Evidence map›Paper›PMID 34213081›Full record

ArticleHuman brain mapping2021

Classification of type 2 diabetes mellitus with or without cognitive impairment from healthy controls using high-order functional connectivity.

Yuna Chen, Zhen Zhou, Yi Liang, Xin Tan, Yifan Li, Chunhong Qin, Yue Feng, Xiaomeng Ma, Zhanhao Mo, Jing Xia and 3 more

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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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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

15 citing papers in PubMed.

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    Review
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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

13 authors.

Yuna ChenThe First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.ORCID 0000-0002-1609-4238
Zhen ZhouDepartment of Radiology and BRIC, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Yi LiangDepartment of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Xin TanDepartment of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yifan LiThe First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Chunhong QinDepartment of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yue FengThe First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Xiaomeng MaThe First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Zhanhao MoDepartment of Radiology and BRIC, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jing XiaInstitute of Brain-Intelligence Technology, Zhangjiang Lab, Shanghai, China.ORCID 0000-0003-4962-2604
Han ZhangInstitute of Brain-Intelligence Technology, Zhangjiang Lab, Shanghai, China.
Shijun QiuDepartment of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Dinggang ShenSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) is associated with cognitive impairment and may progress to dementia. However, the brain functional mechanism of T2DM-related dementia is still less understood. Recent resting-state functional magnetic resonance imaging functional connectivity (FC) studies have proved its potential value in the study of T2DM with cognitive impairment (T2DM-CI). However, they mainly used a mass-univariate statistical analysis that was not suitable to reveal the altered FC "pattern" in T2DM-CI, due to lower sensitivity. In this study, we proposed to use high-order FC to reveal the abnormal connectomics pattern in T2DM-CI with a multivariate, machine learning-based strategy. We also investigated whether such patterns were different between T2DM-CI and T2DM without cognitive impairment (T2DM-noCI) to better understand T2DM-induced cognitive impairment, on 23 T2DM-CI and 27 T2DM-noCI patients, as well as 50 healthy controls (HCs). We first built the large-scale high-order brain networks based on temporal synchronization of the dynamic FC time series among multiple brain region pairs and then used this information to classify the T2DM-CI (as well as T2DM-noCI) from the matched HC based on support vector machine. Our model achieved an accuracy of 79.17% in T2DM-CI versus HC differentiation, but only 59.62% in T2DM-noCI versus HC classification. We found abnormal high-order FC patterns in T2DM-CI compared to HC, which was different from that in T2DM-noCI. Our study indicates that there could be widespread connectivity alterations underlying the T2DM-induced cognitive impairment. The results help to better understand the changes in the central neural system due to T2DM.

Indexed as

CerebellumCerebral CortexCognitive DysfunctionDiabetes ComplicationsDiabetes Mellitus, Type 2Nerve NetAdultAgedConnectomeFemaleHumansMachine LearningMagnetic Resonance ImagingMaleMiddle Agedcognitive impairmentdynamic functional connectivitymachine learningresting-state brain networkstype 2 diabetes mellitus

Identifiers

PMID34213081
PMCPMC8410559

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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.