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.