resting state functional connectivity

静息状态功能连接
  • 文章类型: Preprint
    休息活动节律(RAR)中断的青少年,包括较短的睡眠时间,晚睡时间和低体力活动水平有较高的精神和行为问题的风险。然而,尚不清楚RAR的受试者内部变化是否可以观察到相同的关联.
    我们对RAR的纵向调查使用了2年(FL2:年龄10-13岁)和4年随访(FL4:年龄13-16岁)的青少年脑认知发育(ABCD)研究的Fitbit数据。963名年轻人在两个时间点都有高质量的Fitbit数据。在这项研究中,我们研究了从FL2到FL4的RAR变化,它们的环境和人口统计学因素以及大脑和行为相关因素。
    从FL2到FL4,青少年的睡眠时间和身体活动减少,睡眠时间延迟(Cohen'sd.44-.75)。环境和人口统计学因素对RAR变化的贡献对睡眠时间的影响最大(解释为10%方差),对睡眠持续时间的影响最小(解释为1%方差)。与睡眠持续时间或身体活动的减少相比,睡眠时间的延迟与行为问题的相关性更强,包括更大的冲动性和学习成绩差。此外,各种大脑测量对RAR变化的敏感性不同。睡眠持续时间的减少与皮质下区域和感觉运动和扣带-手术网络之间的功能连接降低以及感觉运动之间的功能连接增强有关。视觉和听觉网络。睡眠时间的延迟主要与皮质下区域的灰质变化有关,而体力活动水平的降低主要与白质纤维束的完整性降低有关。
    目前的发现证实了睡眠和身体活动在青少年脑神经发育和行为问题中的作用。RAR可能作为监测或治疗青少年精神和行为问题的生物标志物或治疗目标。
    UNASSIGNED: Adolescents with disrupted rest-activity rhythms (RAR) including shorter sleep duration, later sleep timing and low physical activity levels have higher risk for mental and behavioral problems. However, it remains unclear whether the same associations can be observed for within-subject changes in RAR.
    UNASSIGNED: Our longitudinal investigation on RAR used Fitbit data from the Adolescent Brain Cognitive Development (ABCD) Study at the 2-year (FL2: aged 10-13 years) and 4-year follow-up (FL4: aged 13-16 years). 963 youths had good-quality Fitbit data at both time points. In this study we examined changes in RAR from FL2 to FL4, their environmental and demographic contributors as well as brain and behavioral correlates.
    UNASSIGNED: From FL2 to FL4, adolescents showed decreases in sleep duration and physical activity as well as delayed sleep timing (Cohen\'s d .44-.75). The contributions of environmental and demographic factors to RAR changes were greatest to sleep timing (explained 10% variance) and least to sleep duration (explained 1% variance). Delays in sleep timing had stronger correlations with behavioral problems including greater impulsivity and poor academic performance than reductions in sleep duration or physical activity. Additionally, the various brain measures differed in their sensitivity to RAR changes. Reductions in sleep duration were associated with decreased brain functional connectivity between subcortical regions and sensorimotor and cingulo-opercular networks and with enhanced functional connectivity between sensorimotor, visual and auditory networks. Delays in sleep timing were mainly associated with grey matter changes in subcortical regions.
    UNASSIGNED: The current findings corroborate the role of sleep and physical activity in adolescent\'s brain neurodevelopment and behavior problems. RAR might serve as biomarkers for monitoring behavioral problems in adolescents and to serve as potential therapeutic targets for mental disorders.
