Advances in breast cancer (BC) treatments have resulted in significantly improved survival rates. However, BC chemotherapy is often associated with several side effects including cognitive dysfunction. We applied multivariate pattern analysis (MVPA) to functional magnetic resonance imaging (fMRI) to find a brain connectivity pattern that accurately and automatically distinguishes chemotherapy-treated (C+) from non-chemotherapy treated (C-) BC females and healthy female controls (HC). Twenty-seven C+, 29 C-, and 30 HC underwent fMRI during an executive-prefrontal task (Go/Nogo). The pattern of functional connectivity associated with this task discriminated with significant accuracy between C+ and HC groups (72%, p = .006) and between C+ and C- groups (71%, p = .012). However, the accuracy of discrimination between C- and HC was not significant (51%, p = .46). Compared with HC, behavioral performance of the C+ and C- groups during the task was intact. However, the C+ group demonstrated altered functional connectivity in the right frontoparietal and left supplementary motor area networks compared to HC, and in the right middle frontal and left superior frontal gyri networks, compared to C-. Our results provide further evidence that executive function performance may be preserved in some chemotherapy-treated BC survivors through recruitment of additional neural connections.

译文

:乳腺癌(BC)治疗方面的进展已显着提高了存活率。但是,BC化疗通常与多种副作用相关,包括认知功能障碍。我们将多元模式分析(MVPA)应用到功能磁共振成像(fMRI)中,以找到一种大脑连接模式,该模式可以准确,自动地将化学疗法治疗的(C)与非化学疗法治疗的(C-)BC女性和健康女性对照(HC)区分开来)。在执行前额任务(Go / Nogo)时,对27 C,29 C和30 HC进行了功能磁共振成像。 C和HC组之间(72%,p = .006)以及C和C-组之间(71%,p = .012)的准确度高,可以区分与此任务相关的功能连接模式。但是,C-和HC区分的准确性不高(51%,p = 0.46)。与HC相比,C和C-组在任务期间的行为表现是完整的。但是,与C-组相比,C组在右额顶和左侧辅助运动区域网络中以及右中额叶和左上额回回网络中的功能连接性均发生了改变。我们的结果提供了进一步的证据,即通过募集额外的神经连接,在某些经化学疗法治疗的BC幸存者中可以保留执行功能。

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