Structural magnetic resonance imaging

结构磁共振成像
  • 文章类型: Meta-Analysis
    背景:本研究的目的是探讨基于sMRI或/和fMRI的ML技术对ADHD的诊断价值。
    方法:我们进行了全面的搜索(从数据库创建日期到2024年3月),以查找有关基于sMRI或/和fMRI的ML技术诊断ADHD的相关英文文章。汇集的敏感性,特异性,正似然比(LR+),负似然比(LR-),计算汇总受试者工作特征(SROC)曲线和曲线下面积(AUC),以评估基于sMRI或/和fMRI的ML技术的诊断价值.采用I2检验评估异质性,并通过荟萃回归分析研究异质性的来源。使用Deeks漏斗图不对称检验评估出版偏差。
    结果:系统综述包括43项研究,其中27例纳入我们的荟萃分析。基于sMRI或/和fMRI的ML技术诊断ADHD的合并敏感性和特异性分别为0.74(95%CI0.65-0.81)和0.75(95%CI0.67-0.81),分别。SROC曲线显示AUC为0.81(95%CI0.77~0.84)。基于这些发现,基于sMRI或/和fMRI的ML技术对ADHD具有相对较好的诊断价值.
    结论:我们的荟萃分析特别关注基于sMRI或/和fMRI研究的ML技术。由于基于EEG的ML技术也用于诊断ADHD,需要进一步的系统分析来探索基于多模式医疗数据的ML方法。
    结论:基于sMRI或/和fMRI的ML技术是一种有前途的ADHD客观诊断方法。
    BACKGROUND: The aim of this study was to investigate the diagnostic value of ML techniques based on sMRI or/and fMRI for ADHD.
    METHODS: We conducted a comprehensive search (from database creation date to March 2024) for relevant English articles on sMRI or/and fMRI-based ML techniques for diagnosing ADHD. The pooled sensitivity, specificity, positive likelihood ratio (LR+), negative likelihood ratio (LR-), summary receiver operating characteristic (SROC) curve and area under the curve (AUC) were calculated to assess the diagnostic value of sMRI or/and fMRI-based ML techniques. The I2 test was used to assess heterogeneity and the source of heterogeneity was investigated by performing a meta-regression analysis. Publication bias was assessed using the Deeks funnel plot asymmetry test.
    RESULTS: Forty-three studies were included in the systematic review, 27 of which were included in our meta-analysis. The pooled sensitivity and specificity of sMRI or/and fMRI-based ML techniques for the diagnosis of ADHD were 0.74 (95 % CI 0.65-0.81) and 0.75 (95 % CI 0.67-0.81), respectively. SROC curve showed that AUC was 0.81 (95 % CI 0.77-0.84). Based on these findings, the sMRI or/and fMRI-based ML techniques have relatively good diagnostic value for ADHD.
    CONCLUSIONS: Our meta-analysis specifically focused on ML techniques based on sMRI or/and fMRI studies. Since EEG-based ML techniques are also used for diagnosing ADHD, further systematic analyses are necessary to explore ML methods based on multimodal medical data.
    CONCLUSIONS: sMRI or/and fMRI-based ML technique is a promising objective diagnostic method for ADHD.
