Systemic sclerosis & Raynaud's

Brain functional alternation in patients with systemic sclerosis: a resting-state functional magnetic resonance imaging study

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

Spontaneous activity and functional connectivity alternations can be seen in SSc patients, which are partially associated with neuropsychiatric manifestations and tend to aggravate with disease duration.

Study context

Population
Patients with systemic sclerosis (SSc) and age- and sex-comparable healthy volunteers undergoing resting state (RS) functional MR imaging (fMRI) and neuropsychological assessments
Participants
44 vs 19
Exposure
SSc patients vs age and sex comparable healthy volunteers
  • SScn = 44
  • Healthy volunteersn = 19reference
Outcome
RS functional alterations: ALFF, ReHo, intra-network and inter-network FC
Methodological detailscase-control, resting-state fMRI, voxel-based pairwise two-sample t-tests
  • Case-control
  • Resting-state fMRI
  • Voxel-based pairwise two-sample t-tests

Main finding

As reported in the abstract

RS fMRI measurements, SSc vs healthy volunteers
SSc: significantly decreased amplitude of low frequency fluctuation (ALFF) and increased regional homogeneity (ReHo) (FWE corrected)
all P < 0.01
SSc: decreased intra-network functional connectivity (FC) in auditory, visual, default mode, frontoparietal and attention networks (uncorrected, cluster size > 30)
P < 0.01
SSc: decreased inter-network FC in auditory, visual, default mode, frontoparietal and attention networks (FDR correction)
P < 0.05

Observational data: associations, not effects.

Further findings

Correlations of clinical characteristics with fMRI measurements

Disease duration, r ranged
- 0.31 to 0.36
Elevated ESR, r
0.35
Montreal Cognitive Assessment score, r
0.43
Hamilton Depression Scale score, r
−0.40
  • All P < 0.05

Original publication

Brain functional alternation in patients with systemic sclerosis: a resting-state functional magnetic resonance imaging study. Arthritis Res Ther. Published 8 November 2024. doi:10.1186/s13075-024-03433-3

Composed by AI from the published abstract and checked against it. How Briefs are made →

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