BRAIN CONNECTIVITY Volume 7, Number 8, 2017 ª Mary Ann Liebert, Inc. DOI: 10.1089/brain.2017.0539

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On the Origin of Individual Functional Connectivity Variability: The Role of White Matter Architecture Maxime Chamberland,1,2 Gabriel Girard,3,4 Michae¨l Bernier,1 David Fortin,5 Maxime Descoteaux,3 and Kevin Whittingstall1

Abstract

Fingerprint patterns derived from functional connectivity (FC) can be used to identify subjects across groups and sessions, indicating that the topology of the brain substantially differs between individuals. However, the source of FC variability inferred from resting-state functional magnetic resonance imaging remains unclear. One possibility is that these variations are related to individual differences in white matter structural connectivity (SC). However, directly comparing FC with SC is challenging given the many potential biases associated with quantifying their respective strengths. In an attempt to circumvent this, we employed a recently proposed test–retest approach that better quantifies inter-subject variability by first correcting for intra-subject nuisance variability (i.e., head motion, physiological differences in brain state, etc.) that can artificially influence FC and SC measures. Therefore, rather than directly comparing the strength of FC with SC, we asked whether brain regions with, for example, low inter-subject FC variability also exhibited low SC variability. From this, we report two main findings: First, at the whole-brain level, SC variability was significantly lower than FC variability, indicating that an individual’s structural connectome is far more similar to another relative to their functional counterpart even after correcting for noise. Second, although FC and SC variability were mutually low in some brain areas (e.g., primary somatosensory cortex) and high in others (e.g., memory and language areas), the two were not significantly correlated across all cortical and sub-cortical regions. Taken together, these results indicate that even after correcting for factors that may differently affect FC and SC, the two, nonetheless, remain largely independent of one another. Further work is needed to understand the role that direct anatomical pathways play in supporting vascular-based measures of FC and to what extent these measures are dictated by anatomical connectivity. Keywords:

connectivity; diffusion MRI; inter-subject variability; resting-state fMRI; tractography

Introduction

E

ach brain is uniquely organized, both functionally (Wang and Liu, 2014) and structurally (Lange et al., 1997). The cerebral architecture is known to evolve across time due to brain development and plasticity (Poldrack et al., 2015; Wierenga et al., 2016), and the complexity of these changes during development is often reflected by regional differences across subjects. These so-called inter-individual differences in brain function and structure are of great interest as they allow

researchers to directly compare how these cerebral differences correlate with other measures such as—among others—musical (Gaser and Schlaug, 2003) and athletic (Yarrow et al., 2009) ability. Recently, two magnetic resonance imaging (MRI)-based methodologies have emerged as non-invasive measures of the brain’s functional connectivity (FC) and structural connectivity (SC). Functional MRI (fMRI) provides fourdimensional whole-brain images that reflect changes in cortical blood flow, volume, and oxygen as measured by the

1 Department of Nuclear Medicine and Radiobiology, Faculty of Medicine and Health Science, University of Sherbrooke, Sherbrooke, Canada. 2 Cardiff University Brain Research Imaging Centre (CUBRIC), Cardiff University, Cardiff, United Kingdom. 3 Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Faculty of Science, University of Sherbrooke, Sherbrooke, Canada. 4 Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland. 5 Division of Neurosurgery and Neuro-Oncology, Faculty of Medicine and Health Science, University of Sherbrooke, Sherbrooke, Canada.

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blood-oxygenation-level-dependent (BOLD) signal (Bandettini et al., 1993; Kwong et al., 1992; Turner, 1992). At rest, the spontaneous low-frequency fluctuations (2M seeds) also aimed at avoiding potential seed bias and ensured a stabilized edge metric (i.e., weights of M represented by the normalized streamline count) (Colon-Perez et al., 2015; Girard et al., 2014). In a pioneer study by the group of Hagmann and associates (2007), the authors reported that one-third to half of streamlines did not reach the WM/GM interface mask and, thus, were excluded from the SC analysis. The tractography algorithm employed in this study ensured that streamlines did not prematurely terminate in the WM. The inclusion of subscortical regions (e.g., thalamus) also enabled a better representation of important pathways such as the optic radiations in the derived connectivity matrices. Weak link between functional and structural inter-subject variability