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  • 文章类型: Systematic Review
    神经科学的主要目标是了解大脑与行为之间的关系。磁共振成像(MRI)在受控条件下检查大脑结构和功能,通过便携式自动装置(PAD)的数字表型量化现实世界中的行为。结合这两种技术可以弥合大脑成像之间的差距,生理学,和实时行为,增强实验室和临床发现的普遍性。然而,MRI和来自MRI扫描仪外部PAD的数据的使用仍未得到充分探索.在这里,我们提出了系统评价和荟萃分析系统文献综述的首选报告项目,以确定和分析脑MRI和PAD整合的研究现状.使用涵盖各种MRI技术和PAD的关键字自动搜索PubMed和Scopus。对摘要进行了筛选,仅包括在实验室环境之外收集MRI脑数据和PAD数据的文章。然后进行全文筛选,以确保纳入的文章结合了MRI的定量数据和PAD的数据,共产生94篇选定的论文,共N=14,778名受试者。结果报告为大脑成像和行为采样方法之间的交叉频率表,并通过网络分析确定了模式。此外,研究中报告的大脑图是根据所使用的测量方式合成的。结果表明,在各种研究设计中整合MRI和PAD的可行性,患者和对照人群,和年龄组。大多数出版的文献结合了功能,T1加权,和带有身体活动传感器的扩散加权磁共振成像,通过PAD进行生态瞬时评估,和睡眠。文献进一步强调了通常与不同的MRI-PAD组合相关的特定脑区域。这些组合可以深入研究生理学,大脑功能和行为相互影响。我们的评论强调了构建超出扫描仪并进入现实世界环境的大脑行为模型的潜力。
    A primary goal of neuroscience is to understand the relationship between the brain and behavior. While magnetic resonance imaging (MRI) examines brain structure and function under controlled conditions, digital phenotyping via portable automatic devices (PAD) quantifies behavior in real-world settings. Combining these two technologies may bridge the gap between brain imaging, physiology, and real-time behavior, enhancing the generalizability of laboratory and clinical findings. However, the use of MRI and data from PADs outside the MRI scanner remains underexplored. Herein, we present a Preferred Reporting Items for Systematic Reviews and Meta-Analysis systematic literature review that identifies and analyzes the current state of research on the integration of brain MRI and PADs. PubMed and Scopus were automatically searched using keywords covering various MRI techniques and PADs. Abstracts were screened to only include articles that collected MRI brain data and PAD data outside the laboratory environment. Full-text screening was then conducted to ensure included articles combined quantitative data from MRI with data from PADs, yielding 94 selected papers for a total of N = 14,778 subjects. Results were reported as cross-frequency tables between brain imaging and behavior sampling methods and patterns were identified through network analysis. Furthermore, brain maps reported in the studies were synthesized according to the measurement modalities that were used. Results demonstrate the feasibility of integrating MRI and PADs across various study designs, patient and control populations, and age groups. The majority of published literature combines functional, T1-weighted, and diffusion weighted MRI with physical activity sensors, ecological momentary assessment via PADs, and sleep. The literature further highlights specific brain regions frequently correlated with distinct MRI-PAD combinations. These combinations enable in-depth studies on how physiology, brain function and behavior influence each other. Our review highlights the potential for constructing brain-behavior models that extend beyond the scanner and into real-world contexts.
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  • 文章类型: Journal Article
    血管性认知障碍(VCI)是血管性痴呆(VaD)的初始阶段。VCI的早期诊断和治疗对于预防VaD的进展至关重要。为了更好地了解VCI,本研究旨在研究结构磁共振成像(sMRI)和静息状态功能磁共振成像(rs-fMRI)等先进成像技术的使用。这些技术使研究人员能够观察与VCI相关的大脑结构和功能变化。功能磁共振成像(fMRI)和sMRI技术已广泛应用于灰质研究,大脑网络,和休息时的功能异常。通过搜索和总结最近的文献,这项研究为使用先进的成像技术了解和治疗VCI提供了有价值的证据.这项研究的结果可以帮助制定VCI患者的早期干预策略,从而可能减缓甚至停止VCI向成熟VaD的进展。
    Vascular cognitive impairment (VCI) is the initial stage of vascular dementia (VaD). Early diagnosis and treatment of VCI are crucial to prevent the progression of VaD. In order to gain a better understanding of VCI, this study aimed to investigate the use of advanced imaging techniques such as structural magnetic resonance imaging (sMRI) and resting-state functional magnetic resonance imaging (rs-fMRI). These techniques allow researchers to observe the structural and functional changes in the brain that are associated with VCI. Functional magnetic resonance imaging (fMRI) and sMRI techniques have been widely used in studies focusing on gray matter, brain networks, and functional abnormalities during rest. By searching and summarizing recent literature, this study has provided valuable evidence on the use of advanced imaging techniques in understanding and treating VCI. The findings from this study can aid in the development of early intervention strategies for patients with VCI, potentially slowing down or even halting the progression of VCI to full-blown VaD.
