with temporal lobe epilepsy (TLE) within and beyond the affected temporal lobe, suggesting an altered network. Graph theoretical analysis based on white matter tractography has provided a new perspective to evaluate the connectivity of the brain. The alterations in the topologic properties of a whole brain white matter network in patients with TLE remain unknown. The purpose of this study was to examine the white matter network in a cohort of patients with left TLE and mesial temporal sclerosis (mTLE) compared to healthy controls. Methods Anatomic brain networks of 16 patients with left mTLE were compared to those of 21 healthy controls. A white matter structural network was constructed from diffusion tensor tractography for each participant, and network parameters were compared between the patient and control groups. Results Patients with left mTLE exhibited concurrent decreases of global and local efficiencies and widespread reduction of regional efficiency in ipsilateral temporal, bilateral frontal, and bilateral parietal areas. Communication hubs, such as the left precuneus, were also altered in patients with mTLE compared to controls. Significance Our results demonstrate white matter network disruption in patients with left mTLE, supporting the notion that mTLE is a systemic brain disorder. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>24650167</pmid><doi>10.1111/epi.12581</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Brain
Brain - pathology
Brain - physiopathology
Cerebral Cortex - pathology
Cerebral Cortex - physiopathology
Diffusion Magnetic Resonance Imaging
Diffusion tensor imaging
Dominance, Cerebral - physiology
Epilepsy, Temporal Lobe - diagnosis
Epilepsy, Temporal Lobe - pathology
Epilepsy, Temporal Lobe - physiopathology
Female
Graph theory
Hippocampus - pathology
Hippocampus - physiopathology
Humans
Image Enhancement
Image Interpretation, Computer-Assisted
Leukoencephalopathies - diagnosis
Leukoencephalopathies - pathology
Leukoencephalopathies - physiopathology
Male
Medical research
Middle Aged
Nerve Net - pathology
Nerve Net - physiopathology
Network
Neuropsychological Tests
Sclerosis
Temporal Lobe - pathology
Temporal Lobe - physiopathology
Temporal lobe epilepsy
Tractography
Young Adult
title Disrupted anatomic white matter network in left mesial temporal lobe epilepsy
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