Abstract

The oscillatory patterns of electroencephalography (EEG), during resting states, are informative and helpful in understanding the functional states of brain network and their contribution to behavioral performances. The aim of this study is to characterize the functional brain network alterations in patients with amnestic mild cognitive impairment (aMCI). To this end, rsEEG signals were recorded before and after a cognitive task. Functional connectivity metrics were calculated using debiased weighted phase lag index (DWPLI). Topological features of the functional connectivity network were analyzed using both the classical graph approach and minimum spanning tree (MST) algorithm. Subsequently, the network and connectivity values together with Mini-Mental State Examination cognitive test were used as features to classify the participants. Results showed that: (1) across the pre-task condition, in the theta band, the aMCI group had a significantly lower global mean DWPLI than the control group; the functional connectivity patterns were different in the left hemisphere between two groups; the aMCI group showed significantly higher average clustering coefficient and the remarkably lower global efficiency than the control. (2) Analysis of graph measures under post-task resting state, unveiled that for the percentage change of post-task vs. pre-task in beta EEG, a significant increase in tree hierarchy was observed in aMCI group (2.41%) than in normal control (−3.89%); (3) Furthermore, the classification analysis of combined measures of functional connectivity, brain topology, and MMSE test showed improved accuracy compared to the single method, for which the connectivity patterns and graph metrics were used as separate inputs. The classification accuracy obtained for the case of post-task resting state was 87.2%, while the one achieved under pre-task resting state was found to be 77.7%. Therefore, the functional network alterations in aMCI patients were more prominent during the post-task resting state. This study suggests that the disintegration observed in MCI functional network during the resting states, preceding and following a task, might be possible biomarkers of cognitive dysfunction in aMCI patients.

Highlights

  • Mild cognitive impairment (MCI) refers to a clinical condition that reflects an intermediate mental state between normal cognition and dementia (Petersen et al, 1995)

  • Considering the advantages of debiased weighted phase lag index (DWPLI) in mitigating the effects of volume conduction and the common reference problems compared to other measures of phase synchronization, it is still unknown how effective it would be in detecting brain functional changes in amnestic mild cognitive impairment (aMCI) during resting state

  • Data are presented as mean ± SD. p-values of gender was obtained by chisquare test; p-values of medication was obtained by Fisher’s Exact Test, p-values for comparison in other demographic data, neuropsychological performance was acquired by independent sample t-test

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Summary

Introduction

Mild cognitive impairment (MCI) refers to a clinical condition that reflects an intermediate mental state between normal cognition and dementia (Petersen et al, 1995). The investigation of the brain network characteristics of MCI might be a crucial step toward the diagnosis and medical treatment of dementia In this connection, the synchronization of rhythmic activity of the cortical neuron, occurring at the scalp level, was shown in Rodriguez et al (1999) to play an important role in extracting the global and local properties of brain connectivity in MCI and AD, such as electroencephalogram (EEG), which reflects the pattern of the temporal interdependence, or information flow dynamics of anatomically separated brain regions (Rodriguez et al, 1999). Considering the advantages of debiased weighted phase lag index (DWPLI) in mitigating the effects of volume conduction and the common reference problems compared to other measures of phase synchronization, it is still unknown how effective it would be in detecting brain functional changes in aMCI during resting state

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