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  • 文章类型: Journal Article
    这篇综述旨在研究现有的帕金森病表现为步态冻结的结构神经影像学文献。本文的总结为更好地理解基于MRI的帕金森病步态冻结的结构发现提供了机会。
    本系统文献综述遵循系统综述和荟萃分析(PRISMA)首选报告项目指南所述的程序。
    初始搜索产生545个文档。排除后,11篇文章被纳入我们的研究。目前帕金森病步态冻结的结构MRI发现与感觉运动相关的皮质灰质结构和丘脑之间的结构损伤有关。但不是小脑和更小的系统,以及在这些结构之间连接的白质上的广泛损伤。
    目前对帕金森病步态冻结的结构MRI发现与感觉运动相关的皮质灰质结构和丘脑之间的结构损伤有关,但不是小脑和更小的系统,以及在这些结构之间连接的白质上的广泛损伤。
    UNASSIGNED: This review aims to the existing structural neuroimaging literature in Parkinson disease presenting with freezing of gait. The summary of this article provides an opportunity for a better understanding of the structural findings of freezing of gait in Parkinson disease based on MRI.
    UNASSIGNED: This systematic review of literature follows the procedures as described by the guideline of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).
    UNASSIGNED: Initial searches yielded 545 documents. After exclusions, 11 articles were included into our study. Current findings of structural MRI on freezing of gait in Parkinson disease are associated with structural damage between sensorimotor-related cortical grey matter structures and thalamus, but not cerebellum and smaller systems, as well as extensive injuries on white matter connecting between those structures.
    UNASSIGNED: Current findings of structural MRI on freezing of gait in Parkinson disease are associated with structural damage between sensorimotor-related cortical grey matter structures and thalamus, but not cerebellum and smaller systems, as well as extensive injuries on white matter connecting between those structures.
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  • 文章类型: Systematic Review
    目的:阐明双相情感障碍(BD)病程与整个生命周期中大脑结构变化之间的关系,我们对青少年和成人BD患者的纵向影像学研究进行了系统评价.
    方法:有329名BD患者和277名对照的11项研究符合我们的PICOS标准(参与者,干预,比较,结果,研究设计):基于DSM标准的BD诊断,自然病程,两次扫描间隔≥1年的BD个体灰质变化比较。
    结果:选定的研究产生了异质性的发现,部分是由于不同的患者特征,数据采集和统计模型。随着时间的推移,情绪发作与额叶大脑区域灰质损失增加有关。儿科患者的脑容量减少或保持稳定,而在健康的儿童和青少年中增加。成年BD患者表现出皮质变薄和大脑结构下降。特别是,青春期的疾病发作与杏仁核体积减少有关,在成人BD中未报告。
    结论:收集的证据表明,BD的进展会损害儿科大脑发育,并加速整个生命周期的结构性大脑衰退。小儿BD杏仁核体积的年龄特异性变化表明杏仁核体积减少与早发性BD有关。明确BD在整个生命周期的大脑发育中的作用,有望通过不同的发育过程对BD患者的进展有更深入的了解。
    To elucidate the relationship between the course of bipolar disorder (BD) and structural brain changes across the life span, we conducted a systematic review of longitudinal imaging studies in adolescent and adult BD patients.
    Eleven studies with 329 BD patients and 277 controls met our PICOS criteria (participants, intervention, comparison, outcome and study design): BD diagnosis based on DSM criteria, natural course of disease, comparison of grey matter changes in BD individuals over ≥1-year interval between scans.
    The selected studies yielded heterogeneous findings, partly due to varying patient characteristics, data acquisition and statistical models. Mood episodes were associated with greater grey matter loss in frontal brain regions over time. Brain volume decreased or remained stable in adolescent patients, whereas it increased in healthy adolescents. Adult BD patients showed increased cortical thinning and brain structural decline. In particular, disease onset in adolescence was associated with amygdala volume reduction, which was not reported in adult BD.
    The evidence collected suggests that the progression of BD impairs adolescent brain development and accelerates structural brain decline across the lifespan. Age-specific changes in amygdala volume in adolescent BD suggest that reduced amygdala volume is a correlate of early onset BD. Clarifying the role of BD in brain development across the lifespan promises a deeper understanding of the progression of BD patients through different developmental episodes.
