@article {997, title = {Optimisation of quantitative brain diffusion-relaxation MRI acquisition protocols with physics-informed machine learning}, journal = {Medical Image Analysis}, volume = {94}, year = {2024}, pages = {103134}, abstract = {

Diffusion-relaxation MRI aims to extract quantitative measures that characterise microstructural tissue properties such as orientation, size, and shape, but long acquisition times are typically required. This work proposes a physics-informed learning framework to extract an optimal subset of diffusion-relaxation MRI measurements for enabling shorter acquisition times, predict non-measured signals, and estimate quantitative parameters. In vivo and synthetic brain 5D-Diffusion-T1-T2*-weighted MRI data obtained from five healthy subjects were used for training and validation, and from a sixth participant for testing. One fully data-driven and two physics-informed machine learning methods were implemented and compared to two manual selection procedures and Cram{\'e}r–Rao lower bound optimisation. The physics-informed approaches could identify measurement-subsets that yielded more consistently accurate parameter estimates in simulations than other approaches, with similar signal prediction error. Five-fold shorter protocols yielded error distributions of estimated quantitative parameters with very small effect sizes compared to estimates from the full protocol. Selected subsets commonly included a denser sampling of the shortest and longest inversion time, lowest echo time, and high b-value. The proposed framework combining machine learning and MRI physics offers a promising approach to develop shorter imaging protocols without compromising the quality of parameter estimates and signal predictions.

}, keywords = {Brain, Diffusion-relaxation, Quantitative MRI, machine learning}, issn = {1361-8415}, doi = {https://doi.org/10.1016/j.media.2024.103134}, url = {https://www.sciencedirect.com/science/article/pii/S1361841524000598}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Maxime Descoteaux and Hugo Larochelle and Jana Hutter and Derek K. Jones and Chantal M.W. Tax} } @proceedings {990, title = {Assessing the variability of brain diffusion MRI preprocessing pipelines using a Region-of-Interest analysis}, volume = {5015}, year = {2023}, month = {2023}, abstract = {

The lack of a standardized preprocessing pipeline is a significant source of variability that might lower the reproducibility of studies, especially across sites and with incomplete description of the preprocessing workflows. We evaluate the downstream impact of variability in preprocessing workflow by quantifying the reproducibility and variability of region-of-interest (ROI) analyses. While many pipelines achieve excellent reproducibility in most ROI, we observed a large variability in performance of preprocessing workflows to the extent that some pipelines are detrimental to the data quality and reproducibility.

}, author = {Veraart, Jelle and Winzeck, Stephan and {\'A}lvaro Planchuelo-G{\'o}mez and Fricke, Bj{\"o}rn and Kornaropoulos, Evgenios N and Merisaari, Harri and Pieciak, Tomasz and Zou, Yukai and Descoteaux, Maxime} } @proceedings {988, title = {Comparison of data-driven and physics-informed learning approaches for optimising multi-contrast MRI acquisition protocols}, volume = {3701}, year = {2023}, month = {2023}, abstract = {

Multi-contrast MRI is used to assess the biological properties of tissues, but excessively long times are required to acquire high-quality datasets. To reduce acquisition time, physics-informed Machine Learning approaches were developed to select the optimal subset of measurements, decreasing the number of volumes by approximately 63\%, and predict the MRI signal and quantitative maps. These selection methods were compared to a full data-driven and two manual strategies. Synthetic and real 5D-Diffusion-T1-T2* data from five healthy participants were used. Feature selection via a combination of Machine Learning and physics modelling provides accurate estimation of quantitative parameters and prediction of MRI signal.

}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Descoteaux, Maxime and Aja-Fern{\'a}ndez, Santiago and Hutter, Jana and Jones, Derek K and Tax, Chantal M W} } @proceedings {989, title = {Impact of free-water correction on white matter changes measured by diffusion tensor imaging in migraine}, volume = {4601}, year = {2023}, month = {2023}, abstract = {

Menstrual migraine affects about 25\% of female migraine patients. However, the diagnosis of migraine is particularly difficult because the brain changes associated with migraine are challenging to detect with imaging techniques. Diffusion-weighted MRI (dMRI) permits the detection of alterations in the microenvironment of the brain tissues. We investigate whether removing the contribution of the free water component from the diffusion-signal can provide increased sensitivity to identify white matter changes in migraine using diffusion tensor metrics.

}, author = {Guadilla, Irene and Fouto, Ana and {\'A}lvaro Planchuelo-G{\'o}mez and Trist{\'a}n-Vega, Antonio and Ruiz-Tagle, Amparo and Esteves, In{\^e}s and Caetano, Gina and Silva, Nuno and Vilela, Pedro and Gil-Gouveia, Raquel and Aja-Fern{\'a}ndez, Santiago and Figueiredo, Patr{\'\i}cia and Nunes, Rita} } @article {994, title = {Increased MRI-based Brain Age in chronic migraine patients}, journal = {The Journal of Headache and Pain}, volume = {24}, year = {2023}, pages = {133}, abstract = {

Neuroimaging has revealed that migraine is linked to alterations in both the structure and function of the brain. However, the relationship of these changes with aging has not been studied in detail. Here we employ the Brain Age framework to analyze migraine, by building a machine-learning model that predicts age from neuroimaging data. We hypothesize that migraine patients will exhibit an increased Brain Age Gap (the difference between the predicted age and the chronological age) compared to healthy participants.

}, keywords = {Biomarkers, Brain age, machine learning, migraine disorders, neuroimaging}, issn = {1129-2377}, doi = {10.1186/s10194-023-01670-6}, url = {https://doi.org/10.1186/s10194-023-01670-6}, author = {Navarro-Gonz{\'a}lez, Rafael and Garc{\'\i}a-Azor{\'\i}n, David and Guerrero-Peral, {\'A}ngel L. and {\'A}lvaro Planchuelo-G{\'o}mez and Aja-Fern{\'a}ndez, Santiago and de Luis-Garc{\'\i}a, Rodrigo} } @proceedings {986, title = {Increased T1w MRI-based brain age in chronic migraine patients}, volume = {5327}, year = {2023}, month = {2023}, abstract = {

Brain-age is an emerging neuroimaging biomarker that represents the aging status of the brain using machine learning techniques from MRI data. It has been successfully applied to the study of different neurological and psychiatric conditions. We hypothesize that patients with migraine may show an increased brain age gap (difference between the age estimated from the MRI data and the chronological age). After building a brain age model from 2,781 healthy subjects, we tested this hypothesis on a dataset with 210 healthy controls and migraine patients. Results showed an increased brain age in chronic migraine patients with respect to healthy controls.

}, author = {Navarro-Gonz{\'a}lez, Rafael and Garc{\'\i}a-Azor{\'\i}n, David and Guerrero, {\'A}ngel L and {\'A}lvaro Planchuelo-G{\'o}mez and Aja-Fern{\'a}ndez, Santiago and de Luis-Garc{\'\i}a, Rodrigo} } @article {973, title = {Structural brain changes in patients with persistent headache after COVID-19 resolution}, journal = {Journal of Neurology}, volume = {270}, year = {2023}, pages = {13-31}, abstract = {

Headache is among the most frequently reported symptoms after resolution of COVID-19. We assessed structural brain changes using T1- and diffusion-weighted MRI processed data from 167 subjects: 40 patients who recovered from COVID-19 but suffered from persistent headache without prior history of headache (COV), 41 healthy controls, 43 patients with episodic migraine and 43 patients with chronic migraine. To evaluate gray matter and white matter changes, morphometry parameters and diffusion tensor imaging-based measures were employed, respectively. COV patients showed significant lower cortical gray matter volume and cortical thickness than healthy subjects (p\thinspace\<\thinspace0.05, false discovery rate corrected) in the inferior frontal and the fusiform cortex. Lower fractional anisotropy and higher radial diffusivity (p\thinspace\<\thinspace0.05, family-wise error corrected) were observed in COV patients compared to controls, mainly in the corpus callosum and left hemisphere. COV patients showed higher cortical volume and thickness than migraine patients in the cingulate and frontal gyri, paracentral lobule and superior temporal sulcus, lower volume in subcortical regions and lower curvature in the precuneus and cuneus. Lower diffusion metric values in COV patients compared to migraine were identified prominently in the right hemisphere. COV patients present diverse changes in the white matter and gray matter structure. White matter changes seem to be associated with impairment of fiber bundles. Besides, the gray matter changes and other white matter modifications such as axonal integrity loss seemed subtle and less pronounced than those detected in migraine, showing that persistent headache after COVID-19 resolution could be an intermediate state between normality and migraine.

}, issn = {1432-1459}, doi = {10.1007/s00415-022-11398-z}, url = {https://doi.org/10.1007/s00415-022-11398-z}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and Guerrero, {\'A}ngel L. and Rodr{\'\i}guez, Margarita and Aja-Fern{\'a}ndez, Santiago and de Luis-Garc{\'\i}a, Rodrigo} } @proceedings {987, title = {Super-resolution diffusion tensor imaging at 64 mT}, volume = {3624}, year = {2023}, month = {2023}, abstract = {

A super-resolution approach was used to create 2mm isotropic diffusion tensor images (DTI) from diffusion-weighted imaging data acquired on a low field, portable system. Mean diffusivity, fractional anisotropy and principal eigenvector orientation maps are shown. This work extends the very recently implemented capability of performing DTI on a 64mT system, and shows substantial improvement due to the increased through-plane resolution achieved with super-resolution.

}, author = {Plumley, Alix and Cercignani, Mara and {\'A}lvaro Planchuelo-G{\'o}mez and Gholam, James and Jones, Derek K} } @proceedings {984, title = {Tensors and Tracts at 64 mT}, volume = {104}, year = {2023}, month = {2023}, abstract = {

We present the first ever demonstration of Diffusion Tensor Magnetic Resonance Imaging (DT-MRI) including quantitative measures of mean diffusivity, fractional anisotropy, and successful tractographic reconstruction of projection and commissural pathways on a portable system operating at 64 mT.

}, author = {Plumley, Alix and Padormo, Francesco and Cercignani, Mara and O{\textquoteright}Halloran, Rafael and Teixeira, Rui and {\'A}lvaro Planchuelo-G{\'o}mez and Legouhy, Antoine and Luo, Tianrui and Jones, Derek K} } @proceedings {985, title = {Validation of Deep Learning techniques for quality augmentation in diffusion MRI for clinical studies}, volume = {2786}, year = {2023}, month = {2023}, abstract = {

This work gathers the results of the QuadD22 challenge, held in MICCAI 2022. We evaluate whether Deep Learning (DL) Techniques are able to improve the quality of diffusion MRI data in clinical studies. To that end, we focused on a real study on migraine, where the differences between groups are drastically reduced when using 21 gradient directions instead of 61. Thus, we asked the participants to augment dMRI data acquired with only 21 directions to 61 via DL. The results were evaluated using a real clinical study with TBSS in which we statistically compared episodic migraine to chronic migraine.

