Review Article

The Role of fMRI in the Assessment of Neuroplasticity in MS: A Systematic Review

Table 4

Cross-sectional r-fMRI papers.

Authors (year)Sample sizeAge (mean)MS duration (years)EDSS medianTechnique(s)Functional main result(s)Clinical correlation(s)Structural correlation(s)

Rocca et al. (2010) [83]24PP
33 SP
24 HS
47.9 [29.0–64.0]
46.3 [24.0–65.0]
47.4 [26.0–65.0]
12.7 [3.0–39.0]
15.5 [4.0–32.0]
6.0 [3.0–8.0]
6.0 [4.0–9.0]
ICA (DMN)Reduction of RS activity in the ACC was more pronounced in cognitively impaired vs cognitively preserved patientsPositive correlation between PASAT and word list test scores and DMN abnormalitiesPositive correlation with DTI changes in the corpus callosum and cingulum
Roosendaal et al. (2010) [60]14 CIS
31 RR
41 HS
34.6 (8.4)
39.1 (9.0)
38.6 (10.5)
1.4 [0.8–1.5]
3.5 [1.1–8.5]
2.0 [1.0–2.6]
2.5 [2.0–3.5]
ICAGreater FC in many RSNs in CIS but not in MS with respect to HSFC in several networks decreases with increasing structural damage
Bonavita et al. (2011) [63]18 CP RR
18 CI RR
18 HS
40.5 (6.9)
40.9 (8.7)
39.0 (10.0)
10.9 (4.7)
11.9 (7.1)
2.6 (1.7)
2.8 (1.1)
ICA
DMN investigation
Decreased FC in the anterior component of the DMNNegative correlation between global cognitive scores and FC in the tDMNNo significant result
Liu et al. (2011) [58]35 RR
35 HS
38.1 [18.0–58.0]
35.6 [18.0–54.0]
3.6 [0.5–17.0]
2.5 [1.0–6.0]ALFFIncrement ALFF in the bilateral thalami, R insula, and R superior temporal gyrusCorrelation between EDSS and ALFF in the R insula and R superior temporal gyrusNo significant results
Faivre et al. (2012)
[61]
13 early RR
14 HS
31.8 (7.4)
30.1 (8.6)
1.1 [0.3–3.3]
1.0 [0.0–3.0]
ICAGreater FC in the visual processing network, anterior DMN, dorsal FPN, prefronto-insular network, R ventral FPN, and R SMNNegative correlation between 9-HPT and MSFC scores and FPN FCNo significant results
Liu et al. (2012) [57]37 CIS
37 HS
30.6 [15.0–56.0]
31.4 [17.0–55.0]
0.3 [0.03–0.5]
3.0 [1.0–6.0]
ALFFDecrement of ALFF in the R anterior cingulate cortex, caudate, lingual gyrus, and cuneusNo significant resultsNo significant results
Gallo et al. (2012) [65]16 RR nON
14 RR ON
15 HS
37.8 [19.0–51.0]
33.8 [21.0–50.0]
36.3 [20.0–53.0]
10.0 [5.0–18.0]
8.2 [3.0–22.0]
2.0 [1.0–4.0] mean
2.1 [1.0–5.5] mean
ICA (visual network)Lower FC in peristriate cortices, along the fusiform gyri, bilaterally. ON compared to nON: greater FC in the R lateral middle occipital gyrus and lower FC in the R lingual gyrusNumber of optic neuritis associated to reduction of FC in the R inferior peristriate cortexNo significant results
Schoonheim et al. (2012) [62]12 RR 3 SP M
14 RR 1 SP F
15 HS M
15 HS F
42.0 (9.6)
42.8 (9.6)
44.3 (8.2)
42.8 (7.6)
5.1 (4.1)
4.9 (3.9)

3.7 (1.9)
3.2 (1.1)

Graph theory ICAMore altered metrics in male MSPositive correlation with performance
Schoonheim al. (2014) [71]112 RR,
7 PP,
9 SP
50 HS
40.4 (11.1)
41.0 (8.8)
7.7 (2.2)
2.0 [0.0–8.0]
Fast eigenvector centrality mappingModulation of eigenvector centrality mapping and FC of SMCPositive correlation with cognitive performance
Negative correlation with EDSS
Correlation with thalamic volume
Tona et al. (2014) [67]48 RR
24
36.7 (8.1)
31.1 (6.5)
7.4 (6.1)
2.0 [1.0–4.5]
Seed (thalamus)Coexistence of areas of increased FC and areas of decreased FCNegative correlation with PASAT 2 s/3 s
Zhou et al. (2014) [59]13 RR
13 HS
42.1 [20.0–58.0]
41.8 [21.0–58.0]
2.1 [0.1–12.5]
1.5 [1.0–2.5]
ALFF (thalamus)Increment of ALFF in the bilateral thalamiCorrelation with PASATCorrelation with FA in the left thalamus
Liu et al. (2015) [68]35 RR
35 HS
38.1 (18–58)
35.6 (18–54)
3.6 [0.5–17.0]2.5 [1.0–6.0]
Seed (thalamus)Decreased FC between the thalamus and several brain regionsNegative correlation between disease duration and interthalamic FCNo significant results
Liu et al. (2016) [66]28 RR
20 CIS
28 HS
34.6 (10.0)
32.8 (12.3)
31.6 (11.4)
3.3 (2.8)
0.3 (0.1)
2.7 (1.4)
3.1 (1.9)
nFCSIncrement of nFCS in CIS evolved in MS vs the remaining CIS in the R anterior cingulate and fusiform gyriPositive correlation with EDSSPositive correlation with lesion load
Rocca et al. (2016) [70]246 MS
55 HS
41.7 [20–60]
42.3 [19–60]
13.7 [0.0–36.0]3.0 [0.0–9.0]Graph theoryDifferent characteristics and distribution of hubsAssociation between cognitive deficits and impairment of global integrationNo significant results.
Zhong et al. (2016) [69]26 MI
17MP
20HS
49.9 (12.25)
48.2 (8.6);
44.2 (13.3)
12.8 (9.8)
7.4 (5.0)
2.0 [0.0–6.0]
3.5 [0.0–6.5]
Seed (LM1)MI had weaker FC at LM1 with SMC and SIINegative correlation between FC and 9HPTStructural abnormalities in regions of FC impaired
Bisecco et al. (2017) [64]28 RR F
31 RR NF
29 HS
40.5 [21–62]
39.6 [23–54]
40.1 (10.1)
13.8 [1.0–44.0]
11.2 [1.0–27.0]
2.0 [1.0–5.5]
1.5 [1.0–6.0]
ICA (DMN, SMN)Functional rearrangement of the DMN and SMN in the MSFAssociation of fatigue severity and changes in DMN

FPN: frontoparietal network; SMN: somatomotor network; ON: MS with optical neuritis; nON: MS without optical neuritis; nFCS: normalized voxel-based functional connectivity strength. L: left; R: right; italic font: mean; round parenthesis: standard deviation; squared parenthesis: range.