Brain function

脑功能
  • 文章类型: Journal Article
    随着大脑结构和功能在整个童年和青春期经历复杂的变化,年龄是神经影像学研究的关键考虑因素,特别是那些有神经发育状况的人。然而,尽管越来越多地使用大型,基于联盟的数据集,用于检查神经典型和神经分化人群的大脑结构和功能,目前尚不清楚与年龄相关的变化在数据集之间是否一致,以及与样本特征差异相关的不一致,如人口统计学和表型特征,存在。为了解决这个问题,我们在两个神经多样性数据集中建立了脑结构(区域皮质厚度和区域表面积;N=1218)和功能(静息状态功能连接强度;N=1254)的年龄相关变化模型:安大略省神经发育网络和健康脑网络。我们检查了这些模型的偏差在数据集之间是否不同,并探讨这些偏差是否与人口统计学和临床变量相关.我们发现两个数据集之间在测量整个大脑的皮质表面积和功能连接强度方面存在显着差异。对于皮质表面积的区域测量,差异的模式与种族/民族有关,而对于功能连接强度,观察到与头部运动呈正相关.我们的发现强调,大脑中与年龄相关的变化模式可能受到人口统计学和表型特征的影响。因此,未来的研究在分析中检查或控制年龄影响时应该考虑这些因素。
    With brain structure and function undergoing complex changes throughout childhood and adolescence, age is a critical consideration in neuroimaging studies, particularly for those of individuals with neurodevelopmental conditions. However, despite the increasing use of large, consortium-based datasets to examine brain structure and function in neurotypical and neurodivergent populations, it is unclear whether age-related changes are consistent between datasets and whether inconsistencies related to differences in sample characteristics, such as demographics and phenotypic features, exist. To address this, we built models of age-related changes of brain structure (regional cortical thickness and regional surface area; N = 1218) and function (resting-state functional connectivity strength; N = 1254) in two neurodiverse datasets: the Province of Ontario Neurodevelopmental Network and the Healthy Brain Network. We examined whether deviations from these models differed between the datasets, and explored whether these deviations were associated with demographic and clinical variables. We found significant differences between the two datasets for measures of cortical surface area and functional connectivity strength throughout the brain. For regional measures of cortical surface area, the patterns of differences were associated with race/ethnicity, while for functional connectivity strength, positive associations were observed with head motion. Our findings highlight that patterns of age-related changes in the brain may be influenced by demographic and phenotypic characteristics, and thus future studies should consider these when examining or controlling for age effects in analyses.
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  • 文章类型: Journal Article
    目的:胶质母细胞瘤(GBMs)患者尽管有多种治疗方法,但预后较差;因此,要注意保持生存质量。神经认知障碍可影响GBM患者的生活质量。大多数关于QOL和神经认知功能的研究已经证明了QOL和自我报告的神经认知能力下降之间的关系。尽管该方法不能准确反映受损的功能域。因此,本研究旨在通过对神经认知功能的客观评估,阐明影响GBMs患者生活质量的神经认知功能.
    方法:对40例初诊GBM患者的数据进行分析。所有患者都完成了生活质量和各种神经和神经认知功能的评估,包括一般认知功能。处理速度,注意,记忆,情感识别,社会认知,视觉空间认知,口语流利,语言,运动功能,感觉,和视野在术后6个月。使用36项简表调查(SF-36)评估生活质量。在SF-36中,物理,心理,以及角色和社会成分摘要(PCS,MCS,RCS,分别)计算分数。使用多元逻辑回归分析和卡方检验来评估SF-36评分与神经认知功能之间的关联。
    结果:MCS得到维护,而GBMs患者的PCS和RCS评分显著低于健康对照组(分别为p=0.0040和p<0.0001)。在几种神经认知功能中,运动功能和加工速度与PCS和RCS评分显著相关,分别(p=0.0048和p=0.030,分别)。与RCS或PCS评分较低的患者相比,保持RCS或PCS评分的患者保持运动功能或处理速度的可能性更高(p=0.0026)。
    结论:运动功能和处理速度可能是GBM患者生活质量的预测因子。
    OBJECTIVE: Patients with glioblastomas (GBMs) have poor prognosis despite various treatments; therefore, attention should be paid to maintaining the quality of survival. Neurocognitive deficits can affect the quality of life (QOL) in patients with GBM. Most studies concerning QOL and neurocognitive functions have demonstrated a relationship between QOL and self-reported neurocognitive decline, although this method does not accurately reflect damaged functional domains. Therefore, this study aimed to clarify the neurocognitive functions that influence the QOL in patients with GBMs using an objective assessment of neurocognitive functions.