}, author = {Aja-Fernandez, Santiago and Martin-Martin, Carmen and Pieciak, Tomasz and {\'A}lvaro Planchuelo-G{\'o}mez and Faiyaz, Abrar and Uddin, Nasir and Tiwari, Abhishek and Shigwan, Saurabh J and Zheng, Tianshu and Cao, Zuozhen and Blumberg, Stefano B and Sen, Snigdha and Yigit Avci, Mehmet and Li, Zihan and Wang, Xinyi and Tang, Zihao and Rauland, Amelie and Merhof, Dorit and Manzano Maria, Renata and Campos, Vinicius P and HashemiazadehKolowri, SeyyedKazem and DiBella, Edward and Peng, Chenxu and Chen, Zan and Ullah, Irfan and Mani, Merry and Eckstrom, Samuel and Baete, Steven H and Scifitto, Scifitto and Singh, Rajeev Kumar and Wu, Dan and Goodwin-Allcock, Tobias and Slator, Paddy J and Bilgic, Berkin and Tian, Qiyuan and Cabezas, Mariano and Santini, Tales and Andrade da Costa Vieira, Marcelo and Shen, Zhimin and Abdolmotalleby, Hesam and Filipiak, Patryk and Tristan-Vega, Antonio and de Luis-Garcia, Rodrigo} } @article {995, title = {Validation of deep learning techniques for quality augmentation in diffusion MRI for clinical studies}, journal = {NeuroImage: Clinical}, volume = {39}, year = {2023}, pages = {103483}, abstract = {

The objective of this study is to evaluate the efficacy of deep learning (DL) techniques in improving the quality of diffusion MRI (dMRI) data in clinical applications. The study aims to determine whether the use of artificial intelligence (AI) methods in medical images may result in the loss of critical clinical information and/or the appearance of false information. To assess this, the focus was on the angular resolution of dMRI and a clinical trial was conducted on migraine, specifically between episodic and chronic migraine patients. The number of gradient directions had an impact on white matter analysis results, with statistically significant differences between groups being drastically reduced when using 21 gradient directions instead of the original 61. Fourteen teams from different institutions were tasked to use DL to enhance three diffusion metrics (FA, AD and MD) calculated from data acquired with 21 gradient directions and a b-value of 1000 s/mm2. The goal was to produce results that were comparable to those calculated from 61 gradient directions. The results were evaluated using both standard image quality metrics and Tract-Based Spatial Statistics (TBSS) to compare episodic and chronic migraine patients. The study results suggest that while most DL techniques improved the ability to detect statistical differences between groups, they also led to an increase in false positive. The results showed that there was a constant growth rate of false positives linearly proportional to the new true positives, which highlights the risk of generalization of AI-based tasks when assessing diverse clinical cohorts and training using data from a single group. The methods also showed divergent performance when replicating the original distribution of the data and some exhibited significant bias. In conclusion, extreme caution should be exercised when using AI methods for harmonization or synthesis in clinical studies when processing heterogeneous data in clinical studies, as important information may be altered, even when global metrics such as structural similarity or peak signal-to-noise ratio appear to suggest otherwise.

}, keywords = {Angular resolution, Artificial Intelligence, Deep learning, Diffusion tensor, diffusion MRI, machine learning}, issn = {2213-1582}, doi = {https://doi.org/10.1016/j.nicl.2023.103483}, url = {https://www.sciencedirect.com/science/article/pii/S2213158223001742}, author = {Santiago Aja-Fern{\'a}ndez and Carmen Mart{\'\i}n-Mart{\'\i}n and {\'A}lvaro Planchuelo-G{\'o}mez and Abrar Faiyaz and Md Nasir Uddin and Giovanni Schifitto and Abhishek Tiwari and Saurabh J. Shigwan and Rajeev Kumar Singh and Tianshu Zheng and Zuozhen Cao and Dan Wu and Stefano B. Blumberg and Snigdha Sen and Tobias Goodwin-Allcock and Paddy J. Slator and Mehmet Yigit Avci and Zihan Li and Berkin Bilgic and Qiyuan Tian and Xinyi Wang and Zihao Tang and Mariano Cabezas and Amelie Rauland and Dorit Merhof and Renata Manzano Maria and Vin{\'\i}cius Paran{\'\i}ba Campos and Tales Santini and Marcelo Andrade da Costa Vieira and SeyyedKazem HashemizadehKolowri and Edward DiBella and Chenxu Peng and Zhimin Shen and Zan Chen and Irfan Ullah and Merry Mani and Hesam Abdolmotalleby and Samuel Eckstrom and Steven H. Baete and Patryk Filipiak and Tanxin Dong and Qiuyun Fan and Rodrigo de Luis-Garc{\'\i}a and Antonio Trist{\'a}n-Vega and Tomasz Pieciak} } @article {980, title = {Viability of AMURA biomarkers from single-shell diffusion MRI in clinical studies}, journal = {Frontiers in Neuroscience}, volume = {17}, year = {2023}, pages = {1106350}, abstract = {

Diffusion Tensor Imaging (DTI) is the most employed method to assess white matter properties using quantitative parameters derived from diffusion MRI, but it presents known limitations that restrict the evaluation of complex structures. The objective of this study was to validate the reliability and robustness of complementary diffusion measures extracted with a novel approach, Apparent Measures Using Reduced Acquisitions (AMURA), with a typical diffusion MRI acquisition from a clinical context in comparison with DTI with application to clinical studies. Fifty healthy controls, 51 episodic migraine and 56 chronic migraine patients underwent single-shell diffusion MRI. Four DTI-based and eight AMURA-based parameters were compared between groups with tract-based spatial statistics to establish reference results. On the other hand, following a region-based analysis, the measures were assessed for multiple subsamples with diverse reduced sample sizes and their stability was evaluated with the coefficient of quartile variation. To assess the discrimination power of the diffusion measures, we repeated the statistical comparisons with a region-based analysis employing reduced sample sizes with diverse subsets, decreasing 10 subjects per group for consecutive reductions, and using 5,001 different random subsamples. For each sample size, the stability of the diffusion descriptors was evaluated with the coefficient of quartile variation. AMURA measures showed a greater number of statistically significant differences in the reference comparisons between episodic migraine patients and controls compared to DTI. In contrast, a higher number of differences was found with DTI parameters compared to AMURA in the comparisons between both migraine groups. Regarding the assessments reducing the sample size, the AMURA parameters showed a more stable behavior than DTI, showing a lower decrease for each reduced sample size or a higher number of regions with significant differences. However, most AMURA parameters showed lower stability in relation to higher coefficient of quartile variation values than the DTI descriptors, although two AMURA measures showed similar values to DTI. For the synthetic signals, there were AMURA measures with similar quantification to DTI, while other showed similar behavior. These findings suggest that AMURA presents favorable characteristics to identify differences of specific microstructural properties between clinical groups in regions with complex fiber architecture and lower dependency on the sample size or assessing technique than DTI.

}, issn = {1662-453X}, doi = {10.3389/fnins.2023.1106350}, url = {https://www.frontiersin.org/articles/10.3389/fnins.2023.1106350}, author = {Mart{\'\i}n-Mart{\'\i}n, Carmen and {\'A}lvaro Planchuelo-G{\'o}mez and Guerrero, {\'A}ngel L. and Garc{\'\i}a-Azor{\'\i}n, David and Trist{\'a}n-Vega, Antonio and de Luis-Garc{\'\i}a, Rodrigo and Aja-Fern{\'a}ndez, Santiago} } @conference {975, title = {Comparing signal models for correcting diffusion-weighted MR images for free water partial volume effects}, booktitle = {ISMRM Workshop on Diffusion MRI: From Research to Clinic}, year = {2022}, address = {Amsterdam, The Netherlands}, author = {Guadilla, Irene and Fouto, Ana R. and {\'A}lvaro Planchuelo-G{\'o}mez and Trist{\'a}n-Vega, Antonio and Ruiz-Tagle, Amparo and Esteves, In{\^e}s and Caetano, Gina and Aja-Fern{\'a}ndez, Santiago and Figueiredo, Patr{\'\i}cia and Nunes, Rita G.} } @conference {974, title = {Data-driven and physics-informed learning of efficient acquisition protocols}, booktitle = {ISMRM Workshop on Diffusion MRI: From Research to Clinic}, year = {2022}, address = {Amsterdam, The Netherlands}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Descoteaux, Maxime and Aja-Fern{\'a}ndez, Santiago and Hutter, Jana and Jones, Derek K. and Tax, Chantal M.W.} } @article {964, title = {Default mode network components and its relationship with anomalous self-experiences in schizophrenia: A rs-fMRI exploratory study}, journal = {Psychiatry Research: Neuroimaging}, volume = {324}, year = {2022}, pages = {111495}, abstract = {

Anomalous self-experiences (ASEs) in schizophrenia have been under research for the last 20 years. However, no neuroimage studies have provided insight of the possible biological underpinning of ASEs. In this novel approach, the connectivity within the default mode network, calculated through a ROI-based analysis of functional magnetic resonance imaging data, was correlated to the ASEs scores assessed by the Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) in a sample of 22 schizophrenia patients. The Pearson{\textquoteright}s correlation coefficients between IPASE scores and intrahemispheric connectivity of the parahippocampal gyrus with the isthmus cingulate cortex in both hemispheres, and right parahippocampal gyrus with the right rostral anterior cingulate cortex were positive and significant suggesting a relation between hyperactive functional connectivity and anomalous self-experiences intensity. Prior literature reported these areas to have a role in self-processing and consciousness as well as being anatomically connected. Further research with larger sample size and comparison with controls are needed to confirm the relationship of this connectivity with anomalous self-experiences.

}, keywords = {Anterior cingulate cortex, Metacognition, Parahippocampal gyrus, Psychosis, functional magnetic resonance imaging}, issn = {0925-4927}, doi = {https://doi.org/10.1016/j.pscychresns.2022.111495}, url = {https://www.sciencedirect.com/science/article/pii/S0925492722000567}, author = {Roig-Herrero, Alejandro and {\'A}lvaro Planchuelo-G{\'o}mez and Hern{\'a}ndez-Garc{\'\i}a, Marta and de Luis-Garc{\'\i}a, Rodrigo and Fern{\'a}ndez-Linsenbarth, In{\'e}s and Be{\~n}o-Ruiz-de-la-Sierra, Rosa M. and Molina, Vicente} } @conference {968, title = {Long-term grey matter structural changes in the transition from chronic migraine to episodic migraine}, booktitle = {8th Congress of the European Academy of Neurology}, year = {2022}, month = {2022}, abstract = {

Background and aims: The objective was to assess grey matter longitudinal changes in patients with chronic migraine (CM) who reverse to episodic migraine (EM) compared to those who do not reverse.

