Bridging Glucose Metabolism and Intrinsic Functional Organization of the Human Cortex

The human brain requires a continuous supply of energy to function effectively. Here, we investigated how the low-dimensional organization of intrinsic functional connectivity patterns based on resting-state functional magnetic resonance imaging relates to brain energy expenditure measured by fluorodeoxyglucose positron emission tomography. By incrementally adding more dimensions of brain organization (via functional gradients), we were able to show that increasing amounts of variance in the map of brain energy expenditure could be accounted for. In particular, the brain organization dimensions that explained a large amount of the variance in intrinsic brain function also explained a large amount of the regional variance in the energy expenditure maps. This was particularly true for brain organization maps based on the strongest connections, suggesting that "weak" connections may not explain as much energy variance. Notably, our topological model was more effective than random brain organization configurations, suggesting that brain organization may be specifically associated with energy optimization. Finally, using brain asymmetry as a model for metabolic efficiency, we found that optimizing energy expenditure independently in each hemisphere outperformed non-independent optimization. This supports the concept of hemispheric competition rather than lateralization in energy allocation. Our results demonstrate how the spatial organization of functional connections is systematically linked to optimized energy expenditure in the human brain, providing new insights into the metabolic basis of brain function.