Although previous studies have tried to combine diffusion tensor imaging (DTI) and resting-state functional magnetic resonance imaging (rs-fMRI) in clinic studies, they only use rs-fMRI for gray matter and DTI for white matter pathways. In this study, DTI and rs-fMRI were leveraged for conjoint analysis of structural and functional connectivity in white matter. The results showed that in temporal lobe epilepsy patients, there was an increased functional fractional anisotropy in contralateral fiber bundles, which were accompanied by increases in mean diffusivity in ipsilateral bundles. This reflects complex interactions between disease evolution and compensatory adaption.
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