Methods: High-resolution 3D brain T1-weighted Magnetic Resonance Imaging data were obtained twice from migraine patients. The first acquisition was performed immediately after the first visit to the Headache Unit, before taking preventive treatments. The second timepoint was at least three years after the first acquisition. From the longitudinal pipeline of FreeSurfer (v6.0), the mean values of cortical thickness, surface area and grey matter volume of 68 cortical, 14 subcortical regions and the cerebellum were extracted. Longitudinal changes between patients with CM and those who reversed to EM were assessed with linear
mixed-effects models, setting p\<0.05 (false discovery rate corrected) as threshold for statistical significance.

Results: 22 patients were included, and 10 of them (45.5\%) reversed to EM. No statistically significant differences of age (42.0+-9.0 years) and sex (21 women, 95.5\%) were found between patient groups. Higher statistically significant values of the three parameters in patients who reversed to EM were found in the pericalcarine, parietal, orbitofrontal cortex, and amygdala (Table 1, Figure 1). In contrast, lower values were detected in the cingulum, caudal middle frontal cortex, cerebellum, caudate nucleus and pallidum (Figure 2). In the insula, higher thickness but lower area was appreciated in patients who reversed.

Conclusion: Patients with CM who reverse to EM present distinct patterns of increased and decreased morphometric parameters propagated in the orbital frontal cortex and the cingulum, respectively.

Disclosure: Nothing to disclose.

}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Marchante-Re{\'\i}llo, Ginebra and Sierra, {\'A}lvaro and Garc{\'\i}a-Azor{\'\i}n, David and Mart{\'\i}n-Mart{\'\i}n, Carmen and de Luis-Garc{\'\i}a, Rodrigo and Aja-Fern{\'a}ndez, Santiago and Moro, Ra{\'u}l and Rodr{\'\i}guez, Margarita and Gonz{\'a}lez-Osorio, Y{\'e}sica and {\'A}ngel L. Guerrero} } @article {954, title = {Moment-based representation of the diffusion inside the brain from reduced DMRI acquisitions: Generalized AMURA}, journal = {Medical Image Analysis}, volume = {77}, year = {2022}, pages = {102356}, abstract = {

AMURA (Apparent Measures Using Reduced Acquisitions) was originally proposed as a method to infer micro-structural information from single-shell acquisitions in diffusion MRI. It reduces the number of samples needed and the computational complexity of the estimation of diffusion properties of tissues by assuming the diffusion anisotropy is roughly independent on the b-value. This simplification allows the computation of simplified expressions and makes it compatible with standard acquisition protocols commonly used even in clinical practice. The present work proposes an extension of AMURA that allows the calculation of general moments of the diffusion signals that can be applied to describe the diffusion process with higher accuracy. We provide simplified expressions to analytically compute a set of scalar indices as moments of arbitrary orders over either the whole 3-D space, particular directions, or particular planes. The existing metrics previously proposed for AMURA (RTOP, RTPP and RTAP) are now special cases of this generalization. An extensive set of experiments is performed on public data and a clinical clase acquired with a standard type acquisition. The new metrics provide additional information about the diffusion processes inside the brain.

}, keywords = {AMURA, Diffusion anisotropy, Fast acquisition, diffusion MRI, white matter}, issn = {1361-8415}, doi = {https://doi.org/10.1016/j.media.2022.102356}, url = {https://www.sciencedirect.com/science/article/pii/S1361841522000093}, author = {Aja-Fern{\'a}ndez, Santiago and Pieciak, Tomasz and Mart{\'\i}n-Mart{\'\i}n, Carmen and {\'A}lvaro Planchuelo-G{\'o}mez and de Luis-Garc{\'\i}a, Rodrigo and Trist{\'a}n-Vega, Antonio} } @conference {967, title = {Objective measurement of pain related to cardiac surgery: a study using algometry}, booktitle = {8th Congress of the European Academy of Neurology}, year = {2022}, month = {2022}, abstract = {

Background and aims: Algometry is a safe and objective technique to quantify pain, up to now used in headache research, but to a lesser extent to assess pain related to surgery. We aimed to analyze the demographic characteristics of pain related to cardiac surgery, assessed using static algometry.

Methods: Adult patients consecutively undergoing cardiac surgery were prospectively recruited. Pressure pain thresholds (PPT) were measured in both sides of sternum manubrium, body (five measures) and xiphoid process, preoperatively and on days 1, 3 and 7 postoperatively. Linear mixed-effects models were employed to assess the longitudinal changes and results were corrected for multiple comparisons following a false discovery rate procedure.

Results: We included 70 patients (41.4\% female) with a median age of 67.5 years (range 26-85). Regarding the baseline values, PPT were significantly lower in women and patients older than 65 years. After the surgery, there was a significant reduction of PPT in all assessed regions, which was partially compensated after seven days. Moreover, postoperatively, differences associated with age disappeared and those associated with sex were almost negligible. These differences related to age and sex increased after seven days of surgery, but this difference was lower in comparison with the baseline situation (Table 1, Figure 1). Postoperative pain perception was significantly higher (lower PPT) in both sexes.

Conclusion: Pain related to cardiac surgery can be measured with algometry, mainly during first postoperative days. Differences in pain sensitivity related to age and sex decrease after surgery.

Disclosure: No conflict of interest.

}, author = {Segura-M{\'e}ndez, B{\'a}rbara and {\'A}lvaro Planchuelo-G{\'o}mez and Sierra, {\'A}lvaro and Garc{\'\i}a-Azor{\'\i}n, David and Velasco-Garc{\'\i}a, E. and Fuentes-Mart{\'\i}n, {\'A}. and S{\'a}nchez, C. and V{\'a}zquez-Alarc{\'o}n de la Lastra, I. and {\'A}ngel L. Guerrero and Carrascal, Yolanda} } @article {957, title = {Perceived quality of life (QOLIE-31-P), depression (NDDI-E), anxiety (GAD-7), and insomnia in patients with epilepsy attended at a refractory epilepsy unit in real-life clinical practice}, journal = {Neurological Sciences}, volume = {43}, year = {2022}, month = {2022}, pages = {1955-1964}, doi = {https://doi.org/10.1007/s10072-021-05595-3}, url = {https://link.springer.com/article/10.1007/s10072-021-05595-3}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and Vieira Campos, Alba and Mart{\'\i}nez-Dubarbie, Francisco and Vivancos, Jos{\'e} and De Toledo-Heras, Mar{\'\i}a} } @conference {976, title = {Tensors and Tracts at 64 mT}, booktitle = {ISMRM Workshop on Diffusion MRI: From Research to Clinic}, year = {2022}, address = {Amsterdam, The Netherlands}, author = {Plumley, Alix and Padormo, Francesco and Cercignani, Mara and O{\textquoteright}Halloran, Rafael and Teixeira, Rui and {\'A}lvaro Planchuelo-G{\'o}mez and Legouhy, Antoine and Luo, Tianrui and Jones, Derek K.} } @conference {941, title = {Clinical course of migraine during the COVID-19 Lockdown}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: Previous studies have demonstrated that migraine can worsen due to stress, changes in lifestyle habits or infections. We hypothesize that changes during coronavirus disease 2019 (COVID-19) lockdown might have worsened the clinical course of migraine.
Methods: Retrospective survey study collecting demographic data, clinical variables related to headache (frequency), migraine (subjective worsening, frequency, and intensity), lockdown, and symptoms of post-traumatic stress from migraine patients followed-up at three Headache Units between June-July 2020.
Results: 222 subjects were included. Among them, 201/222 (90.5\%) were women, aged 42.5 +- 12.0 (mean +- SD). Subjective improvement of migraine was reported in 31/222 participants (14.0\%), while worsening in 105/222 (47.3\%) and was associated with changes in migraine triggers such as stress related to going outdoors and intake of specific foods/drinks. Intensity of attacks increased in 67/222 patients (30.2\%), and it was associated with the subjective worsening, female sex, recent insomnia, and use of acute medication during a headache. An increase in monthly days with any headache was observed in 105/222 patients (47.3\%) and was related to symptoms of post-traumatic stress, older age and living with five or more people.

Conclusion: Approximately half the migraine patients reported worsening of their usual pain during the lockdown; worsening was related to changes in triggers and the emotional impact of the lockdown.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Garc{\'\i}a-Azor{\'\i}n, David and Santos-Lasaosa, Sonia and P{\'e}rez-Navarro, Mar{\'\i}a P and Odriozola-Gonz{\'a}lez, Paula and Irurtia, Mar{\'\i}a Jes{\'u}s and Quintas, Sonia and Rodrigo de Luis-Garc{\'\i}a and Ana B Gago-Veiga} } @article {952, title = {Effects of the onabotulinumtoxinA follow-up delay in migraine course during the COVID-19 lockdown}, journal = {Neurological Sciences}, volume = {42}, year = {2021}, pages = {5087-5092}, issn = {1590-3478}, doi = {10.1007/s10072-021-05180-8}, url = {https://doi.org/10.1007/s10072-021-05180-8}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Garc{\'\i}a-Azor{\'\i}n, David and Santos-Lasaosa, Sonia and Navarro-P{\'e}rez, Mar{\'\i}a Pilar and Odriozola-Gonz{\'a}lez, Paula and Irurtia, Mar{\'\i}a Jes{\'u}s and Quintas, Sonia and de Luis-Garc{\'\i}a, Rodrigo and Ana B Gago-Veiga} } @article {944, title = {Evaluation of the Impact of the COVID-19 Lockdown in the Clinical Course of Migraine}, journal = {Pain Medicine}, volume = {22}, year = {2021}, month = {2021}, pages = {2079-2091}, abstract = {

Objective: Previous studies have demonstrated that emotional stress, changes in lifestyle habits and infections can worsen the clinical course of migraine. We hypothesize that changes in habits and medical care during coronavirus disease 2019 (COVID-19) lockdown might have worsened the clinical course of migraine.

Design: Retrospective survey study collecting online responses from migraine patients followed-up by neurologists at three tertiary hospitals between June and July 2020.

Methods: We used a web-based survey that included demographic data, clinical variables related with any headache (frequency) and migraine (subjective worsening, frequency, and intensity), lockdown, and symptoms of post-traumatic stress.

