Evidence map›Paper›PMID 41088383›Full record

ArticleArthritis research & therapy2025

Multimodal brain structural and functional analysis in systemic lupus erythematosus patients without overt neuropsychiatric manifestations: associations with disease duration, organ damage, and neurocognitive function.

Jeonghwan Lee, Ji Hyoun Kim, Chi-Hoon Choi, In Ah Choi

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Article in Arthritis research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Jeonghwan LeeDepartment of Psychiatry, Yongin Mental Hospital, Yongin, Republic of Korea.
Ji Hyoun KimDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.
Chi-Hoon ChoiDepartment of Radiology, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.
In Ah ChoiDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea. iachoi@korea.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic lupus erythematosus (SLE) is a chronic autoimmune disease that often affects the central nervous system (CNS), leading to structural and functional brain alterations. Although neuroimaging studies have reported significant cortical and white matter changes in SLE, findings remain inconsistent, particularly regarding disease duration and organ damage. This study aimed to comprehensively investigate multimodal brain alterations in SLE using structural and functional neuroimaging.

methodsThis cross-sectional study included 30 SLE patients without overt neuropsychiatric manifestations and 34 age-matched healthy controls (HCs). Neuroimaging data were acquired using a 3 T magnetic resonance imaging (MRI) scanner. Structural analyses included cortical and subcortical volume measurements via FreeSurfer (30 SLE, 34 HC) and white matter connectometry based on diffusion tensor imaging (DTI) using DSI Studio (29 SLE, 28 HC). Interhemispheric functional connectivity was assessed using resting-state fMRI in the CONN toolbox (27 per group). Clinical assessments included the SLEDAI-2 K, SLICC Damage Index, and SLICC Frailty Index, along with neurocognitive tests that assessed working memory, psychomotor speed, and executive function. Statistical analyses involved ANCOVA adjusted for age and intracranial volume, along with correlation analyses to explore associations between neuroimaging findings and clinical or neurocognitive measures.

resultsSLE patients exhibited significantly reduced volumes in the right occipital lobe (F = 11.274, η

conclusionsEven in the absence of overt neuropsychiatric symptoms, SLE patients demonstrated structural brain changes-specifically reduced occipital and thalamic volumes and widespread white matter disruptions-associated with disease duration, organ damage, and neurocognitive dysfunction. Functional interhemispheric connectivity was globally preserved but impaired in the moderate activity subgroup.

Indexed as

BrainCognitionLupus Erythematosus, SystemicAdultCross-Sectional StudiesDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingNeuroimagingNeuropsychological TestsWhite MatterBrain structureCognitive correlationConnectometryDiffusion tensor imagingInterhemispheric connectivityNeuropsychiatric systemic lupus erythematosusSystemic lupus erythematosusWhite matter tract

Identifiers

PMID41088383
PMCPMC12522539

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