    METHODS: Data from 40 patients newly diagnosed with GBMs were analyzed. All patients completed the assessment of QOL and various neurological and neurocognitive functions including general cognitive function, processing speed, attention, memory, emotion recognition, social cognition, visuospatial cognition, verbal fluency, language, motor function, sensation, and visual field at 6 months postoperatively. QOL was assessed using the 36-Item Short Form Survey (SF-36). In the SF-36, the physical, mental, and role and social component summary (PCS, MCS, and RCS, respectively) scores were calculated. Multiple logistic regression analyses and chi-square tests were used to evaluate the association between SF-36 scores and neurocognitive functions.
    RESULTS: The MCS was maintained, while the PCS and RCS scores were significantly lower in patients with GBMs than in healthy controls (p = 0.0040 and p < 0.0001, respectively). Among several neurocognitive functions, motor function and processing speed were significantly correlated with PCS and RCS scores, respectively (p = 0.0048 and p = 0.030, respectively). Patients who maintained their RCS or PCS scores had a higher probability of preserving motor function or processing speed than those with low RCS or PCS scores (p = 0.0026).
    CONCLUSIONS: Motor function and processing speed may be predictors of QOL in patients with GBMs.
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  • 文章类型: Journal Article
    背景/目的:肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)是一种以劳累后不适为特征的神经系统疾病。尽管它具有临床相关性,ME/CFS的发病机制尚不完全清楚.先前针对脑功能或代谢物的研究在理解ME/CFS复杂性方面尚无定论。我们结合了单体素磁共振波谱(SV-MRS)和功能磁共振成像(fMRI)。我们的目标是检查多模态MRI方案的可行性,确定ME/CFS和健康对照(HCs)之间的可能差异,并将MRI结果与临床症状联系起来。方法:我们招募了18名女性ME/CFS参与者(平均年龄:39.7±12.0岁)和5名HCs(平均年龄:45.6±14.5岁)。SV-MRS光谱是从三个感兴趣的体素获得的:前扣带回(ACC),脑干(BS),左背外侧前额叶皮质(L-DLPFC)。全脑功能磁共振成像使用n-back任务测试工作记忆和执行功能。可行性评估为方案完成率和时间。比较了ME/CFS和HC之间脑代谢产物和fMRI激活的组差异,并将其与行为和症状严重程度测量值相关联。结果:与参与者组无关,完成率为100%,而不会立即引起疲劳。与HC相比,ME/CFS在L-DLPFC中似乎显示出更高的N-乙酰天冬氨酸(OR=8.49,p=0.040),与较差的疲劳相关,疼痛,和睡眠质量评分(p=0.001-0.015)。与HC相比,在ME/CFS中观察到涉及额叶和脑干的脑激活增加(Z>3.4,p's<0.010)。结论:该研究证明了结合MRS和fMRI来捕获女性参与者ME/CFS的神经化学和神经生理学特征的可行性。需要进一步研究更大的队列,更具代表性的抽样和随访,以验证ME/CFS和HCs之间的这些明显差异。
    Background/Objectives: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a neurological disorder characterized by post-exertional malaise. Despite its clinical relevance, the disease mechanisms of ME/CFS are not fully understood. The previous studies targeting brain function or metabolites have been inconclusive in understanding ME/CFS complexity. We combined single-voxel magnetic resonance spectroscopy (SV-MRS) and functional magnetic resonance imaging (fMRI). Our objectives were to examine the feasibility of the multimodal MRI protocol, identify possible differences between ME/CFS and healthy controls (HCs), and relate MRI findings with clinical symptoms. Methods: We enrolled 18 female ME/CFS participants (mean