Results: The response rate of the survey was 239/324 (73.8\%). The final analysis included 222 subjects. Among them, 201/222 (90.5\%) were women, aged 42.5 +- 12.0 (mean+-SD). Subjective improvement of migraine during lockdown was reported in 31/222 participants (14.0\%), while worsening in 105/222 (47.3\%) and was associated with changes in migraine triggers such as stress related to going outdoors and intake of specific foods or drinks. Intensity of attacks increased in 67/222 patients (30.2\%), and it was associated with the subjective worsening, female sex, recent insomnia, and use of acute medication during a headache. An increase in monthly days with any headache was observed in 105/222 patients (47.3\%) and was related to symptoms of post-traumatic stress, older age and living with five or more people.

Conclusions: Approximately half the migraine patients reported worsening of their usual pain during the lockdown. Worse clinical course in migraine patients was related to changes in triggers and the emotional impact of the lockdown.

}, keywords = {COVID-19, Headache, Lockdown, Migraine, SARS-CoV-2}, issn = {1526-4637}, doi = {10.1093/pm/pnaa449}, url = {https://doi.org/10.1093/pm/pnaa449}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Garc{\'\i}a-Azor{\'\i}n, David and Santos-Lasaosa, Sonia and Navarro-P{\'e}rez, Mar{\'\i}a Pilar and Odriozola-Gonz{\'a}lez, Paula and Irurtia, Mar{\'\i}a Jes{\'u}s and Quintas, Sonia and Rodrigo de Luis-Garc{\'\i}a and Ana B Gago-Veiga} } @conference {940, title = {Evaluation of the burden of migraine on the partners lifestyle: a multicenter study}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: Migraine is a highly disabling disease that affects the patient{\textquoteright}s life, but its consequences on the patient{\textquoteright}s partner have been barely studied. The objective was to analyze these effects on romantic relationship, relationship with their children, friendship and work; as well as to evaluate caregiver burden and the presence of anxiety and/or depression.
Methods: Cross-sectional observational study. An online survey was filled by partners of migraine patients from five Spanish Headache Units. Questions about the four assessed areas and two scales to evaluate anxiety, depression and caregiver burden (Hospital Anxiety and Depression Scale and Zarit scale) were included. The presence of anxiety and depression was compared to the Spanish prevalence (6.7\% in both cases).
Results: Out of 176 registered responses, 155 were accepted. The sample included 86.5\% of women, with mean age 44.2 +- 10.4 years. Effects on partners were found on love relationship and items concerning children and friendships, with a minor impact at work. Partners showed a significant moderate burden according to the Zarit scale (p = 12/155 = 0.077 [0.041-0.131]; p \< 0.001) and a higher anxiety rate than the 6.7\% national prevalence (p = 23/155 = 0.148 [0.096-0.214]; p \< 0.001), but similar depression rate.
Conclusion: We found an impact on the patient{\textquoteright}s partners on the studied areas. Migraine is a disease that implies caregiver burden in the patient{\textquoteright}s environment with possible effect on anxiety levels.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {Fern{\'a}ndez-Bermejo, Eva M and {\'A}lvaro Planchuelo-G{\'o}mez and Quintas, Sonia and Gonzalez-Martinez, Alicia and Garc{\'\i}a-Azor{\'\i}n, David and Sierra, {\'A}lvaro and {\'A}ngel L. Guerrero and Santos-Lasaosa, Sonia and Navarro-P{\'e}rez, Mar{\'\i}a P and Gonz{\'a}lez-Garc{\'\i}a, Nuria and D{\'\i}az-de-Ter{\'a}n, Javier and Ana B Gago-Veiga} } @conference {937, title = {Gray matter cortical changes in patients with persistent headache after COVID-19 infection: an exploratory study}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: To evaluate gray matter alterations in patients with persistent headache after COVID-19 resolution.
Methods: Exploratory case-control study. Highresolution 3D brain T1-weighted Magnetic Resonance Imaging data were acquired in patients with persistent
headache after COVID-19 infection and healthy controls (HC). FreeSurfer (version 6.0) was employed to segment the T1-weighted images and extract the mean values of the cortical curvature (CC) and thickness (CT), surface area (SA) and gray matter volume (GMV) of 68 cortical regions. GMV comparisons were adjusted for intracranial volume. Significant results were considered with p \< 0.05 (False Discovery Rate corrected).
Results: Ten patients with persistent headache after COVID-19 (mean age: 53.8 +- 7.8 years; nine women) and 10 HC balanced for age and sex (mean age: 53.1 +- 7.0 years; nine women) were included in the study. Significant higher mean SA and GMV values were found in patients with persistent headache compared to HC in the bilateral medial orbitofrontal cortex, left rostral middle frontal gyrus, and right pars opercularis and superior frontal gyrus. In the patients, significant higher GMV in the right caudal anterior cingulate gyrus and SA values in five temporal, frontal and parietal regions were observed. No CC or CT changes were found.
Conclusions: Persistent headache after COVID-19 infection is related to gray matter cortical changes defined by higher GMV and SA values mainly localized in frontal regions.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Moro, Ra{\'u}l and Rodrigo de Luis-Garc{\'\i}a} } @conference {942, title = {Has onabotulinumtoxinA follow-up delay during COVID-19 lockdown affected the migraine course?}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: During the COVID-19 pandemic face-to-face procedures have been postponed. We aim to evaluate the impact of onabotulinumtoxinA follow-up delay in migraine during COVID-19 pandemic.
Methods: Subjective worsening, intensity of migraine attacks and frequency of headache and migraine were retrospectively compared between patients with unmodified and interrupted onabotulinumtoxinA follow-up in Headache Units.
Results: We included 67 patients with chronic migraine or high-frequency episodic migraine under onabotulinumtoxinA treatment, 65 (97.0\%) female,
44.5 +- 12.1 years old. Treatment administration was voluntarily delayed in 14 (20.9\%) patients and nine (13.4\%) were unable to continue follow-up. Patients with uninterrupted follow-up during lockdown presented 8.4 and 8.1 less monthly days with headache (adjusted p = 0.011) and migraine attacks (adjusted p = 0.009) compared to patients whose follow-up was interrupted, respectively.
Conclusion: Involuntary delay of onabotulinumtoxinA follow-up in patients with migraine due to COVID-19 pandemic was associated with a higher frequency of headache and migraine attacks. Safe administration of onabotulinumtoxinA during lockdown should be promoted.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Garc{\'\i}a-Azor{\'\i}n, David and Santos-Lasaosa, Sonia and Navarro-P{\'e}rez, Mar{\'\i}a P and Odriozola-Gonz{\'a}lez, Paula and Irurtia, Mar{\'\i}a Jes{\'u}s and Quintas, Sonia and Rodrigo de Luis-Garc{\'\i}a and Ana B Gago-Veiga} } @conference {945, title = {Longitudinal reduction of quality of life in patients with epilepsy and no seizure increase during the COVID-19 pandemic}, booktitle = {7th Congress of the European Academy of Neurology}, year = {2021}, month = {2021}, publisher = {Wiley}, organization = {Wiley}, address = {Virtual Congress}, abstract = {

Background and aims: In early 2020, the novel coronavirus disease (COVID-19) pandemic has impaired medical care of chronic neurological diseases, including epilepsy. The objective of this study is to evaluate the impact of the COVID-19 pandemic in the levels of anxiety, depression, somnolence and quality of life using validated scales in patients with epilepsy in real-life clinical practice.
Methods: Self-administered scales of anxiety disorders (GAD-7), depression (NDDI-E), somnolence (Epworth Sleepiness Scale; ESS) and quality of life (QOLIE-31-P) in patients with epilepsy treated in the Refractory Epilepsy Unit of a tertiary hospital were longitudinally analyzed with Generalized Linear Mixed Models. Data were collected before the beginning (December 2019-March 2020) and during the COVID-19 pandemic (September 2020-January 2021).
Results: 37 patients, 45.0+-17.3 years of age, 43.2\% women, epilepsy duration 23.0+-14.9 years, number of anti-epileptic drugs 2.1+-1.4, answered in the two periods. Significant longitudinal reduction of QOLIE-31-P scores (from 58.9+-19.7 to 56.2+-16.2, p=0.035) was identified. No statistically significant longitudinal changes in NDDI-E (from 12.3+-4.3 to 13.4+-4.4, p=0.293) or the number of seizures (from 0.9+-1.9 to 2.5+-6.2, p=0.125) were found. Significant higher ESS (from 4.9+-3.7 to 7.4+-4.9, p=0.001) and lower GAD-7 scores (from 8.8+-6.2 to 8.3+-5.9, corrected p=0.024 adjusted by refractory epilepsy and sleep disturbance) were found during the COVID-19 pandemic.
Conclusion: During the COVID-19 pandemic, quality of life was lower in patients with epilepsy, levels of anxiety were reduced and sleepiness levels were raised, without seizure change. Additional studies would be useful to adequately manage these comorbidities.
Disclosure: There is no disclosure.

}, url = {https://www.ean.org/fileadmin/user_upload/ean/congress-2021/EAN2021AbstractBook.pdf}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and Vieira, Alba and Mart{\'\i}nez-Dubarbie, Francisco and Vivancos, Jos{\'e} and De Toledo, Mar{\'\i}a} } @article {943, title = {Medium-term changes in patients with epilepsy during the COVID-19 pandemic}, journal = {Acta Neurologica Scandinavica}, volume = {144}, year = {2021}, pages = {450-459}, abstract = {

Objectives: The novel coronavirus disease (COVID-19) pandemic has led to social distancing measures and impaired medical care of chronic neurological diseases, including epilepsy, which may have adversely affected well-being and quality of life of patients with epilepsy (PWE). The objective of this study is to evaluate the impact of the COVID-19 pandemic in the levels of anxiety, depression, somnolence, and quality of life using validated scales in PWE in real-life clinical practice.

Materials \& Methods: Self-administered scales of anxiety disorders (GAD-7), depression (NDDI-E), somnolence (Epworth Sleepiness Scale; ESS), and quality of life (QOLIE-31-P) in PWE treated in a Refractory Epilepsy Unit were longitudinally analyzed. Data were collected before the beginning (December 2019-March 2020) and during the COVID-19 pandemic (September 2020-January 2021).

Results: 158 patients (85 from the first round and 73 from the second round) 45.0 +- 17.3 years of age, 43.2\% women, epilepsy duration 23.0 +- 14.9 years, number of antiepileptic drugs 2.1 +- 1.4, completed the survey. Significant longitudinal reduction of QOLIE-31-P (from 58.9 +- 19.7 to 56.2 +- 16.2, p = 0.035) and GAD-7 scores (from 8.8 +- 6.2 to 8.3 +- 5.9, corrected p = .024) was identified. No statistically significant longitudinal changes in the number of seizures (from 0.9 +- 1.9 to 2.5 +- 6.2, p = .125) or NDDI-E scores (from 12.3 +- 4.3 to 13.4 +- 4.4, p = .065) were found. Significant longitudinal increase of ESS (from 4.9 +- 3.7 to 7.4 +- 4.9, p = .001) was found.

