Occipital Lobe

枕叶
  • 文章类型: Journal Article
    尽管三维视觉训练(3DVT)已用于近视干预,其神经机制在很大程度上仍然未知。在这项研究中,在3DVT前后检查视觉功能,同时记录了38例近视参与者的静息状态EEG-fNIRS信号。应用图论分析来计算神经血管特性,包括静态大脑网络(SBN),动态大脑网络(DBN),和动态神经血管耦合(DNC)。计算了神经血管特性的变化与视觉功能变化之间的相关性。3DVT后,在由EEGδ波段构建的SBN中,额叶的局部效率和节点效率增加;在由EEGδ波段构建的DBN变异性中,额顶叶的整体效率和节点效率降低。对于用EEGα波段和氧合血红蛋白(HbO)构建的DNC,当地效率下降,对于脑电图α波段和脱氧血红蛋白(HbR),额枕叶的节点效率降低。对于由HbO构建的SBN,额-枕叶之间的功能连接(FC)增加。在EEGβ波段的额顶叶的FC和HbO的额枕叶的FC之间构建的DNC增加,在EEGβ波段的额枕叶FC和HbR的额叶间FC之间增加。神经血管特性与调节和调节设施的幅度显着相关。结果表明3DVT对近视参与者的积极影响,包括提高大脑网络的效率,增加SBN和DNC的FC,和增强的双眼调节功能。
    Although three-dimensional visual training (3DVT) has been used for myopia intervention, its neural mechanisms remain largely unknown. In this study, visual function was examined before and after 3DVT, while resting-state EEG-fNIRS signals were recorded from 38 myopic participants. A graph theoretical analysis was applied to compute the neurovascular properties, including static brain networks (SBNs), dynamic brain networks (DBNs), and dynamic neurovascular coupling (DNC). Correlations between the changes in neurovascular properties and the changes in visual functions were calculated. After 3DVT, the local efficiency and node efficiency in the frontal lobes increased in the SBNs constructed from EEG δ -band; the global efficiency and node efficiency in the frontal-parietal lobes decreased in the DBNs variability constructed from EEG δ -band. For the DNC constructed with EEG α -band and oxyhemoglobin (HbO), the local efficiency decreased, for EEG α -band and deoxyhemoglobin (HbR), the node efficiency in the frontal-occipital lobes decreased. For the SBNs constructed from HbO, the functional connectivity (FC) between the frontal-occipital lobes increased. The DNC constructed between the FC of the frontal-parietal lobes from EEG β -band and the FC of the frontal-occipital lobes from HbO increased, and between the FC of the frontal-occipital lobes from EEG β -band and the FC of the inter-frontal lobes from HbR increased. The neurovascular properties were significantly correlated with the amplitude of accommodation and accommodative facility. The result indicated the positive effects of 3DVT on myopic participants, including improved efficiency of brain networks, increased FC of SBNs and DNC, and enhanced binocular accommodation functions.
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  • 文章类型: Journal Article
    参与语言阅读过程的枕颞区活动,例如腹侧枕颞叶皮层(vOT),被认为在高阶语言处理过程中表现出强烈的相互作用,特别是在枕骨回和颞回之间的连通性。在这项研究中,我们利用功能磁共振成像(fMRI)结合心理生理交互作用(PPI)和动态因果模型(DCM),研究了速读过程中枕颞叶网络的功能性和有效连通性.我们对日语母语人士进行了实验,他们接受了快速阅读训练,随后以不同的速度执行了既定的阅读任务(慢速,中等,并且快速),同时接受3特斯拉西门子fMRI。我们的激活分析显示,随着阅读速度的增加,枕骨和颞区发生了显着变化,指示枕时网络内的功能连通性。DCM的结果进一步证明了更复杂的有效连接和枕颞通路内的高度参与:(1)读取来自枕下回(iO)的信号,分布到vOT和颞上后沟(pSTS),然后聚集在颞上前沟(aSTS);(2)阅读速度负荷对从aSTS到vOT以及从iO到vOT的途径具有调节作用。这些发现强调了速读过程中枕颞网内复杂的连通性和动态相互作用。
    The activity of occipitotemporal regions involved in linguistic reading processes, such as the ventral occipitotemporal cortex (vOT), is believed to exhibit strong interactions during higher-order language processing, specifically in the connectivity between the occipital gyrus and the temporal gyrus. In this study, we utilized functional magnetic resonance imaging (fMRI) with psychophysiological interaction (PPI) and dynamic causal modeling (DCM) to investigate the functional and effective connectivity in the occipitotemporal network during speed reading. We conducted the experiment with native Japanese speakers who underwent and without speed-reading training and subsequently performed established reading tasks at different speeds (slow, medium, and fast) while undergoing 3-Tesla Siemens fMRI. Our activation analyses revealed significant changes in occipital and temporal regions as reading speed increased, indicating functional connectivity within the occipitotemporal network. DCM results further demonstrated more intricate effective connections and high involvement within the occipitotemporal pathway: (1) reading signals originated from the inferior occipital gyrus (iO), distributed to the vOT and the posterior superior temporal sulcus (pSTS), and then gathered in the anterior superior temporal sulcus (aSTS); (2) reading speed loads had modulation effects on the pathways from the aSTS to vOT and from the iO to vOT. These findings highlight the complex connectivity and dynamic interactions within the occipitotemporal network during speed-reading processes.