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  • 文章类型: Journal Article
    认知灵活性是一种在儿童时期发展的执行功能技能,当受损时,对精神疾病有转化诊断意义。为了确定休息时的内在神经结构如何与认知灵活性表现相关联,我们使用独立成分分析(ICA)的数据驱动方法研究了静息状态网络(RSNs)及其与儿童认知灵活性表现水平相关的全脑连通性.我们假设皮质纹状体电路中RSN连接强度的认知灵活性表现存在差异,这将通过执行控制网络显示,右和左额顶网络(FPN),显著性网络,默认模式网络(DMN),和基底神经节网络。我们从青少年大脑认知发育(ABCD)研究中选择了25岁得分的参与者,(“CF低”),第50名(“CF-平均值”),或认知灵活性任务的第75百分位数(“CF-High”),青春期从早期到中期,并且没有表现出明显的精神病理学(n=967,47.9%的女性;9-10岁)。我们进行了全脑ICA,鉴定14个特征良好的RSN。在正确的FPN中,组的连接强度不同,前DMN,和后部DMN。计划比较表明,CF-High与CF-Low相比,右FPN与辅助运动/前扣带之间的连通性更强。与CF-平均值相比,CF-High在前DMN和前突间具有更多的反相关连接。CF-低与CF-平均相比,后部DMN与补充运动/前扣带之间的连通性更强。按试验类型与反应时间的事后相关性表明,与连通性存在显着关联。总之,我们的结果表明,儿童期认知灵活性表现与休息时的DMN和FPN连接强度相关,并且可能存在与任务性能相关联的最佳连接级别,这些连接级别随网络而变化。
    Cognitive flexibility is an executive functioning skill that develops in childhood, and when impaired, has transdiagnostic implications for psychiatric disorders. To identify how intrinsic neural architecture at rest is linked to cognitive flexibility performance, we used the data-driven method of independent component analysis (ICA) to investigate resting state networks (RSNs) and their whole-brain connectivity associated with levels of cognitive flexibility performance in children. We hypothesized differences by cognitive flexibility performance in RSN connectivity strength in cortico-striatal circuitry, which would manifest via the executive control network, right and left frontoparietal networks (FPN), salience network, default mode network (DMN), and basal ganglia network. We selected participants from the Adolescent Brain Cognitive Development (ABCD) Study who scored at the 25th, (\"CF-Low\"), 50th (\"CF-Average\"), or 75th percentiles (\"CF-High\") on a cognitive flexibility task, were early to middle puberty, and did not exhibit significant psychopathology (n = 967, 47.9% female; ages 9-10). We conducted whole-brain ICA, identifying 14 well-characterized RSNs. Groups differed in connectivity strength in the right FPN, anterior DMN, and posterior DMN. Planned comparisons indicated CF-High had stronger connectivity between right FPN and supplementary motor/anterior cingulate than CF-Low. CF-High had more anti-correlated connectivity between anterior DMN and precuneus than CF-Average. CF-Low had stronger connectivity between posterior DMN and supplementary motor/anterior cingulate than CF-Average. Post-hoc correlations with reaction time by trial type demonstrated significant associations with connectivity. In sum, our results suggest childhood cognitive flexibility performance is associated with DMN and FPN connectivity strength at rest, and that there may be optimal levels of connectivity associated with task performance that vary by network.
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  • 文章类型: Journal Article
    背景:对酒精使用障碍(AUD)的简短干预通常是有效的,尽管反应有可变性。静息状态功能连通性(rsFC)可以表征预测对短暂干预的反应的神经生物学指标,并且是当前研究的重点。
    方法:46名AUD患者(65.2%女性)立即完成了静息状态功能磁共振成像(fMRI)扫描,随后进行了旨在减少饮酒的简短干预。积极的临床反应被定义为在3个月的随访中,至少有一个世界卫生组织(WHO)的饮酒风险水平降低了饮酒。使用种子到体素分析对来自四个网络的种子区域进行rsFC分析:显著性网络,奖励网络,额顶叶网络,和默认模式网络。
    结果:在基线时,与基于体素的簇相比,反应者在以下种子区域之间的rsFC更大:(i)前扣带皮层(ACC)与左中央后回和右上回(salencenetwork)有关;(ii)右后顶叶皮层与右腹侧ACC(salencenetwork)有关;(iii)右内额叶(IFG)与右脑的关系响应者与响应者的rsFC较低在(i)与左三角IFG旁(额顶)有关的右前额叶前额叶皮层之间观察到无反应者;(ii)与右小脑有关的右三角IFG旁(额顶);(iii)与右额叶岛叶和右伏额回(额顶)有关的右三角IFG旁;(右脑)与右脑叶的关系。
    结论:额顶叶的静息状态功能连接,显著性,和奖励网络可预测AUD个体对短暂干预的反应,并可能反映出更大的接受性或行为改变的动机。
    BACKGROUND: Brief interventions for alcohol use disorder (AUD) are generally efficacious, albeit with variability in response. Resting state functional connectivity (rsFC) may characterize neurobiological indicators that predict the response to brief interventions and is the focus of the current investigation.
