Graph-theoretical analysis of resting-state fMRI in pediatric obsessive-compulsive disorder.
|Title||Graph-theoretical analysis of resting-state fMRI in pediatric obsessive-compulsive disorder.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Armstrong CC, Moody TD, Feusner JD, McCracken JT, Chang S, Levitt JG, Piacentini JC, O'Neill J|
|Journal||J Affect Disord|
|Date Published||2016 Mar 15|
|Keywords||Adolescent, Case-Control Studies, Cerebral Cortex, Child, Female, Functional Neuroimaging, Humans, Magnetic Resonance Imaging, Male, Neural Pathways, Obsessive-Compulsive Disorder, Rest|
BACKGROUND: fMRI graph theory reveals resting-state brain networks, but has never been used in pediatric OCD.
METHODS: Whole-brain resting-state fMRI was acquired at 3T from 21 children with OCD and 20 age-matched healthy controls. BOLD connectivity was analyzed yielding global and local graph-theory metrics across 100 child-based functional nodes. We also compared local metrics between groups in frontopolar, supplementary motor, and sensorimotor cortices, regions implicated in recent neuroimaging and/or brain stimulation treatment studies in OCD.
RESULTS: As in adults, the global metric small-worldness was significantly (P<0.05) lower in patients than controls, by 13.5% (%mean difference=100%X(OCD mean - control mean)/control mean). This suggests less efficient information transfer in patients. In addition, modularity was lower in OCD (15.1%, P<0.01), suggesting less granular - or differently organized - functional brain parcellation. Higher clustering coefficients (23.9-32.4%, P<0.05) were observed in patients in frontopolar, supplementary motor, sensorimotor, and cortices with lower betweenness centrality (-63.6%, P<0.01) at one frontopolar site. These findings are consistent with more locally intensive connectivity or less interaction with other brain regions at these sites.
LIMITATIONS: Relatively large node size; relatively small sample size, comorbidities in some patients.
CONCLUSIONS: Pediatric OCD patients demonstrate aberrant global and local resting-state network connectivity topologies compared to healthy children. Local results accord with recent views of OCD as a disorder with sensorimotor component.
|Alternate Journal||J Affect Disord|
|Grant List||01MH081864 / MH / NIMH NIH HHS / United States |
R01MH085900 / MH / NIMH NIH HHS / United States