Resting-state fMRI

静息状态 fMRI
  • 文章类型: Journal Article
    精神障碍通常与成人发作的孤立性肌张力障碍(AOID)有关;然而,AOID精神病异常的潜在机制尚不清楚.我们的目的是调查AOID焦虑症患者的结构和功能变化,并确定诊断焦虑症的成像生物标志物。对69例AOID患者和35例健康对照(HC)进行了结构和功能磁共振。汉密尔顿焦虑量表(HAMA)用于评估AOID患者的焦虑症状,并将患者分为有和无焦虑的AOID组。灰质体积的群体差异,低频波动幅度(ALFF),分数ALFF,并对区域同质性(ReHo)进行了评价。受试者工作特征曲线下面积(ROCAUC)用作鉴定用于诊断焦虑的成像生物标志物的度量。患有焦虑症的AOID患者左角回的ALFF和ReHo增加(ANG。L)与没有和HC的人相比(体素P<0.001和聚类P<0.05,使用GRF校正)。在ANG中,ALFF(r=0.627,P<0.001)和ReHo(r=0.515,P<0.001)之间观察到显着正相关。AOID患者的L和HAMA评分。ALFF和ReHo在ANG。L的ROCAUC分别为0.904和0.851,在区分有焦虑的AOID患者与无焦虑的患者以及ROCAUC分别为0.887和0.853时,在区分AOID患者焦虑和HCs方面。这些发现为精神障碍的病理生理学提供了新的见解,并突出了用于识别AOID患者焦虑的潜在候选生物标志物。
    Psychiatric disturbances are commonly associated with adult-onset isolated dystonia (AOID); however, the mechanisms underlying psychiatric abnormalities in AOID remain unknown. We aimed to investigate the structural and functional brain changes in AOID patients with anxiety, and identify imaging biomarkers for diagnosing anxiety. Structural and functional magnetic resonance was performed on 69 AOID patients and 35 healthy controls (HCs). The Hamilton Anxiety Scale (HAMA) was used to assess anxiety symptoms in AOID patients and assign patients to AOID with and without anxiety groups. Group differences in grey matter volume, amplitude of low-frequency fluctuations (ALFF), fractional ALFF, and regional homogeneity (ReHo) were evaluated. Area under the receiver operating characteristic curve (ROC AUC) was used as a metric to identify imaging biomarkers for diagnosing anxiety. AOID patients with anxiety exhibited an increased ALFF and ReHo in the left angular gyrus (ANG.L) compared with those without and HCs (voxel P<0.001 and cluster P<0.05, corrected using GRF). A significant positive correlation was observed between ALFF (r = 0.627, P<0.001) and ReHo (r = 0.515, P<0.001) in the ANG.L and HAMA scores in AOID patients. ALFF and ReHo in the ANG.L exhibited an ROC AUC of 0.904 and 0.851, respectively, in distinguishing AOID patients with anxiety from those without and an ROC AUC of 0.887 and 0.853, respectively, in distinguishing AOID patients with anxiety from HCs. These findings provide new insights into the pathophysiology of psychiatric disturbances and highlight potential candidate biomarkers for identifying anxiety in AOID patients.
