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Crimi, A.

Publications and source records attributed to Crimi, A..

6 recordsLinked to original sources

Pre-operarative Multivariate Connectome Analysis for Glioma Patients

Recent advances in neuroimaging have allowed the use of network analysis to study the brain in a system-based approach. A system-based analysis of gliomas can shed light on mechanisms underlying neuronal connectivity and plasticity and the recovery process, and it could support surgical decision-making. Surgery has been shifting from image-guided surgery to a functional mapping-guided resection where several structural and functional modalities are used. However, reliable identification of eloquent areas during planning of surgical resection is still a challenge. Pre-operative language mapping performed by navigated transcranial magnetic stimulation (nTMS) is of great value as it elucidates functional cortical organization, which might be different from patient to patient due to the heterogeneity of the lesions and individual plasticity. In this paper we propose the construction of an \"effective\" speech network used for surgical decision making. This is achieved by mapping functionally relevant areas identified by nTMS on tractography-based connectomics. Subsequently we compute graph metrics on the identified speech networks of patients who show preoperative aphasia aiming to identify relevant differences between graph metrics in patients with and without preoperative aphasia. Lastly, the validity of the speech networks is examined by checking the involved graph communities.

neuroscience

Overlaps in Brain Dynamical Functional Connectivity between Schizophrenia and Autism Spectrum Disorder

Schizophrenia and autism share some genotipic and phenotypic aspects as connectome miswiring and common cognitive deficits. Currently, there are no medical tests available for either disorders, and diagnostics for both of them include direct reports of relatives and clinical evaluation by a psychiatrist. Despite several medical imaging biomarkers have been proposed in the past, novel effective biomarkers or improvements of the existing ones is still need. This work proposes a dynamic functional connectome analysis combined with machine learning techniques to complement the present diagnostic procedure. We used the moving window technique to locate a set of dynamic functional connectivity states, and then use them as features to classify subjects as autism/schizophrenia or control. Moreover, by using dynamic functional connectivity measures we investigate the question whether those two disorders overlap, namely whether schizophrenia is part of the autism spectrum and which brain region could be involved in both disorders. The results reveal that both static and dynamic functional connectivity can be used to classify subjects with schizophrenia or autism. Lastly, some brain regions show similar functional flexibility in both autism and schizophrenia cohorts giving further possible proofs of their overlaps.

neuroscience

Genome-Wide Association Study of Brain Connectivity Changes for Alzheimer’s Disease

Variations in the human genome have been found to be an essential factor that affects susceptibility to Alzheimers disease. Genome-wide association studies (GWAS) have identified genetic loci that significantly contribute to the risk of Alzheimers. The availability of genetic data, coupled with brain imaging technologies have opened the door for further discoveries, by using data integration methodologies and new study designs. Although methods have been proposed for integrating image characteristics and genetic information for studying Alzheimers, the measurement of disease is often taken at a single time point, therefore, not allowing the disease progression to be taken into consideration. In longitudinal settings, we analyzed neuroimaging and single nucleotide polymorphism datasets obtained from the Alzheimers Disease Neuroimaging Initiative for three clinical stages of the disease, including healthy control, early mild cognitive impairment and Alzheimers disease subjects. We conducted a GWAS regressing the absolute change of global connectivity metrics on the genetic variants, and used the GWAS summary statistics to compute the gene and pathway scores. We observed significant associations between the change in structural brain connectivity defined by tractography and genes, which have previously been reported to biologically manipulate the risk and progression of certain neurodegenerative disorders, including Alzheimers disease.