    METHODS: Forty-six individuals with AUD (65.2% female) completed a resting state functional magnetic resonance imaging (fMRI) scan immediately followed by a brief intervention aimed at reducing alcohol consumption. Positive clinical response was defined as a reduction in alcohol consumption by at least one World Health Organization (WHO) risk drinking level at 3-month follow-up. rsFC was analyzed using seed-to-voxel analysis with seed regions from four networks: salience network, reward network, frontoparietal network, and default mode network.
    RESULTS: At baseline, responders had greater rsFC between the following seed regions in relation to voxel-based clusters than non-responders: (i) anterior cingulate cortex (ACC) in relation to left postcentral gyrus and right supramarginal gyrus (salience network); (ii) right posterior parietal cortex in relation to right ventral ACC (salience network); (iii) right interior frontal gyrus (IFG) pars opercularis in relation to right cerebellum and right occipital fusiform gyrus (frontoparietal); and (iv) right primary motor cortex in relation to left thalamus (default mode). Lower rsFC in responders vs. nonresponders was seen between the (i) right rostral prefrontal cortex in relation to left IFG pars triangularis (frontoparietal); (ii) right IFG pars triangularis in relation to right cerebellum (frontoparietal); (iii) right IFG pars triangularis in relation to right frontal eye fields and right angular gyrus (frontoparietal); and (iv) right nucleus accumbens in relation to right orbital frontal cortex and right insula (reward).
    CONCLUSIONS: Resting state functional connectivity in the frontoparietal, salience, and reward networks predicts the response to a brief intervention in individuals with AUD and could reflect greater receptivity or motivation for behavior change.
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  • 文章类型: Journal Article
    α7烟碱乙酰胆碱受体(α7nAChR)激动剂已被开发用于治疗精神分裂症,但由于快速脱敏而在临床试验中失败。GAT107是α7nAChR的2型变构激动剂阳性变构调节剂(ago-PAM),旨在激活α7nAChR,同时减少脱敏。我们假设GAT107会改变与认知相关的丘脑皮质神经回路的活性,情感,和感官知觉。
    本研究使用药理学磁共振成像(phMRI)来评估GAT107对清醒雄性大鼠脑活动的剂量依赖性作用。在35分钟的扫描过程中,向大鼠提供媒介物或三种不同剂量的GAT107(1、3和10mg/kg)之一。使用具有173个脑区域的大鼠3DMRI图谱评估和分析BOLD信号和静息状态功能连通性的变化。
    GAT107呈现倒U剂量反应曲线,其中3mg/kg剂量对激活的阳性BOLD体积具有最大影响。初级体感皮层,前额叶皮质,丘脑,和基底神经节,与媒介物相比,特别是与中脑多巴胺能系统传出连接的区域被激活。海马体,下丘脑,杏仁核,脑干,小脑几乎没有激活。在用GAT107处理后45分钟,获得静息状态功能连通性的数据,并且显示与载体相比,连通性总体降低。
    GAT107激活了参与认知控制的特定大脑区域,动机,和使用BOLD激发成像协议的感官知觉。然而,当分析静息状态功能连通性时,所有大脑区域的连通性普遍下降。
    UNASSIGNED: Alpha 7 nicotinic acetylcholine receptor (α7nAChR) agonists have been developed to treat schizophrenia but failed in clinical trials due to rapid desensitization. GAT107, a type 2 allosteric agonist-positive allosteric modulator (ago-PAM) to the α7 nAChR was designed to activate the α7 nAChR while reducing desensitization. We hypothesized GAT107 would alter the activity of thalamocortical neural circuitry associated with cognition, emotion, and sensory perception.
