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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Bipolar Disordersarrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Bipolar Disorders
Article . 2025 . Peer-reviewed
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Impact of Bipolar Disorder Increased White Matter Hyperintensities on White Matter Connectivity

Authors: Miguel Ángel Rivas‐Fernández; Montserrat Domingo‐Ayllón; Michele De Prisco; Paloma Fernández‐Corcuera; Erick J. Canales‐Rodríguez; Eduard Vieta; Edith Pomarol‐Clotet; +1 Authors

Impact of Bipolar Disorder Increased White Matter Hyperintensities on White Matter Connectivity

Abstract

ABSTRACTBackgroundIndividuals with bipolar disorder have been reported to have increased white matter hyperintensities (WMH) in fluid‐attenuated inversion recovery (FLAIR) magnetic resonance scans. However, it is unknown whether this WMH increase has any impact on white matter connectivity. The present study aimed to evaluate the effects of the bipolar disorder‐related WMH increase on white matter tracts and networks.MethodsAn expert neuroradiologist blindly assessed the type, size, and location of WMH from 128 FLAIR scans (bipolar disorder: n = 64, age = 38 ± 7 years; 53% females; matched healthy controls: n = 64, age = 36 ± 10 years, 58% females). Afterward, we conducted an atlas‐based analysis comparing the mean percentage parcel of damage in the white matter tracts of the Human Connectome Project tractography template and the networks of the 7‐Network Cortical Parcellation template.ResultsWe did not detect WMH‐related effects on white matter connectivity when correcting for multiple comparisons. However, at the uncorrected level, we found a higher WMH‐related white matter disconnection in the right inferior fronto‐occipital fasciculus and the right middle longitudinal fasciculus.ConclusionThis study evaluates, for the first time, the impact of WMH on bipolar brain structural connectivity. It finds an effect on two fasciculi, providing hints into one potential origin of the brain networks' alterations reported in the disorder. However, we only observed these results at the uncorrected statistical level, for which they are likely small and should be taken with caution until replicated.

Keywords

Male, Adult, Bipolar Disorder, Diffusion Tensor Imaging, Neural Pathways, Connectome, Image Processing, Computer-Assisted, Humans, Brain, Female, Middle Aged, White Matter, Magnetic Resonance Imaging

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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