Resting-state fMRI

静息状态 fMRI
  • 文章类型: Systematic Review
    功能连接(FC)是大脑区域活动之间的相关性,通过功能磁共振成像等神经成像技术研究。它帮助研究人员了解大脑功能,组织,和功能障碍。甲状腺功能亢进,以血清游离甲状腺素水平高和甲状腺刺激激素抑制为特征,会导致情绪障碍,认知障碍,和精神症状。过量的甲状腺激素暴露可以增强神经元死亡和减少脑容量,影响记忆,注意,情感,愿景,和电机规划。
    我们对GoogleScholar进行了彻底的搜索,PubMed,Hinari,和ScienceDirect查找包含原始数据的相关文章,以调查诊断为甲状腺功能亢进的个体的FC措施。
    系统评价确定了762篇文章,排除重复和不匹配的标题和摘要。这篇综述包括四篇全文。总之,甲状腺功能亢进患者双侧海马间的强连接提示可能对大脑网络产生神经生物学影响,从而影响认知和情绪处理.
    PROSPERO,CRD42024516216。
    UNASSIGNED: Functional connectivity (FC) is the correlation between brain regions\' activities, studied through neuroimaging techniques like fMRI. It helps researchers understand brain function, organization, and dysfunction. Hyperthyroidism, characterized by high serum levels of free thyroxin and suppressed thyroid stimulating hormone, can lead to mood disturbance, cognitive impairment, and psychiatric symptoms. Excessive thyroid hormone exposure can enhance neuronal death and decrease brain volume, affecting memory, attention, emotion, vision, and motor planning.
    UNASSIGNED: We conducted thorough searches across Google Scholar, PubMed, Hinari, and Science Direct to locate pertinent articles containing original data investigating FC measures in individuals diagnosed with hyperthyroidism.
    UNASSIGNED: The systematic review identified 762 articles, excluding duplicates and non-matching titles and abstracts. Four full-text articles were included in this review. In conclusion, a strong bilateral hippocampal connection in hyperthyroid individuals suggests a possible neurobiological influence on brain networks that may affect cognitive and emotional processing.
    UNASSIGNED: PROSPERO, CRD42024516216.
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  • 文章类型: Journal Article
    目前,创伤后应激障碍(PTSD)的诊断主要依靠临床症状和心理量表,寻找有助于诊断的客观指标一直是临床实践和学术研究的挑战。神经成像是发现创伤后应激障碍生物标志物的有用和强大的工具,尤其是功能磁共振成像(fMRI),结构磁共振成像(sMRI)和扩散加权成像(DTI)是最常用的成像技术,可以提供关于大脑功能的多种观点,结构及其连通性。机器学习(ML)是一种新兴的、潜在的强大方法,这引起了人们的兴趣,因为它与神经影像学数据一起用于定义与疾病相关的大脑结构和功能异常,并确定表型,例如帮助医生做出早期诊断。
    根据系统评价和荟萃分析(PRISMA)声明的首选报告项目,进行了系统评价以评估其区分PTSD患者的准确性,TEHC(创伤暴露健康对照),和HC(健康对照)。
    我们搜索了PubMed,Embase,和WebofScience在2023年6月之前使用ML方法和PTSD的常用词,没有语言或时间限制。这篇综述包括13项研究,有了敏感性,特异性,和准确性取自每个出版物或直接从作者那里获得。
    所有ML技术的诊断准确率都在70%以上,支持向量机(SVM)是最常用的技术。这一系列研究揭示了PTSD患者大脑关键区域的神经生物学差异,TEHC,HC。岛屿和杏仁核等区域的连接模式在区分这些群体方面具有特别重要的意义。与PTSD相比,TEHC表现出更多正常的连接模式,为机器学习在创伤后应激障碍诊断中的应用提供有价值的见解。
    与目前可用的任何评估和临床诊断相比,ML技术可以用作早期识别和检测患者以及早期筛查高危人群的有效和非侵入性支持。
    UNASSIGNED: At present, the diagnosis of post-traumatic stress disorder(PTSD) mainly relies on clinical symptoms and psychological scales, and finding objective indicators that are helpful for diagnosis has always been a challenge in clinical practice and academic research. Neuroimaging is a useful and powerful tool for discovering the biomarkers of PTSD,especially functional MRI (fMRI), structural MRI (sMRI) and Diffusion Weighted Imaging(DTI)are the most commonly used technologies, which can provide multiple perspectives on brain function, structure and its connectivity. Machine learning (ML) is an emerging and potentially powerful method, which has aroused people\'s interest because it is used together with neuroimaging data to define brain structural and functional abnormalities related to diseases, and identify phenotypes, such as helping physicians make early diagnosis.