    UNASSIGNED: The present study used pharmacological magnetic resonance imaging (phMRI) to evaluate the dose-dependent effect of GAT107 on brain activity in awake male rats. Rats were given a vehicle or one of three different doses of GAT107 (1, 3, and 10 mg/kg) during a 35 min scanning session. Changes in BOLD signal and resting state functional connectivity were evaluated and analyzed using a rat 3D MRI atlas with 173 brain areas.
    UNASSIGNED: GAT107 presented with an inverted-U dose response curve with the 3 mg/kg dose having the greatest effect on the positive BOLD volume of activation. The primary somatosensory cortex, prefrontal cortex, thalamus, and basal ganglia, particularly areas with efferent connections from the midbrain dopaminergic system were activated as compared to vehicle. The hippocampus, hypothalamus, amygdala, brainstem, and cerebellum showed little activation. Forty-five min post treatment with GAT107, data for resting state functional connectivity were acquired and showed a global decrease in connectivity as compared to vehicle.
    UNASSIGNED: GAT107 activated specific brain regions involved in cognitive control, motivation, and sensory perception using a BOLD provocation imaging protocol. However, when analyzed for resting state functional connectivity there was an inexplicable, general decrease in connectivity across all brain areas.
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  • 文章类型: Journal Article
    背景:这项研究检查了人类免疫缺陷病毒(HIV)对HIV感染者(PWH)和无HIV健康对照者(PWoH)的静息状态功能连接(RSFC)的影响。在PWH中,分析的重点是病毒抑制和认知障碍对RSFC的影响。
    方法:在一个机构共扫描了316例稳定联合抗逆转录病毒疗法的PWH和209例人口统计学上匹配的PWoH。通过按可检测(病毒载量>20拷贝/mL;VLD)和不可检测(VLU)病毒载量以及认知受损(CI)(全球缺陷评分≥0.5)或认知正常(CN)对PWH进行分组来检查病毒的影响。回归分析,面向对象的数据分析,和弹簧嵌入图模型被应用于包含13个大脑网络的298个已建立的大脑感兴趣区域的RSFC测量,以检查组差异。
    结果:在PWH和PWoH之间没有观察到显著的RSFC差异。在PWH内,VLD和VLU亚组与CI和CN亚组之间的RSFC没有显着差异。
    结论:在我们相对较大的PWH和PWoH队列中,HIV对RSFC没有显著影响。未来的研究可以增加样本量,并与其他成像方式相结合。
    This study examined the effects of human immunodeficiency virus (HIV) on resting state functional connectivity (RSFC) in a large cohort of people with HIV (PWH) and healthy controls without HIV (PWoH). Within PWH analyses focused on the effects of viral suppression and cognitive impairment on RSFC.
    A total of 316 PWH on stable combination antiretroviral therapy and 209 demographically matched PWoH were scanned at a single institution. Effects of the virus were examined by grouping PWH by detectable (viral load > 20 copies/mL; VLD) and undetectable (VLU) viral loads and as being cognitively impaired (CI) (Global Deficit Score ≥ 0.5) or cognitively normal (CN). Regression analysis, object oriented data analysis, and spring embedded graph models were applied to RSFC measures from 298 established brain regions of interest comprising 13 brain networks to examine group differences.
