Simultaneous PET/MR/EEG to study brain connectivity on different physiological and temporal scales in epilepsy patients
Andre Thielcke1, Adham Elshahabi2, Ilja Bezrukov1, Suril Gohel3, Mario Amend1, Holger Schmidt4, Matthias Reimold5, Holger Lerche2, Bharat Biswal3, Bernd J. Pichler1, Niels Focke2, Christian la Fougère5, and Hans F. Wehrl1

1Department of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 2Neurology & Epileptology and Werner Reichardt Centre for Integrative Neuroscience, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 3Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ, United States, 4Interventional and Diagnostic Radiology, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 5Nuclear Medicine and Werner Reichardt Centre for Integrative Neuroscience, Eberhard Karls University of Tuebingen, Tuebingen, Germany

Synopsis

Simultaneous PET/MR/EEG was used in humans to study brain networks in the resting state on slow, medium and fast time scales. We found that the representation of the default mode network (e.g. in terms of correlation between regions) varies between modality and time scale applied. However, for the DMN as well as other networks similarities but also differences between modalities were seen. This work opens the domain for studying brain activity on different physiological (metabolic, hemodynamic and electric) but also on different time scales.

Purpose

To assess functional connectivity of brain networks fMRI methods are often applied, whereas positron emission tomography (PET) can reveal metabolic changes in the brain, and metabolic brain connectivity (Cometomics). Medium time scales (seconds) are accessible using fMRI methods, whereas slower time scales can ideally be studied using PET. The combination of simultaneous PET/MR with high temporal resolution electroencephalogram (EEG) allows a detailed tracing of neuronal processing over a wide temporal range. Aim of this study was to analyze prominent resting state networks such as the default mode network using a novel simultaneous PET/MR/EEG imaging approach.

Methods

Patients suffering from epilepsy (n=11, informed consent) were measured using simultaneous PET/MR/EEG at 3 T field strength. The influence of the EEG cap on PET data was analyzed, by comparison with scans without EEG cap. In combination, with simultaneous EEG recordings (256 channels, sampling rate 1000 Hz), BOLD-fMRI (EPI, TR=2500 ms, TE=32ms, Matrix Size: 646436, Voxel Size: 3.53.53.5 mm3) and [18F] fluorodeoxyglucose (FDG, a tracer for glucose metabolism)-PET (injected dose 180-200 MBq) imaging was performed during resting state. PET acquisition time was 60 min. The first 20 min of BOLD-fMRI and EEG were compared with the first 20 min of PET data. PET images were reconstructed into 60 s frames (OSEM reconstruction). Preprocessing was performed using SPM 12. Independent component analysis (ICA) for PET and MR data were performed to visualize RSNs. Region of interest analysis (ROI-analysis) in PET, MR and EEG data was used to investigate Pearson´s correlation coefficient within RSN. Based on the AAL atlas (116 ROIs), the whole brain PET/MR data was analyzed. A special focus was on areas that belong to the default mode network (DMN), where correlation graphs were computed for PET and simultaneously acquired BOLD-fMRI. In addition, preliminary EEG data of four patients (one 20 s epoch per patient acquired during the simultaneous PET/MR scan) were evaluated to investigate correlation coefficients within DMN.

Results

The influence of EEG cap on the PET data was in the range of approximately -5 % in cortical regions. ICA PET and MR data revealed similarities as well as discrepancies of imaged RSNs e.g. DMN, visual and auditory. Correlation matrices of both modalities representing the whole brain, indicate disparities between both modalities (Figure 1). In regard to the DMN, strong correlation can be observed in PET data (Figure 2). With increased temporal resolution of modalities the correlation within DMN is decreased in MR and even more decreased in the mean EEG data of 4 patients for the DMN regions (Figure 2). However, we observed a large variety of the individual DMN correlation matrices for four patients analyzed. Some patients clearly showed DMN like-structures already visible in 20 s epochs of data.

Discussion

Including additional information (e.g. from CT) of the EEG cap into the attenuation correction process can further reduce the effect of the EEG cap on the PET data. Our study in general revealed that RSNs in the brain can be studied using both PET and fMRI information. The PET networks show to some respect resemblance to the RSNs found in fMRI. However, in many instances also differences e.g. in form of higher and lower correlation coefficients between certain brain regions exist. These discrepancies can most likely be attributed to the different physiological origins of the studied signals (PET: metabolic, fMRI: hemodynamic). The DMN showed differences in correlations between regions when studied in PET, fMRI and EEG. Our initial analysis indicated that PET showed even highest correlations, whereas the average EEG showed lowest. Notably, there was a large variance in the initial four EEG patients analyzed, which could stem from a variety of reasons including different disease manifestations as well as onset times of the selected EEG epochs.

Conclusion

In conclusion our results point towards a multiscalar temporal manifestation of certain brain networks, which can be ideally studied using simultaneous PET/MR/EEG. This work opens the domain for further studies in healthy subjects as well as clinical cases to decode the enigmatic nature of brain network structure.

Acknowledgements

Grant support by:

NSF-BMBF: Neurophysiologische Basis der Gehirnkonnektivität / Neurophysiological basis of brain connectivity, 01GQ1415

IZKF Research Group: Functional and Metabolic Brain Imaging (FMBI), fortüne: 2209-0-0

CIN Tuebingen Pool-Projekt 2014-02 (Tri-Modal Network-Analysis using [18F]FDG-PET, fMRI and HD-EEG DFG: CIN EXC 307

References

No reference found.

Figures

Whole brain connectivity matrix (116 ROIs) for PET (left) and fMRI (right). Correlation matrices represent functional connectivity within the whole brain.

Connectivity matrix for DMN brain regions. Strong correlations were observed in PET. fMRI shows strong correlations, but with limited extend. EEG shows in this initial analysis the lowest correlations in DNM regions. However, EEG data illustrate high variance across subjects in the representation of the DNM (see also Figure 3).

Connectivity matrix of the DMN brain regions assessed from 20 s epochs of EEG data in four different subjects. A large variability in the representation of the DMN and its connection strengths can be seen, with subject one showing lowest correlations, whereas subject four shows on average higher correlations.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
1662