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  4. Impact of Bipolar Disorder Increased White Matter Hyperintensities on White Matter Connectivity
 
research article

Impact of Bipolar Disorder Increased White Matter Hyperintensities on White Matter Connectivity

Rivas-Fernandez, Miguel angel
•
Domingo-Ayllon, Montserrat
•
De Prisco, Michele
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February 25, 2025
Bipolar Disorders

Background: Individuals with bipolar disorder have been reported to have increased white matter hyperintensities (WMH) in fluid-attenuated inversion recovery (FLAIR) magnetic resonance scans. However, it is unknown whether this WMH increase has any impact on white matter connectivity. The present study aimed to evaluate the effects of the bipolar disorder-related WMH increase on white matter tracts and networks. Methods: An expert neuroradiologist blindly assessed the type, size, and location of WMH from 128 FLAIR scans (bipolar disorder: n = 64, age = 38 +/- 7 years; 53% females; matched healthy controls: n = 64, age = 36 +/- 10 years, 58% females). Afterward, we conducted an atlas-based analysis comparing the mean percentage parcel of damage in the white matter tracts of the Human Connectome Project tractography template and the networks of the 7-Network Cortical Parcellation template. Results: We did not detect WMH-related effects on white matter connectivity when correcting for multiple comparisons. However, at the uncorrected level, we found a higher WMH-related white matter disconnection in the right inferior fronto-occipital fasciculus and the right middle longitudinal fasciculus. Conclusion: This study evaluates, for the first time, the impact of WMH on bipolar brain structural connectivity. It finds an effect on two fasciculi, providing hints into one potential origin of the brain networks' alterations reported in the disorder. However, we only observed these results at the uncorrected statistical level, for which they are likely small and should be taken with caution until replicated.

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Type
research article
DOI
10.1111/bdi.70019
Web of Science ID

WOS:001431654900001

PubMed ID

40007151

Author(s)
Rivas-Fernandez, Miguel angel

Children's Hospital Los Angeles

Domingo-Ayllon, Montserrat

FIDMAG Res Fdn Germanes Hospitalaries

De Prisco, Michele

University of Barcelona

Fernandez-Corcuera, Paloma

Benito Menni CASM Germanes Hosp

Canales-Rodriguez, Erick J.  

École Polytechnique Fédérale de Lausanne

Vieta, Eduard

University of Barcelona

Pomarol-Clotet, Edith

Instituto de Salud Carlos III

Radua, Joaquim

University of Barcelona

Date Issued

2025-02-25

Publisher

WILEY

Published in
Bipolar Disorders
Subjects

bipolar disorder

•

brain structural connectivity

•

fluid-attenuated inversion recovery FLAIR

•

white matter hyperintensities (WMH)

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LTS5  
FunderFunding(s)Grant NumberGrant URL

Instituto de Salud Carlos III

Spanish Ministry of Science, Innovation, and Universities (MCIN)

European Union (EU)

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Available on Infoscience
March 7, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/247593
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