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  • 文章类型: Case Reports
    简介:我们报告了一位癫痫患者,她经历了过去的自传记忆的幻觉视觉体验。这些视觉体验仅限于她视野的左下象限。方法:我们进行了一项单病例研究,使用脑成像,脑电图和行为方法研究该患者。结果:我们发现该患者由于右枕骨皮质病变而出现不完整的左下同义正交视,她还显示右颞叶皮层的神经系统异常,是大脑自传记忆回路的一部分。结论:我们将该患者的自传记忆幻觉的发生归因于右颞叶皮层视觉输入下降加上该区域的过度兴奋。
    Introduction: We report an epileptic patient who experienced hallucinatory visual experiences of autobiographical memories from her past. These visual experiences were confined to the lower left quadrant of her visual field.Methods: We carried out a single-case study that used brain-imaging, EEG and behavioural methods to study this patient.Results: We found that this patient had an incomplete left inferior homonymous quadrantanopia due to a lesion of right occipital cortex, and also that she showed neurological abnormalities in right temporal cortex, a region that is part of the brain\'s autobiographical-memory circuit.Conclusion: We attribute the occurrence of this patient\'s autobiographical-memory hallucinations to the combination of degraded visual input to right temporal cortex plus hyperexcitability of that region.
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  • 文章类型: Journal Article
    目的:手术是耐药性颞叶癫痫(TLE)的良好治疗选择。2-脱氧-2-(18F)氟-D-葡萄糖(FDG)正电子发射断层扫描(PET)用于在术前评估中将癫痫灶检测为低代谢病变。对侧同义上象限的视野缺损(VFD)是TLE术后常见的并发症。本研究旨在使用模式偏差概率图(PDPPs)对VFD进行量化,并研究FDG-PET中的低代谢对VFD的影响。
    方法:本研究包括40名患者。术前和术后3个月和2年使用Humphrey场分析仪(HFA)评估两个视野。在对侧同义上象限计数具有<0.5%置信水平的PDPPs。比较了有(15例)和没有(24例)视神经辐射低代谢的组之间的FDG-PET结果。
    结果:所有40例患者在术后3个月进行HFA评估,39例患者在术后2年进行评估。术后3个月VFD发生率为35/40(87.5%),17/40(42.5%)患者有严重的VFD。在左颞叶手术的情况下,同侧眼睛似乎比对侧眼睛受到更明显的影响。FDG低代谢患者的VFDs比后内侧颞叶和枕叶皮质无低代谢患者的VFDs更为严重(P<0.01);85%的FDG低代谢患者术后2年VFD减少。
    结论:PDPP计数可用于定量VFD。术前FDG-PET显示的颞内侧和枕内侧皮质的术前功能障碍可在TLE手术后早期增强VFDs。
    OBJECTIVE: Surgery is a good treatment option for drug-resistant temporal lobe epilepsy (TLE). 2-deoxy-2-(18F) fluoro-D-glucose (FDG) positron emission tomography (PET) is used to detect epileptic foci as hypometabolic lesions in presurgical evaluation. Visual field defects (VFDs) in the contralateral homonymous upper quadrant are common postoperative complications in TLE. This study aimed to quantify VFDs using pattern deviation probability plots (PDPPs) and examine the effect of hypometabolism in FDG-PET on VFDs.