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  • 文章类型: Journal Article
    功能磁共振成像(fMRI)已成为研究大脑功能的基本工具。然而,功能磁共振成像数据中序列相关性的存在使数据分析变得复杂,违反了分析方法的统计假设,并可能导致功能磁共振成像研究中的错误结论。
    在本文中,我们表明,为具有较长重复时间(TR)(>2s)的数据设计的常规白化程序不足以增加短TRfMRI数据的使用。此外,我们全面研究了现有白化方法的缺点,并引入了一种名为“IDAR”(迭代数据自适应自回归模型)的迭代白化方法来解决这些缺点。IDAR采用具有灵活和数据驱动顺序的高阶自回归(AR)模型,提供在短TR和长TRfMRI数据集中建模复杂序列相关结构的能力。
    常规美白方法,如AR(1),ARMA(1,1),和高阶AR,在减少长TR数据中的序列相关性方面是有效的,但在减少短TR数据中的序列相关性方面在很大程度上是无效的。相比之下,IDAR在解决序列相关性方面明显优于传统方法,电源,长TR和特别是短TR数据的I型错误。然而,IDAR不能同时有效地解决残差相关性和膨胀的I型误差。
    这项研究强调了迫切需要解决短TR(<1s)功能磁共振成像数据中的序列相关问题,越来越多地用于该领域。尽管IDAR可以为广泛的应用程序和数据集解决这个问题,短TR数据的复杂性需要继续探索和创新方法。这些努力对于同时减少串行相关性和控制I型错误率而不损害分析能力至关重要。
    UNASSIGNED: Functional magnetic resonance imaging (fMRI) has become a fundamental tool for studying brain function. However, the presence of serial correlations in fMRI data complicates data analysis, violates the statistical assumptions of analyses methods, and can lead to incorrect conclusions in fMRI studies.
    UNASSIGNED: In this paper, we show that conventional whitening procedures designed for data with longer repetition times (TRs) (>2 s) are inadequate for the increasing use of short-TR fMRI data. Furthermore, we comprehensively investigate the shortcomings of existing whitening methods and introduce an iterative whitening approach named \"IDAR\" (Iterative Data-adaptive Autoregressive model) to address these shortcomings. IDAR employs high-order autoregressive (AR) models with flexible and data-driven orders, offering the capability to model complex serial correlation structures in both short-TR and long-TR fMRI datasets.
    UNASSIGNED: Conventional whitening methods, such as AR(1), ARMA(1,1), and higher-order AR, were effective in reducing serial correlation in long-TR data but were largely ineffective in even reducing serial correlation in short-TR data. In contrast, IDAR significantly outperformed conventional methods in addressing serial correlation, power, and Type-I error for both long-TR and especially short-TR data. However, IDAR could not simultaneously address residual correlations and inflated Type-I error effectively.
    UNASSIGNED: This study highlights the urgent need to address the problem of serial correlation in short-TR (< 1 s) fMRI data, which are increasingly used in the field. Although IDAR can address this issue for a wide range of applications and datasets, the complexity of short-TR data necessitates continued exploration and innovative approaches. These efforts are essential to simultaneously reduce serial correlations and control Type-I error rates without compromising analytical power.
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  • 文章类型: Journal Article
    尽管大脑皮层有等级组织的证据,在相对的两端有感觉运动和联想区域,这种分层相互作用的机制仍然难以捉摸。该组织主要针对内在连接网络(ICN)的时空动力学进行了研究。然而,需要更多的努力来研究频域中的网络动态。我们旨在通过图形度量检查频域中大脑区域的整合作用。在休息期间,在BOLD信号的三个频带(0.011-0.038、0.043-0.071和0.076-0.103Hz)中执行基于相位的连通性估计。我们将模块化分析应用于连通性矩阵,并研究了这些领域,我们称之为一体化区域,这显示了频域的灵活性。综合区域,主要属于注意力网络,在低频段与高阶认知ICNs紧密相连,但在高频段与感觉运动ICNs紧密相连。我们使用基于置换的t检验进行多元线性回归,比较了综合区域和核心区域的归一化参与系数(Pnorm)值与高阶认知的关系。整合区域的回归参数与执行功能中的三个认知得分有关,突出腹侧注意网络的工作记忆明显大于核心区域(Pfdr<0.05)。在背侧注意网络中,与智力得分相关的综合区域参数明显大于核心区域参数(Pfdr<0.05)。与这些灵活的包裹相关的神经心理学测试分数的较大参数进一步表明了它们在行为中处于中等水平的重要作用。结果强调了大脑网络频带分析的重要性。
