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  4. The progressive loss of brain network fingerprints in Amyotrophic Lateral Sclerosis predicts clinical impairment
 
research article

The progressive loss of brain network fingerprints in Amyotrophic Lateral Sclerosis predicts clinical impairment

Romano, Antonella
•
Lopez, Emahnuel Trosi
•
Liparoti, Marianna
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January 1, 2022
Neuroimage-Clinical

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterised by functional connectivity alterations in both motor and extra-motor brain regions. Within the framework of network analysis, fingerprinting represents a reliable approach to assess subject-specific connectivity features within a given population (healthy or diseased). Here, we applied the Clinical Connectome Fingerprint (CCF) analysis to source-reconstructed magnetoencephalography (MEG) signals in a cohort of seventy-eight subjects: thirty-nine ALS patients and thirty-nine healthy controls. We set out to develop an identifiability matrix to assess the extent to which each patient was recognisable based on his/her connectome, as compared to healthy controls. The analysis was performed in the five canonical frequency bands. Then, we built a multilinear regression model to test the ability of the "clinical fingerprint" to predict the clinical evolution of the disease, as assessed by the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-r), the King's disease staging system, and the Milano-Torino Staging (MiToS) disease staging system. We found a drop in the identifiability of patients in the alpha band compared to the healthy controls. Furthermore, the "clinical fingerprint" was predictive of the ALSFRS-r (p = 0.0397; beta = 32.8), the King's (p = 0.0001; beta = -7.40), and the MiToS (p = 0.0025; beta = -4.9) scores. Accordingly, it negatively correlated with the King's (Spearman's rho = -0.6041, p = 0.0003) and MiToS scales (Spearman's rho = -0.4953, p = 0.0040). Our results demonstrated the ability of the CCF approach to predict the individual motor impairment in patients affected by ALS. Given the subject-specificity of our approach, we hope to further exploit it to improve disease management.

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Type
research article
DOI
10.1016/j.nicl.2022.103095
Web of Science ID

WOS:000828145400003

Author(s)
Romano, Antonella
Lopez, Emahnuel Trosi
Liparoti, Marianna
Polverino, Arianna
Minino, Roberta
Trojsi, Francesca
Bonavita, Simona
Mandolesi, Laura
Granata, Carmine
Amico, Enrico  
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Date Issued

2022-01-01

Publisher

ELSEVIER SCI LTD

Published in
Neuroimage-Clinical
Volume

35

Article Number

103095

Subjects

Neuroimaging

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Neurosciences & Neurology

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clinical connectome fingerprint

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functional connectome

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brain network identifiability

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neurodegenerative diseases

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motor neurons disease

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magnetoencephalography

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phase linearity

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measurement

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functional connectivity

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disease progression

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dysfunction

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patterns

•

behavior

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
MIPLAB  
Available on Infoscience
August 1, 2022
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/189714
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