The cerebral cortex is organized into functional networks in which a particular set of regions has disproportionately numerous connections, called “cortical hubs” of connectivity.
1-3 Recent methodologic developments allow characterization of cortical hubs in the human brain from structural or functional magnetic resonance imaging (fMRI) data.
2-4 For example, estimation of degree connectivity, a fundamental network measure indexing the number of connections that link one network component to the rest of the network,
3 allows for identification of cortical hubs on the basis of blood oxygen level–dependent (BOLD) signal voxel time-series data.
2 Moreover, assessment of degree connectivity allows testing for alterations in network integrity or hub topography in neuropsychiatric populations.
3 For instance, network alterations and correlation with pathophysiologic mechanisms have been demonstrated in Alzheimer disease and schizophrenia.
2,3,5 More precisely, degree connectivity correlated with amyloid β deposition in Alzheimer disease,
2 and in schizophrenia, network integrity was globally reduced, consistent with dysconnection hypotheses.
5 The present study sought to test for degree connectivity alterations in obsessive-compulsive disorder (OCD) and to determine whether altered network properties are present in areas predicted by neurobiological models of OCD.
6-8