age: 39.7 ± 12.0 years) and five HCs (mean age: 45.6 ± 14.5 years). SV-MRS spectra were acquired from three voxels of interest: the anterior cingulate gyrus (ACC), brainstem (BS), and left dorsolateral prefrontal cortex (L-DLPFC). Whole-brain fMRI used n-back task testing working memory and executive function. The feasibility was assessed as protocol completion rate and time. Group differences in brain metabolites and fMRI activation between ME/CFS and HCs were compared and correlated with behavioral and symptom severity measurements. Results: The completion rate was 100% regardless of participant group without causing immediate fatigue. ME/CFS appeared to show a higher N-Acetylaspartate in L-DLPFC compared to HCs (OR = 8.49, p = 0.040), correlating with poorer fatigue, pain, and sleep quality scores (p\'s = 0.001-0.015). An increase in brain activation involving the frontal lobe and the brainstem was observed in ME/CFS compared to HCs (Z > 3.4, p\'s < 0.010). Conclusions: The study demonstrates the feasibility of combining MRS and fMRI to capture neurochemical and neurophysiological features of ME/CFS in female participants. Further research with larger cohorts of more representative sampling and follow-ups is needed to validate these apparent differences between ME/CFS and HCs.
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  • 文章类型: Journal Article
    音乐在聆听时融入日常生活,玩它,唱歌,独特地调节大脑活动。功能近红外光谱(fNIRS),以其生态有效性而闻名,已经被用来阐明这种音乐-大脑的相互作用。本范围综述综合了22项使用fNIRS进行的实证研究,以探索音乐与大脑功能之间的复杂关系。现有证据的综合表明,多样化的音乐活动,比如听音乐,唱歌,和演奏乐器,唤起受个体特征和音乐属性影响的独特大脑反应。进一步的分析确定了五个关键主题,包括被动和主动音乐体验对相关人脑区域的影响,音乐感知的偏侧化,神经反应的个体差异,音乐表演中的神经同步,在这些研究领域中,NIRS揭示了新的见解。虽然这篇综述强调了对特定大脑区域的关注有限,音乐家和非音乐家之间缺乏比较分析,它强调需要未来的研究来研究音乐和人脑之间复杂的相互作用。
    Music is integrated into daily life when listening to it, playing it, and singing, uniquely modulating brain activity. Functional near-infrared spectroscopy (fNIRS), celebrated for its ecological validity, has been used to elucidate this music-brain interaction. This scoping review synthesizes 22 empirical studies using fNIRS to explore the intricate relationship between music and brain function. This synthesis of existing evidence reveals that diverse musical activities, such as listening to music, singing, and playing instruments, evoke unique brain responses influenced by individual traits and musical attributes. A further analysis identifies five key themes, including the effect of passive and active music experiences on relevant human brain areas, lateralization in music perception, individual variations in neural responses, neural synchronization in musical performance, and new insights fNIRS has revealed in these lines of research. While this review highlights the limited focus on specific brain regions and the lack of comparative analyses between musicians and non-musicians, it emphasizes the need for future research to investigate the complex interplay between music and the human brain.