    Despite converging evidence of hierarchical organization in the cerebral cortex, with sensory-motor and association regions at opposite ends, the mechanism of such hierarchical interactions remains elusive. This organization was primarily investigated regarding the spatiotemporal dynamics of intrinsic connectivity networks (ICNs). However, more effort is needed to investigate network dynamics in the frequency domain. We aimed to examine the integrative role of brain regions in the frequency domain with graph metrics. Phase-based connectivity estimation was performed in three frequency bands (0.011-0.038, 0.043-0.071, and 0.076-0.103 Hz) in the BOLD signal during rest. We applied modularity analysis to connectivity matrices and investigated those areas, which we called integrative regions, that showed frequency-domain flexibility. Integrative regions, mostly belonging to attention networks, were densely connected to higher-order cognitive ICNs in lower frequency bands but to sensory-motor ICNs in higher frequency bands. We compared the normalized participation coefficient (Pnorm) values of integrative and core regions with respect to their relation to higher-order cognition using a permutation-based t-test for multiple linear regression. Regression parameters of integrative regions in relation to three cognitive scores in executive functions, and working memory were significantly larger than those of core regions (Pfdr < 0.05) for salience ventral attention network. Parameters of integrative regions in relation to intelligence scores were significantly larger than those with core regions (Pfdr < 0.05) in dorsal attention network. Larger parameters of neuropsychological test scores in relation to these flexible parcels further indicate their essential role at an intermediate level in behavior. Results emphasize the importance of frequency-band analysis of brain networks.
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  • 文章类型: Journal Article
    甚至在功能磁共振成像出现之前,杏仁核占据了情感神经科学的中心空间。然而,在20世纪90年代初功能磁共振成像开始后,这种以杏仁核为中心的情绪处理观点得到了更广泛的接受,这是一个里程碑,引发了针对体内杏仁核的功能磁共振成像研究的高潮。最初,这项杏仁核fMRI研究主要局限于任务激活研究,测量杏仁核对情绪刺激的反应程度.稍后,兴趣开始更多地转向杏仁核的静息状态功能连接和基于任务的心理生理相互作用的研究。后来,杏仁核功能磁共振成像的重测可靠性受到了更严格的审查,同时,基于杏仁核的实时fMRI神经反馈得到了广泛的普及。杏仁核fMRI研究的这些主要子领域中的每一个都在情感神经科学领域留下了印记。这篇综述的目的是对这篇文献进行批判性评估。通过整合这些研究部门获得的见解,我们的目的是回答这个问题:杏仁核功能磁共振成像在当前的情感神经科学领域中还能发挥什么作用?我们的发现表明,关于杏仁核功能磁共振成像的可靠性和有效性都可以提出严重的问题。这些结论迫使我们怀疑杏仁核fMRI作为情感神经科学的核心支柱的持续生存能力。
    Even before the advent of fMRI, the amygdala occupied a central space in the affective neurosciences. Yet this amygdala-centred view on emotion processing gained even wider acceptance after the inception of fMRI in the early 1990s, a landmark that triggered a goldrush of fMRI studies targeting the amygdala in vivo. Initially, this amygdala fMRI research was mostly confined to task-activation studies measuring the magnitude of the amygdala\'s response to emotional stimuli. Later, interest began to shift more towards the study of the amygdala\'s resting-state functional connectivity and task-based psychophysiological interactions. Later still, the test-retest reliability of amygdala fMRI came under closer scrutiny, while at the same time, amygdala-based real-time fMRI neurofeedback gained widespread popularity. Each of these major subdomains of amygdala fMRI research has left its marks on the field of affective neuroscience at large. The purpose of this review is to provide a critical assessment of this literature. By integrating the insights garnered by these research branches, we aim to answer the question: What part (if any) can amygdala fMRI still play within the current landscape of affective neuroscience? Our findings show that serious questions can be raised with regard to both the reliability and validity of amygdala fMRI. These conclusions force us to cast doubt on the continued viability of amygdala fMRI as a core pilar of the affective neurosciences.