    No significant RSFC differences were observed between PWH and PWoH. Within PWH, there were no significant differences in RSFC between VLD and VLU subgroups and CI and CN subgroups.
    There were no significant effects of HIV on RSFC in our relatively large cohort of PWH and PWoH. Future studies could increase the sample size and combine with other imaging modalities.
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  • 文章类型: Journal Article
    越来越多的神经影像学研究揭示了网络成瘾(IA)受试者的大脑结构和功能异常改变,然而,结论相互矛盾。我们计划对基于体素的形态计量学(VBM)和静息状态功能连通性(rsFC)的研究进行系统评价和荟萃分析,得出一个综合结论,并指出该领域的未来方向。将在PubMed中对IA的rsFC和VBM研究进行全面搜索,科克伦图书馆,和WebofScience数据库检索从开始日期到2021年8月发表的研究。如果提取的数据是可行的,激活似然估计和基于种子的d作图方法将用于荟萃分析IA患者的脑结构和功能变化。这项研究有望就IA对人脑的影响得出一个统一的结论,或指出该领域的未来发展方向。
    A growing number of neuroimaging studies have revealed abnormal brain structural and functional alterations in subjects with internet addiction (IA), however, with conflicting conclusions. We plan to conduct a systematic review and meta-analysis on the studies of voxelbased morphometry (VBM) and resting-state functional connectivity (rsFC), to reach a consolidated conclusion and point out the future direction in this field. A comprehensive search of rsFC and VBM studies of IA will be conducted in the PubMed, Cochrane Library, and Web of Science databases to retrieve studies published from the inception dates to August 2021. If the extracted data are feasible, activation likelihood estimation and seed-based d mapping methods will be used to meta-analyze the brain structural and functional changes in IA patients. This study will hopefully reach a consolidated conclusion on the impact of IA on human brain or point out the future direction in this field.
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  • 文章类型: Randomized Controlled Trial
    背景:晚期抑郁症(LLD)中的执行功能缺陷(EFD)与不良预后相关。认知控制网络(CCN)的功能障碍已被认为是具有EFD的LLD的病理生理学。
    方法:17名患有抑郁症和EFD的老年人随机接受iTBS或假手术,为期6周。使用公认的连接目标进行双边干预。
    结果:共有89%(17/19)的参与者完成了所有研究程序。无严重不良事件发生。干预前后蒙哥马利-阿斯伯格抑郁平均评分的变化在iTBS或假手术之间没有差异,p=0.33。Montgomery-Asberg抑郁量表评分(F3,44=0.51;p=0.67)没有发现明显的分组时间相互作用。两组的时间对执行措施的影响没有显着差异:Flanker评分(F1,14=0.02,p=0.88),维度变化卡片分类得分F1,14=0.25,p=0.63,工作记忆得分(F1,14=0.98,p=0.34)。Fronto顶叶网络内功能连接(FC)的分组时间相互作用效应不显着(F1,14=0.36,p=0.56)。在Cingulo-opulcular-network中,两组之间的时间效应没有显着差异(F1,14=0,p=0.98)。
    结论:双侧iTBS在LLD中是可行的。初步结果不支持抑郁症的疗效,CCN的执行功能或目标参与。未来的随机临床试验需要更大的样本量,对认知和执行变量进行分层,并细化目标参与度。
    Executive function deficits (EFD) in late life depression (LLD) are associated with poor outcomes. Dysfunction of the cognitive control network (CCN) has been posited in the pathophysiology of LLD with EFD.
    Seventeen older adults with depression and EFD were randomized to iTBS or sham for 6 weeks. Intervention was delivered bilaterally using a recognized connectivity target.