Conclusions: During the COVID-19 pandemic, quality of life and anxiety levels were lower in PWE, and sleepiness levels were raised, without seizure change.

}, keywords = {Anxiety, COVID-19, Sleep, epilepsy, pandemic, quality of life}, doi = {https://doi.org/10.1111/ane.13481}, url = {https://onlinelibrary.wiley.com/doi/abs/10.1111/ane.13481}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and Vieira Campos, Alba and Mart{\'\i}nez-Dubarbie, Francisco and Vivancos, Jos{\'e} and De Toledo-Heras, Mar{\'\i}a} } @article {907, title = {Multimodal fusion analysis of structural connectivity and gray matter morphology in migraine}, journal = {Human Brain Mapping}, volume = {42}, year = {2021}, pages = {908-921}, abstract = {

No specific migraine biomarkers have been found in single-modality MRI studies. We aimed at establishing biomarkers for episodic and chronic migraine using diverse MRI modalities. We employed canonical correlation analysis and joint independent component analysis to find structural connectivity abnormalities that are related to gray matter morphometric alterations. The number of streamlines (trajectories of estimated fiber-tracts from tractography) was employed as structural connectivity measure, while cortical curvature, thickness, surface area, and volume were used as gray matter parameters. These parameters were compared between 56 chronic and 54 episodic migraine patients, and 50 healthy controls. Cortical curvature alterations were associated with abnormalities in the streamline count in episodic migraine patients compared to controls, with higher curvature values in the frontal and temporal poles being related to a higher streamline count. Lower streamline count was found in migraine compared to controls in connections between cortical regions within each of the four lobes. Higher streamline count was found in migraine in connections between subcortical regions, the insula, and the cingulate and orbitofrontal cortex, and between the insula and the temporal region. The connections between the caudate nucleus and the orbitofrontal cortex presented worse connectivity in chronic compared to episodic migraine. The hippocampus was involved in connections with higher and lower number of streamlines in chronic migraine. Strengthening of structural networks involving pain processing and subcortical regions coexists in migraine with weakening of cortical networks within each lobe. The multimodal analysis offers a new insight about the association between brain structure and connectivity.

}, keywords = {Brain, Magnetic Resonance Imaging, connectome, diffusion magnetic resonance imaging, migraine disorders}, doi = {https://doi.org/10.1002/hbm.25267}, url = {https://onlinelibrary.wiley.com/doi/abs/10.1002/hbm.25267}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Rodrigo de Luis-Garc{\'\i}a} } @article {923, title = {Neurobiological underpinnings of cognitive subtypes in psychoses: A cross-diagnostic cluster analysis}, journal = {Schizophrenia Research}, volume = {229}, year = {2021}, pages = {102-111}, abstract = {

Schizophrenia and bipolar disorder include patients with different characteristics, which may hamper the definition of biomarkers. One of the dimensions with greater heterogeneity among these patients is cognition. Recent studies support the identification of different patients{\textquoteright} subgroups along the cognitive domain using cluster analysis. Our aim was to validate clusters defined on the basis of patients{\textquoteright} cognitive status and to assess its relation with demographic, clinical and biological measurements. We hypothesized that subgroups characterized by different cognitive profiles would show differences in an array of biological data. Cognitive data from 198 patients (127 with chronic schizophrenia, 42 first episodes of schizophrenia and 29 bipolar patients) were analyzed by a K-means cluster approach and were compared on several clinical and biological variables. We also included 155 healthy controls for further comparisons. A two-cluster solution was selected, including a severely impaired group and a moderately impaired group. The severely impaired group was associated with higher illness duration and symptoms scores, lower thalamus and hippocampus volume, lower frontal connectivity and basal hypersynchrony in comparison to controls and the moderately impaired group. Moreover, both patients{\textquoteright} groups showed lower cortical thickness and smaller functional connectivity modulation than healthy controls. This study supports the existence of different cognitive subgroups within the psychoses with different neurobiological underpinnings.

}, keywords = {Cognition, Connectivity, Modulation, Volume, bipolar disorder, schizophrenia}, issn = {0920-9964}, doi = {https://doi.org/10.1016/j.schres.2020.11.013}, url = {https://www.sciencedirect.com/science/article/pii/S0920996420305521}, author = {Fern{\'a}ndez-Linsenbarth, In{\'e}s and {\'A}lvaro Planchuelo-G{\'o}mez and D{\'\i}ez, {\'A}lvaro and Arjona-Valladares, Antonio and Rodrigo de Luis-Garc{\'\i}a and Mart{\'\i}n-Santiago, {\'O}scar and Benito-S{\'a}nchez, Jos{\'e} Antonio and P{\'e}rez-Laureano, {\'A}ngela and Gonz{\'a}lez-Parra, David and Montes-Gonzalo, Carmen and Melero-Lerma, Raquel and Fern{\'a}ndez Morante, Sonia and Sanz-Fuentenebro, Javier and G{\'o}mez-Pilar, Javier and N{\'u}{\~n}ez-Novo, Pablo and Molina, Vicente} } @article {909, title = {Real world effectiveness and tolerability of candesartan in the treatment of migraine: a retrospective cohort study}, journal = {Scientific Reports}, volume = {11}, year = {2021}, pages = {3846}, abstract = {

To date, two randomized, controlled studies support the use of candesartan for migraine prophylaxis but with limited external validity. We aim to evaluate the effectiveness and tolerability of candesartan in clinical practice and to explore predictors of patient response. Retrospective cohort study including all patients with migraine who received candesartan between April 2008-February 2019. The primary endpoint was the number of monthly headache days during weeks 8{\textendash}12 of treatment compared to baseline. Additionally, we evaluated the frequency during weeks 20{\textendash}24. We analysed the percentage of patients with 50\% and 75\% response rates and the retention rates after three and 6\ months of treatment. 120/4121 patients were eligible, aged 45.9 [11.5]; 100 (83.3\%) female. Eighty-four patients (70\%) had chronic migraine and 53 (42.7\%) had medication-overuse headache. The median number of prior prophylactics was 3 (Inter-quartile range 2{\textendash}5). At baseline, patients had 20.5 {\textpm} 8.5 headache days per month, decreasing 4.3 {\textpm} 8.4\ days by 3\ months (weeks 12{\textendash}16) and by 4.7 {\textpm} 8.7\ days by 6\ months (paired Student{\textquoteright}s t-test, p \< 0.001). The percentage of patients with a 50\% response was 32.5\% at 3\ months and 31.7\% at 6\ months, while the retention rate was 85.0\% and 58.3\%. The number of prior treatments (Odds ratio 0.79, 95\% CI 0.64{\textendash}0.97) and the presence of daily headache (Odds ratio 0.39, 95\% CI 0.16{\textendash}0.97) were associated with a lower probability of response. Candesartan showed beneficial effects in the preventive treatment of migraine in clinical practice, including patients with chronic migraine, medication-overuse headache and resistance to prior prophylactics.

}, issn = {2045-2322}, doi = {10.1038/s41598-021-83508-2}, url = {https://doi.org/10.1038/s41598-021-83508-2}, author = {S{\'a}nchez-Rodr{\'\i}guez, Carmen and Sierra, {\'A}lvaro and {\'A}lvaro Planchuelo-G{\'o}mez and Mart{\'\i}nez-P{\'\i}as, Enrique and {\'A}ngel L. Guerrero and Garc{\'\i}a-Azor{\'\i}n, David} } @conference {939, title = {Resting-state functional alterations in patients with persistent headache after COVID-19 infection: an exploratory study}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: To evaluate resting-state functional alterations in patients with persistent headache after COVID-19 resolution.
Methods: Exploratory case-control study. Highresolution brain resting-state functional Magnetic Resonance Imaging data were acquired in patients with
persistent headache after COVID-19 infection and healthy controls (HC). CONN toolbox (version 17) was employed to assess the resting-state functional connectivity between 84 cortical and subcortical gray matter regions of interest. Significant results were considered with p \< 0.05 (Family Discovery Rate and seed-level corrected).
Results: Ten patients with persistent headache after COVID-19 (mean age: 53.8 +- 7.8 years; nine women) and 10 HC balanced for age and sex (mean age: 51.9 +- 6.6 years; nine women) were included in the study. Statistically significant higher functional connectivity was observed in the patients with persistent headache compared to HC in 10 connections. These connections were composed of an occipital region and another region that included the isthmus cingulate gyrus, a frontal or a parietal area. In the patients, significant lower functional connectivity was found in 12 connections between the cingulate and hippocampal gyri, parietal, temporal and frontal regions.
Conclusions: Patients with persistent headache after COVID-19 infection present strengthened functional connectivity with occipital regions and weakened functional connectivity between frontal, temporal and parietal regions.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Moro, Ra{\'u}l and Rodrigo de Luis-Garc{\'\i}a} } @article {953, title = {Search for schizophrenia and bipolar biotypes using functional network properties}, journal = {Brain and Behavior}, volume = {11}, year = {2021}, pages = {e2415}, abstract = {

Introduction: Recent studies support the identification of valid subtypes within schizophrenia and bipolar disorder using cluster analysis. Our aim was to identify meaningful biotypes of psychosis based on network properties of the electroencephalogram. We hypothesized that these parameters would be more altered in a subgroup of patients also characterized by more severe deficits in other clinical, cognitive, and biological measurements.

Methods: A clustering analysis was performed using the electroencephalogram-based network parameters derived from graph-theory obtained during a P300 task of 137 schizophrenia (of them, 35 first episodes) and 46 bipolar patients. Both prestimulus and modulation of the electroencephalogram were included in the analysis. Demographic, clinical, cognitive, structural cerebral data, and the modulation of the spectral entropy of the electroencephalogram were compared between clusters. Data from 158 healthy controls were included for further comparisons.

Results: We identified two clusters of patients. One cluster presented higher prestimulus connectivity strength, clustering coefficient, path-length, and lower small-world index compared to controls. The modulation of clustering coefficient and path-length parameters was smaller in the former cluster, which also showed an altered structural connectivity network and a widespread cortical thinning. The other cluster of patients did not show significant differences with controls in the functional network properties. No significant differences were found between patients{\textasciiacute} clusters in first episodes and bipolar proportions, symptoms scores, cognitive performance, or spectral entropy modulation.

Conclusion: These data support the existence of a subgroup within psychosis with altered global properties of functional and structural connectivity.

