Vallini, G. | bioRxiv Science

bioRxiv2025

Unveiling functional-metabolic synergy in the healthy brain: multivariate integration of dynamic FDG-PET and resting-state fMRI

IntroductionDespite accounting for only 2% of body weight, the human brain requires significant amounts of glucose, even at rest, underscoring the importance of functional-metabolic relationships. Previous studies revealed moderate associations between resting-state fMRI functional connectivity (FC) and local metabolism via [18F]FDG-PET, yet much remains to be understood, particularly regarding their coupling between functional and metabolic networks. MethodsTo this end, we employed multivariate Partial Least Squares Correlation (PLSC) to investigate the functional-metabolic relationship at both nodal and network level. From dynamic [18F]FDG-PET data we estimated parameters describing glucose metabolism --delivery rate (K1), phosphorylation rate (k3), and fractional uptake (Ki)-- and generated within-individual metabolic connectivity (MC) networks. FC was derived from fMRI data filtered into two frequency bands and summarized as region-wise strength to capture nodal characteristics. ResultsOur findings revealed that glucose delivery is linked with FC strength, particularly when fMRI signal frequencies include greater hemodynamic contributions. Even stronger functional-metabolic coupling occurs at the network level in the low-frequency fMRI band, with higher MC between sensory/attention and transmodal networks supporting stronger FC within sensory/attention areas. ConclusionsBy leveraging PLSC, this work deepens our understanding of the functional-metabolic synergy in the healthy brain, providing new insights into its organization. Key PointsO_LIWe identified robust functional-metabolic synergy in the healthy brain using multivariate Partial Least Squares Correlation (PLSC), revealing strong associations between fMRI-derived functional connectivity and glucose metabolism from dynamic [{superscript 1}F]FDG-PET. C_LIO_LIAt the nodal level, glucose delivery (K1) is more strongly linked to FC strength than phosphorylation (k3) or uptake (Ki), especially in fMRI bands enriched with hemodynamic components. C_LIO_LIAt the network level, coupling between metabolic and functional connectivity is strongest in the canonical low-frequency fMRI band, suggesting that integrated metabolic support underpins large-scale functional integration across brain systems. C_LI

neuroscience↗

bioRxiv2022

A new framework for metabolic connectivity mapping using bolus FDG PET and kinetic modelling

PurposeMetabolic connectivity (MC) has been previously proposed as the covariation of static [18F]FDG PET images across participants, which we call across-individual MC (ai-MC). In few cases, MC has also been inferred from dynamic [18F]FDG signals, similarly to fMRI functional connectivity (FC), which we term within-individual MC (wi-MC). The validity and interpretability of both MC approaches is an important open issue. Here we reassess this topic, aiming to 1) develop a novel methodology for wi-MC estimation; 2) compare ai-MC maps obtained using different [18F]FDG parameters (K1, i.e. tracer transport rate, k3, i.e. phosphorylation rate, Ki, i.e. tracer uptake rate, and the standardized uptake value ratio, SUVR); 3) assess the interpretability of ai-MC and wi-MC in comparison to structural and functional connectivity (FC) measures. MethodsWe analyzed dynamic [18F]FDG data from 54 healthy adults using kinetic modelling to quantify the macro- and microparameters describing the tracer behavior (i.e. Ki, K1, k3). We also calculated SUVR. From the across-individual correlation of SUVR, Ki, K1, k3, we obtained four different ai-MC matrices. A new approach based on Euclidean distance was developed to calculate wi-MC from PET time-activity curves. ResultsWe identified Euclidean similarity as the most appropriate metric to calculate wi-MC. ai-MC networks changed with different [18F]FDG parameters (k3 MC vs. SUVR MC, r = 0.44). We found that wi-MC and ai-MC matrices are dissimilar (maximum r = 0.37), and that the match with FC is higher for wi-MC (Dice similarity: 0.47-0.63) than for ai-MC (0.24-0.39). ConclusionOur data demonstrate that individual-level MC from dynamic [18F]FDG data using Euclidean similarity is feasible and yields interpretable matrices that bear similarity to resting-state fMRI FC measures.

bioengineering↗