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Human cerebral cortex organization characterized by functional PET-FDG “Metabolic Connectivity”

AI Summary
  • Spatiotemporal organisation of resting-state metabolic connectivity characterised with fPET-FDG, revealing local boundary transitions driven by both fast and slow signals, partly overlapping RSFC.
  • Global RSMC organised along a superior-inferior cortical gradient, consistent across community detection and principal gradient analyses, driven mainly by low-frequency minute-scale dynamics.
  • Metabolic gradients align closely with anatomical and energetic constraints, informing the brain's energetic framework and guiding future cognitive and clinical investigations.
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Eur J Nucl Med Mol Imaging. 2026 Aug 11. doi: 10.1007/s00259-026-08109-5. Online ahead of print.

ABSTRACT

PURPOSE: In this study, we characterize the spatiotemporal organization of resting-state metabolic connectivity (RSMC) in the human brain, as measured by [18F]-fluorodeoxyglucose (FDG) functional PET (fPET-FDG). We examine the relationship between RSMC organization and resting-state functional connectivity (RSFC) derived from functional magnetic resonance imaging and other known cortical organizational principles.

METHODS: Resting-state fPET-FDG data from 24 individuals were obtained from a publicly available repository (Monash rsPET-MR Dataset). We characterized local metabolic organization using connectivity-based boundary mapping, with adaptations to account for the low signal-to-noise ratio of fPET-FDG data. We then estimated global metabolic organization through community detection-based network and principal gradient analyses. Furthermore, we examined how metabolic connectivity is shaped by temporal-frequency-specific components of fPET-FDG signal. Finally, we contextualized metabolic organization by relating metabolic gradients to anatomical, functional, and energetic reference measures.

RESULTS: At the local scale, boundary mapping results revealed structured transitions shaped by a combination of both fast and slow fPET-FDG signals, partly overlapping with RSFC boundary maps. Globally, RSMC analyses revealed a robust metabolic structure organized along a superior-inferior cortical gradient. This pattern remained consistent across network community detection and principal gradient analyses and was primarily driven by low-frequency, minute-scale fPET-FDG dynamics. The identified large-scale metabolic profile aligns closely with several known anatomical and energetic constraints.

CONCLUSION: This study characterizes the spatiotemporal organizational principles of RSMC, deepening insight into the brain’s energetic framework and providing a basis for future cognitive and clinical investigations of metabolic connectivity organization.

PMID:42576072 | DOI:10.1007/s00259-026-08109-5

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