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Altered white matter structural networks in drug-naive patients with obsessive-compulsive disorder

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机构: [1]Kunming Med Univ, Dept Psychiat, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China [2]Xiamen Xianyue Hosp, Dept Psychiat, Xiamen 361000, Peoples R China [3]Kunming Med Univ, Dept Med Imaging, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China [4]Kunming Med Univ, Affiliated Hosp 1, Dept Internal Med, Kunming 650032, Yunnan, Peoples R China [5]NHC Key Lab Drug Addict Med, Kunming 650032, Yunnan, Peoples R China
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关键词: Obsessive-compulsive disorder Diffusion tensor imaging Structural networks Rich-club Graph theory

摘要:
White matter (WM) alteration is considered to be a vital neurological mechanism of obsessive-compulsive disorder (OCD). However, little is known regarding the changes in topological organization of WM structural network in OCD. We acquired diffusion tensor imaging (DTI) datasets from 28 drug-naive OCD patients and 28 well-matched healthy controls (HC). A deterministic fiber tracking approach was used to construct the whole-brain structural connectome. Group differences in global and nodal topological properties as well as rich-club organizations were compared by using graph theory analysis. The relationship between the altered network metrics and the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was calculated. Compared with controls, OCD patients exhibited a significantly decreased small-worldness (sigma), normalized clustering coefficient (gamma) and shortest path length (L-p), as well as an increased global efficiency (E-glob). The nodal efficiency (E-nodal) was found to be reduced in the left middle frontal gyrus, and increased in the right parahippocampal gyrus and bilateral putamen in OCD patients. Besides, OCD patients showed increased rich-club, feeder and local connection strength, and the connection strength of the rich-club was positively correlated with the total Y-BOCS score. Our findings emphasized a central role for the complicatedly changed topological architecture of brain structural networks in the pathological mechanism underlying OCD.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 神经成像
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 神经成像
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出版当年[2021]版:
Q2 NEUROIMAGING
最新[2023]版:
Q2 NEUROIMAGING

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第一作者机构: [1]Kunming Med Univ, Dept Psychiat, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China
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通讯机构: [1]Kunming Med Univ, Dept Psychiat, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China [5]NHC Key Lab Drug Addict Med, Kunming 650032, Yunnan, Peoples R China
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