}, keywords = {Biotypes, bipolar disorder, diffusion, electroencephalogram, network, schizophrenia}, doi = {https://doi.org/10.1002/brb3.2415}, url = {https://onlinelibrary.wiley.com/doi/abs/10.1002/brb3.2415}, author = {Fern{\'a}ndez-Linsenbarth, In{\'e}s and {\'A}lvaro Planchuelo-G{\'o}mez and Be{\~n}o-Ruiz-de-la-Sierra, Rosa M. and D{\'\i}ez, Alvaro and Arjona, Antonio and P{\'e}rez, Adela and Rodr{\'\i}guez-Lorenzana, Alberto and del Valle, Pilar and de Luis-Garc{\'\i}a, Rodrigo and Mascialino, Guido and Holgado-Madera, Pedro and Segarra-Echevarr{\'\i}a, Rafael and Gomez-Pilar, Javier and N{\'u}{\~n}ez, Pablo and Bote-Boneaechea, Berta and Zambrana-G{\'o}mez, Antonio and Roig-Herrero, Alejandro and Molina, Vicente} } @article {924, title = {Temporal distribution of emergency room visits in patients with migraine and other headaches}, journal = {Expert Review of Neurotherapeutics}, volume = {21}, year = {2021}, pages = {599-605}, abstract = {

Background: Headache is a leading reason for presentation to the emergency department (ED) with migraine being the most frequently headache. To ensure the adequate staffing of healthcare providers during peak times of headache visits, we analyzed the temporal distribution of emergency department visits in patients presenting with headache and/or migraine.

Research design and methods: The authors conducted an ecological study, including all consecutive visits to the ED for headache. Patients were classified according to the IHS Classification. We analyzed circadian, circaseptan and circannual patterns for number of visits, comparing migraine patients with other headache patients.

Results: There were 2132 ED visits for headache, including primary headache in 1367 (64.1\%) cases; migraine in 963 (45.2\%); secondary headache in 404 (18.9\%); and unspecified headache in 366 (17.1\%). The circadian pattern showed peaks around 11:00{\textendash}13:00 and 17:00{\textendash}19:00, with visits during the night shift 45\% less frequent (p \< 0.001). The circaseptan pattern showed a peak on Monday-Tuesday and a low point on Sunday (p \< 0.007). The circannual pattern peaked in March and decreased in June.

Conclusions: ED visits for headache showed specific circadian, circaseptan and circannual variations. No differences were found in these patterns when comparing migraine patients to other headache patients.

}, doi = {10.1080/14737175.2021.1906222}, url = {https://doi.org/10.1080/14737175.2021.1906222}, author = {Garc{\'\i}a-Azor{\'\i}n, David and Abelaira-Freire, Jaime and Rodriguez-Adrada, Esther and Gonz{\'a}lez-Garc{\'\i}a, Nuria and {\'A}lvaro Planchuelo-G{\'o}mez and {\'A}ngel L. Guerrero and Porta-Etessam, Jes{\'u}s and Mart{\'\i}n-S{\'a}nchez, Francisco J} } @conference {938, title = {White matter microstructural alterations in patients with persistent headache after COVID-19 infection: an exploratory study}, booktitle = {International Headache Congress 2021}, year = {2021}, month = {2021}, publisher = {International Headache Society \& European Headache Federation}, organization = {International Headache Society \& European Headache Federation}, address = {Virtual Congress}, abstract = {

Objective: To evaluate white matter alterations in patients with persistent headache after COVID-19 resolution.
Methods: Exploratory case-control study. Highresolution brain diffusion Magnetic Resonance Imaging data were acquired in patients with persistent headache after COVID-19 infection and healthy controls (HC). Tract-Based Spatial Statistics was used to compare fractional anisotropy (FA), axial diffusivity (AD), mean diffusivity (MD), radial diffusivity (RD) and the return-to-axial (RTAP), return-to-origin (RTOP) and return-to-plane probability (RTPP) between the groups. RTAP, RTOP and RTPP were obtained with a new approach called AMURA (https://www.lpi.tel.uva.es/AMURA). Significant results were considered with p \< 0.05 (Family-Wise Error corrected) and region size larger than 30 mm3.
Results: Ten patients with persistent headache after COVID-19 (mean age: 53.8 +- 7.8 years; nine women) and 10 HC balanced for age and sex (mean age: 53.1 +- 7.0 years; nine women) were included in the study. Significant higher AD and lower RTPP values were found in patients with persistent headache compared to HC in five regions from the corona radiata, and the external and internal capsule. In the patients, significant lower RTPP values were identified in six additional areas from the same tracts and the superior longitudinal fasciculus. No additional changes were found.
Conclusions: White matter axonal alterations are present in patients with persistent headache after COVID-19 infection.

}, url = {https://journals.sagepub.com/doi/pdf/10.1177/03331024211034005}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Moro, Ra{\'u}l and Rodrigo de Luis-Garc{\'\i}a} } @conference {917, title = {The utility of the GAD-7 anxiety, NDDI-E depression, Epworth sleepiness and QOLIE-31-P quality of life scales in patients with epilepsy in real clinical practice (2379)}, booktitle = {Proceedings of the American Academy of Neurology 2021 Virtual Annual Meeting}, year = {2021}, publisher = {Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology}, organization = {Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology}, abstract = {

Objective: The objective of this project is to study the presence of psychiatric comorbidity (anxiety and depression), somnolence and quality of life using validated scales in patients with epilepsy in real clinical practice, and its relationship with other clinical and demographic variables.

Background: Previous studies have shown that psychiatric comorbidity, specially anxiety and depression, as well as sleep disorders are more prevalent in patients with epilepsy than in the general population.

Design/Methods: Cross-sectional descriptive observational study using validated scales of anxiety disorders(GAD-7), depression(NDDI-E), sleep disorders(Epworth) and quality of life(QOLIE-31-P) in patients with epilepsy treated in the Refractory Epilepsy Unit of a tertiary hospital.

Results: We recruited 84 patients, age 44.3 {\textpm} 17.4 years, 48.2\% women, duration of epilepsy 21.5 {\textpm} 15.9 years, number of antiepileptic drugs 1.9 {\textpm} 1.2. We found severe anxiety(GAD-7\> 14) in 14.3\%, depression(NDDI-E\> 15) in 20.2\%; abnormal sleepiness(Epworth\> 10) in 14.3\% of patients, and QOLIE-31-P 62.0 {\textpm} 19.2. Each more point in GAD-7 is 21\% more likely to suffer from anxiety(OR 1.21; 95\% CI 1.09{\textendash}1.36; p = 0.0008), NDDI-E scores\<=15 represent 85 \% less chance of having depression(OR 0.15; 95\% CI 0.04{\textendash}0.51]; p = 0.002). We found a positive association between depression according to NDDI-E with seizure frequency(p = 0.017) and number of drugs(p = 0.019); and severe anxiety according to GAD-7 and number of drugs(p = 0.019). We found a negative correlation between QOLIE-31-P with NDDI-E(r = -0.68; p \<0.0001) and GAD-7(r = -0.76; p \<0.0001).

Conclusions: Validated scales in epilepsy for the detection of anxiety(GAD-7) and depression(NDDI-E) are useful in the detection of these disorders in real clinical practice. The assessment of the presence of anxiety-depressive psychiatric comorbidity is especially relevant in patients with a higher frequency of seizures, a greater number of drugs and a poorer quality of life.

}, url = {https://n.neurology.org/content/96/15_Supplement/2379}, author = {Gonzalez-Martinez, Alicia and {\'A}lvaro Planchuelo-G{\'o}mez and Mart{\'\i}nez-Dubarbie, Francisco and Vieira Campos, Alba and Vivancos, Jos{\'e} and De Toledo, Mar{\'\i}a} } @proceedings {856, title = {AMURA with standard single-shell acquisition can detect changes beyond the Diffusion Tensor: a migraine clinical study}, volume = {4549}, year = {2020}, month = {2020}, abstract = {AMURA (Apparent Measures Using Reduced Acquisitions) is an alternative formulation to drastically reduce the number of samples needed for the estimation of diffusion properties related to the Ensemble Average diffusion Propagator (EAP). Although these measures were initially intended for medium-to-high b-values, in this work we evaluate their performance in DTI-like acquisitions. Fifty healthy controls, 54 episodic migraine (EM) and 56 chronic migraine (CM) patients were compared, using a single-shell diffusion scheme at b=1000 s/mm2. We compare AMURA measures (return-to-origin, return-to-axis and return-to-plane probabilities) to traditional DTI measures. Differences between EM and controls were only detectable using the return-to-origin probability.}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Rodrigo de Luis-Garc{\'\i}a and Antonio Trist{\'a}n-Vega and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez} } @article {891, title = {Alternative Microstructural Measures to Complement Diffusion Tensor Imaging in Migraine Studies with Standard MRI Acquisition}, journal = {Brain Sciences}, volume = {10}, year = {2020}, month = {2020}, pages = {711}, abstract = {The white matter state in migraine has been investigated using diffusion tensor imaging (DTI) measures, but results using this technique are conflicting. To overcome DTI measures, we employed ensemble average diffusion propagator measures obtained with apparent measures using reduced acquisitions (AMURA). The AMURA measures were return-to-axis (RTAP), return-to-origin (RTOP) and return-to-plane probabilities (RTPP). Tract-based spatial statistics was used to compare fractional anisotropy, mean diffusivity, axial diffusivity and radial diffusivity from DTI, and RTAP, RTOP and RTPP, between healthy controls, episodic migraine and chronic migraine patients. Fifty healthy controls, 54 patients with episodic migraine and 56 with chronic migraine were assessed. Significant differences were found between both types of migraine, with lower axial diffusivity values in 38 white matter regions and higher RTOP values in the middle cerebellar peduncle in patients with a chronic migraine (p \< 0.05 family-wise error corrected). Significantly lower RTPP values were found in episodic migraine patients compared to healthy controls in 24 white matter regions (p \< 0.05 family-wise error corrected), finding no significant differences using DTI measures. The white matter microstructure is altered in a migraine, and in chronic compared to episodic migraine. AMURA can provide additional results with respect to DTI to uncover white matter alterations in migraine.}, issn = {2076-3425}, doi = {10.3390/brainsci10100711}, url = {https://www.mdpi.com/2076-3425/10/10/711}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Rodrigo de Luis-Garc{\'\i}a and Rodr{\'\i}guez, Margarita and Santiago Aja-Fern{\'a}ndez} } @article {904, title = {Deep Phenotyping of Headache in Hospitalized COVID-19 Patients via Principal Component Analysis}, journal = {Frontiers in Neurology}, volume = {11}, year = {2020}, pages = {1751}, abstract = {

Objectives: Headache is a common symptom in systemic infections, and one of the symptoms of the novel coronavirus disease 2019 (COVID-19). The objective of this study was to characterize the phenotype of COVID-19 headache via machine learning.Methods: We performed a cross-sectional study nested in a retrospective cohort. Hospitalized patients with COVID-19 confirmed diagnosis who described headache were included in the study. Generalized Linear Models and Principal Component Analysis were employed to detect associations between intensity and self-reported disability caused by headache, quality and topography of headache, migraine features, COVID-19 symptoms, and results from laboratory tests.Results: One hundred and six patients were included in the study, with a mean age of 56.6 {\textpm} 11.2, including 68 (64.2\%) females. Higher intensity and/or disability caused by headache were associated with female sex, fever, abnormal platelet count and leukocytosis, as well as migraine symptoms such as aggravation by physical activity, pulsating pain, and simultaneous photophobia and phonophobia. Pain in the frontal area (83.0\% of the sample), pulsating quality, higher intensity of pain, and presence of nausea were related to lymphopenia. Pressing pain and lack of aggravation by routine physical activity were linked to low C-reactive protein and procalcitonin levels.Conclusion: Intensity and disability caused by headache attributed to COVID-19 are associated with the disease state and symptoms. Two distinct headache phenotypes were observed in relation with COVID-19 status. One phenotype seems to associate migraine symptoms with hematologic and inflammatory biomarkers of severe COVID-19; while another phenotype would link tension-type headache symptoms to milder COVID-19.