    A total of 89% (17/19) participants completed all study procedures. No serious adverse events occurred. Pre to post-intervention change in mean Montgomery-Asberg-depression scores was not different between iTBS or sham, p = 0.33. No significant group-by-time interaction for Montgomery-Asberg Depression rating scale scores (F 3, 44  = 0.51; p = 0.67) was found. No significant differences were seen in the effects of time between the two groups on executive measures: Flanker scores (F 1, 14  = 0.02, p = 0.88), Dimensional-change-card-sort scores F 1, 14  = 0.25, p = 0.63, and working memory scores (F 1, 14  = 0.98, p = 0.34). The Group-by-time interaction effect for functional connectivity (FC) within the Fronto-parietal-network was not significant (F 1, 14  = 0.36, p = 0.56). No significant difference in the effect-of-time between the two groups was found on FC within the Cingulo-opercular-network (F 1, 14  = 0, p = 0.98).
    Bilateral iTBS is feasible in LLD. Preliminary results are unsupportive of efficacy on depression, executive function or target engagement of the CCN. A future Randomized clinical trial requires a larger sample size with stratification of cognitive and executive variables and refinement in the target engagement.
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  • 文章类型: Journal Article
    大脑皮层的静息态次流振荡(ISO)反映了人脑的神经生理状态。ISO结果来自不同的血管收缩与内源性(E),神经源性(N),和肌源性(M)频带。在静息人脑的皮质血液动力学和代谢中,前额叶ISO的定量可能有助于识别某些脑部疾病特有的客观特征。这项研究的目的是探索和量化氧合血红蛋白(Δ[HbO])和氧化还原状态细胞色素c氧化酶(Δ[CCO])的皮质浓度变化的前额叶ISO,作为所有3个E/N/M波段的血液动力学和代谢活性指标。两通道宽带近红外光谱(2-bbNIRS)可以每周一次在休息状态下对26名健康年轻参与者的额头进行测量,持续5周。在量化每个E/N/M波段的ISO光谱振幅(SA)和相干性后,获得了几个关键和统计上可靠的指标作为特征:(I)在所有E/N/M波段的Δ[HbO]的SA,(ii)M波段中Δ[CCO]的SA,(iii)E和N波段的血流动力学和代谢的双侧连通性,和(iv)每个E和M条带中的单侧血液动力学-代谢耦合。这些特征具有被开发为未来临床应用的客观生物标志物的有希望的潜力。
    The resting-state infraslow oscillation (ISO) of the cerebral cortex reflects the neurophysiological state of the human brain. ISO results from distinct vasomotion with endogenic (E), neurogenic (N), and myogenic (M) frequency bands. Quantification of prefrontal ISO in cortical hemodynamics and metabolism in the resting human brain may facilitate the identification of objective features that are characteristic of certain brain disorders. The goal of this study was to explore and quantify the prefrontal ISO of the cortical concentration changes of oxygenated hemoglobin (Δ[HbO]) and redox-state cytochrome c oxidase (Δ[CCO]) as hemodynamic and metabolic activity metrics in all 3 E/N/M bands. Two-channel broadband near-infrared spectroscopy (2-bbNIRS) enabled measurements of the forehead of 26 healthy young participants in a resting state once a week for 5 weeks. After quantifying the ISO spectral amplitude (SA) and coherence at each E/N/M band, several key and statistically reliable metrics were obtained as features: (i) SA of Δ[HbO] at all E/N/M bands, (ii) SA of Δ[CCO] in the M band, (iii) bilateral connectivity of hemodynamics and metabolism across the E and N bands, and (iv) unilateral hemodynamic-metabolic coupling in each of the E and M bands. These features have promising potential to be developed as objective biomarkers for clinical applications in the future.