    UNASSIGNED: According to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) declaration, a systematic review was conducted to assess its accuracy in distinguishing between PTSD patients, TEHC(Trauma-Exposed Healthy Controls), and HC(healthy controls).
    UNASSIGNED: We searched PubMed, Embase, and Web of Science using common words for ML methods and PTSD until June 2023, with no language or time limits. This review includes 13 studies, with sensitivity, specificity, and accuracy taken from each publication or acquired directly from the authors.
    UNASSIGNED: All ML techniques have an diagnostic accuracy rate above 70%,and support vector machine(SVM) are the most commonly used techniques. This series of studies has revealed significant neurobiological differences in key brain regions among individuals with PTSD, TEHC, and HC. The connectivity patterns of regions such as the Insula and Amygdala hold particular significance in distinguishing these groups. TEHC exhibits more normal connectivity patterns compared to PTSD, providing valuable insights for the application of machine learning in PTSD diagnosis.
    UNASSIGNED: In contrast to any currently available assessment and clinical diagnosis, ML techniques can be used as an effective and non-invasive support for early identification and detection of patients as well as for early screening of high-risk populations.
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  • 文章类型: Journal Article
    大量的研究结果表明,精神分裂症频谱中的大脑功能发生了改变。然而,对于表达高分裂型特征的健康个体和分裂型人格障碍(SPD)患者,功能神经影像学检查结果仍然不明确。这项系统评价的目的是确定这些条件下任务相关和静息状态神经异常的模式。系统搜索了MEDLINE-PubMed和PsycINFO,并选择了48项研究。40项研究评估了具有高分裂型特征的健康个体,8项研究使用功能性神经成像技术(fNIRS;fMRI;静息状态fMRI)检查了SPD患者。纹状体的功能改变,在具有高分裂型特征的健康个体中发现了额叶和颞区。分裂型人格障碍与默认模式网络异常有关,但需要进一步研究才能更好地构想其神经相关性。也有证据表明与这两种情况有关的功能补偿机制。最后,研究结果表明,大脑功能障碍在沿着频谱的亚临床部分的个体中很明显,进一步支持精神分裂症易感性的连续体模型。需要额外的研究来描绘精神分裂症频谱中涉及的平衡过程,因为这种方法将为转换和保护转换为精神分裂症提供有希望的见解。
    Ample research findings indicate that there is altered brain functioning in the schizophrenia spectrum. Nevertheless, functional neuroimaging findings remain ambiguous for healthy individuals expressing high schizotypal traits and patients with schizotypal personality disorder (SPD). The purpose of this systematic review was to identify patterns of task-related and resting-state neural abnormalities across these conditions. MEDLINE-PubMed and PsycINFO were systematically searched and forty-eight studies were selected. Forty studies assessed healthy individuals with high schizotypal traits and eight studies examined SPD patients with functional neuroimaging techniques (fNIRS; fMRI; Resting-state fMRI). Functional alterations in striatal, frontal and temporal regions were found in healthy individuals with high schizotypal traits. Schizotypal personality disorder was associated with default mode network abnormalities but further research is required in order to better conceive its neural correlates. There was also evidence for functional compensatory mechanisms associated with both conditions. To conclude, the findings suggest that brain dysfunctions are evident in individuals who lie along the subclinical part of the spectrum, further supporting the continuum model for schizophrenia susceptibility. Additional research is required in order to delineate the counterbalancing processes implicated in the schizophrenia spectrum, as this approach will provide promising insights for both conversion and protection from conversion into schizophrenia.
