Increased excursions to functional networks in schizophrenia in the absence of task

Abstract

Brain activity during rest has been demonstrated to evolve through a repertoire of functional connectivity (FC) patterns, whose alterations may provide biomarkers of schizophrenia - a psychotic disorder characterized by dysfunctional brain connectivity. In this study, differences between the dynamic exploration of resting-state networks using functional magnetic resonance imaging (fMRI) data from 71 schizophrenia patients and 74 healthy controls were investigated using a method focusing on the dominant fMRI signal phase coherence pattern at each time point. Through the lens of dynamical systems theory, brain activity in the form of temporal FC state trajectories was examined for intergroup differences by calculating the fractional occupancy, dwell time, limiting probability of each state and the transition probabilities between states. Results showed reduced fractional occupancy of a globally synchronized state in schizophrenia. Conversely, FC states overlapping with canonical functional subsystems exhibited increased fractional occupancy and limiting probability in schizophrenia. Furthermore, state-to-state transition probabilities were altered in schizophrenia. This revealed a reduced probability of remaining in a global integrative state, increased probability of switching from this state to functionally meaningful networks and reduced probability of remaining in a state related to the Default Mode network. These results revealed medium to large effect sizes. Finally, this study showed that using K-medoids clustering did not influence the observed intergroup differences - highlighting the utility of dynamical systems theory to better understand brain activity. Combined, these findings expose pronounced differences between schizophrenia patients and healthy controls - supporting and extending current knowledge regarding disrupted brain dynamics in schizophrenia.