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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleFunctional

Functional Connectivity in Virally Suppressed Patients with HIV-Associated Neurocognitive Disorder: A Resting-State Analysis

J.R. Chaganti, A. Heinecke, T.M. Gates, K.J. Moffat and B.J. Brew
American Journal of Neuroradiology August 2017, 38 (8) 1623-1629; DOI: https://doi.org/10.3174/ajnr.A5246
J.R. Chaganti
aFrom the Departments of Radiology (J.R.C., K.J.M.)
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A. Heinecke
cBrain Innovation B.V. (A.H.), Maastricht, the Netherlands
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T.M. Gates
dDepartment of Neurology, Clinical Research Program (T.M.J.)
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K.J. Moffat
aFrom the Departments of Radiology (J.R.C., K.J.M.)
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B.J. Brew
bNeurology (B.J.B.), St Vincent's Hospital, Darlinghurst, Sydney, New South Wales, Australia
eNeurosciences Program, Peter Duncan Neurosciences Unit (B.J.B.), St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.
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  • Fig 1.
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    Fig 1.

    Multiplanar and axial depictions of differences between patients with HIV and control subjects in Brodmann area 9 (executive networks) and Brodmann area 13 (salience networks). Positive values represent higher correlation, and negative values depict lower correlation in patients with HIV relative to control subjects. (All the resultant maps are cluster-corrected). A, Brodmann area 9: patients-controls. B, Brodmann area 13: patients-controls.

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    Fig 2.

    A, Multiplanar depictions of group effect in subjects with HIV in the executive networks with the seed region in Brodmann area 9. Note large consistently activated voxels in the entire group, with activation in the dorsolateral frontal cortex and posterior inferoparietal regions and in the striatum. B, Multiplanar depictions of group effect in subjects with HIV in the executive networks with seed regions in Brodmann area 13. Large consistently activated voxels in the group with activation in the anterior insula, anterior cingulate, and thalamus.

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    Fig 3.

    Salience networks. Difference in correlation of the salience network with neurocognitive score (NCS): (Correlation Value in NCS > Median) − (Correlation Value in NCS < median). Orange denotes areas showing larger correlation values in patients with larger neurocognitive values, while blue shows the opposite. Each of the maps is corrected with the cluster-correction approach.

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    Fig 4.

    Covariate analysis with neurocognitive scores demonstrating surviving voxels in each of the 6 networks.

Tables

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    Table 1:

    Demographic, HIV, and neurocognitive characteristics of the study sample

    HIV+ (n = 18)Control (n = 9)P
    Age (mean) (SD) (yr)53.7 (7.5)55 (4.0).6897
    Male sex (%)100100
    Ethnicity (% white)100100
    Education (mean) (SD) (yr)13.0 (3.0)15 (2.0).0043
    Duration stable on cART (median) (IQR) (yr)2 (2)NA
    CD4 cell count (median) (IQR) (cells/mm3)657 (550)
    Nadir CD4 (median) (IQR)194.5 (263.5)
    Composite neurocognitive z score (median) (IQR)−0.69 (0.75)
    • Note:—NA indicates not applicable; IQR, interquartile range; +, positive.

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    Table 2:

    Tests included in the brief neurocognitive research battery

    Cognitive DomainTests
    Speed of informationCogState Detection Task
        processingCogState Identification Task
    Trail-Making Test: Parts A and B
    WAIS-III Digit Symbol Coding
    Attention/working memoryCogState One Back Task
    CogState Two Back Task
    Motor functioningGrooved Pegboard: Dominant and Non-Dominant Hand
    Verbal learningCogState International Shopping List Task: Learning
    Verbal memoryCogState International Shopping List Task: Delayed Recall
    • Note:—WAIS-III indicates Wechsler Adult Intelligence Scale-III.

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    Table 3:

    Mean Talairach coordinates of the center-of-gravity coordinates in X, Y, and Z axes and SD and number of voxels (1-mm resolution of each cluster) in Brodmann area 9 (control executive networks) and 13 (salience networks) seed region networksa

    Mean XMean YMean ZSD XSD YSD ZVoxel No.
    BA 9
        Cluster1_conjunction5.9825.5034.0135.4323.2811.1678,154
        Cluster2_conjunction37.79−39.7146.683.686.203.331149
        Cluster3_conjunction2.677.6122.387.579.842.31824
        Cluster4_conjunction−2.32−65.5037.524.023.445.861437
        Cluster5_conjunction−32.92−61.6649.646.305.043.921540
    BA 13
        Cluster1_conjunction−30.8110.9712.3614.8715.6313.7516,021
        Cluster2_conjunction42.2513.228.388.5611.148.1213,973
        Cluster3_conjunction−43.21−17.408.1710.2212.708.914252
        Cluster4_conjunction52.63−20.3012.936.5317.3211.826609
    • Note:—BA indicates Brodmann area.

    • ↵a The clusters are defined on the basis of conjointly activated voxels in patients and control subjects.

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American Journal of Neuroradiology: 38 (8)
American Journal of Neuroradiology
Vol. 38, Issue 8
1 Aug 2017
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J.R. Chaganti, A. Heinecke, T.M. Gates, K.J. Moffat, B.J. Brew
Functional Connectivity in Virally Suppressed Patients with HIV-Associated Neurocognitive Disorder: A Resting-State Analysis
American Journal of Neuroradiology Aug 2017, 38 (8) 1623-1629; DOI: 10.3174/ajnr.A5246

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Functional Connectivity in Virally Suppressed Patients with HIV-Associated Neurocognitive Disorder: A Resting-State Analysis
J.R. Chaganti, A. Heinecke, T.M. Gates, K.J. Moffat, B.J. Brew
American Journal of Neuroradiology Aug 2017, 38 (8) 1623-1629; DOI: 10.3174/ajnr.A5246
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