Evidence map›Paper›PMID 27723821›Full record

Trial reportPloS one2016

Abnormal Intrinsic Functional Hubs in Severe Male Obstructive Sleep Apnea: Evidence from a Voxel-Wise Degree Centrality Analysis.

Haijun Li, Lan Li, Yi Shao, Honghan Gong, Wei Zhang, Xianjun Zeng, Chenglong Ye, Si Nie, Liting Chen, Dechang Peng

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Haijun LiDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.ORCID http://orcid.org/0000-0001-6631-123X
Lan LiDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Yi ShaoDepartment of Ophthalmology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Honghan GongDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Wei ZhangDepartment of Pneumology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Xianjun ZengDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Chenglong YeDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Si NieDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Liting ChenDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Dechang PengDepartment of Radiology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) has been associated with changes in brain structure and regional function in certain brain areas. However, the functional features of network organization in the whole brain remain largely uncertain. The purpose of this study was to identify the OSA-related spatial centrality distribution of the whole brain functional network and to investigate the potential altered intrinsic functional hubs.

methodsForty male patients with newly confirmed severe OSA on polysomnography, and well-matched good sleepers, participated in this study. All participants underwent a resting-state functional MRI scan and clinical and cognitive evaluation. Voxel-wise degree centrality (DC) was measured across the whole brain, and group difference in DC was compared. The relationship between the abnormal DC value and clinical variables was assessed using a linear correlation analysis.

resultsRemarkably similar spatial distributions of the functional hubs (high DC) were found in both groups. However, OSA patients exhibited a pattern of significantly reduced regional DC in the left middle occipital gyrus, posterior cingulate cortex, left superior frontal gyrus, and bilateral inferior parietal lobule, and DC was increased in the right orbital frontal cortex, bilateral cerebellum posterior lobes, and bilateral lentiform nucleus, including the putamen, extending to the hippocampus, and the inferior temporal gyrus, which overlapped with the functional hubs. Furthermore, a linear correlation analysis revealed that the DC value in the posterior cingulate cortex and left superior frontal gyrus were positively correlated with Montreal cognitive assessment scores, The DC value in the left middle occipital gyrus and bilateral inferior parietal lobule were negatively correlated with apnea-hypopnea index and arousal index in OSA patients.

conclusionOur findings suggest that OSA patients exhibited specific abnormal intrinsic functional hubs including relatively reduced and increased DC. This expands our understanding of the functional characteristics of OSA, which may provide new insights into understanding the dysfunction and pathophysiology of OSA patients.

Indexed as

BrainMagnetic Resonance ImagingNerve NetPolysomnographySleep Apnea, ObstructiveAdultHumansMaleMiddle Aged

Identifiers

PMID27723821
PMCPMC5056709

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.