    METHODS: This study included 40 patients. Both visual fields were assessed using the Humphrey field analyzer preoperatively and 3 months and 2 years postoperatively. PDPPs with <0.5% confidence level counted in the contralateral homonymous upper quadrant. FDG-PET results were compared between groups with (15 patients) and without (24 patients) hypometabolism in the optic radiation.
    RESULTS: All 40 patients were evaluated by Humphrey field analyzer at 3 months postoperatively and 39 at 2 years postoperatively. The incidence of VFDs 3 months postoperatively was 35/40 (87.5%), and 17/40 (42.5%) patients had severe VFDs. In cases of surgery on the left temporal lobe, ipsilateral eyes appeared to be more significantly affected than contralateral eyes. VFDs were more severe in patients with FDG hypometabolism than in those without hypometabolism in posteromedial temporal and medial occipital cortex (P < 0.01); however, 85% of patients with FDG hypometabolism had a reduced VFD 2 years postoperatively.
    CONCLUSIONS: PDPP counting is useful for quantifying VFDs. Preoperative dysfunction indicated by preoperative FDG-PET in the posteromedial temporal and medial occipital cortex could enhance VFDs early after TLE surgery.
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  • 文章类型: Journal Article
    目的:我们试图使用低频波动(fALFF)方法来研究CSM患者自发性脑活动的变化及其与临床特征的关系。
    方法:我们招募了20例CSM患者,和20个年龄匹配的健康对照(HCs),性别,和教育状况。使用fALFF方法来评估改变的自发脑活动。对fALFF与临床特征进行Pearson相关分析。
    结果:与HC相比,CSM组显示左额中回fALFF值增加,下顶叶小叶,和右角回.在右舌回发现fALFF值降低,孔眼(P<0.05)。Pearson相关分析显示,所有CSM的fALFF值与右角回JOA评分呈正相关(r=0.518,P<0.05)。
    结论:CSM患者在多个脑区有异常的fALFF分布,可能是进一步探索CSM病理和神经心理状态的一种有吸引力的替代方法。
    OBJECTIVE: We sought to use the fractional amplitude of low-frequency fluctuation (fALFF) method to investigate the changes in spontaneous brain activity in CSM patients and their relationships with clinical features.
    METHODS: We recruited 20 patients with CSM, and 20 healthy controls (HCs) matched for age, sex, and education status. The fALFF method was used to evaluate the altered spontaneous brain activities. The Pearson correlation analysis of fALFF and the clinical features were carried out.
    RESULTS: Compared with HC, CSM group showed increased fALFF values in the left middle frontal gyrus, inferior parietal lobule, and right angular gyrus. Decreased fALFF values were found in the right lingual gyrus, cuneus (P < 0.05). Pearson correlation analysis shows that the fALFF values of all CSM were positively correlated with JOA score in the right angular gyrus (r = 0.518, P < 0.05).
    CONCLUSIONS: CSM patients have abnormal fALFF distribution in multiple brain regions and might be an appealing alternative approach for further exploration of the pathological and neuropsychological states in CSM.
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  • 文章类型: Journal Article
    本研究旨在通过静息态功能磁共振成像(rs-fMRI)研究COVID-19对脑功能活动的影响。对42名确诊的COVID-19阳性患者和46名健康对照(HC)进行了功能磁共振成像扫描,以评估脑功能活动。使用低频波动的动态和静态幅度(dALFF/sALFF)以及动态和静态功能连通性(dFC/sFC)的组合进行评估。然后将识别出的异常大脑区域用作模型中的特征输入,以评估支持向量机(SVM)识别COVID-19患者的能力。此外,采用随机森林(RF)模型验证SVM诊断COVID-19患者的稳定性.与HC相比,COVID-19患者右侧舌回和左侧枕内回sALFF降低,右侧直回dALFF增加。此外,舌回和右枕上回之间的sFC下降,中央前回的dFC减少。动态和静态联合ALFF和FC可以区分COVID-19患者和HC,准确率为0.885,特异性为0.818,灵敏度为0.933,曲线下面积为0.909。动态和静态ALFF和FC的组合可以为检测COVID-19患者的脑功能异常提供信息。
    This study aimed to investigate the effects of COVID-19 on brain functional activity through resting-state functional MRI (rs-fMRI). fMRI scans were conducted on a cohort of 42 confirmed COVID-19-positive patients and 46 healthy controls (HCs) to assess brain functional activity. A combination of dynamic and static amplitude of low-frequency fluctuations (dALFF/sALFF) and dynamic and static functional connectivity (dFC/sFC) was used for evaluation. Abnormal brain regions identified were then used as feature inputs in the model to evaluate support vector machine (SVM) capability in recognizing COVID-19 patients. Moreover, the random forest (RF) model was employed to verify the stability of SVM diagnoses for COVID-19 patients. Compared to HCs, COVID-19 patients exhibited a decrease in sALFF in the right lingual gyrus and the left medial occipital gyrus and an increase in dALFF in the right straight gyrus. Moreover, there was a decline in sFC between both lingual gyri and the right superior occipital gyrus and a reduction in dFC with the precentral gyrus. The dynamic and static combined ALFF and FC could distinguish between COVID-19 patients and the HCs with an accuracy of 0.885, a specificity of 0.818, a sensitivity of 0.933 and an area under the curve of 0.909. The combination of dynamic and static ALFF and FC can provide information for detecting brain functional abnormalities in COVID-19 patients.
