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MRI Predicts Long-Term Recovery Following Cardiac Arrest

By MedImaging International staff writers
Posted on 30 Oct 2017

Image: Functional MRI scan shows 10 large-scale brain networks (Photo courtesy of Wikimedia).

Magnetic resonance imaging (MRI) measures of cerebral functional connectivity measured within four weeks of cardiac arrest (CA) are associated with a favorable outcome at one year, according to a new study.

Researchers at Johns Hopkins University School of Medicine (JHU-SOM; Baltimore, MD, USA), Pitie-Salpetriere Hospital (Paris, France), and other institutions conducted a prospective multicenter study of 46 patients who were comatose after CA in order to assess whether early brain functional connectivity is associated with functional recovery after one year. All participants underwent multiparametric structural and functional MRI about 12 days after CA. Within-network and between-network connectivity was measured in the dorsal attention network (DAN), default-mode network (DMN), salience network (SN), and executive control network (ECN).

The results showed that 11 of the patients had a favorable outcome at one year. Higher within-network DMN connectivity was seen for patients with a favorable outcome, who also had greater anti-correlation between SN and DMN, and between SN and executive control network, when compared with patients with unfavorable outcome; the effect was maintained after adjustment for multiple variables. Compared with fluid-attenuated inversion recovery or diffusion-weighted imaging scores, anti-correlation of SN-DMN predicted outcomes with higher accuracy. The study was published on October 18, 2017, in Radiology.

“Magnetic resonance imaging-based measures of cerebral functional network connectivity obtained in the acute phase of cardiac arrest were independently associated with favorable outcome at one year, warranting validation as early markers of long-term recovery potential in patients with anoxic-ischemic encephalopathy, concluded lead author Haris Sair, MD, and colleagues.

The set of identified brain areas that are linked together in a large-scale network are identified by their function, and provide a coherent framework for understanding cognition. Main networks identified include the DAN, involved in voluntary deployment of attention and reorientation to unexpected events; the DMN, active during introspection; the SN monitors the salience of external inputs and internal brain events; and the ECN is engaged during cognitive tasks that require externally-directed attention, such as working memory, relational integration, response inhibition, and task-set switching.

Related Links:
Johns Hopkins University School of Medicine
Pitie-Salpetriere Hospital

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70 (359.77363586426): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (223.87504577637): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (114.91775512695): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (80.82389831543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.007995605469): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (75.817108154297): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

105 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

106 (83.208084106445): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771287 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (68.187713623047): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771287 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 7382.1544647217): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

109 (!!!!! 2935.8863830566): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

110 (70.095062255859): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294771287 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (525.95138549805): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294771287 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2043.9624786377): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (837.08763122559): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (!!!!! 4609.1079711914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

115 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

116 (339.03121948242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

117 (244.8558807373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

118 (!!!!! 1699.9244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

119 (478.02925109863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

120 (!!!!! 3488.0638122559): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 56169.986724854): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (!!!!! 1739.9787902832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

123 (!!!!! 1811.0275268555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

124 (699.04327392578): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771287 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771287 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1227115.8695221): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (65.803527832031): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (!!!!! 1150.1312255859): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (154.01840209961): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (695.94383239746): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (606.06002807617): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (!!!!! 1461.9827270508): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (!!!!! 6322.8607177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (591.03965759277): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (211.00044250488): SELECT name FROM jos_deeppockets WHERE id=212

136 (603.91426086426): SELECT name FROM jos_deeppockets WHERE id=212

137 (655.8895111084): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (618.21937561035): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 3901.9584655762): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

140 (694.03648376465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

141 (!!!!! 19254.922866821): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 3937.9596710205): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771287 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (950.09803771973): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771287 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (452.99530029297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (!!!!! 2554.8934936523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (!!!!! 4127.025604248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

147 (!!!!! 6395.1015472412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

148 (!!!!! 5387.0677947998): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (!!!!! 6078.0048370361): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

150 (!!!!! 8774.0421295166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

151 (847.10121154785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771287 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771287 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (49.114227294922): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

153 (52.928924560547): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

154 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

156 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771287 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771287 AND published='1' LIMIT 1

157 (!!!!! 2671.9570159912): select jos_twitters.link from jos_twitters where cat=10

158 (385.04600524902): select jos_facebook.link from jos_facebook where cat=10

159 (187.87384033203): select jos_google_plus.link from jos_google_plus where cat=10

160 (173.80714416504): select jos_linkedin.link from jos_linkedin where cat=10

161 (680.92346191406): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 4118.9193725586): insert into jos_banners_delta values (14615,'2025-06-18 11:08:36','216.73.216.120','view'),(14202,'2025-06-18 11:08:36','216.73.216.120','view'),(14203,'2025-06-18 11:08:36','216.73.216.120','view')

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