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Research ArticlePediatric Neuroimaging
Open Access

Disrupted Functional and Structural Connectivity in Angelman Syndrome

H.M. Yoon, Y. Jo, W.H. Shim, J.S. Lee, T.S. Ko, J.H. Koo and M.S. Yum
American Journal of Neuroradiology May 2020, DOI: https://doi.org/10.3174/ajnr.A6531
H.M. Yoon
aFrom the Department of Radiology and Research Institute of Radiology (H.M.Y., W.H.S., J.S.L., J.H.K.)
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  • ORCID record for H.M. Yoon
Y. Jo
bAsan Institute for Life Sciences (Y.J., W.H.S.), Asan Medical Center
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W.H. Shim
aFrom the Department of Radiology and Research Institute of Radiology (H.M.Y., W.H.S., J.S.L., J.H.K.)
bAsan Institute for Life Sciences (Y.J., W.H.S.), Asan Medical Center
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J.S. Lee
aFrom the Department of Radiology and Research Institute of Radiology (H.M.Y., W.H.S., J.S.L., J.H.K.)
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T.S. Ko
cDepartment of Pediatrics (T.S.K., M.S.Y.), Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea.
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J.H. Koo
aFrom the Department of Radiology and Research Institute of Radiology (H.M.Y., W.H.S., J.S.L., J.H.K.)
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M.S. Yum
cDepartment of Pediatrics (T.S.K., M.S.Y.), Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea.
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  • FIG 1.
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    FIG 1.

    Correlation matrices representing functional connectivity between seed regions; (A) control group, (B) AS group, (C) subtraction map of A – B with asterisks identifying significantly different connections between A and B (FDR-corrected, P < .05), and (D) significantly reduced functional connections marked as an asterisk placed on an MNI template for visualization (blue circle: seed region; yellow dotted line: FDR-corrected, P < .05; red dotted line: FDR-corrected, P < .01).

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    FIG 2.

    Regions with reduced FA in patients with AS compared with age-matched controls, determined by whole brain TBSS. The results show regions that are significantly different with the threshold of TFCE corrected, P < .005. The FA values of corpus callosum and arcuate fasciculus (yellow arrows) are significantly reduced in patients with AS.

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    FIG 3.

    Boxplot for segmented volume (mm3) of the global GM, cerebral WM, brain segmentation volume (BSV), total intracranial volume (TIV), and cerebellum. The AS group (dark gray box) shows significantly reduced volume of the global GM, cerebral WM, BSV, TIV, and cerebellum compared with the age-matched control group (light gray box). y-axis = mm3; black dots = outliers.

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    FIG 4.

    Upper 5 plots: boxplots for segmented volume (mm3) of the cerebral white matter and segments of the corpus callosum. Patients with no verbal output (gray box) show significantly reduced volume of aforementioned areas compared with patients who can speak at least a word (black box). Lower 5 plots: boxplots for segmented volume (mm3) of the total gray matter, cortex, corpus callosum (central), right cerebellum cortex, and left amygdala. Patients who were unable to walk alone (light gray box) have significantly reduced volume of aforementioned areas compared with patients who can walk alone (gray box). Asterisks indicate significant difference (P < .05). y-axis = mm3.

Tables

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    Table 1:

    Clinical characteristics of children with Angelman syndrome in this study

    CharacteristicAngelman Syndrome (n = 14)
    Age (months)95.9 ± 57.8 (range, 3–18 years)
    Sex (male:female)7:7
    Genetic mutationUBE3A (15q11-q13 deletions)13
    Paternal UPD1
    Seizure10 (71.4%)
    Use of at least 1 meaningful word5 (35.7%)
    Walking alone11 (78.6%)
    Ataxia or tremor10 (71.4%)
    Strabismus5 (35.7%)
    Ataxia and unable to walk alone3 (21.4%)
    Ataxia but walking alone7 (50.0%)
    No ataxia (walking alone)4 (28.6%)
    • Note: UPD indicates uniparental disomy.

    • View popup
    Table 2:

    Cortical thicknesses of children with Angelman syndrome compared with the control group

    Area LabelBrodmann AreaSize(mm2)Stereotactic Coordinates (Talairach Space)T (-Log(10)P)
    xyz
    Left hemisphere
     Transverse temporal22154.89−51.1−16.44.4−4.9827
     Postcentral477.17−60.1−6.710.8−4.7438
     Superior temporal2186.13−50.7−14.6−11.9−4.2409
    Right hemisphere
     Superior temporal1039.5155.82.8−12.3−4.1946
     Postcentral19.2063.6−8.912.6−3.8439
     Supramarginal4037.7948.0−23.920.5−3.8319
     Superior frontal813.0411.321.637.7−3.8079
    • View popup
    Table 3:

    Regional gray matter volume reductions in patients with Angelman syndrome compared with controls based on voxel-based morphometry analysisa

    Anatomic RegionNumber of Voxels in Each ClusterPeak Z ScoreCoordinates of Voxel of Maximal Statistical Significance (MNI Space)
    Left putamen, pallidum, caudate nucleus18,3177.73−21, 2, 12
     Right caudate nucleus7.689, 11, 15
     Right putamen, pallidum7.6621, 5, 12
    Right rectal gyrus4696.169, 34,−26
     Right superior orbital gyrus
     Left rectal gyrus
    Left hippocampus1595.96−20, −34, −0
     Left thalamus
     Left parahippocampal gyrus
     Left lingual gyrus
    Left cerebellum (Crus 1, 2)1565.95−51, −48, −36
    Left cerebellum (VII, VIII, crus 2)475.67−46, −43, −50
    Left rectal gyrus285.58−6, 36, −30
     Right rectal gyrus
     Left superior orbital gyrus
    • ↵a Whole-brain analysis (FWE-corrected at P < .001; cluster threshold >20 voxels).

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Cite this article
H.M. Yoon, Y. Jo, W.H. Shim, J.S. Lee, T.S. Ko, J.H. Koo, M.S. Yum
Disrupted Functional and Structural Connectivity in Angelman Syndrome
American Journal of Neuroradiology May 2020, DOI: 10.3174/ajnr.A6531

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Disrupted Functional and Structural Connectivity in Angelman Syndrome
H.M. Yoon, Y. Jo, W.H. Shim, J.S. Lee, T.S. Ko, J.H. Koo, M.S. Yum
American Journal of Neuroradiology May 2020, DOI: 10.3174/ajnr.A6531
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