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  • 文章类型: Journal Article
    目的:通过静息血氧水平依赖性功能磁共振成像(BOLDfMRI)研究年轻女性非经期无先兆偏头痛(MWoA)针刺前后低频波动幅度(ALFF)和度中心性(DC)值的变化。
    方法:招募非月经MWoA患者(第1组,n=50)和健康对照组(第2组,n=50)。第1组在2个时间点进行功能磁共振成像:针刺前(时间点1,TP1);和所有针刺结束后(时间点2,TP2),并在第2组中作为一次性扫描进行。在进行fMRI后,在TP1和TP2使用偏头痛残疾评估问卷(MIDAS)和简短的McGill疼痛问卷(SF-MPQ)对第1组患者进行评估。在两个时间点在组1内以及在组1和组2之间比较ALFF和DC值。分析ALFF和DC值与临床量表评分的相关性。
    结果:大脑活动在左梭状回和右角回增加,左枕中回,第1组的双侧前额叶皮质和左侧顶叶下小叶降低,与第2组相比,在TP1时ALFF值不同。双侧梭状回,双侧颞下回和右颞中回增加,右角回,右上边缘回,右下顶叶小叶,右枕中回,右额上回,右额中回,右前中央回,在TP1时,与第2组相比,第1组活动中右侧补充运动面积减少的DC值不同。右颞下回ALFF和DC值,与TP2相比,TP1组1的右梭形回和右颞中回减少。组1中左枕中区ALFF值与TP1处疼痛程度呈正相关(相关系数r,r=0.827,r=0.343;P<0.01,P=0.015)。第1组TP1时右颞下区DC值与疼痛程度呈正相关(r=0.371;P=0.008)。
    结论:针刺改变了非月经MwoA的年轻女性的自发性脑活动和网络变化。右颞区可能是针刺调节非月经MwoA年轻女性脑功能的重要目标。
    OBJECTIVE: To investigate the changes in amplitude of low-frequency fluctuation (ALFF) and degree centrality (DC) values before and after acupuncture in young women with non-menstrual migraine without aura (MWoA) through rest blood-oxygen-level-dependent functional magnetic resonance imaging (BOLD fMRI).
    METHODS: Patients with non-menstrual MWoA (Group 1, n = 50) and healthy controls (Group 2, n = 50) were recruited. fMRI was performed in Group 1 at 2 time points: before acupuncture (time point 1, TP1); and after the end of all acupuncture sessions (time point 2, TP2), and performed in Group 2 as a one-time scan. Patients in Group 1 were assessed with the Migraine Disability Assessment Questionnaire (MIDAS) and the Short-Form McGill Pain Questionnaire (SF-MPQ) at TP1 and TP2 after fMRI was performed. The ALFF and DC values were compared within Group 1 at two time points and between Group 1 and Group2. The correlation between ALFF and DC values with the statistical differences and the clinical scales scores were analyzed.
    RESULTS: Brain activities increased in the left fusiform gyrus and right angular gyrus, left middle occipital gyrus, and bilateral prefrontal cortex and decreased in left inferior parietal lobule in Group 1, which had different ALFF values compared with Group 2 at TP1. The bilateral fusiform gyrus, bilateral inferior temporal gyrus and right middle temporal gyrus increased and right angular gyrus, right superior marginal gyrus, right inferior parietal lobule, right middle occipital gyrus, right superior frontal gyrus, right middle frontal gyrus, right anterior central gyrus, and right supplementary motor area decreased in activity in Group 1 had different DC values compared with Group 2 at TP1. ALFF and DC values of right inferior temporal gyrus, right fusiform gyrus and right middle temporal gyrus were decreased in Group1 at TP1 compared with TP2. ALFF values in the left middle occipital area were positively correlated with the pain degree at TP1 in Group1 (correlation coefficient r, r = 0.827, r = 0.343; P < 0.01, P = 0.015). The DC values of the right inferior temporal area were positively correlated with the pain degree at TP1 in Group 1 (r = 0.371; P = 0.008).