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  • 文章类型: Journal Article
    背景:通常在双相情感障碍(BD)中观察到执行功能(EF)和社会认知(SC)的缺陷,导致与他人和周围环境进行功能互动的严重损害。因此,近年来,对BD的静息态功能磁共振成像(rs-fMRI)研究试图通过探索内在功能连接(FC)与评估这些认知领域的临床量表评分之间的关联,来确定这些认知领域的神经基础.
    方法:在PubMed和Scopus上进行了评估BD中rs-fMRI发现与EF和/或SC之间相关性的研究的书目检索,直到2022年3月。10项研究符合纳入标准。
    结果:总体而言,回顾研究的结果表明,与健康对照(HC)相比,BD患者在涉及EF和SC的选择性静息状态网络中存在FC缺陷,其中包括默认模式网络,尤其是内侧前额叶皮质和后扣带皮质之间的联系,和感觉运动网络。最后,它还出现了前额叶连接改变在解释BD患者认知缺陷方面的主要作用。
    结论:综述研究的异质性,就探索的认知领域和采用的神经影像学采集而言,限制了研究结果的可比性。
    结论:rs-fMRI研究可以帮助加深BD中EF和SC缺陷的大脑网络改变,将注意力集中在认知的神经元基础上,他们的知识可能会导致开发新的基于神经生物学的方法来改善这些患者的生活质量。
    Deficits in executive functions (EF) and social cognition (SC) are often observed in bipolar disorder (BD), leading to a severe impairment in engaging a functional interaction with the others and the surrounding environment. Therefore, in recent years, resting-state functional magnetic resonance imaging (rs-fMRI) studies on BD tried to identify the neural underpinnings of these cognitive domains by exploring the association between the intrinsic functional connectivity (FC) and the scores in clinical scales evaluating these domains.
    A bibliographic search on PubMed and Scopus of studies evaluating the correlations between rs-fMRI findings and EF and/or SC in BD was conducted until March 2022. Ten studies met the inclusion criteria.
    Overall, the results of the reviewed studies showed that BD patients had FC deficits compared to healthy controls (HC) in selective resting-state networks involved in EF and SC, which include the default mode network, especially the link between medial prefrontal cortex and posterior cingulate cortex, and the sensory-motor network. Finally, it also emerged the predominant role of alterations in prefrontal connections in explaining the cognitive deficits in BD patients.
    The heterogeneity of the reviewed studies, in terms of the cognitive domains explored and the neuroimaging acquisitions employed, limited the comparability of the findings.
    rs-fMRI studies could help deepen the brain network alterations underlying EF and SC deficits in BD, pointing the attention on the neuronal underpinning of cognition, whose knowledge may lead to the development of new neurobiological-based approaches to improve the quality of life of these patients.