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  • 文章类型: Journal Article
    神经系统疾病是全球人类残疾和死亡的主要原因,然而,目前的药物稍微缓解了一些退行性疾病的症状。丝氨酸是脑功能的重要氨基酸,参与多种生物合成途径和信号转导过程。丝氨酸代谢失衡与神经变性有关,包括神经炎症,氧化应激和细胞凋亡。丝氨酸代谢酶活性的改变和丝氨酸代谢物的积累影响神经细胞的存活和功能。在神经系统疾病的动物模型中观察到异常的丝氨酸水平,但不是所有的人类研究,因此,丝氨酸稳态的维持是神经系统疾病的潜在治疗策略.迄今为止,丝氨酸在神经系统疾病中的生理和药理作用尚未得到系统的概述,丝氨酸和神经系统疾病之间的联系是有争议的。在这次审查中,我们总结了丝氨酸的物理化学性质,大脑中丝氨酸的生物过程(来源,生物转化,和运输),以及丝氨酸在包括阿尔茨海默病在内的神经系统疾病中的应用,精神分裂症,和抑郁症。这里,我们强调物理化学,生理学,药理学,以及丝氨酸在预防和治疗神经功能障碍方面的治疗潜力。我们的工作为未来的研究提供了有价值的提示,这将导致对丝氨酸及其在细胞生理学和药理学中的代谢的全面理解。虽然有必要,这篇综述有助于研究人员了解丝氨酸在预防和治疗神经功能障碍方面的巨大潜力。
    Neurological disorders are the primary cause of human disability and mortality globally, however, current medications slightly alleviate some symptoms of degenerative diseases. Serine is an important amino acid for the brain function and involved in a variety of biosynthetic pathways and signal transduction processes. The imbalance of serine metabolism is associated with neurodegeneration, including neuroinflammation, oxidative stress and apoptosis. Altered activities of serine metabolizing enzymes and accumulation of serine metabolites affect the survival and function of nerve cells. Abnormal serine levels are observed in animal models with neurological diseases, but not all human studies, therefore, the maintenance of serine homeostasis is a potentially therapeutic strategy for neurological disorders. To date, physiological and pharmacological roles of serine in neurological diseases have not been systemically recapitulated, and the association between serine and neurological diseases is controversial. In this review, we summarize physicochemical properties of serine, biological processes of serine in the brain (source, biotransformation, and transport), and the application of serine in neurological diseases including Alzheimer\'s disease, schizophrenia, and depression. Here, we highlight physicochemistry, physiology, pharmacology, and therapeutic potentials of serine in the prevention and treatment of neurological dysfunction. Our work provides valuable hints for future investigation that will lead to a comprehensive understanding of serine and its metabolism in cellular physiology and pharmacology. Although broad by necessity, the review helps researchers to understand great potentials of serine in the prevention and treatment of neurological dysfunction.
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  • 文章类型: Journal Article
    Ashwagandha或Withaniasomnifera是一种属于茄科的草药植物。由于其广泛的植物化学物质,ashwagandha根提取物已用于许多研究中,单独或与其他天然植物结合,用于各种生物医学应用,其中包括它的抗微生物剂,抗炎,抗压力,抗肿瘤,心脏保护,和神经保护特性。此外,它改善内皮功能,降低活性氧,控制细胞凋亡,并改善线粒体功能。这些特性使其成为各种疾病的有用治疗方法,包括与年龄有关的症状,焦虑,神经退行性疾病,糖尿病,压力,关节炎,疲劳,和认知/记忆障碍。尽管补充ashwagandha有很多好处,关于草药治疗焦虑症的有效性,只有四个荟萃分析,神经行为障碍,阳痿,和不孕症。此外,目前还没有研究ashwagandha如何影响抗氧化反应和身体运动表现的评论。因此,这项研究的目的是分析有关食用ashwagandha对抗氧化反应和运动表现的影响的科学文献。
    Ashwagandha or Withania somnifera is an herbal plant belonging to the Solanaceae family. Because of its wide range of phytochemicals, ashwagandha root extract has been used in numerous research studies, either alone or in conjunction with other natural plants, for various biomedical applications, which include its anti-microbial, anti-inflammatory, anti-stress, anti-tumor, cardioprotective, and neuroprotective properties. Additionally, it improves endothelial function, lowers reactive oxygen species, controls apoptosis, and improves mitochondrial function. These properties make it a useful treatment for a variety of conditions, including age-related symptoms, anxiety, neurodegenerative diseases, diabetes, stress, arthritis, fatigue, and cognitive/memory impairment. Despite the numerous benefits of ashwagandha supplementation, there have been just four meta-analyses on the herb\'s effectiveness in treating anxiety, neurobehavioral disorders, impotence, and infertility. Moreover, no reviews exist that examine how ashwagandha affects antioxidant response and physical sports performance. Consequently, the goal of this study was to analyze the scientific literature regarding the effects of ashwagandha consumption on antioxidant response and athletic performance.