    CONCLUSIONS: Spontaneous brain activity and network changes in young women with non-menstrual MwoA were altered by acupuncture. The right temporal area may be an important target for acupuncture modulated brain function in young women with non-menstrual MwoA.
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  • 文章类型: Journal Article
    背景:对于手术干预,精确了解大脑的解剖变化和定义的解剖标志以划定颞叶区域至关重要。许多解剖学研究促进了对颞下鼻区的重要手术方法。因为有相当大的沟变异性,大脑的形态学分析势在必行。这项研究的目的是定义颞叶和枕叶的边界,并定义下侧沟和回的变化。
    方法:在110个大脑半球中,确定了变异,并定义了大脑下侧的回-沟模式的主要标志。
    结果:通过对福尔马林固定半球的形态学分析,详细定义了大脑下侧的解剖结构,以期为重要的手术方法提供信息。
    结论:由于文献定义颞叶和枕叶之间没有明确的分离,建议使用某些标志,例如枕前切迹(PON)和颞枕底线作为区分方法。海马旁支(PhR)是一种恒定的结构,可以用作海马后端的可靠标志。
    For surgical interventions, a precise understanding of the anatomical variations of the brain and defined anatomical landmarks to demarcate the regions of the temporal lobe is essential. Many anatomical studies have facilitated important surgical approaches to the temporobasal region. Because there is considerable sulcal variability, morphological analysis of the brain is imperative. The aim of this study was to define the boundaries of the temporal and occipital lobes and to define the variations in sulci and gyri in the inferior aspect.
    In 110 cerebral hemispheres variations were identified and the major landmarks of the gyral-sulcal pattern at the inferior aspect of the brain were defined.
    The anatomy of the inferior aspect of the brain is defined in detail by morphological analysis of formalin-fixed hemispheres with a view to informing important surgical approaches.
    Since the literature defines no clear separation between the temporal and occipital lobes, certain landmarks such as the preoccipital notch and a basal temporo-occipital line were suggested as ways of making the distinction. The parahippocampal ramus is a constant structure that can be used as a reliable landmark for the posterior end of the hippocampus.
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  • 文章类型: Journal Article
    越来越多的证据表明视网膜微脉管系统可能反映了全局性脑萎缩。然而,关于视网膜微血管与特定脑区和脑网络的关系知之甚少。因此,我们旨在使用基于体素的形态计量学(VBM)分析,阐明视网膜微脉管系统与灰质变化和结构协方差网络之间的关联.
    华西医院招募了一百四十四名没有先前已知神经系统疾病的志愿者,四川大学,2021年4月1日至2021年12月31日。浅表血管丛视网膜微血管(SVP),中间毛细血管丛(ICP),和深毛细血管丛(DCP)通过光学相干断层扫描血管造影使用自动分割进行测量。VBM和结构协方差网络分析用于处理脑磁共振成像(MRI)图像。通过线性回归模型评估视网膜微血管与体素灰质体积和结构协方差网络的关联。
    在研究中,137名参与者(平均年龄=59.72岁,37.2%的男性)被纳入最终分析。SVP灌注减少与包括脑岛在内的大脑区域的体素灰质体积减少显着相关。壳核,枕骨,额叶,颞叶,所有这些都位于颈内动脉供应的大脑前部,除了枕叶.此外,这些区域也涉及视觉处理和认知障碍(如左枕下回,左舌回,和右侧海马旁回)。关于结构协方差,SVP的灌注与左舌回种子与左枕中回的结构协方差呈正相关,右枕中回,和左额中回.
    在与视觉处理和认知障碍相关的区域中,SVP灌注不良与减少的体素灰质体积和结构协方差网络相关。这表明视网膜微脉管系统可能为识别与衰老相关的大脑改变提供了窗口。
    UNASSIGNED: Increasing evidence suggests that retinal microvasculature may reflect global cerebral atrophy. However, little is known about the relation of retinal microvasculature with specific brain regions and brain networks. Therefore, we aimed to unravel the association of retinal microvasculature with gray matter changes and structural covariance network using a voxel-based morphometry (VBM) analysis.
