Sustained connectivity correlates of motor function in Alzheimer’s disease

Abstract

AbstractBackgroundIn addition to cognitive deficits, issues with motor control are present across the dementia spectrum. Traditional functional connectivity measures synchrony of intrinsic activity between brain regions and is altered in patients with Alzheimer’s disease in regions supporting motor function; however, less is known regarding the temporal stability of that synchrony. Sustained connectivity uses the width of cross correlation curves of BOLD time series to reflect the relative duration of synchronous activity between brain regions. This study investigates sustained connectivity across the dementia spectrum in motor regions.Method109 participants were included in this analysis and included 32 individuals with mild cognitive impairment (MCI) (18 F, 73.84 ± 5.14), 30 with Alzheimer’s disease (AD) (19 F, 77.37 ± 6.45), and 47 control individuals (29 F, mean age 72.13 ± 4.68). All study participants completed MP2RAGE structural imaging and two 15‐minute resting fMRI scans. Preprocessing steps included segmentation, motion realignment, registration to MNI space, and regression of motion parameters. Sustained connectivity values were averaged across both scans and only participants with more than 50% volumes remaining after censoring were included in analysis. A 17 resting‐state network parcellation was used to evaluate sustained connectivity across the brain with each network treated as a single ROI. A linear regression analysis was used to compare sustained connectivity across groups controlling for mean head motion, age, and sex. T statistics and p‐values are reported for across group sustained connectivity values.ResultAcross all three groups, sustained connectivity with the dorsal and ventral somatomotor networks was significantly increased across a number of resting‐state networks including the central visual, anterior ventral attention, and lateral temporal default mode network (DMN; all dorsal) and the somatomotor association, anterior ventral attention, medial frontoparietal, lateral temporal and lateral DMN (all ventral; Figure 1; pFDR < .05).ConclusionThese data suggest sustained connectivity may be a potential metric for assessing progressive cognitive decline in dementia. Our results indicate that sustained connectivity may be used to track changes in the temporal duration of functional connectivity in motor networks in individuals with intact cognition, mild cognitive impairment, and Alzheimer’s disease.