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  • 文章类型: Journal Article
    本文综述了正念与大脑网络静息状态fMRI功能连接之间的关系。正念的特点是当下意识和经验接受,依靠注意力控制,自我意识,和情绪调节。我们整合了功能连接和(1)特质正念和(2)正念冥想干预的研究。正念与默认模式(DMN)下的功能连接有关,额顶叶(FPN),和显著性(SN)网络。具体来说,正念介导的功能连接变化包括(1)后扣带皮质(DMN)和背外侧前额叶皮质(FPN)之间的连接增加,这可能与注意力控制有关;(2)阴户和SN之间的连通性降低,这可能与自我意识有关;(3)前扣带回皮质区和背内侧前额叶皮质(DMN)之间的连通性增加,前扣带回皮质区和杏仁核区之间的连通性降低,两者都可能与情绪调节有关;最后,(4)背侧前扣带回皮质(SN)和前岛(SN)之间的连通性增加,这可能与疼痛缓解有关。虽然需要进一步研究正念,正念的神经特征正在出现。
    This review synthesizes relations between mindfulness and resting-state fMRI functional connectivity of brain networks. Mindfulness is characterized by present-moment awareness and experiential acceptance, and relies on attention control, self-awareness, and emotion regulation. We integrate studies of functional connectivity and (1) trait mindfulness and (2) mindfulness meditation interventions. Mindfulness is related to functional connectivity in the default mode (DMN), frontoparietal (FPN), and salience (SN) networks. Specifically, mindfulness-mediated functional connectivity changes include (1) increased connectivity between posterior cingulate cortex (DMN) and dorsolateral prefrontal cortex (FPN), which may relate to attention control; (2) decreased connectivity between cuneus and SN, which may relate to self-awareness; (3) increased connectivity between rostral anterior cingulate cortex region and dorsomedial prefrontal cortex (DMN) and decreased connectivity between rostral anterior cingulate cortex region and amygdala region, both of which may relate to emotion regulation; and lastly, (4) increased connectivity between dorsal anterior cingulate cortex (SN) and anterior insula (SN) which may relate to pain relief. While further study of mindfulness is needed, neural signatures of mindfulness are emerging.
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  • 文章类型: Journal Article
    强迫症(OCD)显示出静息状态功能连接(rsFC)所揭示的大脑区域的广泛破坏,研究之间的结果不一致。我们对47项基于种子的rsFC研究(1863例患者;1795例健康对照)进行了系统评价,以探索大脑内在连接改变。对纹状体中的种子区域进行了基于坐标的定量荟萃分析(壳,尾状,伏隔核[Nac]),丘脑,和前扣带回皮质(ACC),因为有足够数量的研究。我们发现强迫症患者表现出(1)纹状体和皮质网络之间的特征性连接不良(即,尾状超连通性与额边缘网络和额顶部网络区域的低连通性;Nac低连通性与额边缘网络区域),(2)丘脑和纹状体(壳核和尾状核)之间的连通性不足,和(3)ACC和前缘边缘网络区域之间的连接不良。此外,特定的连通性与症状严重程度和发病年龄之间呈负相关.我们的结果通过大脑内在连通性表征了强迫症病理生理学的传统皮质-纹状体-丘脑-皮质回路模型,并将神经回路和脑网络模型统一为一个完整性,以阐述强迫症的神经机制。
    Obsessive-compulsive disorder (OCD) displays widespread disruption across brain regions revealed by resting-state functional connectivity (rsFC) with inconsistent results between studies. We performed a systematic review of 47 seed-based rsFC studies (1863 patients; 1795 healthy controls) to explore brain intrinsic connectivity alterations. Quantitative coordinate-based meta-analysis was conducted for seed regions in the striatum (putamen, caudate, nucleus accumbens [Nac]), thalamus, and anterior cingulate cortex (ACC) because there were an adequate number of studies. We found that OCD patients demonstrated (1) characteristic dysconnectivity between striatum and cortical networks (i.e., caudate hyperconnectivity with the fronto-limbic network and hypoconnectivity with frontoparietal network regions; Nac hypoconnectivity with fronto-limbic network regions), (2) hypoconnectivity between thalamus and striatum (putamen and caudate), and (3) dysconnectivity between the ACC and fronto-limbic network regions. Furthermore, there were negative correlations between particular connectivities and symptom severity and onset age. Our results characterize the traditional cortico-striato-thalamo-cortical circuit model of OCD pathophysiology through the cerebral intrinsic connectivity, and unified neurocircuitry and brain network models into one integrity to elaborate the neural mechanism of OCD.