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  • 文章类型: Journal Article
    自闭症谱系障碍(ASD)和功能性神经障碍(FND)是相对常见的疾病,最近人们对它们之间的重叠感兴趣。两种情况都有述情障碍的核心特征,感觉受损和注意力集中缺陷。迄今为止,对ASD和FND之间的共病率知之甚少。这是该主题的第一个荟萃分析和定性综合。我们发现,出现功能性癫痫发作的儿童中约有10%患有并发ASD诊断。患有ASD的人比神经典型人群更有可能患有功能性躯体疾病,也有证据表明,其他FND如功能性运动障碍的ASD发生率较高。由于FND带来了不必要的医疗程序和调查的风险,重要的是要认识到ASD患者可能患有FND合并症。
    UNASSIGNED: Autism spectrum disorder (ASD) and functional neurological disorders (FND) are relatively common conditions, and there has been recent interest in the overlap between them. Both conditions share core features of alexithymia, impaired interoception and deficits in attentional focus. To date, relatively little is known about the comorbidity rates between ASD and FND. This is the first meta-analysis and qualitative synthesis on the subject. We found that around 10% of children presenting with functional seizures have a comorbid ASD diagnosis. People with ASD are more likely than the neurotypical population to have functional somatic disorders, and there is also evidence that ASD rates are higher for other FNDs such as functional motor disorders. Since FND comes with risks of unnecessary medical procedures and investigations, it is important to recognize the potential for people with ASD to have an FND comorbidity.
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  • 文章类型: Journal Article
    在普通人群中,最佳的葡萄糖控制对于维持大脑健康和预防代谢和认知障碍至关重要。糖化血红蛋白(HbA1c)是评估葡萄糖耐受不良及其对健康个体大脑结构和功能影响的关键标志物。然而,现有文献提出了相互矛盾的发现,有必要进行系统的审查,以巩固该领域的现有知识。本系统综述审查了26项涉及15岁及以上参与者的英语研究,研究HbA1c水平与大脑健康之间的关系。包括针对正常/一般人群并利用磁共振成像(MRI)作为成像方式的研究。排除标准包括评论文章,摘要,信件,动物研究,以及涉及神经精神或代谢疾病的研究。数据来自PubMed,Scopus,和截至2023年11月的WebofScience数据库。分析揭示了HbA1c水平与各种脑指标之间的显著关联,包括体积,皮质厚度,分数各向异性,平均扩散系数,活动,和连通性。然而,调查结果表现出不一致,可能归因于样本特征和研究规模的差异。值得注意的是,海马体积,白质高强度,腹侧注意力网络连接成为经常受影响的结构和功能,反映在糖尿病人群中观察到的趋势。尽管没有确凿的证据,葡萄糖不耐受似乎对未诊断出代谢紊乱的个体的大脑结构和功能产生相当大的影响。了解这些关联对于降低健康人群认知能力下降和痴呆的风险至关重要。未来的研究应旨在阐明血糖正常个体中HbA1c浓度与大脑健康参数之间的复杂关系。
    Optimal glucose control is crucial for maintaining brain health and preventing metabolic and cognitive disorders in the general population. Glycosylated hemoglobin (HbA1c) serves as a key marker for assessing glucose intolerance and its impact on brain structure and function in healthy individuals. However, existing literature presents conflicting findings, necessitating a systematic review to consolidate current knowledge in this domain. This systematic review examines 26 English-language studies involving participants aged 15 years and above, investigating the relationship between HbA1c levels and brain health. Studies focusing on normal/general populations and utilizing magnetic resonance imaging (MRI) as the imaging modality were included. Exclusion criteria encompassed review articles, abstracts, letters, animal studies, and research involving neuropsychiatric or metabolic diseases. Data were gathered from PubMed, Scopus, and Web of Science databases up to November 2023. Analysis reveals significant associations between HbA1c levels and various brain metrics, including volume, cortical thickness, fractional anisotropy, mean diffusivity, activity, and connectivity. However, findings exhibit inconsistency, likely attributed to disparities in sample characteristics and study sizes. Notably, hippocampal volume, white matter hyperintensity, and ventral attention network connectivity emerge as frequently affected structures and functions, mirroring trends observed in diabetic populations. Despite inconclusive evidence, glucose intolerance appears to exert considerable influence on select brain structures and functions in individuals without diagnosed metabolic disorders. Understanding these associations is critical for mitigating the risk of cognitive decline and dementia in healthy populations. Future investigations should aim to elucidate the intricate relationship between HbA1c concentrations and brain health parameters in normoglycemic individuals.
