Abstract
PURPOSE: Tinnitus is considered a neurological disorder affecting both auditory and nonauditory networks. This study aimed to investigate the structural brain covariance network in tinnitus patients and analyze its altered topological properties. MATERIALS: Fifty three primary tinnitus patients and 67 age- and sex-matched healthy controls (HCs) were included. Gray matter volume (GMV) of each participant was extracted using voxel-based morphometry, a group-level structural covariance network (SCN) was constructed based on the GMV of each participant, and graph theoretic analyses were performed using graph analysis toolbox (GAT). The differences in the topological properties of SCN between both groups were compared and analyzed. RESULTS: Both groups exhibited small-world attributes. Compared with HCs, tinnitus patients had significantly higher characteristic path length, lambda, transitivity, and assortativity (p < 0.05), and significantly lower global efficiency (p < 0.05). Tinnitus patients had higher clustering coefficient and reduced gamma and modularity, but neither was remarkable. The hubs in tinnitus network focused on the temporal lobe. In addition, the tinnitus network was found to be reduced in robustness to targeted attacks compared with HCs. Besides, a significant negative correlation between Tinnitus Handicap Inventory (THI) score and GMV in the left angular gyrus (r = -0.283, p = 0.040) as well as left superior temporal pole (r = -0.282, p = 0.041) were identified. CONCLUSION: Tinnitus patients showed reduced small-world properties, altered hub nodes, and reduced ability to respond to targeted attacks in brain network. The GMV in the left angular gyrus and left superior temporal pole showed significant negative correlation with tinnitus distress (THI score), indicating potential therapeutic target.