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  • 文章类型: Journal Article
    患有注意力缺陷/多动障碍(ADHD)的儿童多动症会导致躁动和冲动控制障碍。然而,ADHD症状与脑区相互作用之间的关系尚不清楚.我们专注于动态因果模型,以研究完全连接网络中的有效连接,该网络由默认模式网络(DMN)的四个区域(与响应控制行为相关)和其他四个区域组成,这些区域先前报告过由于ADHD引起的结构改变。然后,通过参数经验贝叶斯分析,最重要的联系,与协变量ADHD/对照的相关性最高,年龄,性别被提取出来。我们的结果表明,ADHD与右小脑和三个DMN节点之间的有效连接(内在抑制连接)之间呈正相关。因此,有效连接的增加会导致从右侧小脑到DMN的更多抑制作用,从而减少这种网络激活。较低的DMN活动使离开静息状态更容易,这可能与不安症状有关。此外,我们的结果表明年龄与这些联系呈负相关.我们发现,ADHD和对照组在7-11岁年龄段的平均有效连通性之间的差异在14岁后消失了。因此,衰老倾向于缓解ADHD特异性症状。
    Hyperactivity in children with attention-deficit/hyperactivity disorder (ADHD) leads to restlessness and impulse-control impairments. Nevertheless, the relation between ADHD symptoms and brain regions interactions remains unclear. We focused on dynamic causal modeling to study the effective connectivity in a fully connected network comprised of four regions of the default mode network (DMN) (linked to response control behaviors) and four other regions with previously-reported structural alterations due to ADHD. Then, via the parametric empirical Bayes analysis, the most significant connections, with the highest correlation to the covariates ADHD/control, age, and sex were extracted. Our results demonstrated a positive correlation between ADHD and effective connectivity between the right cerebellum and three DMN nodes (intrinsically inhibitory connections). Therefore, an increase in the effective connectivity leads to more inhibition imposition from the right cerebellum to DMN that reduces this network activation. The lower DMN activity makes leaving the resting-state easier, which may be involved in the restlessness symptom. Furthermore, our results indicated a negative correlation between age and these connections. We showed that the difference between the average of effective connectivities of ADHD and control groups in the age-range of 7-11 years disappeared after 14 years-old. Therefore, aging tends to alleviate ADHD-specific symptoms.
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  • 文章类型: Journal Article
    背景:内囊中风通常会导致跨记忆的多领域认知障碍,注意,和执行功能,通常是由于大脑网络连接中断。我们的研究通过分析三重网络模型中的相互作用来检查这些损伤,注重静态和动态两个方面。
    方法:我们收集了62例左(CI_L)和56例右(CI_R)内囊卒中患者的静息状态fMRI数据,以及57名健康对照(HC)。使用独立分量分析提取默认模式(DMN),执行控制(ECN),和显著性网络(SAN),我们进行了静态和动态功能网络连接分析(DFNC),以确定卒中患者和对照组之间的差异.对于DFNC,我们使用k均值聚类来关注时间属性和多层网络分析来检查集成和模块化Q,其中集成代表网络之间的动态交互,模块化Q衡量了网络被划分为不同模块的程度。然后,我们计算了具有显着组间差异的SFNC/DFNC属性与认知量表之间的相关性。
    结果:与HC相比,CI_L和CI_R患者均显示SAN和DMN之间的静态FC增加,ECN和其他网络之间的动态相互作用减少。CI_R患者还在SAN和ECN之间增加了静态FC,并且在三重网络模型中的所有网络中保持了具有强阳性FNC的状态。此外,CI_R患者显示模块化Q降低。
    结论:这些发现突出表明,中风可导致三重网络模型中静态和动态相互作用的破坏,帮助我们了解内囊中风后多领域认知缺陷的神经病理学基础。
    BACKGROUND: Internal capsule strokes often result in multidomain cognitive impairments across memory, attention, and executive function, typically due to disruptions in brain network connectivity. Our study examines these impairments by analyzing interactions within the triple-network model, focusing on both static and dynamic aspects.
