Evidence map›Paper›PMID 41661336›Full record

ArticleJournal of neurology2026

Brain imaging reveals hierarchical topology changes and stage-dependent impairments in autoimmune encephalitis.

Li Lin, Ling Fang, Yu Huang, Qiuxia Luo, Huichang He, Shen Huang, Gang Li, Lianghui Ni, Wei Qiu, Yaqing Shu

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Article in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Li Lin *Department of Radiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, Guangdong, China.
Ling Fang *Department of Radiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, Guangdong, China.
Yu Huang *Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, 510630, Guangdong, China.
Qiuxia LuoDepartment of Radiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, Guangdong, China.
Huichang HeDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, 510630, Guangdong, China.
Shen HuangDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, 510630, Guangdong, China.
Gang LiDepartment of Radiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, Guangdong, China.
Lianghui NiDepartment of Neurobiology, School of Basic Medical Sciences, National Institute on Drug Dependence, Peking University, Beijing, 100191, China.
Wei QiuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, 510630, Guangdong, China.
Yaqing ShuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, 510630, Guangdong, China. shuyaq@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0003-2768-1654

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2021A1515010393Guangzhou Municipal Science and Technology Program key projects 2023B03J1347National Natural Science Foundation of China 81701188National Natural Science Foundation of China 82071343National Natural Science Foundation of China 82371354
6 · The paper itself

Abstract

backgroundAutoimmune encephalitis is a rapidly progressing neurological disorder caused by aberrant immune responses against neural antigens. It presents with severe neuropsychiatric symptoms such as seizures and cognitive decline, highlighting the need to clarify its neural mechanisms.

objectivesTo investigate functional and structural brain network alterations across autoimmune encephalitis clinical phases and explore their potential as diagnostic and prognostic biomarkers.

methodsResting-state functional MRI and diffusion tensor imaging were used to analyze brain network topology in 52 patients, including 30 patients who underwent longitudinal follow-up and 32 age- and sex-matched healthy controls. Functional and structural brain networks were constructed using graph-theoretical approaches, and global and local network measures were compared across groups. Machine learning models classified disease status and disease phase.

resultsPatients with autoimmune encephalitis showed significant disruptions in global and local network efficiencies, particularly in the medial occipital and inferior temporal lobes, more pronounced during the acute phase. Classification models achieved high accuracy distinguishing patients from controls (AUC = 0.97 functional, 0.85 structural) and acute from convalescent phases (AUC = 0.98, 0.83).

conclusionsAutoimmune encephalitis involves stage-dependent network impairments reflecting disrupted connectivity. Network efficiency may serve as a biomarker for diagnosis and prognosis, supporting multimodal imaging to guide personalized therapeutic strategies.

Indexed as

BrainEncephalitisHashimoto DiseaseNerve NetAdultDiffusion Tensor ImagingFemaleHumansLongitudinal StudiesMachine LearningMagnetic Resonance ImagingMaleMiddle AgedAutoimmune encephalitisFunctional connectivityNetwork efficiencyNeuroimagingStructural connectivity

Identifiers

PMID41661336

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.