title: Longitudinal Changes in Cerebellar and Thalamic Spontaneous Neuronal Activity After Wide-Awake Surgery of Brain Tumors: a Resting-State fMRI Study.
abstract: Hypometabolism has been observed in the contralesional cerebellar hemisphere after various supratentorial cortical lesions. It is unknown whether the consequences of the dee- and deafferentation subsequent to wide-awake surgery for brain diffuse low-grade glioma can be assessed within remote and unresected subcortical structures such as the cerebellum or thalamus. To answer this question, we have conducted several regional analyses. More specifically, we have performed amplitude of low-frequency fluctuations (neuronal activity magnitude) and regional homogeneity (local temporal correlations) analyses on resting state functional magnetic resonance imaging (rs-fMRI) data and at different time points, before and after surgery. Our main results demonstrated that it is possible to evaluate subtle subcortical changes using these tools dedicated to the analysis of rs-fMRI data. The observed variations of spontaneous neuronal activity were particularly significant within the cerebellum which showed altered regional homogeneity and neuronal activity intensity in very different, specialized and non-overlapping subregions, in accordance to its neuro-anatomo-functional topography. These variations were moreover observed in the immediate postoperative period and recovered after 3 months.
authors.affiliation: INRIA, LIRMM, équipe DEMAR, University of Montpellier 2, 860 rue Sainr Priest, 34095, Montpellier, France.|Cognition, Action et Plasticité Sensorimotrice, INSERM U-1093, UFR STAPS, Université de Bourgogne, 27877, Dijon, France.
authors.forename: Anthony
authors.initials: A
authors.lastname: Boyer
authors.affiliation: I2FH, Institut d'Imagerie Fonctionnelle Humaine, Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, 34295, Montpellier, France.|Theoretical Physics Group, Université Montpellier II, 34095, Montpellier, France.
authors.forename: Jérémy
authors.initials: J
authors.lastname: Deverdun
authors.affiliation: Département de Neurochirurgie, Hôpital Gui de Chauliac, 34295, Montpellier, France.|Plasticity of Central Nervous System, Stem Cells and Glial Tumours, U1051, Institut of Neurosciences of Montpellier, Saint Eloi Hospital, 34295, Montpellier, France.
authors.forename: Hugues
authors.initials: H
authors.lastname: Duffau
authors.affiliation: I2FH, Institut d'Imagerie Fonctionnelle Humaine, Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, 34295, Montpellier, France.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Le Bars
authors.affiliation: Theoretical Physics Group, Université Montpellier II, 34095, Montpellier, France.
authors.forename: François
authors.initials: F
authors.lastname: Molino
authors.affiliation: I2FH, Institut d'Imagerie Fonctionnelle Humaine, Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, 34295, Montpellier, France.|Plasticity of Central Nervous System, Stem Cells and Glial Tumours, U1051, Institut of Neurosciences of Montpellier, Saint Eloi Hospital, 34295, Montpellier, France.|Département d'imagerie médicale, CHRU Caremeau, Nîmes, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Menjot de Champfleur
authors.affiliation: INRIA, LIRMM, équipe DEMAR, University of Montpellier 2, 860 rue Sainr Priest, 34095, Montpellier, France. francois.bonnetblanc@inria.fr.|Cognition, Action et Plasticité Sensorimotrice, INSERM U-1093, UFR STAPS, Université de Bourgogne, 27877, Dijon, France. francois.bonnetblanc@inria.fr.|Institut Universitaire de France, Paris, France. francois.bonnetblanc@inria.fr.
authors.forename: François
authors.initials: F
authors.lastname: Bonnetblanc
mesh_terms: D000328:Adult; D001931:Brain Mapping; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery*; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D064926:Neurophysiological Monitoring; D019635:Neurosurgical Procedures / Q000379:methods; D012146:Rest; D013788:Thalamus / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D016896:Treatment Outcome; D014851:Wakefulness; D055815:Young Adult
keywords: Amplitude of low-frequency fluctuations; Brain plasticity; Cerebellum; Diffuse low-grade gliomas; Fractional amplitude of low-frequency fluctuations; Hypoactivity; Regional homogeneity; Resting state fMRI study; Thalamus