title: Altered functional connectivity architecture of the brain in medication overuse headache using resting state fMRI.
abstract: BACKGROUND
  Functional connectivity density (FCD) could identify the abnormal intrinsic and spontaneous activity over the whole brain, and a seed-based resting-state functional connectivity (RSFC) could further reveal the altered functional network with the identified brain regions. This may be an effective assessment strategy for headache research. This study is to investigate the RSFC architecture changes of the brain in the patients with medication overuse headache (MOH) using FCD and RSFC methods.
  
  
  METHODS
  3D structure images and resting-state functional MRI data were obtained from 37 MOH patients, 18 episodic migraine (EM) patients and 32 normal controls (NCs). FCD was calculated to detect the brain regions with abnormal functional activity over the whole brain, and the seed-based RSFC was performed to explore the functional network changes in MOH and EM.
  
  
  RESULTS
  The decreased FCD located in right parahippocampal gyrus, and the increased FCD located in left inferior parietal gyrus and right supramarginal gyrus in MOH compared with NC, and in right caudate and left insula in MOH compared with EM. RSFC revealed that decreased functional connectivity of the brain regions with decreased FCD anchored in the right dorsal-lateral prefrontal cortex, right frontopolar cortex in MOH, and in left temporopolar cortex and bilateral visual cortices in EM compared with NC, and in frontal-temporal-parietal pattern in MOH compared with EM.
  
  
  CONCLUSIONS
  These results provided evidence that MOH and EM suffered from altered intrinsic functional connectivity architecture, and the current study presented a new perspective for understanding the neuromechanism of MOH and EM pathogenesis.
authors.affiliation: Department of Radiology, Chinese PLA General Hospital, Beijing, 100853, China.|Department of Neurology, Chinese PLA General Hospital, Beijing, 100853, China.|Department of Radiology, Hainan Branch of Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Zhiye
authors.initials: Z
authors.lastname: Chen
authors.affiliation: Department of Neurology, Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Chen
authors.affiliation: Department of Radiology, Chinese PLA General Hospital, Beijing, 100853, China.|Department of Radiology, Hainan Branch of Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Mengqi
authors.initials: M
authors.lastname: Liu
authors.affiliation: Department of Neurology, Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Zhao
authors.initials: Z
authors.lastname: Dong
authors.affiliation: Department of Radiology, Chinese PLA General Hospital, Beijing, 100853, China. cjr.malin@vip.163.com.
authors.forename: Lin
authors.initials: L
authors.lastname: Ma
authors.affiliation: Department of Neurology, Chinese PLA General Hospital, Beijing, 100853, China. yusy1963@126.com.
authors.forename: Shengyuan
authors.initials: S
authors.lastname: Yu
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000503:physiopathology*; D001931:Brain Mapping / Q000379:methods; D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D051271:Headache Disorders, Secondary / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009415:Nerve Net / Q000000981:diagnostic imaging / Q000503:physiopathology*; D017397:Prefrontal Cortex / Q000000981:diagnostic imaging / Q000503:physiopathology; D012146:Rest / Q000502:physiology*; D014793:Visual Cortex / Q000000981:diagnostic imaging / Q000503:physiopathology; D055815:Young Adult
keywords: Brain; Functional connectivity; Functional connectivity density; Magnetic resonance imaging; Medication overuse headache