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  <title>NITRC News Group Forum: depletion-of-brain-functional-connectivity-enhancement-leads-to-disability-progression-in-multiple-sclerosis--a-longitudinal-resting-state-fmri-study.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=5969</link>
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        &lt;p&gt;&lt;b&gt;Depletion of brain functional connectivity enhancement leads to disability progression in multiple sclerosis: A longitudinal resting-state fMRI study.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;Mult Scler. 2016 Feb 2;&lt;/p&gt;
        &lt;p&gt;Authors:  Faivre A, Robinet E, Guye M, Rousseau C, Maarouf A, Le Troter A, Zaaraoui W, Rico A, Crespy L, Soulier E, Confort-Gouny S, Pelletier J, Achard S, Ranjeva JP, Audoin B&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        BACKGROUND: The compensatory effect of brain functional connectivity enhancement in relapsing-remitting multiple sclerosis (RRMS) remains controversial.&lt;br/&gt;
        OBJECTIVE: To characterize the relationships between brain functional connectivity changes and disability progression in RRMS.&lt;br/&gt;
        METHODS: Long-range connectivity, short-range connectivity, and density of connections were assessed using graph theoretical analysis of resting-state functional magnetic resonance imaging (fMRI) data acquired in 38 RRMS patients (disease duration: 120 ± 32 months) and 24 controls. All subjects were explored at baseline and all patients and six controls 2 years later.&lt;br/&gt;
        RESULTS: At baseline, levels of long-range and short-range brain functional connectivity were higher in patients compared to controls. During the follow-up, decrease in connections' density was inversely correlated with disability progression. Post-hoc analysis evidenced differential evolution of brain functional connectivity metrics in patients according to their level of disability at baseline: while patients with lowest disability at baseline experienced an increase in all connectivity metrics during the follow-up, patients with higher disability at baseline showed a decrease in the connectivity metrics. In these patients, decrease in the connectivity metrics was associated with disability progression.&lt;br/&gt;
        CONCLUSION: The study provides two main findings: (1) brain functional connectivity enhancement decreases during the disease course after reaching a maximal level, and (2) decrease in brain functional connectivity enhancement participates in disability progression.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 26838014 [PubMed - as supplied by publisher]&lt;/p&gt;
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