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  • 文章类型: Review
    这篇综述文章总结了自闭症谱系障碍(ASD)诊断研究的最新进展,并考虑了过去二十年来一些最有影响力的研究文章。ASD是一种异质性神经发育障碍,其特征是社会交往异常,通信,和行为模式以及一些独特的优势和差异。当前的诊断系统基于自闭症诊断观察时间表(ADOS)或自闭症诊断访谈修订(ADI-R),但生物学标记对于ASDs的有效诊断也很重要。神经成像技术的融合,如结构和功能磁共振成像(sMRI和fMRI),机器学习和深度学习方法有助于在生命的早期阶段揭示ASD的典型生物学标记。为了评估深度神经网络的性能,我们开发了一种用于ASD分类的轻量级CNN模型。整体精度,精度,所提出模型的F1分数为99.92%,99.93%和99.92%,分别。我们回顾的所有神经影像学研究可以分为3类,viz.厚度,基于体积和功能连通性的研究。最后,我们讨论了经过深思熟虑的研究的主要发现以及该领域未来研究的有希望的方向。
    This review article summarizes the recent advances in the diagnostic studies of autism spectrum disorders (ASDs) considering some of the most influential research articles from the last two decades. ASD is a heterogeneous neurodevelopmental disorder characterized by abnormalities in social interaction, communication, and behavioral patterns as well as some unique strengths and differences. The current diagnosis systems are based on autism diagnostic observation schedule (ADOS) or autism diagnostic interview-revised (ADI-R), but biological markers are also important for an effective diagnosis of ASDs. The amalgamation of neuroimaging techniques, such as structural and functional magnetic resonance imaging (sMRI and fMRI), with machine-learning and deep-learning approaches helps throw new light on typical biological markers of ASDs at the early stage of life. To assess the performance of a deep neural network, we develop a light-weighted CNN model for ASD classification. The overall accuracy, precision, and F1-score of the proposed model are 99.92%, 99.93% and 99.92%, respectively. All the neuroimaging studies we have reviewed can be divided into 3 categories, viz. thickness, volume and functional connectivity-based studies. We conclude with a discussion of the major findings of considered studies and promising directions for future research in this field.
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  • 文章类型: Journal Article
    背景:Catatonia是一种复杂的精神运动障碍,其特征是运动,情感,和行为症状。尽管已经知道了近150年,其发病机制在很大程度上仍然未知。
    方法:对PubMed,WebofScience,并对Scopus进行了神经影像学研究,以确定对患有紧张症的群体或单个个体进行的神经影像学研究。总的来说,33项采用结构磁共振成像的研究(sMRI,n=11),功能磁共振成像(fMRI,n=10),sMRI和fMRI(n=2),功能近红外光谱(fNIRS,n=1),单正电子发射计算机断层扫描(SPECT,n=4),正电子发射断层扫描(PET,n=4),和磁共振波谱(MRS,n=1),检索到171例病例报告。
    结果:观察性sMRI研究显示,卡顿强症有许多大脑变化,包括弥漫性萎缩和信号高强度,虽然病例对照研究报告了额顶叶和边缘区域的改变,丘脑,还有纹状体.基于任务和静息状态的fMRI研究发现异常主要位于眶额,内侧前额叶,运动皮质,小脑,和脑干。最后,在基底神经节中观察到代谢和灌注变化,前额叶,和电机区域。大多数病例报告研究描述了广泛的白质病变和额叶,temporal,或基底神经节灌注不足。
    结论:Catatonia的特征在于结构,功能,灌注,和代谢皮质下皮质异常。然而,本系统综述中包含的大多数研究和病例报告都受到相当大的异质性的影响,在人群和神经成像技术方面,这需要谨慎的解释。进一步阐明,通过未来的神经影像学研究,可能有很大的潜力来改善神经运动和精神运动机制的描述。
    BACKGROUND: Catatonia is a complex psychomotor disorder characterized by motor, affective, and behavioral symptoms. Despite being known for almost 150 years, its pathomechanisms are still largely unknown.
    METHODS: A systematic research on PubMed, Web of Science, and Scopus was conducted to identify neuroimaging studies conducted on group or single individuals with catatonia. Overall, 33 studies employing structural magnetic resonance imaging (sMRI, n = 11), functional magnetic resonance imaging (fMRI, n = 10), sMRI and fMRI (n = 2), functional near-infrared spectroscopy (fNIRS, n = 1), single positron emission computer tomography (SPECT, n = 4), positron emission tomography (PET, n = 4), and magnetic resonance spectroscopy (MRS, n = 1), and 171 case reports were retrieved.
    RESULTS: Observational sMRI studies showed numerous brain changes in catatonia, including diffuse atrophy and signal hyperintensities, while case-control studies reported alterations in fronto-parietal and limbic regions, the thalamus, and the striatum. Task-based and resting-state fMRI studies found abnormalities located primarily in the orbitofrontal, medial prefrontal, motor cortices, cerebellum, and brainstem. Lastly, metabolic and perfusion changes were observed in the basal ganglia, prefrontal, and motor areas. Most of the case-report studies described widespread white matter lesions and frontal, temporal, or basal ganglia hypoperfusion.