}, issn = {1664-2295}, doi = {10.3389/fneur.2020.583870}, url = {https://www.frontiersin.org/article/10.3389/fneur.2020.583870}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Trigo, Javier and Rodrigo de Luis-Garc{\'\i}a and {\'A}ngel L. Guerrero and Porta-Etessam, Jes{\'u}s and Garc{\'\i}a-Azor{\'\i}n, David} } @article {887, title = {Factors associated with the presence of headache in hospitalized COVID-19 patients and impact on prognosis: a retrospective cohort study}, journal = {The Journal of Headache and Pain}, volume = {21}, year = {2020}, month = {Jul}, pages = {94}, abstract = {Headache is one of the most frequent neurologic manifestations in COVID-19. We aimed to analyze which symptoms and laboratory abnormalities were associated with the presence of headache and to evaluate if patients with headache had a higher adjusted in-hospital risk of mortality.}, issn = {1129-2377}, doi = {10.1186/s10194-020-01165-8}, url = {https://doi.org/10.1186/s10194-020-01165-8}, author = {Trigo, Javier and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}lvaro Planchuelo-G{\'o}mez and Mart{\'\i}nez-P{\'\i}as, Enrique and Talavera, Blanca and Hern{\'a}ndez-P{\'e}rez, Isabel and Valle-Pe{\~n}acoba, Gonzalo and Sim{\'o}n-Campo, Paula and de Lera, Mercedes and Chavarr{\'\i}a-Miranda, Alba and L{\'o}pez-Sanz, Cristina and Guti{\'e}rrez-S{\'a}nchez, Mar{\'\i}a and Mart{\'\i}nez-Velasco, Elena and Pedraza, Mar{\'\i}a and Sierra, {\'A}lvaro and G{\'o}mez-Vicente, Beatriz and Juan F Arenillas and {\'A}ngel L. Guerrero} } @proceedings {857, title = {Fewer number of gradient directions in diffusion MRI can be counterbalanced with higher sample size: a migraine clinical study}, volume = {4550}, year = {2020}, month = {2020}, abstract = {The effect of changes in the acquisition parameters on Diffusion Tensor Imaging (DTI) has been studied, but for very specific situations. A whole-brain comparison of 54 episodic migraine (EM) and 56 chronic migraine (CM) patients, using diffusion schemes of 61, 40 and 21 gradient orientations, was performed. Statistical comparisons were repeated reducing the sample size until no significant differences were found. Higher number of regions with significant lower axial diffusivity in CM compared to EM were found using 61 gradient directions. With a larger sample size, results with 40 and 21 directions were equivalent to results acquired with 61 directions.}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Santiago Aja-Fern{\'a}ndez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Rodrigo de Luis-Garc{\'\i}a} } @article {892, title = {Gray Matter Structural Alterations in Chronic and Episodic Migraine: A Morphometric Magnetic Resonance Imaging Study}, journal = {Pain Medicine}, volume = {21}, year = {2020}, pages = {2997-3011}, abstract = {

This study evaluates different parameters describing the gray matter structure to analyze differences between healthy controls, patients with episodic migraine, and patients with chronic migraine.Cohort study.Spanish community.Fifty-two healthy controls, 57 episodic migraine patients, and 57 chronic migraine patients were included in the study and underwent T1-weighted magnetic resonance imaging acquisition.Eighty-four cortical and subcortical gray matter regions were extracted, and gray matter volume, cortical curvature, thickness, and surface area values were computed (where applicable). Correlation analysis between clinical features and structural parameters was performed.Statistically significant differences were found between all three groups, generally consisting of increases in cortical curvature and decreases in gray matter volume, cortical thickness, and surface area in migraineurs with respect to healthy controls. Furthermore, differences were also found between chronic and episodic migraine. Significant correlations were found between duration of migraine history and several structural parameters.Migraine is associated with structural alterations in widespread gray matter regions of the brain. Moreover, the results suggest that the pattern of differences between healthy controls and episodic migraine patients is qualitatively different from that occurring between episodic and chronic migraine patients.

}, issn = {1526-2375}, doi = {10.1093/pm/pnaa271}, url = {https://doi.org/10.1093/pm/pnaa271}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Rodr{\'\i}guez, Margarita and Santiago Aja-Fern{\'a}ndez and Rodrigo de Luis-Garc{\'\i}a} } @article {843, title = {Identificacion of MRI-based psychosis subtypes: Replication and refinement}, journal = {Progress in Neuro-Psychopharmacology and Biological Psychiatry}, volume = {100}, year = {2020}, pages = {109907}, abstract = {

The identification of the cerebral substrates of psychoses such as schizophrenia and bipolar disorder is likely hampered by its biological heterogeneity, which may contribute to the low replication of results in the field. In this study we aimed to replicate in a completely new sample and supplement the results of a previous study with additional data on this topic. In the aforementioned study we identified a schizophrenia cluster characterized by high mean cortical curvature and low cortical thickness, subcortical hypometabolism and progressive negative symptoms. Here, we have used magnetic resonance images from 61 schizophrenia and 28 bipolar patients, as well as 51 healthy controls and a cluster analysis to search for possible subgroups primarily characterized by cerebral structural data. Diffusion tensor imaging (fractional anisotropy, FA), cognition, clinical data and electroencephalographic (EEG) modulation during a P300 task were used to validate the possible clusters. Two clusters of patients were identified. The first cluster (29 schizophrenia and 18 bipolar patients) showed decreased cortical thickness and area values, as well as lower subcortical volumes and higher cortical curvature in some regions, as compared to the second cluster. This first cluster also showed decreased FA in frontal lobe connections and worse cognitive performance. Although this cluster also showed longer illness duration, there were first episode patients in both clusters and treatment doses and types were not different between clusters. Both clusters of patients showed decreased EEG task-related modulation. In conclusion, our data give additional support to a distinct biologically based cluster encompassing schizophrenia and bipolar disorder patients with cortical and subcortical alterations, hampered cortical connectivity and lower cognitive performance.

