Evidence map›Paper›PMID 38439697›Full record

ArticleCNS neuroscience & therapeutics2024

Aberrant dynamic properties of whole-brain functional connectivity in acute mild traumatic brain injury revealed by hidden Markov models.

Liyan Lu, Fengfang Li, Hui Li, Leilei Zhou, Xinying Wu, Fang Yuan

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Liyan LuDepartment of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.ORCID 0000-0002-2490-3955
Fengfang LiDepartment of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Hui LiDepartment of Radiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Leilei ZhouDepartment of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Xinying WuDepartment of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Fang YuanDepartment of Neurosurgery, Shanghai Jiao Tong University Affiliated Sixth Peoples' Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Nanjing Medical University · CNNanjing Drum Tower Hospital · CNShanghai Jiao Tong University · CN

Funding

National Natural Science Foundation of China 82102006National Natural Science Foundation of China 82102012
6 · The paper itself

Abstract

objectivesThis study aimed to investigate the temporal dynamics of brain activity and characterize the spatiotemporal specificity of transitions and large-scale networks on short timescales in acute mild traumatic brain injury (mTBI) patients and those with cognitive impairment in detail.

methodsResting-state functional magnetic resonance imaging (rs-fMRI) was acquired for 71 acute mTBI patients and 57 age-, sex-, and education-matched healthy controls (HCs). A hidden Markov model (HMM) analysis of rs-fMRI data was conducted to identify brain states that recurred over time and to assess the dynamic patterns of activation states that characterized acute mTBI patients and those with cognitive impairment. The dynamic parameters (fractional occupancy, lifetime, interval time, switching rate, and probability) between groups and their correlation with cognitive performance were analyzed.

resultsTwelve HMM states were identified in this study. Compared with HCs, acute mTBI patients and those with cognitive impairment exhibited distinct changes in dynamics, including fractional occupancy, lifetime, and interval time. Furthermore, the switching rate and probability across HMM states were significantly different between acute mTBI patients and patients with cognitive impairment (all p < 0.05). The temporal reconfiguration of states in acute mTBI patients and those with cognitive impairment was associated with several brain networks (including the high-order cognition network [DMN], subcortical network [SUB], and sensory and motor network [SMN]).

conclusionsHidden Markov models provide additional information on the dynamic activity of brain networks in patients with acute mTBI and those with cognitive impairment. Our results suggest that brain network dynamics determined by the HMM could reinforce the understanding of the neuropathological mechanisms of acute mTBI patients and those with cognitive impairment.

Indexed as

Brain ConcussionCognitive DysfunctionBrainCognitionHumansNeuropathologyacute mild traumatic brain injurycognitive impairmentdynamic functional connectivityhidden Markov modelresting-state functional magnetic resonance imagingtransition probability

Identifiers

PMID38439697
PMCPMC10912843
OpenAlexW4392462672

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LicenceCC BY
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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.