Complex Brain Networks: A Graph-Theoretical Analysis
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subjects whereas the connections of PCC were reduced in AD patients. Ac-
cording to the authors, decline in memory functions may be attributed to this
effect and thus, the activity in PCC may be used to determine the level of AD
progression in patients providing a potential biomarker.
Local network connectivity changes in AD patients using graph analysis in
fMRI were searched in [39]. 18 mild AD patients and 21 healthy age-matched
control subjects were tested to find that the characteristic path length of AD
functional networks is closer to that of random networks whereas the clus-
tering coefficient values were similar to that of control subjects. The average
synchronization of the brain in both groups were similar, however, increased
synchronization related to frontal cortices and decreased synchronization at
the parietal and occipital regions were detected in Ad patients. The authors
conclude that long distance connectivity is affected and the randomization of
functional brain network structure is observed which probably is responsible
for the loss of global information integration in AD.
The default mode network (DMN) is a canonical large-scale brain network
consisting of distributed nodes that show increased and correlated BOLD
response during wakeful rest. The characteristics of brain networks in subjects
with AD is observed as the loss of small-world features and tendency to change
into a randomized and/or regular network topology; change in hub regions
especially in the DMN and medial temporal lobe [40].
9.7.2
Schizophrenia Connectome
Schizophrenia is a psychiatric disorder with heterogeneous symptoms among
affected individuals. The cause of this disease which generally starts at early
adulthood is not known. Schizophrenia is often characterized by delusions, hal-
lucinations, disorganized thinking and behavior and impairment of cognitive
functions. Schizophrenia is commonly considered as a disorder of connectiv-
ity between large-scale brain network regions and as with other neurological
disorders, this disease is associated with impairment of brain connectivity
[41].
Structural brain networks were found to be less strongly integrated in pa-
tients with schizophrenia in [42] with key frontal hubs having a reduced central
role. Also, the network connectivity of frontal and temporal areas was signif-
icantly reduced and the path length was substantially increased in of olfac-
tory, medial, and superior frontal regions, anterior cingulate, medial temporal
pole, and superior occipital regions preventing efficient transfer between these
regions.
In a review of brain networks in schizophrenia [43], reduced structural
connectivity is reported with white matter projections linking frontal, tempo-
ral and parietal regions being the most affected. The authors state that the
average path length is increased and the communication between segregated
regions of the brain is reduced as verified in various studies. Moreover, it is
reported that a main characteristic of schizophrenia may be the pathology