As described earlier, certain brain regions showing the SC lowest VFC inter also exhibited low Vinter , as did areas with the FC highest Vinter . However, across all regions, VSC inter was significantly lower than VFC (0.07 – 0.04 vs. 0.25 – 0.04, respecinter tively) and they were poorly correlated (r = 0.15, p = 0.05). It is possible that functional variability is greater on average than structural variability because functional variability can be sensitive to previous life experience and genetic factors (Vaidya and Gordon, 2013) and can vary dynamically (Hutchison et al., 2013). Indeed, FC is known to reflect a combination of dynamic signals that varies across the brain of each individual (Smith et al., 2013). For example, in the motor cortex, both variability measures were relatively low, though VFC inter was almost five times higher than VSC inter , indicating that the SC profile of the motor cortex is far more similar across healthy subjects than that of its FC profile. The exact reasons behind this mismatch are unclear. One possible explanation for this result is that the bulk of the reconstructed streamlines emanating from the motor cortex are made up of either the CC or the CST, with little to no terminations observed in other cortical areas. FC, on the other hand, may be visible in these areas due to indirect anatomical connections, thus explaining its higher inter-individual variability as shown in Supplementary Figure S4. Even though FC of the left central sulcus showed similar patterns between different subjects, individual differences are identifiable in the cerebellum and are supported by direct anatomical pathways. However, SC revealed no direct link between parahippocampal connectivity and the left central sulcus. Indirect structural pathways may, therefore, play a key role in explaining the SC mismatch between VFC inter and Vinter , which remains an active area of research nowadays ( Jbabdi et al., 2015). Another possible explanation is that diffusion- and BOLDbased measures of brain structure and function, respectively,

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are sensitive to different sources of noise. For instance, BOLD signal correlations in areas that are highly vascularized may be artificially inflated compared with other regions (Curtis et al., 2014; Kazan et al., 2016; Vigneau-Roy et al., 2014). On the other hand, blood vessels may interfere with diffusion measures, potentially leading to an incorrect estimation of SC due to intravoxel incoherent motion (Le Bihan, 2008). Taken together, the sum of all those sources of variability effectively contributes toward establishing inter-subject variability. Clinical implications. Fingerprint patterns of FC can be used to identify subjects across sessions and individuals (Finn et al., 2015), indicating that the topology of the brain substantially differs between individuals. Assuming that patterns of spatial heterogeneity are also present in SC, our finding is also of clinical importance with the recent advances in surgical approaches based on connectomics (Griffa et al., 2013; Meola et al., 2016; Yu et al., 2016). For instance, a region of inter-individual variability can have potential influence on preoperative planning as the spatial localization of this area may vary from one subject to another. As of today, rs-fMRI imaging protocols are often used in clinical studies to guide surgical gesture. In addition, tractography has been shown to be valuable for surgical planning, and neurosurgeons and radiologists are mostly convinced of the importance of achieving an accurate delineation of WM pathways using tractography (Duffau, 2005; Leclercq et al., 2010; Nimsky et al., 2016). Defining accurate boundaries is critical in surgery targeting frontal and temporal regions (e.g., spaceoccupying lesion, temporal lobe epilepsy), as these areas exhibit higher variability between subjects. With the advent of personalized medicine (Wang et al., 2015), we believe that such a tailored mapping may improve decision making and is likely to impact pre-operative planning approaches, where capturing the idiosyncrasies of individuals is paramount. Conclusion

In this study, we generated brain functional and structural inter-subject variability maps by taking into account the intra-subject variability using a test–retest approach. With this approach, we showed that structural inter-subject variability was globally lower than functional variability. Our approach also revealed that variability indices were smallest in motor areas for both functional and structural analysis, indicating proper reproducibility within this region. Our results also indicate that functional and structural variability profiles were less consistent near the memory and language areas of the brain. These findings suggest that, at least in these regions, functional inter-subject variability can be explained by the structural organization of the brain. In other words, stable FC does not always imply stable SC for the rest of the brain. Altogether, this study highlights a different aspect of brain connectivity analysis, by not only exploring the link between FC and SC but also investigating the variability between them. Acknowledgments

The authors would like to acknowledge the funding agencies that have supported this research: Natural Sciences and Engineering Research Council of Canada (NSERC)

ON THE ORIGIN OF INDIVIDUAL FUNCTIONAL CONNECTIVITY VARIABILITY

Discovery Grants, QBIN (Quebec Bio-Imaging Network), and the FMSS graduate scholarship program. Main author M.C. was supported by the Alexander Graham Bell Canada Graduate Scholarships-Doctoral Program (CGS-D3) from the NSERC at the time. Author Disclosure Statement

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No competing financial interests exist. References

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Address correspondence to: Maxime Chamberland Cardiff University Brain Research Imaging Centre (CUBRIC) Cardiff University Maindy Road Cardiff CF24 4HQ United Kingdom E-mail: [email protected]

On the Origin of Individual Functional Connectivity Variability: The Role of White Matter Architecture.

Fingerprint patterns derived from functional connectivity (FC) can be used to identify subjects across groups and sessions, indicating that the topolo...
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