Name: Diego Lima Nava Martins
Type: MSc dissertation
Publication date: 17/06/2016
Advisor:

Namesort descending Role
Ester Miyuki Nakamura Palacios Advisor *

Examining board:

Namesort descending Role
Ester Miyuki Nakamura Palacios Advisor *
Felipe Torres Pacheco External Examiner *
Marcos Rosa Júnior Internal Alternate *
RICARDO ANDRADE FERNANDES DE MELLO Internal Examiner *
Richard Volpato External Alternate *

Summary: Default Mode Network (DMN) seems to be affected in drug addiction. Decreased functional connectivity has been described in psychostimulants users (cocaine, nicotine, and caffeine) and also in addicted to depressant drugs (alcohol, heroin, prescribed opioids) but no study has investigated the DMN functional connectivity in
crack-cocaine dependents so far. Here, inpatient crack-cocaine users in abstinence for at least 4 weeks and age-matched non-addicted controls underwent to functional Magnetic Resonance Imaging acquired when they rested with eyes closed (rs-fMRI) in 1.5 T or 3.0 T scanners. After data preprocessing, DMN were defined by spatial
independent component analysis (ICA) and seed-based correlation analysis, by chosen regions of interest centered in the ventral Anterior Cingulate Cortex (vACC) and in the Posterior Cingulate Cortex (PCC). Global DMN functional connectivity was not different between crack-cocaine users and age-matched controls in rs-fMRI
acquired in both scanners. The seed-based analysis showed greater negativity of the connectivity between vACC and superior parietal lobe when compared to agematched controls (p < 0.0322). No differences between groups were found in the functional connectivity between PCC and other brain regions. Thus, the total DMN
functional connectivity searched by ICA was found preserved in crack-cocaine dependents in abstinence. When a seed-based correlation analysis was applied searching for a single metric functional connectivity between specific brain regions, a greater negativity was found between medial frontal region and the posterior brain region, suggesting that although a broad DMN was unaffected a selective functional connectivity may be compromised in crack-cocaine addiction.
Keywords: Crack-cocaine. Addiction. Substance-Related Disorders. Magnetic Resonance Imaging. fMRI.

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