DOI: 10.1101/19008581Oct 8, 2019Paper

Brain network disruption predicts memory and attention deficits after surgical resection of glioma

MedRxiv : the Preprint Server for Health Sciences
Rafael Romero-GarciaJ. Suckling


Surgical resection with adjuvant chemotherapy and radiotherapy are effective treatments to delay brain tumour progression and improve survival. Nevertheless, a large proportion of patients have treatment-induced cognitive deficits that dramatically reduce their life quality. A major problem in basic and clinical neuroscience is that the dispersed and interlocking nature of cognitive circuits makes predicting functional impairments challenging. Here we investigated tumour interactions with brain networks in relation to cognitive recovery after surgical resection and during chemo-radiotherapy treatment. 17 patients with low- and high-grade glioma (aged 22-56 years) were longitudinally MRI-scanned and cognitively assessed using a tablet-based screening tool before and after surgery, and during a 12-months recovery period. Using structural MRI and Neurite Orientation Dispersion and Density Imaging (NODDI) derived from diffusion-weighted images, we respectively estimated tumour overlap and Neurite Density (as an in-vivo proxy measure of axon and dendrite concentration) with brain networks and functional maps derived from normative data in healthy participants. We found that neither total lesion volume nor tumour location based on tr...Continue Reading


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NODDI Matlab Toolbox
Oxford Cognitive Screen ( OCS ) - bridge

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