    METHODS: We collected resting-state fMRI data from 62 left (CI_L) and 56 right (CI_R) internal capsule stroke patients, along with 57 healthy controls (HC). Using independent component analysis to extract the default mode (DMN), executive control (ECN), and salience networks (SAN), we conducted static and dynamic functional network connectivity analyses (DFNC) to identify differences between stroke patients and controls. For DFNC, we used k-means clustering to focus on temporal properties and multilayer network analysis to examine integration and modularity Q, where integration represents dynamic interactions between networks, and modularity Q measures how well the network is divided into distinct modules. We then calculated the correlations between SFNC/DFNC properties with significant inter-group differences and cognitive scales.
    RESULTS: Compared to HC, both CI_L and CI_R patients showed increased static FCs between SAN and DMN and decreased dynamic interactions between ECN and other networks. CI_R patients also had heightened static FCs between SAN and ECN and maintained a state with strongly positive FNCs across all networks in the triple-network model. Additionally, CI_R patients displayed decreased modularity Q.
    CONCLUSIONS: These findings highlight that stroke can result in the disruption of static and dynamic interactions in the triple network model, aiding our understanding of the neuropathological basis for multidomain cognitive deficits after internal capsule stroke.
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  • 文章类型: Journal Article
    库欣病(CD)代表皮质醇过量的状态,作为研究长期皮质醇增多对功能性大脑影响的模型。大脑功能连接体的潜在改变可以解释CD患者中经常报告的认知缺陷和情感障碍。本研究旨在阐明慢性皮质醇增多症对主要功能梯度的影响,它代表了一个跨越认知过程的逐步过渡的分层结构,通过整合连接组学和转录组学方法。利用140名参与者的静息态功能磁共振成像数据(86名CD患者,54名健康对照)在单个中心招募,我们探讨了CD患者主梯度的改变.Further,我们彻底探索了观察到的特征性改变与认知功能域的潜在关联机制,生物属性,和神经精神病学表征,以及基因表达谱。与健康对照相比,CD患者表现出主要和高阶网络中连接体模式的变化,沿着主梯度轴呈现总体收敛趋势。CD患者右前额叶皮质和双侧感觉运动皮质的梯度值与皮质醇水平显着相关。此外,显示梯度改变的皮质区域主要与感觉信息处理和高级认知功能有关,以及与涉及突触成分和功能的基因表达模式相关。研究结果表明,CD患者主梯度的趋同改变可能介导皮质醇增多症与认知障碍之间的关系,可能涉及调节突触成分和功能的基因。
    Cushing\'s disease (CD) represents a state of cortisol excess, serving as a model to investigate the effects of prolonged hypercortisolism on functional brain. Potential alterations in the functional connectome of the brain may explain frequently reported cognitive deficits and affective disorders in CD patients. This study aims to elucidate the effects of chronic hypercortisolism on the principal functional gradient, which represents a hierarchical architecture with gradual transitions across cognitive processes, by integrating connectomics and transcriptomics approaches. Utilizing resting-state functional magnetic resonance imaging data from 140 participants (86 CD patients, 54 healthy controls) recruited at a single center, we explored the alterations in the principal gradient in CD patients. Further, we thoroughly explored the underlying associative mechanisms of the observed characteristic alterations with cognitive function domains, biological attributes, and neuropsychiatric representations, as well as gene expression profiles. Compared to healthy controls, CD patients demonstrated changes in connectome patterns in both primary and higher-order networks, exhibiting an overall converged trend along the principal gradient axis. The gradient values in CD patients\' right prefrontal cortex and bilateral sensorimotor cortices exhibited a significant correlation with cortisol levels. Moreover, the cortical regions showing gradient alterations were principally associated with sensory information processing and higher-cognitive functions, as well as correlated with the gene expression patterns which involved synaptic components and function. The findings suggest that converged alterations in the principal gradient in CD patients may mediate the relationship between hypercortisolism and cognitive impairments, potentially involving genes regulating synaptic components and function.