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  • 文章类型: Journal Article
    功能性神经影像学模式增强了我们对青少年肌阵挛性癫痫(JME)潜在神经机制的理解。由于其非侵入性,敏感性和分析性,功能磁共振成像(fMRI)提供了有关功能脑网络及其分离和整合特性的宝贵见解。我们系统地回顾了静息状态和基于任务的功能磁共振成像对JME中的病理生理学和癫痫发作传播模式的当前理解的贡献。尽管有一些差异,功能研究结果表明,皮质丘脑-纹状体-小脑网络以及默认模式网络和显著性网络是JME患者受影响最大的网络.然而,需要进一步的研究来调查JME的主要缺陷之间的关联,例如,运动和认知缺陷以及功能磁共振成像结果。此外,同时脑电图-fMRI(EEG-fMRI)研究表明,这些网络的改变在癫痫发作调制中起作用,但未能确定功能特性改变与癫痫发作传播之间的因果关系。这篇综述强调了JME的复杂病理生理学,这就需要在这个群体中设计更个性化的诊断和治疗策略。
    Functional neuroimaging modalities have enhanced our understanding of juvenile myoclonic epilepsy (JME) underlying neural mechanisms. Due to its non-invasive, sensitive and analytical nature, functional magnetic resonance imaging (fMRI) provides valuable insights into relevant functional brain networks and their segregation and integration properties. We systematically reviewed the contribution of resting-state and task-based fMRI to the current understanding of the pathophysiology and the patterns of seizure propagation in JME Altogether, despite some discrepancies, functional findings suggest that corticothalamo-striato-cerebellar network along with default-mode network and salience network are the most affected networks in patients with JME. However, further studies are required to investigate the association between JME\'s main deficiencies, e.g., motor and cognitive deficiencies and fMRI findings. Moreover, simultaneous electroencephalography-fMRI (EEG-fMRI) studies indicate that alterations of these networks play a role in seizure modulation but fall short of identifying a causal relationship between altered functional properties and seizure propagation. This review highlights the complex pathophysiology of JME, which necessitates the design of more personalized diagnostic and therapeutic strategies in this group.
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  • 文章类型: Journal Article
    OBJECTIVE: Abnormalities in spontaneous brain activity, measured with resting-state functional magnetic resonance imaging (rs-fMRI), may be key biomarkers for bipolar disorders. This systematic review compares rs-fMRI findings in people experiencing a bipolar depressive or (hypo)manic episode to bipolar euthymia and/or healthy participants.
    METHODS: Medline, Web of Science and Embase were searched up until April 2021. Studies without control group, or including minors, neurological co-morbidities or mixed episodes, were excluded. Qualitative synthesis was used to report results and risk of bias was assessed using the National Heart, Lung and Blood Institute tool for case-control studies.
    RESULTS: Seventy-one studies were included (3167 bipolar depressed/706 (hypo)manic). In bipolar depression, studies demonstrated default-mode (DMN) and frontoparietal network (FPN) dysfunction, altered baseline activity in the precuneus, insula, striatum, cingulate, frontal and temporal cortex, and disturbed regional homogeneity in parietal, temporal and pericentral areas. Functional connectivity was altered in thalamocortical circuits and between the cingulate cortex and precuneus. In (hypo)mania, studies reported altered functional connectivity in the amygdala, frontal and cingulate cortex. Finally, rs-fMRI disturbances in the insula and putamen correlate with depressive symptoms, cerebellar resting-state alterations could evolve with disease progression and altered amygdala connectivity might mediate lithium effects.
    CONCLUSIONS: Our results suggest DMN and FPN dysfunction in bipolar depression, whereas local rs-fMRI alterations might differentiate mood states. Future studies should consider controlling rs-fMRI findings for potential clinical confounding factors such as medication. Considerable heterogeneity of methodology between studies limits conclusions. Standardised clinical reporting and consistent analysis approaches would increase coherence in this promising field.
