ArticleEuropean journal of nuclear medicine and molecular imaging2026
Personalized metabolic connectome analysis reveals glucose heterogeneity in ischemic cerebrovascular disease.
Article in European journal of nuclear medicine and molecular imaging, 2026. 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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Abstract
purposeThis study aimed to establish individualized metabolic networks for patients with ischemic cerebrovascular disease (ICVD) using cerebral glucose metabolism data and to analyze topological alterations before and after surgical intervention.
methodsWe enrolled 31 surgically treated ICVD patients with unilateral cerebral infarction (21 with complete postoperative follow-up) and 17 normal controls (NC). We constructed individualized brain metabolic networks from [
resultsThe preoperative ICVD group showed significantly altered metabolic connectivity compared with controls, with higher global MCES values (0.83 vs. 0.32, p < 0.0001). Ipsilesional subnetworks exhibited reduced connectivity, whereas contralesional subnetworks showed increased connectivity. Subnetwork analysis showed that the interhemispheric network in the ICVD group had a mean MCES of 0.91, which was significantly higher than that of the interhemispheric network in the NC group (0.17, p < 0.0001). Postoperatively, network connectivity showed partial recovery, particularly within the interhemispheric network. MCES was significantly correlated with NIHSS scores in the global, non-surgical intrahemispheric, and interhemispheric networks (|r|=0.58 ~ 0.65, p < 0.05), but not in the surgical intrahemispheric network.
conclusionICVD is associated with disrupted metabolic connectivity that exhibits early postoperative remodeling following surgical revascularization. Changes in interhemispheric network topology may provide insight into early postoperative metabolic network reorganization.
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