The longitudinal relation between executive functioning and multilayer network topology in glioma patients

Many patients with glioma, primary brain tumors, suffer from poorly understood executive functioning deficits before and/or after tumor resection. We aimed to test whether frontoparietal network centrality of multilayer networks, allowing for integration across multiple frequencies, relates to and p...

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Veröffentlicht in:Brain imaging and behavior 2023-08, Vol.17 (4), p.425-435
Hauptverfasser: van Lingen, Marike R., Breedt, Lucas C., Geurts, Jeroen J.G., Hillebrand, Arjan, Klein, Martin, Kouwenhoven, Mathilde C.M., Kulik, Shanna D., Reijneveld, Jaap C., Stam, Cornelis J., De Witt Hamer, Philip C., Zimmermann, Mona L.M., Santos, Fernando A.N., Douw, Linda
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container_end_page 435
container_issue 4
container_start_page 425
container_title Brain imaging and behavior
container_volume 17
creator van Lingen, Marike R.
Breedt, Lucas C.
Geurts, Jeroen J.G.
Hillebrand, Arjan
Klein, Martin
Kouwenhoven, Mathilde C.M.
Kulik, Shanna D.
Reijneveld, Jaap C.
Stam, Cornelis J.
De Witt Hamer, Philip C.
Zimmermann, Mona L.M.
Santos, Fernando A.N.
Douw, Linda
description Many patients with glioma, primary brain tumors, suffer from poorly understood executive functioning deficits before and/or after tumor resection. We aimed to test whether frontoparietal network centrality of multilayer networks, allowing for integration across multiple frequencies, relates to and predicts executive functioning in glioma. Patients with glioma (n = 37) underwent resting-state magnetoencephalography and neuropsychological tests assessing word fluency, inhibition, and set shifting before (T1) and one year after tumor resection (T2). We constructed binary multilayer networks comprising six layers, with each layer representing frequency-specific functional connectivity between source-localized time series of 78 cortical regions. Average frontoparietal network multilayer eigenvector centrality, a measure for network integration, was calculated at both time points. Regression analyses were used to investigate associations with executive functioning. At T1, lower multilayer integration ( p =  0.017) and epilepsy ( p =  0.006) associated with poorer set shifting (adj. R 2  = 0.269). Decreasing multilayer integration ( p =  0.022) and not undergoing chemotherapy at T2 ( p =  0.004) related to deteriorating set shifting over time (adj. R 2  = 0.283). No significant associations were found for word fluency or inhibition, nor did T1 multilayer integration predict changes in executive functioning. As expected, our results establish multilayer integration of the frontoparietal network as a cross-sectional and longitudinal correlate of executive functioning in glioma patients. However, multilayer integration did not predict postoperative changes in executive functioning, which together with the fact that this correlate is also found in health and other diseases, limits its specific clinical relevance in glioma.
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We aimed to test whether frontoparietal network centrality of multilayer networks, allowing for integration across multiple frequencies, relates to and predicts executive functioning in glioma. Patients with glioma (n = 37) underwent resting-state magnetoencephalography and neuropsychological tests assessing word fluency, inhibition, and set shifting before (T1) and one year after tumor resection (T2). We constructed binary multilayer networks comprising six layers, with each layer representing frequency-specific functional connectivity between source-localized time series of 78 cortical regions. Average frontoparietal network multilayer eigenvector centrality, a measure for network integration, was calculated at both time points. Regression analyses were used to investigate associations with executive functioning. At T1, lower multilayer integration ( p =  0.017) and epilepsy ( p =  0.006) associated with poorer set shifting (adj. R 2  = 0.269). Decreasing multilayer integration ( p =  0.022) and not undergoing chemotherapy at T2 ( p =  0.004) related to deteriorating set shifting over time (adj. R 2  = 0.283). No significant associations were found for word fluency or inhibition, nor did T1 multilayer integration predict changes in executive functioning. As expected, our results establish multilayer integration of the frontoparietal network as a cross-sectional and longitudinal correlate of executive functioning in glioma patients. 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subjects Biomedical and Life Sciences
Biomedicine
Brain cancer
Brain tumors
Chemotherapy
Eigenvectors
Epilepsy
Executive function
Glioma
Integration
Magnetoencephalography
Multilayers
Network topologies
Neural networks
Neuropsychology
Neuroradiology
Neurosciences
Psychiatry
Regression analysis
Tumors
title The longitudinal relation between executive functioning and multilayer network topology in glioma patients
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