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  • 文章类型: Journal Article
    目的:最近的影像学研究发现高度近视(HM)患者的大脑功能或结构连接存在明显异常,表明认知障碍和其他行为改变的风险增加。然而,缺乏对HM患者功能网络的拓扑特征和连通性变化的研究。在这项研究中,我们采用图论分析来研究HM患者脑功能网络的拓扑结构和区域连通性。
    方法:我们对82名HM患者和59名健康对照(HC)进行了rs-fMRI扫描,确保两组的年龄和教育水平相匹配。通过图论分析,我们研究了参与者的全脑功能网络的拓扑结构,探索两组的拓扑性质和差异。
    结果:在稀疏度0.05至0.50的范围内,这两个小组都展示了大脑网络的小世界架构。与对照组相比,HM患者的归一化聚类系数(γ)(P=0.0101)和小世界(σ)(P=0.0168)值显着降低。此外,HM组右侧杏仁核的淋巴结中心性降低(P<0.001,Bonferroni校正)。值得注意的是,HM组中的显著网络(SN)和感觉运动网络(SMN)之间的功能连接(FC)增加,基底神经节间FC强度相对较弱(P<0.01)。
    结论:HM患者的大脑网络表现出减少的小世界特征,γ和σ值显着下降,表明全球区域间信息传递能力减弱。不仅如此,HM患者杏仁核节点的拓扑特性显着下降,表明大脑网络内的功能障碍。此外,SN之间的FC有异常,SMN,HM患者的基底神经节网络,这与注意力调节有关,运动障碍,情感,和认知表现。这些发现可能为HM患者的中枢病理提供了新的机制。
    OBJECTIVE: Recent imaging studies have found significant abnormalities in the brain\'s functional or structural connectivity among patients with high myopia (HM), indicating a heightened risk of cognitive impairment and other behavioral changes. However, there is a lack of research on the topological characteristics and connectivity changes of the functional networks in HM patients. In this study, we employed graph theoretical analysis to investigate the topological structure and regional connectivity of the brain function network in HM patients.
    METHODS: We conducted rs-fMRI scans on 82 individuals with HM and 59 healthy controls (HC), ensuring that the two groups were matched for age and education level. Through graph theoretical analysis, we studied the topological structure of whole-brain functional networks among participants, exploring the topological properties and differences between the two groups.
    RESULTS: In the range of 0.05 to 0.50 of sparsity, both groups demonstrated a small-world architecture of the brain network. Compared to the control group, HM patients showed significantly lower values of normalized clustering coefficient (γ) (P = 0.0101) and small-worldness (σ) (P = 0.0168). Additionally, the HM group showed lower nodal centrality in the right Amygdala (P < 0.001, Bonferroni-corrected). Notably, there is an increase in functional connectivity (FC) between the saliency network (SN) and Sensorimotor Network (SMN) in the HM group, while the strength of FC between the basal ganglia is relatively weaker (P < 0.01).