    UNASSIGNED: One hundred and forty-four volunteers without previously known neurological diseases were recruited from West China Hospital, Sichuan University between April 1, 2021, and December 31, 2021. Retinal microvasculature of superficial vascular plexus (SVP), intermediate capillary plexus (ICP), and deep capillary plexus (DCP) were measured by optical coherence tomography angiography using an automatic segmentation. The VBM and structural covariance network analyses were applied to process brain magnetic resonance imaging (MRI) images. The associations of retinal microvasculature with voxel-wise gray matter volumes and structural covariance network were assessed by linear regression models.
    UNASSIGNED: In the study, 137 participants (mean age = 59.72 years, 37.2% men) were included for the final analysis. Reduced perfusion in SVP was significantly associated with reduced voxel-wise gray matter volumes of the brain regions including the insula, putamen, occipital, frontal, and temporal lobes, all of which were located in the anterior part of the brain supplied by internal carotid artery, except the occipital lobe. In addition, these regions were also involved in visual processing and cognitive impairment (such as left inferior occipital gyrus, left lingual gyrus, and right parahippocampal gyrus). In regard to the structural covariance, the perfusions in SVP were positively related to the structural covariance of the left lingual gyrus seed with the left middle occipital gyrus, the right middle occipital gyrus, and the left middle frontal gyrus.
    UNASSIGNED: Poor perfusion in SVP was correlated with reduced voxel-wise gray matter volumes and structural covariance networks in regions related to visual processing and cognitive impairment. It suggests that retinal microvasculature may offer a window to identify aging related cerebral alterations.
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  • 文章类型: Journal Article
    背景:重度抑郁症(MDD)的发病率很高,机制未知。临床诊断尚无客观、敏感的指标。
    目的:本研究探索了特定的电生理指标及其在使用机器学习进行MDD临床诊断中的作用。
    方法:招募了40名首次发作和未服用药物的MDD患者和40名健康对照(HC)。在闭眼10分钟的静息状态下收集所有受试者的EEG数据。MDD的严重程度通过汉密尔顿抑郁量表(HAMD-17)评估。使用机器学习分析来识别MDD患者。
    结果:与HC组相比,低δ和θ带的相对功率在右枕区明显较高,在MDD组中,整个枕后区的α带相对功率显着降低。在MDD组中,α带头皮功能连通性总体较低,而γ波段的头皮功能连通性明显高于HC组。在每个波段ROI的相对功率的特征集中,在使用PCA特征选择的同时,使用KNN分类器实现了88.2%的最高准确率。在使用SHAP值的解释模型中,最重要的影响特征是左顶叶区域α带的相对功率。
    结论:我们的研究结果表明,异常的脑电图神经振荡可能反映了兴奋的不平衡,首发和药物初治MDD患者大脑皮层的抑制和过度活跃。左顶区α带的相对功率有望成为MDD的客观电生理指标。
    Major depressive disorder (MDD) has a high incidence and an unknown mechanism. There are no objective and sensitive indicators for clinical diagnosis.
    This study explored specific electrophysiological indicators and their role in the clinical diagnosis of MDD using machine learning.
    Forty first-episode and drug-naïve patients with MDD and forty healthy controls (HCs) were recruited. EEG data were collected from all subjects in the resting state with eyes closed for 10 min. The severity of MDD was assessed by the Hamilton Depression Rating Scale (HAMD-17). Machine learning analysis was used to identify the patients with MDD.
    Compared to the HC group, the relative power of the low delta and theta bands was significantly higher in the right occipital region, and the relative power of the alpha band in the entire posterior occipital region was significantly lower in the MDD group. In the MDD group, the alpha band scalp functional connectivity was overall lower, while the scalp functional connectivity in the gamma band was significantly higher than that in the HC group. In the feature set of the relative power of the ROI in each band, the highest accuracy of 88.2% was achieved using the KNN classifier while using PCA feature selection. In the explanatory model using SHAP values, the top-ranking influence feature is the relative power of the alpha band in the left parietal region.
    Our findings reveal that the abnormal EEG neural oscillations may reflect an imbalance of excitation, inhibition and hyperactivity in the cerebral cortex in first-episode and drug-naïve patients with MDD. The relative power of the alpha band in the left parietal region is expected to be an objective electrophysiological indicator of MDD.
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