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  • 文章类型: Journal Article
    额叶的功能组织是争论的源头,专注于广泛的功能细分,大规模网络,或当地精致的具体情况。多种神经认知模型试图解释扣带和外侧额叶区域之间的功能相互作用如何有助于决策和认知控制。但其神经解剖学基础仍不清楚.我们使用恒河猴的静息状态功能MRI详细描述扣带和外侧额叶区域之间的功能连接。分析的重点是扣带回沟的延髓部分与额叶外侧皮质的功能连通性。数据驱动和基于种子的分析显示,扣带沟内有三个簇,这些簇沿着头尾轴组织:前,mid,和后部集群显示增加的功能连通性,分别,前外侧前额区,面眼外侧额叶运动皮质区,和手外侧额叶运动皮层。可以基于形态标志在个体受试者中预测这些聚类的位置。这些结果表明,前簇对应于前扣带皮质,而后部簇对应于前中扣带皮质内的面眼和手扣带运动区域。这些数据提供了一个全面的框架,可以根据功能连通性和本地组织来识别扣带回子区域。
    The functional organization of the frontal lobe is a source of debate, focusing on broad functional subdivisions, large-scale networks, or local refined specificities. Multiple neurocognitive models have tried to explain how functional interactions between cingulate and lateral frontal regions contribute to decision making and cognitive control, but their neuroanatomical bases remain unclear. We provide a detailed description of the functional connectivity between cingulate and lateral frontal regions using resting-state functional MRI in rhesus macaques. The analysis focuses on the functional connectivity of the rostral part of the cingulate sulcus with the lateral frontal cortex. Data-driven and seed-based analysis revealed three clusters within the cingulate sulcus organized along the rostro-caudal axis: the anterior, mid, and posterior clusters display increased functional connectivity with, respectively, the anterior lateral prefrontal regions, face-eye lateral frontal motor cortical areas, and hand lateral frontal motor cortex. The location of these clusters can be predicted in individual subjects based on morphological landmarks. These results suggest that the anterior cluster corresponds to the anterior cingulate cortex, whereas the posterior clusters correspond to the face-eye and hand cingulate motor areas within the anterior midcingulate cortex. These data provide a comprehensive framework to identify cingulate subregions based on functional connectivity and local organization.
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  • 文章类型: Journal Article
    背景:精神分裂症(SZ)患者的社会认知功能受损,导致功能不良。然而,SZ社会认知功能障碍的机制仍然知之甚少,这阻碍了新干预措施的设计,以改善结果。这个预先注册的项目(https://doi.org/10.17605/OSF。IO/JH5FC)检查了早期和慢性SZ大脑功能结构中社会认知的表现。
    方法:本研究包含两个部分:确认部分和探索性部分。在确认部分,我们确定了早期和慢性SZ中明显的静息状态连接中断。我们使用早期和慢性SZ中与社会认知功能障碍相关的区域进行了连通性分析,以测试在慢性SZ中观察到的异常连通性(N=47;HC=52)是否也存在于早期SZ中(N=71,HC=47)。在探索部分,我们评估了社会认知预测模型的样本外泛化性和精确性.我们使用机器学习来预测社会认知,并通过样本外测试和混淆控制建立了泛化性。
    结果:结果显示早期和慢性SZ左额下回和顶内沟之间的减少,这与慢性SZ的社会和一般认知以及整体功能以及早期SZ的一般认知和整体功能显着相关。预测模型揭示了样本外评估和混淆控制的重要性。
    结论:这项工作提供了对早期和慢性SZ功能结构的见解,并表明IFG-IPS连接可能是社会损害的预后生物标志物,也是未来干预措施(例如神经调节)的目标,专注于改善社会功能。
    BACKGROUND: Individuals with schizophrenia (SZ) experience impairments in social cognition that contribute to poor functional outcomes. However, mechanisms of social cognitive dysfunction in SZ remain poorly understood, which impedes the design of novel interventions to improve outcomes. This pre-registered project (https://doi.org/10.17605/OSF.IO/JH5FC) examines the representation of social cognition in the brain\'s functional architecture across early and chronic SZ.