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  • 文章类型: Journal Article
    建立测试-重测可靠性和可重复性(TRR)是验证任何研究工具的重要组成部分,包括功能磁共振成像(fMRI)。这项研究的主要目的是调查在健康成年人样本中通过两个不同扫描仪获得的伪连续动脉自旋标记(pCASL)和血氧水平相关(BOLD)fMRI数据的可靠性。虽然单站点/单扫描仪研究显示了可接受的可重复性,在全国各地分布的两个设施中进行的实际多站点研究中,非常需要两次扫描之间数周到数月的TRR。
    10名受试者在匹兹堡大学和马萨诸塞州总医院用类似的3TMRI扫描仪成像。获取了两种技术的手指轻敲和静息状态数据。使用功能连接工具箱对功能连接的静息状态数据进行分析,而手指点击数据的分析是用FSL完成的。pCASL使用AST工具箱生成血流数据。通过预定义的图集和双重回归技术确定激活的区域和网络。通过比较pCASL和BOLD图像的组内相关系数来分析TRR,骰子相似系数,和重复测量方差分析。
    BOLD和pCASL扫描都显示了手指敲击任务的两个位置之间的强烈激活和相关性。功能连通性分析在两个位置的所有静止扫描中识别了默认模式网络的元素。多变量重复测量方差分析显示受试者之间存在显著差异,但位置没有显著的可变性。两个扫描位置之间的全球CBF非常相似,重复测量方差分析显示两个扫描位置之间没有显着差异。
    这项研究的结果表明,当相似的扫描仪硬件和软件与相同的数据分析协议耦合时,一致和可重复的功能性脑图像可以跨站点获取。pCASL与BOLD图像相比,激活图中的变异性更大,正如预期的那样,然而,尽管受试者数量较少,但组图却非常相似。这表明基于任务和静息状态的大脑活动的多部位fMRI研究是可行的。
    The establishment of test-retest reliability and reproducibility (TRR) is an important part of validating any research tool, including functional magnetic resonance imaging (fMRI). The primary objective of this study is to investigate the reliability of pseudo-Continuous Arterial Spin Labeling (pCASL) and Blood Oxygen Level Dependent (BOLD) fMRI data acquired across two different scanners in a sample of healthy adults. While single site/single scanner studies have shown acceptable repeatability, TRR of both in a practical multisite study occurring in two facilities spread out across the country with weeks to months between scans is critically needed.
    Ten subjects were imaged with similar 3 T MRI scanners at the University of Pittsburgh and Massachusetts General Hospital. Finger-tapping and Resting-state data were acquired for both techniques. Analysis of the resting state data for functional connectivity was performed with the Functional Connectivity Toolbox, while analysis of the finger tapping data was accomplished with FSL. pCASL Blood flow data was generated using AST Toolbox. Activated areas and networks were identified via pre-defined atlases and dual-regression techniques. Analysis for TRR was conducted by comparing pCASL and BOLD images in terms of Intraclass correlation coefficients, Dice Similarity Coefficients, and repeated measures ANOVA.
    Both BOLD and pCASL scans showed strong activation and correlation between the two locations for the finger tapping tasks. Functional connectivity analyses identified elements of the default mode network in all resting scans at both locations. Multivariate repeated measures ANOVA showed significant variability between subjects, but no significant variability for location. Global CBF was very similar between the two scanning locations, and repeated measures ANOVA showed no significant differences between the two scanning locations.
    The results of this study show that when similar scanner hardware and software is coupled with identical data analysis protocols, consistent and reproducible functional brain images can be acquired across sites. The variability seen in the activation maps is greater for pCASL versus BOLD images, as expected, however groups maps are remarkably similar despite the low number of subjects. This demonstrates that multi-site fMRI studies of task-based and resting state brain activity is feasible.