bioinformatics

Structurally Constrained Effective Brain Connectivity

The relationship between structure and function is of interest in many research fields involving the study of complex biological processes. In neuroscience in particular, the fusion of structural and functional data can help understanding the underlying principles of the operational networks in the brain. To address this issue, this paper proposes a constrained autoregressive model leading to a representation of "effective" connectivity that can be used to better understand how the structure modulates the function. Or simply, it can be used to find novel biomarkers characterizing groups of subjects. In practice, an initial structural connectivity representation is re-weighted to explain the functional co-activations. This is obtained by minimizing the reconstruction error of an autoregressive model constrained by the structural connectivity prior. The model has been designed to also include indirect connections, allowing to split direct and indirect components in the functional connectivity, and it can be used with raw and deconvoluted BOLD signal. The derived representation of dependencies was compared to the well known dynamic causal model, giving results closer to known ground-truth. Further evaluation of the proposed effective network was performed on two typical tasks. In a first experiment the direct functional dependencies were tested on a community detection problem, where the brain was partitioned using the effective networks across multiple subjects. In a second experiment the model was validated in a case-control task, which aimed at differentiating healthy subjects from individuals with autism spectrum disorder. Results showed that using effective connectivity leads to clusters better describing the functional interactions in the community detection task, while maintaining the original structural organization, and obtaining a better discrimination in the case-control classification task. HighlightsO_LIA method to combine structural and functional connectivity by using autoregressive model is proposed. C_LIO_LIThe autoregressive model is constrained by structural connectivity defining coefficients for Granger causality. C_LIO_LIThe usefulness of the generated effective connections is tested on simulations, ground-truth default mode network experiments, a classification and clustering task. C_LIO_LIThe method can be used for direct and indirect connections, and with raw and deconvoluted BOLD signal. C_LI

neuroscience

Boosting Diabetes and Pre-Diabetes Screening in Rural Ghana via Mobile Phones Apps

BackgroundDiabetes is a growing worldwide disease with serious consequences to health and high financial burden. Ghana is one of the developing African countries where the prevalence of diabetes is increasing. Moreover, many cases remained undiagnosed, when along with per-diabetic cases they can be easily detected. Pre-diabetes condition occurs when blood sugar levels are higher than normal but are not high enough to be classified as diabetes, and it is still reversible.\n\nMethodsThis study proposes a novel method to increase diabetes and pre-diabetes detection, and to find new behavioral determinants related in rural Ghana. The screening approach was based on tests performed pro-actively by community nurses using glucometers and mobile phone apps. As a pilot for future policies, those glycemic tests were carried out on 101 subjects from rural communities in Ghana deemed at risk and unaware of their diabetic/pre-diabetic status. A comparison of dietary and lifestyle habits of the screened people was conducted in regards to a cohort of 103 diabetic patients from the same rural communities.\n\nResultsThe pilot screening detected 2 diabetic subjects (2% of the cohort) showing WHO diabetic glycemic values, and 20 pre-diabetic subjects (19.8% of the cohort) which showed the effectiveness of the user-friendliness approach. The need of further campaigns on alcohol consumption and physical activities has emerged even for the rural areas.\n\nConclusionsPolicies based on prevention screening as reported in the manuscript have the potential to reduce diabetes incidence and its related health-care costs in the country.\n\nTrial registrationNoguchi Memorial Institute for Medical Research-IRB Study Number: 076/13-14 registered on 20.02.2017

epidemiology

Multi-Link Analysis: Brain Network Comparison via Sparse Connectivity Analysis

The analysis of the brain from a connectivity perspective is unveiling novel insights into brain structure and function. Discovery is, however, hindered by the lack of prior knowledge used to make hypotheses. On the other hand, exploratory data analysis is made complex by the high dimensionality of data. Indeed, in order to assess the effect of pathological states on brain networks, neuroscientists are often required to evaluate experimental effects in case-control studies, with hundreds of thousand connections.\n\nIn this paper, we propose an approach to identify the multivariate relationships in brain connections that characterise two distinct groups, hence permitting the investigators to immediately discover sub-networks that contain information about the differences between experimental groups. In particular, we are interested in data discovery related to connectomics, where the connections that characterize differences between two groups of subjects are found. Nevertheless, those connections not necessarily maximize accuracy in classification since this does not guarantee reliable interpretation of specific differences between groups. In practice, our method exploits recent machine learning techniques employing sparsity to deal with weighted networks describing the whole-brain macro connectivity. We evaluated our technique on functional and structural connectomes from human and mice brain data. In our experiments, we automatically identified disease-relevant connections in datasets with supervised and unsupervised anatomy-driven parcellation approaches, and by using high-dimensional datasets.

neuroscience