MS, University of Cincinnati, 2022, Engineering and Applied Science: Biomedical Engineering
The objective of the current study is to investigate brain alterations in patients with
localization-related epilepsy (LRE) compared to healthy controls using different brain activity
measures including regional homogeneity (ReHo); functional connectivity density mapping
(FCDM) with global (gFCD) and lobal (lFCD); amplitude of low-frequency fluctuations (ALFF)
and fractional amplitude of low-frequency fluctuations (fALFF), based on resting-state fMRI
data.
ReHo, gFCD and lFCD, ALFF and fALFF were used to examine the alterations in the
brain from 19 LRE patients and 19 healthy controls, by using the whole brain resting-state fMRI
(rs-fMRI) data. For each method, a two sampled t-test was conducted; and all results were
corrected for family wise error for group analysis.
The LRE patients were placed into subgroups based on whether the seizure onset falls
into the limbic regions. The two-samples t-test was conducted to investigate the brain alterations
in the limbic LRE patients versus the healthy controls, the non-limbic LRE patients versus the
healthy controls, and between these two epileptic patient groups. The current findings
demonstrated ReHo, gFCD, lFCD, ALFF, and fALFF alterations in the LRE patients compared
to healthy subjects during resting state.
For both group analysis and for subgroup limbic analysis, we obtained specific brain
regions with significantly altered ReHo, lFCD, ALFF, and fALFF values. The targeted brain
regions with significant alterations might be contributing to the overall lower synchronization
and more impaired functional activity in the processing of motor pathways, visual information,
and emotional functions. The targeted brain regions were also in the salience network and the
default mode network (DMN), as well as part of the language area, sensorimotor regions, and
those associated with the posterior attention system. We also (open full item for complete abstract)
Committee: Jing-Huei Lee Ph.D. (Committee Member); Marepalli Rao Ph.D. (Committee Member); Zackary Cleveland Ph.D. (Committee Member)
Subjects: Biomedical Research