}, keywords = {Biotypes, Cortical thickness, Curvature, Subtypes, bipolar disorder, schizophrenia}, issn = {0278-5846}, doi = {https://doi.org/10.1016/j.pnpbp.2020.109907}, url = {http://www.sciencedirect.com/science/article/pii/S0278584619309595}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Lubeiro, Alba and N{\'u}{\~n}ez-Novo, Pablo and Gomez-Pilar, Javier and Rodrigo de Luis-Garc{\'\i}a and del Valle, Pilar and Mart{\'\i}n-Santiago, {\'O}scar and P{\'e}rez-Escudero, Adela and Vicente Molina} } @article {890, title = {Longitudinal evaluation of the psychological impact of the COVID-19 crisis in Spain}, journal = {Journal of Affective Disorders}, volume = {277}, year = {2020}, pages = {842-849}, abstract = {Background: Strict confinement and social distancing measures have been imposed due to the COVID-19 pandemic in many countries. The aim was to assess the temporal evolution of the psychological impact of the COVID-19 crisis and lockdown from two surveys, separated by one month, performed in Spain. Methods: Symptoms of depression, anxiety and stress, and the psychological impact of the situation were longitudinally analyzed using the Depression Anxiety and Stress Scale (DASS-21) and the Impact of Event Scale (IES) respectively. Results: There was a total of 4,724 responses from both surveys. Symptomatic scores of anxiety, depression and stress were exhibited by 37.22\%, 46.42\% and 49.66\% of the second survey respondents, showing a significant increase compared to the first survey (32.45\%, 44.11\% and 37.01\%, respectively). There was no significant longitudinal change of the IES scores, with 48.30\% of the second survey participants showing moderate to severe impact of the confinement. Constant news consumption about COVID-19 was found to be positively associated with symptomatic scores in the different scales, and daily physical activity to be negatively associated with DASS-21 scores. Conclusions: Results indicated a temporal increase of anxiety, depression and stress scores during the COVID-19 lockdown. Factors such as age, consumption of information about COVID-19 and physical activity seem to have an important impact on the evolution of psychological symptoms.}, keywords = {Anxiety, COVID-19, Depression, Longitudinal study, Post-traumatic, Psychological, Stress, Stress disorders}, issn = {0165-0327}, doi = {10.1016/j.jad.2020.09.018}, url = {http://www.sciencedirect.com/science/article/pii/S0165032720327130}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Odriozola-Gonz{\'a}lez, Paula and Irurtia, Mar{\'\i}a Jes{\'u}s and Rodrigo de Luis-Garc{\'\i}a} } @article {888, title = {Phenotypic characterization of acute headache attributed to SARS-CoV-2: An ICHD-3 validation study on 106 hospitalized patients}, journal = {Cephalalgia}, volume = {40}, year = {2020}, month = {2020}, pages = {1432-1442}, abstract = {Introduction: Headache is a common symptom of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In this study, we aimed to characterize the phenotype of headache attributed to SARS-CoV-2 infection and to test the International Classification of Headache Disorders (ICHD-3) phenotypic criteria for migraine and tension-type headache. Methods: The study design was a cross-sectional study nested in a cohort. We screened all consecutive patients that were hospitalized and had a positive SARS-CoV-2 test. We included patients that described headache if the headache was not better explained by another ICHD-3 diagnosis. Patients were interviewed by two neurologists. Results: We screened 580 patients and included 130 (mean age 56 years, 64\% female). Headache was the first symptom of the infection in 26\% of patients and appeared within 24 hours in 62\% of patients. The headache was bilateral in 85\%, frontal in 83\%, and with pressing quality in 75\% of patients. Mean intensity was 7.1, being severe in 64\%. Hypersensitivity to stimuli occurred in 57\% of patients. ICHD-3 criteria for headache attributed to systemic viral infection were fulfilled by 94\% of patients; phenotypic criteria for migraine were fulfilled by 25\% of patients, and tension-type headache criteria by 54\% of patients. Conclusion: Headache attributed to SARS-CoV-2 infection in hospitalized patients has severe intensity, frontal predominance and oppressive quality. It occurs early in the course of the disease. Most patients fulfilled ICHD-3 criteria for headache attributed to systemic viral infection; however, the phenotype might resemble migraine in a quarter of cases and tension-type headache in half of the patients.}, issn = {0333-1024}, doi = {10.1177/0333102420965146}, url = {https://doi.org/10.1177/0333102420965146}, author = {Trigo L{\'o}pez, Javier and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Iglesias, Cristina and Due{\~n}as-Guti{\'e}rrez, Carlos and {\'A}ngel L. Guerrero} } @article {850, title = {Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university}, journal = {Psychiatry Research}, volume = {290}, year = {2020}, pages = {113108}, abstract = {The aim of this study was to analyze the psychological impact of COVID-19 in the university community during the first weeks of confinement. A cross-sectional study was conducted. The Depression Anxiety Stress Scale (DASS-21) was employed to assess symptoms of depression, anxiety and stress. The emotional impact of the situation was analyzed using the Impact of Event Scale. An online survey was fulfilled by 2530 members of the University of Valladolid, in Spain. Moderate to extremely severe scores of anxiety, depression, and stress were reported by 21.34\%, 34.19\% and 28.14\% of the respondents, respectively. A total of 50.43\% of respondents presented moderate to severe impact of the outbreak. Students from Arts \& Humanities and Social Sciences \& Law showed higher scores related to anxiety, depression, stress and impact of event with respect to students from Engineering \& Architecture. University staff presented lower scores in all measures compared to students, who seem to have suffered an important psychological impact during the first weeks of the COVID-19 lockdown. In order to provide timely crisis-oriented psychological services and to take preventive measures in future pandemic situations, mental health in university students should be carefully monitored.}, keywords = {Anxiety, Depression, Psychological impact, Stress, University students}, issn = {0165-1781}, doi = {https://doi.org/10.1016/j.psychres.2020.113108}, url = {http://www.sciencedirect.com/science/article/pii/S0165178120313147}, author = {Odriozola-Gonz{\'a}lez, Paula and {\'A}lvaro Planchuelo-G{\'o}mez and Irurtia, Mar{\'\i}a Jes{\'u}s and Rodrigo de Luis-Garc{\'\i}a} } @article {889, title = {Psychological symptoms of the outbreak of the COVID-19 confinement in Spain}, journal = {Journal of Health Psychology}, year = {2020}, pages = {1359105320967086}, abstract = {We studied the short-term psychological effects of the COVID-19 crisis and the quarantine on 3550 adults from the Spanish population in a cross-sectional survey. Symptoms of anxiety, depression, and stress were analyzed using the 21-item version of the Depression Anxiety Stress Scale. Symptoms of posttraumatic stress disorder were analyzed using the Impact of Event Scale. Symptomatic scores of anxiety, depression, and stress were observed in 20\% to 30\% of respondents. Symptomatic scores indicating psychological stress were found in 47.5\% of respondents. Similar to the findings of other multiple studies, confinement has been found to have significant emotional impact in the Spanish population.}, issn = {1359-1053}, doi = {10.1177/1359105320967086}, url = {https://doi.org/10.1177/1359105320967086}, author = {Odriozola-Gonz{\'a}lez, Paula and {\'A}lvaro Planchuelo-G{\'o}mez and Irurtia, Mar{\'\i}a Jes{\'u}s and Rodrigo de Luis-Garc{\'\i}a} } @article {903, title = {Response prediction for chronic migraine preventive treatment by gray matter morphometry in magnetic resonance imaging: a pilot study}, journal = {Revista de Neurologia}, volume = {71}, year = {2020}, pages = {399-406}, doi = {10.33588/rn.7111.2020488}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Ant{\'o}n-Juarros, Saray and Rodrigo de Luis-Garc{\'\i}a} } @article {826, title = {Structural connectivity alterations in chronic and episodic migraine: A diffusion magnetic resonance imaging connectomics study}, journal = {Cephalalgia}, volume = {40}, year = {2020}, pages = {367-383}, abstract = {

OBJECTIVE:

To identify possible structural connectivity alterations in patients with episodic and chronic migraine using magnetic resonance imaging data.

METHODS:

Fifty-four episodic migraine, 56 chronic migraine patients and 50 controls underwent T1-weighted and diffusion-weighted magnetic resonance imaging acquisitions. Number of streamlines (trajectories of estimated fiber-tracts), mean fractional anisotropy, axial diffusivity and radial diffusivity were the connectome measures. Correlation analysis between connectome measures and duration and frequency of migraine was performed.

RESULTS:

Higher and lower number of streamlines were found in connections involving regions like the superior frontal gyrus when comparing episodic and chronic migraineurs with controls (p \< .05 false discovery rate). Between the left caudal anterior cingulate and right superior frontal gyri, more streamlines were found in chronic compared to episodic migraine. Higher and lower fractional anisotropy, axial diffusivity, and radial diffusivity were found between migraine groups and controls in connections involving regions like the hippocampus. Lower radial diffusivity and axial diffusivity were found in chronic compared to episodic migraine in connections involving regions like the putamen. In chronic migraine, duration of migraine was positively correlated with fractional anisotropy and axial diffusivity.

CONCLUSIONS:

Structural strengthening of connections involving subcortical regions associated with pain processing and weakening in connections involving cortical regions associated with hyperexcitability may coexist in migraine

}, keywords = {Magnetic resonance imaging (MRI), Migraine, chronic migraine, connectomics, diffusion-weighted imaging, tractography}, doi = {10.1177/0333102419885392}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Rodrigo de Luis-Garc{\'\i}a} } @article {837, title = {White matter changes in chronic and episodic migraine: a diffusion tensor imaging study}, journal = {The Journal of Headache and Pain}, volume = {21}, year = {2020}, pages = {1}, chapter = {1}, abstract = {

BACKGROUND:

White matter alterations have been observed in patients with migraine. However, no microstructural white matter alterations have been found particularly in episodic or chronic migraine patients, and there is limited research focused on the comparison between these two groups of migraine patients.

METHODS:

Fifty-one healthy controls, 55 episodic migraine patients and 57 chronic migraine patients were recruited and underwent brain T1-weighted and diffusion-weighted MRI acquisition. Using Tract-Based Spatial Statistics (TBSS), fractional anisotropy, mean diffusivity, radial diffusivity and axial diffusivity were compared between the different groups. On the one hand, all migraine patients were compared against healthy controls. On the other hand, patients from each migraine group were compared between them and also against healthy controls. Correlation analysis between clinical features (duration of migraine in years, time from onset of chronic migraine in months, where applicable, and headache and migraine frequency, where applicable) and Diffusion Tensor Imaging measures was performed.

RESULTS:

Fifty healthy controls, 54 episodic migraine and 56 chronic migraine patients were finally included in the analysis. Significant decreased axial diffusivity (p \< .05 false discovery rate and by number of contrasts corrected) was found in chronic migraine compared to episodic migraine in 38 white matter regions from the Johns Hopkins University ICBM-DTI-81 White-Matter Atlas. Significant positive correlation was found between time from onset of chronic migraine and mean fractional anisotropy in the bilateral external capsule, and negative correlation between time from onset of chronic migraine and mean radial diffusivity in the bilateral external capsule.

CONCLUSIONS:

These findings suggest global white matter structural differences between episodic migraine and chronic migraine. Patients with chronic migraine could present axonal integrity impairment in the first months of chronic migraine with respect to episodic migraine patients. White matter changes after the onset of chronic migraine might reflect a set of maladaptive plastic changes.

}, keywords = {Diffusion tensor imaging, Magnetic resonance imaging (MRI), Migraine, Tract-based spatial statistics, chronic migraine}, doi = {10.1186/s10194-019-1071-3}, url = {https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-019-1071-3}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Rodrigo de Luis-Garc{\'\i}a} } @conference {821, title = {White Matter Alterations in Chronic Migraine: A Diffusion Tensor Imaging and Structural Connectivity Study}, booktitle = {19th International Headache Congress International Headache Society}, year = {2019}, month = {2019}, publisher = {Cephalalgia}, organization = {Cephalalgia}, address = {Dublin, Ireland}, abstract = {

Objective: White matter alterations have been observed in patients with migraine. However, no microstructural white matter alterations have been found particularly in Episodic Migraine (EM) with respect to Chronic Migraine (CM) patients. In this study, we investigated whether there are significant differences between EM and CM, and between these groups and healthy controls, using diffusion Magnetic Resonance Imaging (dMRI) data.
Methods: We acquired high-resolution 3D brain T1-weighted and dMRI from 51 Healthy Controls (HC), 55 EM patients and 57 CM patients. Using Tract-Based Spatial Statistics, we compared Fractional Anisotropy (FA), Mean Diffusivity (MD), Radial Diffusivity (RD) and Axial Diffusivity (AD) between the different groups. We also obtained structural connectome matrices for each subject employing both dMRI and T1-weighted acquisitions. Number of streamlines, mean FA and mean AD for each white matter connection were compared between the three groups.
Results: Significant decreased AD (p \<.05 Family Wise Error corrected and volume \>30 mm3) were found in CM compared to EM in 38 white matter regions. Significant differences in the number of streamlines were found in 18 connections from the connectome when comparing migraine patients with healthy controls (p \<.05 False Discovery Rate corrected); significant differences were also found between CM and EM in one of these connections. Furthermore, significant differences in FA and AD were found in three and four connections from the connectome respectively (p \<.05 False Discovery Rate corrected); significant differences were also found between CM and EM in two of AD connections.
Conclusion: Our findings suggest global white matter structural differences between EM and CM, and structural connectivity alterations in migraine patients with respect to healthy controls, and in CM compared to EM.
Disclosure of Interest: None Declared.

}, doi = {https://doi.org/10.1177/0333102419859835}, url = {https://journals.sagepub.com/doi/full/10.1177/0333102419859835}, author = {{\'A}lvaro Planchuelo-G{\'o}mez and Garc{\'\i}a-Azor{\'\i}n, David and {\'A}ngel L. Guerrero and Santiago Aja-Fern{\'a}ndez and Rodr{\'\i}guez, Margarita and Rodrigo de Luis-Garc{\'\i}a} }