Evidence map›Paper›PMID 30697878›Full record

ArticleHuman brain mapping2021

Effective connectivity in the default mode network is distinctively disrupted in Alzheimer's disease-A simultaneous resting-state FDG-PET/fMRI study.

Martin Scherr, Lukas Utz, Masoud Tahmasian, Lorenzo Pasquini, Michel J Grothe, Josef P Rauschecker, Timo Grimmer, Alexander Drzezga, Christian Sorg, Valentin Riedl

Abstract read
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–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

33 citing papers in PubMed.

  1. Review
  2. Cortical synchrony is reduced in Alzheimer's disease and relates to arousal state.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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.

Martin ScherrDepartment of Psychiatry and Psychotherapy, Technische Universität München (TUM), München, Germany.
Lukas UtzTUM-Neuroimaging Center (TUM-NIC), Klinikum Rechts der Isar, München, Germany.
Masoud TahmasianInstitute of Medical Science and Technology, Shahid Beheshti University, Tehran, Iran.ORCID 0000-0002-8304-2876
Lorenzo PasquiniTUM-Neuroimaging Center (TUM-NIC), Klinikum Rechts der Isar, München, Germany.
Michel J GrotheDepartment for Clinical Research, German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany.ORCID 0000-0003-2600-9022
Josef P RauscheckerInstitute for Advanced Study, Technische Universität München (TUM), München, Germany.
Timo GrimmerDepartment of Psychiatry and Psychotherapy, Technische Universität München (TUM), München, Germany.
Alexander DrzezgaDepartment of Nuclear Medicine, Uniklinik Köln, Köln, Germany.
Christian SorgDepartment of Psychiatry and Psychotherapy, Technische Universität München (TUM), München, Germany.
Valentin RiedlTUM-Neuroimaging Center (TUM-NIC), Klinikum Rechts der Isar, München, Germany.ORCID 0000-0002-2861-8449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A prominent finding of postmortem and molecular imaging studies on Alzheimer's disease (AD) is the accumulation of neuropathological proteins in brain regions of the default mode network (DMN). Molecular models suggest that the progression of disease proteins depends on the directionality of signaling pathways. At network level, effective connectivity (EC) reflects directionality of signaling pathways. We hypothesized a specific pattern of EC in the DMN of patients with AD, related to cognitive impairment. Metabolic connectivity mapping is a novel measure of EC identifying regions of signaling input based on neuroenergetics. We simultaneously acquired resting-state functional MRI and FDG-PET data from patients with early AD (n = 35) and healthy subjects (n = 18) on an integrated PET/MR scanner. We identified two distinct subnetworks of EC in the DMN of healthy subjects: an anterior part with bidirectional EC between hippocampus and medial prefrontal cortex and a posterior part with predominant input into medial parietal cortex. Patients had reduced input into the medial parietal system and absent input from hippocampus into medial prefrontal cortex (p < 0.05, corrected). In a multiple linear regression with unimodal imaging and EC measures (F

Indexed as

Cerebral CortexDefault Mode NetworkAgedAlzheimer DiseaseConnectomeHumansMagnetic Resonance ImagingMultimodal ImagingPositron-Emission Tomographydefault mode networkdirectional signalingeffective connectivityenergy metabolismresting statesimultaneous PET/fMRI

Identifiers

PMID30697878
PMCPMC8357005

What OpenQuestion holds

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Registered trials

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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.