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  • 文章类型: Journal Article
    作为标准神经外科的新的非侵入性替代方案,用于震颤的丘脑腹侧中间核(Vim)的磁共振引导高强度聚焦超声(MRgFUS)越来越引起人们的兴趣。MRgFUS的静息状态功能连接(rs-FC)相关性尚未得到广泛研究。对15例接受MRgFUS治疗的帕金森病患者进行了关注区域(ROI)到ROIrs-FCMRI“连接组学”分析,重点是与震颤相关的大脑区域。我们测试了震颤相关区域之间的rs-FC是否在术后1和3个月被MRgFUS调节,以及这些变化是否与通过MDS-UPDRS-III亚项评估的个体临床结局相关。在双侧初级运动(M1)皮质中检测到FC显着增加,以及在双侧M1和交叉的原发性体感皮质之间,也在苍白球和未处理半球的齿状核之间。在两个大脑半球的壳核和两个小脑半球的LobeVI之间发现了疾病持续时间与3个月时FC增加之间的相关性,以及未经处理的小脑半球的叶VI与双侧补充运动区(SMA)之间。3个月时MDS-UPDRS的下降点值与FC治疗后下降相关,在前扣带回皮质和双侧SMA之间,以及处理过的小脑半球的肺叶VI和未处理的小脑的中间核之间。3个月时震颤改善,表示为受试者内部MDS-UPDRS变化的百分比,双侧枕骨梭形回与交叉叶VI和VermisVI之间的FC降低相关。良好反应者(≥基线震颤改善的50%)显示双侧SMA之间的FC降低,在未经治疗的小脑的中间核和经治疗的小脑的LobeVI之间,以及未处理的SMA和对侧壳核之间。良好反应者的基线特征是双侧壳核和M1之间以及治疗半球的壳核和对侧SMA之间的交叉连通性不足。我们得出的结论是,MRgFUS可以有效地调节震颤网络内的脑FC。这些变化与临床结果相关。该网络各组成部分之间整合的转变模式是,因此,尽管PD具有慢性性质,但仍容易受到外部重定向的影响。
    Magnetic Resonance-guided high-intensity Focused Ultrasound (MRgFUS) of the thalamic ventral intermediate nucleus (Vim) for tremor has increasingly gained interest as a new non-invasive alternative to standard neurosurgery. Resting state functional connectivity (rs-FC) correlates of MRgFUS have not been extensively investigated yet. A region of interest (ROI)-to-ROI rs-FC MRI \"connectomic\" analysis focusing on brain regions relevant for tremor was conducted on 15 tremor-dominant patients with Parkinson\'s disease who underwent MRgFUS. We tested whether rs-FC between tremor-related areas was modulated by MRgFUS at 1 and 3 months post-operatively, and whether such changes correlated with individual clinical outcomes assessed by the MDS-UPDRS-III sub items for tremor. Significant increase in FC was detected within bilateral primary motor (M1) cortices, as well as between bilateral M1 and crossed primary somatosensory cortices, and also between pallidum and the dentate nucleus of the untreated hemisphere. Correlation between disease duration and FC increase at 3 months was found between the putamen of both cerebral hemispheres and the Lobe VI of both cerebellar hemispheres, as well as between the Lobe VI of untreated cerebellar hemisphere with bilateral supplementary motor area (SMA). Drop-points value of MDS-UPDRS at 3 months correlated with post-treatment decrease in FC, between the anterior cingulate cortex and bilateral SMA, as well as between the Lobe VI of treated cerebellar hemisphere and the interpositus nucleus of untreated cerebellum. Tremor improvement at 3 months, expressed as percentage of intra-subject MDS-UPDRS changes, correlated with FC decrease between bilateral occipital fusiform gyrus and crossed Lobe VI and Vermis VI. Good responders (≥50% of baseline tremor improvement) showed reduced FC between bilateral SMA, between the interpositus nucleus of untreated cerebellum and the Lobe VI of treated cerebellum, as well as between the untreated SMA and the contralateral putamen. Good responders were characterized at baseline by crossed hypoconnectivity between bilateral putamen and M1, as well as between the putamen of the treated hemisphere and the contralateral SMA. We conclude that MRgFUS can effectively modulate brain FC within the tremor network. Such changes are associated with clinical outcome. The shifting mode of integration among the constituents of this network is, therefore, susceptible to external redirection despite the chronic nature of PD.
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