    CONCLUSIONS: Catatonia is characterized by structural, functional, perfusion, and metabolic cortico-subcortical abnormalities. However, the majority of studies and case reports included in this systematic review are affected by considerable heterogeneity, both in terms of populations and neuroimaging techniques, which calls for a cautious interpretation. Further elucidation, through future neuroimaging research, could have great potential to improve the description of the neural motor and psychomotor mechanisms underlying catatonia.
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  • 文章类型: Journal Article
    来自结构和功能磁共振成像(MRI)研究的证据表明杏仁核改变在小儿双相情感障碍(pBP)的发展中至关重要。最近的大量研究促使我们全面评估发现。我们旨在系统地回顾pBP患者和高危青年(HR)发展pBP的杏仁核的结构和功能MRI研究。
    我们在至2020年9月25日的任何时间搜索了PubMed,使用:\'杏仁核和(MRI或磁共振成像)和双极和(儿科*或儿童或儿童或儿童或青少年或青少年或青少年或青少年或青少年或年轻或家族或有风险或兄弟姐妹*或后代或高风险)\'。在这次审查中,我们坚持PRISMA声明。
    杏仁核对情绪刺激的过度活跃是与健康同龄人(HC)相比,在患有pBP和HR的年轻人中最常见的发现,而结构MRI研究的结果不一致。
    杏仁核的过度激活可能是pBP的内表型。
    UNASSIGNED: Converging evidence from structural and functional magnetic resonance imaging (MRI) studies points to amygdala alteration as crucial in the development of paediatric bipolar disorder (pBP). The high number of recent studies prompted us to comprehensively evaluate findings. We aimed to systematically review structural and functional MRI studies investigating the amygdala in patients with pBP and in youth at high-risk (HR) for developing pBP.
    UNASSIGNED: We searched PubMed from any time to 25 September 2020 using: \'amygdala AND (MRI OR magnetic resonance imaging) AND bipolar AND (pediatr* OR child OR children OR childhood OR adolescent OR adolescents OR adolescence OR young OR familial OR at-risk OR sibling* OR offspring OR high risk)\'. In this review, we adhered to the PRISMA statement.
    UNASSIGNED: Amygdala hyperactivity to emotional stimuli is the most commonly reported finding in youth with pBP and HR compared to healthy peers (HC), whereas findings from structural MRI studies are inconsistent.
    UNASSIGNED: Hyperactivation of the amygdala might be an endophenotype of pBP.
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  • 文章类型: Journal Article
    Alzheimer\'s disease (AD) is a heterogeneous disease with different subtypes. Studying AD subtypes from brain structure, neuropathology, and cognition are of great importance for AD heterogeneity research. Starting from the study of constructing AD subtypes based on the features of T1-weighted structural magnetic resonance imaging, this paper introduces the major connections between the subtype definition and analysis strategies, including brain region-based subtype definition, and their demographic, neuropathological, and neuropsychological characteristics. The advantages and existing problems are analyzed, and reasonable improvement schemes are prospected. Overall, this review offers a more comprehensive view in the field of atrophy subtype in AD, along with their advantages, challenges, and future prospects, and provide a basis for improving individualized AD diagnosis.
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  • 文章类型: Journal Article
    Magnetic resonance imaging (MRI) plays a central role in the management and evaluation of patients with epilepsy. It is important that structural MRI scans are optimally acquired and carefully reviewed by trained experts within the context of all available clinical data. The aim of this review is to discuss the essentials of MRI that will be useful to health care providers specialized in epilepsy, as outlined by the competencies and learning objectives of the recently developed ILAE curriculum. This review contains information on basic MRI principles, sequences, field strengths and safety, when to perform and repeat an MRI, epilepsy MRI protocol (HARNESS-MRI) and the basic reading guidelines, and common epileptic pathologies. More advanced topics such as MRI-negative epilepsy, functional MRI and diffusion-weighted imaging are also briefly discussed. Although the available resources can differ markedly across different centers, it is the hope that this review can provide general guidance in the everyday practice of using MRI for patients with epilepsy.
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