    CONCLUSIONS: HM Patients exhibit reduced small-world characteristics in their brain networks, with significant drops in γ and σ values indicating weakened global interregional information transfer ability. Not only that, the topological properties of the amygdala nodes in HM patients significantly decline, indicating dysfunction within the brain network. In addition, there are abnormalities in the FC between the SN, SMN, and basal ganglia networks in HM patients, which is related to attention regulation, motor impairment, emotions, and cognitive performance. These findings may provide a new mechanism for central pathology in HM patients.
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  • 文章类型: Journal Article
    在基于功能任务的范例中,使用顺序质子磁共振波谱(MRS)跟踪谷氨酸和γ-氨基丁酸(GABA)的变化,功能MRS(FMRS),增加了。该技术已用于研究感觉和行为任务期间的GABA动力学,通常具有长的“块设计”范例。最近,人们对使用短刺激和“事件相关”任务的兴趣有所增加。虽然谷氨酸的变化可以很容易地通过收集多个个体瞬变(或射击)来跟踪,GABA的测量,尤其是在3T时,通常使用Mescher-Garwood点分辨光谱(MEGA-PRESS)等编辑技术进行,本质上是一种双重射击方法。当考虑与事件相关的实验时,这会带来问题,尚不清楚GABA何时可能改变,或者这可能如何影响MEGA-PRESS采集的各个子光谱。为了解决这个问题,模拟MEGA-PRESS数据以反映由于短事件相关刺激引起的GABA浓度瞬时变化的影响。GABA的变化是针对ON和OFF子光谱进行模拟的,以及三种不同条件的影响(仅在ON采集期间增加,OFF采集期间的增加和两者的增加)对相应编辑的GABA谱进行建模。结果表明,GABA的瞬时增加仅发生在ON子光谱采集期间,虽然从GABA在两种条件下都改变时,结果不会改变太多,与仅在OFF子光谱采集期间发生的瞬时增加相比,将在编辑的GABA光谱中产生更大的变化。这些结果表明,研究人员应该仔细考虑使用MEGA-PRESS的任何事件相关fMRS研究的设计,以及对其他功能范式的分析,其中可能会出现GABA的瞬时变化。因此,讨论了实验设计的考虑因素,并提出了建议。
    The use of sequential proton magnetic resonance spectroscopy (MRS) to follow glutamate and gamma-aminobutyric acid (GABA) changes during functional task-based paradigms, functional MRS (fMRS), has increased. This technique has been used to investigate GABA dynamics during both sensory and behavioural tasks, usually with long \'block design\' paradigms. Recently, there has been an increase in interest in the use of short stimuli and \'event-related\' tasks. While changes in glutamate can be readily followed by collecting multiple individual transients (or shots), measurement of GABA, especially at 3 T, is usually performed using editing techniques like Mescher-Garwood point-resolved spectroscopy (MEGA-PRESS), which by its nature is a dual shot approach. This poses problems when considering an event-related experiment, where it is unclear when GABA may change, or how this may affect the individual subspectra of the MEGA-PRESS acquisition. To address this issue, MEGA-PRESS data were simulated to reflect the effect of a transient change in GABA concentration due to a short event-related stimulus. The change in GABA was simulated for both the ON and OFF subspectra, and the effect of three different conditions (increase only during ON acquisition, increase during OFF acquisition and increase across both) on the corresponding edited GABA spectrum was modelled. Results show that a transient increase in GABA that only occurs during the ON subspectral acquisition, while not changing the results much from when GABA is changed across both conditions, will give a much larger change in the edited GABA spectrum than a transient increase that occurs only during the OFF subspectral acquisition. These results suggest that researchers should think carefully about the design of any event-related fMRS studies using MEGA-PRESS, as well as the analysis of other functional paradigms where transient changes in GABA may be expected. Experimental design considerations are therefore discussed, and suggestions are made.
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