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Abstract #3928

Frequency-dependent activity decreases of DMN associate with depression and cognition in patients with postacute sequelae of SARS-CoV-2

Yao Wang1, Jiankun Dai2, and Fuqing Zhou1
1Department of Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, China, 2MR Research, GE Healthcare, Beijing, China

Synopsis

Keywords: Infectious Disease, COVID-19, resting-state fMRI

Motivation: Patients with postacute sequelae of SARS-CoV-2 infection (PASC) present chronic symptoms. However, the underlying neurological basis remains to be investigated.

Goal(s): Investigating alterations of brain activity and the correlation with clinic symptoms in PASC patients.

Approach: 29 PASC, 27 non-PASC, and 31 health controls were involved. Intrinsic brain activity was assessed using fractional-amplitude of low-frequency fluctuation (fALFF) of resting-state fMRI. The fALFF in typical frequency band (0.01-0.10Hz) as well as slow-band 4 (0.023-0.073 Hz) and slow-band 5 (0.01-0.023Hz) were analyzed.

Results: The alterations of different band fALFF in the default mode network were significantly associated with cognitive and depressive symptoms in PASC patients.

Impact: Our findings may reshape the understanding of neurological consequences of COVID-19. It would be helpful for guiding future studies on therapeutic interventions and enhancing diagnostic criteria for PASC.

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