    METHODS: The study contains two parts: a confirmatory and an exploratory portion. In the confirmatory portion, we identified resting-state connectivity disruptions evident in early and chronic SZ. We performed a connectivity analysis using regions associated with social cognitive dysfunction in early and chronic SZ to test whether aberrant connectivity observed in chronic SZ (N=47; HC=52) was also present in early SZ (N=71, HC=47). In the exploratory portion, we assessed the out-of-sample generalizability and precision of predictive models of social cognition. We used machine learning to predict social cognition and established generalizability with out-of-sample testing and confound control.
    RESULTS: Results reveal decreases between left inferior frontal gyrus and intraparietal sulcus in early and chronic SZ, which are significantly associated with social and general cognition and global functioning in chronic SZ and with general cognition and global functioning in early SZ. Predictive modeling reveals the importance of out-of-sample evaluation and confound control.
    CONCLUSIONS: This work provides insights into the functional architecture in early and chronic SZ and suggests that IFG-IPS connectivity could be a prognostic biomarker of social impairments and a target for future interventions (e.g. neuromodulation) focused on improved social functioning.
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  • 文章类型: Journal Article
    将近一半的肌萎缩侧索硬化症(ALS)患者表现出皮质脊髓束(CST)的高强度,然而,CST+和CST-患者的脑功能模式是否不同仍不清楚。在目前的研究中,19ALSCST+,41名ALSCST患者和37名健康对照(HC)接受了静息状态fMRI扫描。我们分别通过低频波动幅度(ALFF)和基于网络的统计(NBS)方法估计了本地活动和连通性模式。ALSCST+患者与CST-患者在肌萎缩侧索硬化功能评定量表(ALSFRS-R)评分和病程方面无差异。上额回(SFG)和下额回(OIFG)的ALFF在HC中最高,在ALSCST患者中最低,导致组间差异显著(PFWE<0.05)。NBS分析揭示了一个由SFG之间的连接组成的正面网络,OIFG,眶额回,中扣带皮质和基底神经节,表现为HC>ALSCST+>ALSCST-组差异(PFWE=0.037)。在ALSCST患者中,OIFG的ALFF与ALSFRS-R显着相关(R=0.34,P=0.028),额叶网络的平均连通性与疾病持续时间呈趋势显着相关(R=-0.31,P=0.052)。然而,这些相关性在ALSCST+患者中不显著(P值>0.8).总之,ALSCST患者在额叶皮层中表现出不同的基线功能活动和连通性模式,这可能表明功能代偿作用。
    Nearly half of the amyotrophic lateral sclerosis (ALS) patients showed hyperintensity of the corticospinal tract (CST+), yet whether brain functional pattern differs between CST+and CST- patients remains obscure. In the current study, 19 ALS CST+, 41 ALS CST- patients and 37 healthy controls (HC) underwent resting state fMRI scans. We estimated local activity and connectivity patterns via the Amplitude of Low Frequency Fluctuations (ALFF) and the Network-Based Statistic (NBS) approaches respectively. The ALS CST+patients did not differ from the CST- patients in amyotrophic lateral sclerosis functional rating scale revised (ALSFRS-R) score and disease duration. ALFF of the superior frontal gyrus (SFG) and the inferior frontal gyrus pars opercularis (OIFG) were highest in the HC and lowest in the ALS CST- patients, resulting in significant group differences (PFWE<0.05). NBS analysis revealed a frontal network consisting of connections between SFG, OIFG, orbital frontal gyrus, middle cingulate cortex and the basal ganglia, which exhibited HC>ALS CST+ > ALS CST- group differences (PFWE=0.037) as well. The ALFF of the OIFG was significantly correlated with ALSFRS-R (R=0.34, P=0.028) and mean connectivity of the frontal network was trend-wise significantly correlated with disease duration (R=-0.31, P=0.052) in the ALS CST- patients. However, these correlations were insignificant in ALS CST+patients (P values > 0.8). In conclusion, The ALS CST+patients exhibited different patterns of baseline functional activity and connectivity in the frontal cortex which may indicate a functional compensatory effect.
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