Loss in connectivity among regions of the brain reward system in alcohol dependence.

Loss in connectivity among regions of the brain reward system in alcohol dependence.
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DOI:
10.1002/hbm.22132
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发表时间:
2013-12
影响因子:
4.8
通讯作者:
Raj, Ashish
Raj, Ashish
中科院分区:
医学2区
文献类型:
--
作者:
Kuceyeski, Amy;Meyerhoff, Dieter J.;Durazzo, Timothy C.;Raj, Ashish

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A recently developed measure of structural brain connectivity disruption, the Loss in Connectivity (LoCo), is adapted for studies in alcohol dependence. LoCo uses independent tractography information from young healthy controls to project the location of white matter microstructure abnormalities in alcohol dependent vs. non-dependent individuals onto connected gray matter regions. The LoCo scores are computed from white matter abnormality masks derived at two levels: 1) group-wise differences of alcohol dependent individuals versus light drinking controls and 2) differences of the alcohol dependent individual versus the light drinking control group. LoCo scores based on group-wise white matter differences show that gray matter regions belonging to the extended brain reward system-network (BRS) have significantly higher LoCo (i.e., disconnectivity) than those not in this network (t = 2.18, p = 0.016). LoCo scores based on individuals’ white matter differences are also higher in BRS vs. non-BRS (t = 5.26, p = 3.92×10−6) of alcohol dependent individuals. These results suggest that white matter alterations in alcohol dependence, although subtle and spatially heterogeneous across the population, are nonetheless preferentially localized to the BRS. LoCo is shown to provide a more sensitive estimate of gray matter involvement than conventional volumetric gray matter measures, by differentiating better between brains of alcohol dependent individuals and non-alcoholic controls (rates of 89.3% versus 69.6%). However, just as volumetric measures, LoCo is not significantly correlated with standard drinking severity measures. LoCo is a sensitive white matter measure of regional cortical disconnectivity that uniquely characterizes anatomical network disruptions in alcohol dependence.
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