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  • 文章类型: Journal Article
    围产期脑损伤是神经发育不良结局的重要原因。这项系统评价的目的是确定大脑功能改变的模式,使用静息状态功能磁共振成像(rs-fMRI)数据的功能连接(FC)变化进行量化,这与有围产期脑损伤史的个体的运动和语言结果有关。使用电子数据库进行了系统搜索,以确定相关研究。共有10项研究纳入系统评价,代表260名患有围产期脑损伤的人。在4个月至29岁1个月的时间点测量运动和语言结果。FC和运动测量之间的关系显示半球内FC增加,半球间FC减少和与运动结局相关的运动相关脑区的偏侧化受损。感觉运动内的FC改变,视觉,小脑和额顶网络,在感觉运动之间,视觉,听觉和高阶网络,包括小脑,额顶叶,默认模式,显著性,自我参照和注意网络也与运动结果相关。在评估rs-fMRI和语言结果之间关系的研究中,减少半球内FC,与语言相关的大脑区域的半球间FC和右半球偏侧化增加与语言结果相关。来自此系统评价的证据表明,围产期脑损伤后个体的diaschisis与运动和语言障碍之间可能存在关联。这些发现支持有必要探索功能上连接但远离原发性病变大脑区域的其他大脑区域对靶向治疗和适当干预的贡献。尽管需要更多的研究来提高神经影像学和神经发育评估的标准化程度。
    Perinatal brain injury is a significant cause of adverse neurodevelopmental outcomes. The objective of this systematic review was to identify patterns of altered brain function, quantified using functional connectivity (FC) changes in resting-state fMRI (rs-fMRI) data, that were associated with motor and language outcomes in individuals with a history of perinatal brain injury. A systematic search using electronic databases was conducted to identify relevant studies. A total of 10 studies were included in the systematic review, representing 260 individuals with a history of perinatal brain injury. Motor and language outcomes were measured at time points ranging from 4 months to 29 years 1 month. Relations between FC and motor measures revealed increased intra-hemispheric FC, reduced inter-hemispheric FC and impaired lateralization of motor-related brain regions associated with motor outcomes. Altered FC within sensorimotor, visual, cerebellum and frontoparietal networks, and between sensorimotor, visual, auditory and higher-order networks, including cerebellum, frontoparietal, default-mode, salience, self-referential and attentional networks were also associated with motor outcomes. In studies assessing the relationship between rs-fMRI and language outcome, reduced intra-hemispheric FC, increased inter-hemispheric FC and right-hemisphere lateralization of language-related brain regions correlated with language outcomes. Evidence from this systematic review suggests a possible association between diaschisis and motor and language impairments in individuals after perinatal brain lesions. These findings support the need to explore the contributions of additional brain regions functionally connected but remote from the primary lesioned brain area for targeted treatments and appropriate intervention, though more studies with increased standardization across neuroimaging and neurodevelopmental assessments are needed.
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  • 文章类型: Journal Article
    OBJECTIVE: Resting-state functional Magnetic Resonance Imaging (rs-fMRI) is suggested to be a viable option for pre-operative mapping for patients with brain tumours. However, it remains an open issue whether the tool is useful in the clinical setting compared to task-based fMRI (T-fMRI) and intraoperative mapping. Thus, a systematic review was conducted to investigate the usefulness of this technique.
    METHODS: A systematic literature search of rs-fMRI methods applied as a pre-operative mapping tool was conducted using the PubMed/MEDLINE and Cochrane Library electronic databases following PRISMA guidelines.
    RESULTS: Results demonstrated that 50% (six out of twelve) of the studies comparing rs-fMRI and T-fMRI showed good concordance for both language and sensorimotor networks. In comparison to intraoperative mapping, 86% (six out of seven) studies found a good agreement to rs-fMRI. Finally, 87% (twenty out of twenty-three) studies agreed that rs-fMRI is a suitable and useful pre-operative mapping tool.
    CONCLUSIONS: rs-fMRI is a promising technique for pre-operative mapping in assessing the functional brain areas. However, the agreement between rs-fMRI with other techniques, including T-fMRI and intraoperative maps, is not yet optimal. Studies to ascertain and improve the sophistication in pre-processing of rs-fMRI imaging data are needed.
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