TY - JOUR
T1 - Subject-based assessment of large-scale integration dynamics in epileptic brain networks
T2 - insights from the intrinsic ignition framework
AU - Donaire, Antonio
AU - Padilla, Nelly
AU - Escrichs, Anira
AU - Khawja, Mariam
AU - Setoain, Xavier
AU - Rumia, Jordi
AU - Roldan, Pedro
AU - Bargallo, Nuria
AU - Boget, Teresa
AU - Pintor, Luis
AU - Centeno, María
AU - Conde, Estefanía
AU - Vernet, Oriol
AU - Buendía, Javier
AU - Manzanares, Isabel
AU - Ådén, Ulrika
AU - Carreño, Mar
AU - Kringelbach, Morten
AU - Deco, Gustavo
N1 - Publisher Copyright:
© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: [email protected].
PY - 2024/10/1
Y1 - 2024/10/1
N2 - This study examined the dynamic properties of brain regions involved in the genesis and spread of seizures in 10 individuals diagnosed with pharmacoresistant focal epilepsy. The patients and 30 healthy controls underwent resting-state functional magnetic resonance imaging scans and the brain's functional network dynamics were analyzed using the intrinsic ignition framework. Comparative statistical analyses examined the differences in the integration and metastability measures in both groups in the whole brain and specific local brain regions. Invasive electroencephalography evaluations validated the findings of significant global and regional changes in the patient's brain network dynamics. There was a marked increase in global integration and metastability across the brain, reflecting substantial alterations in the overall connectivity and flexibility of the functional networks. Specific brain regions exhibited paradoxical dynamics within the seizure onset zone, with decreased intrinsic ignition and increased metastability. Increased intrinsic ignition was observed in remote brain regions, suggesting a reorganization of the brain network hubs and potential pathways for seizure propagation. Using the intrinsic ignition framework provided insights into dynamic alterations in the brain networks of patients with epilepsy. These have increased our understanding of the mechanisms underlying epileptic seizures and may guide the development of diagnostic biomarkers and targeted therapeutic interventions.
AB - This study examined the dynamic properties of brain regions involved in the genesis and spread of seizures in 10 individuals diagnosed with pharmacoresistant focal epilepsy. The patients and 30 healthy controls underwent resting-state functional magnetic resonance imaging scans and the brain's functional network dynamics were analyzed using the intrinsic ignition framework. Comparative statistical analyses examined the differences in the integration and metastability measures in both groups in the whole brain and specific local brain regions. Invasive electroencephalography evaluations validated the findings of significant global and regional changes in the patient's brain network dynamics. There was a marked increase in global integration and metastability across the brain, reflecting substantial alterations in the overall connectivity and flexibility of the functional networks. Specific brain regions exhibited paradoxical dynamics within the seizure onset zone, with decreased intrinsic ignition and increased metastability. Increased intrinsic ignition was observed in remote brain regions, suggesting a reorganization of the brain network hubs and potential pathways for seizure propagation. Using the intrinsic ignition framework provided insights into dynamic alterations in the brain networks of patients with epilepsy. These have increased our understanding of the mechanisms underlying epileptic seizures and may guide the development of diagnostic biomarkers and targeted therapeutic interventions.
KW - epilepsy
KW - functional connectivity
KW - functional magnetic resonance imaging
KW - integration dynamics
KW - intrinsic ignition framework
UR - http://www.scopus.com/inward/record.url?scp=85207179719&partnerID=8YFLogxK
U2 - 10.1093/cercor/bhae419
DO - 10.1093/cercor/bhae419
M3 - Journal article
C2 - 39441026
AN - SCOPUS:85207179719
SN - 1047-3211
VL - 34
JO - Cerebral cortex (New York, N.Y. : 1991)
JF - Cerebral cortex (New York, N.Y. : 1991)
IS - 10
M1 - bhae419
ER -