Alterations of brain network topology and structural-functional connectivity coupling in noise-induced hearing loss based on macroscopic scale.

Objective: To investigate the changes in the global attributes of structural connectivity (SC) and functional connectivity (FC) graph theory, as well as the coupling topological structure of the whole brain SC-FC in patients with noise-induced hearing loss (NIHL). Methods: 57 NIHL patients and 55 health controls (HCs) were included; resting-state functional magnetic resonance imaging, diffusion tensor imaging, clinical data (scales, laboratory indicators) were collected. The graph theory network analysis of SC and FC, the whole-brain SC-FC coupling were performed, and a correlation analysis was employed to analyze the results in relation to the clinical data. Results: For FC, there was no significant difference in the global indices directly between groups (P > 0.05, FDR corrected). For SC, the normalized clustering coefficient (γ) and small-worldness (σ) of the NIHL were higher than those of the HCs (P < 0.05, FDR corrected). There was no significant difference in the SC-FC coupling strength of whole brain between two groups (P > 0.05). The graph attribute indices and coupling values of NIHL were correlated to varying degrees with the results of anxiety scale, coagulation, inflammation and biochemical indices (P < 0.05). Conclusion: The brain network topology structure of NIHL patients is abnormal, but the SC-FC coupling strength does not change significantly. This may provide a basis for understanding the theoretical mechanism of brain neural function remodeling and for future more detailed and diverse studies.