FMRI

功能磁共振成像
  • 文章类型: Journal Article
    假设沿海马的纵向(前后)轴发生差异处理。一种假设是空间记忆(在编码和检索期间)与后海马体相关。另一种假设是,记忆编码(空间或非空间)与前海马相关,而记忆检索与后海马相关。重要的是,在空间记忆编码期间,空间-后验假设预测后海马受累,而编码-检索假说预测前海马受累。为了区分这些假设,我们对26项研究(共435例参与者)进行了基于坐标的fMRI激活似然估计(ALE)荟萃分析,这些研究报告了在空间记忆编码和/或空间记忆检索过程中的海马活动.空间记忆编码和空间记忆检索都沿着海马体以及内嗅皮层的纵轴产生了广泛的活动,周围皮层,和海马旁皮层.严重的,空间记忆编码和空间记忆检索的对比在前海马和后海马产生了激活。可以采取空间记忆编码在前海马和后海马中产生的活动来拒绝严格形式的空间-后假设,规定所有形式的空间记忆都在海马后部产生活动,和编码检索假设,其中规定,所有形式的编码与检索仅在前海马产生活性。我们的结果表明,空间记忆编码可以涉及前海马和后海马。
    It has been hypothesized that differential processing occurs along the longitudinal (anterior-posterior) axis of the hippocampus. One hypothesis is that spatial memory (during both encoding and retrieval) is associated with the posterior hippocampus. An alternative hypothesis is that memory encoding (either spatial or nonspatial) is associated with the anterior hippocampus and memory retrieval is associated with the posterior hippocampus. Of importance, during spatial memory encoding, the spatial-posterior hypothesis predicts posterior hippocampal involvement, whereas the encoding-retrieval hypothesis predicts anterior hippocampal involvement. To distinguish between these hypotheses, we conducted a coordinate-based fMRI activation likelihood estimation (ALE) meta-analysis of 26 studies (with a total of 435 participants) that reported hippocampal activity during spatial memory encoding and/or spatial memory retrieval. Both spatial memory encoding and spatial memory retrieval produced extensive activity along the longitudinal axis of the hippocampus as well as the entorhinal cortex, the perirhinal cortex, and the parahippocampal cortex. Critically, the contrast of spatial memory encoding and spatial memory retrieval produced activations in both the anterior hippocampus and the posterior hippocampus. That spatial memory encoding produced activity in both the anterior and posterior hippocampus can be taken to reject strict forms of the spatial-posterior hypothesis, which stipulates that all forms of spatial memory produce activity in the posterior hippocampus, and the encoding-retrieval hypothesis, which stipulates that all forms of encoding versus retrieval produce activity in only the anterior hippocampus. Our results indicate that spatial memory encoding can involve the anterior hippocampus and the posterior hippocampus.
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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
    患有主观认知能力下降(SCD)的个体有发展为阿尔茨海默病(AD)的风险。传统的基于种子的分析已经显示了SCD个体中的有偏差的功能连通性(FC)。通过全脑关联研究(BWAS)调查无偏改变的FC,并确定其与SCD个体认知的关联。
    应用关联测量(MA)分析来检测具有FC变化的显著体素。基于这些变化,我们确定了感兴趣的区域(ROI)并进行了ROI方面的FC分析.然后在这些FC电路和认知之间进行相关性分析。
    MA分析确定了10个具有显著改变的体素的ROI。ROI方面的FC分析显示有14个增强的FC,主要是顶叶-枕骨连接改变。右枕上回和右中央后回之间的FC与执行功能呈正相关。而右侧枕中回和左侧角回之间的FC与SCD个体的情景记忆呈正相关。
    SCD涉及多病灶损伤,其中默认模式网络(DMN)和枕叶的区域应特别集中。跨半球改变表明SCD中的内部交互式损伤模式。右枕上回和右中央后回之间的减少的FC,在右枕骨中回和左角回之间,与特定的认知功能相关,可以作为SCD诊断的潜在生物标志物。
    UNASSIGNED: Individuals with subjective cognitive decline (SCD) are at risk of developing Alzheimer\'s Disease (AD). Traditional seed-based analysis has shown biased functional connectivity (FC) in SCD individuals. To investigate unbiased altered FC by the brain-wide association study (BWAS) and to determine its association with cognition in SCD individuals.
    UNASSIGNED: Measure of association (MA) analysis was applied to detect significant voxels with FC changes. Based on these changes, we identified regions of interest (ROIs) and conducted ROI-wise FC analyses. Correlation analyses were then performed between these FC circuits and cognition.
    UNASSIGNED: MA analysis identified 10 ROIs with significantly altered voxels. ROI-wise FC analyses revealed 14 strengthened FC, predominantly parietal-occipital link alterations. The FC between the right superior occipital gyrus and the right postcentral gyrus correlated positively with executive function, while the FC between the right middle occipital gyrus and the left angular gyrus correlated positively with episodic memory in SCD individuals.
    UNASSIGNED: SCD involves multifocal impairments, of which regions of default mode network (DMN) and occipital lobe should be specially focused. Cross-hemispheric alterations indicate an internal interactive impairment pattern in SCD. The reduced FC between the right superior occipital gyrus and the right postcentral gyrus, and between the right middle occipital gyrus and the left angular gyrus, which correlate with specific cognitive functions, could serve as potential biomarkers for SCD diagnosis.
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  • 文章类型: Journal Article
    背景:执行功能障碍,如注意力不集中或健忘,会导致一个人的日常功能和生活质量中断。
    目的:这项三盲随机临床试验评估了双额(额头)经颅直流电刺激(tDCS)同时进行认知训练以改善健康样本中的认知表现的功效。
    方法:58名参与者被随机分配到三种刺激条件之一(2mA左阳极-右阴极,2mA右阳极-左阴极,orsham),在12周内进行3次/周的认知训练任务,并在基线进行评估,中点(6周),和培训后(12周)。我们评估了认知表现,功能连接,以及个体差异对训练进度的影响。
    结果:40名参与者完成了培训。我们发现在中点和后期,所有组的整体认知能力均有显著改善.左阳极组的注意力和警惕性得分在岗位上显著提高,但其他两组没有。更大的注意力训练进步预测了岗位的注意力提高,最值得注意的是在左阳极组中。最后,所有组的控制网络中的网络内连通性降低,而躯体运动网络中的网络内连通性增加.
    结论:这些结果表明,经过认知训练,左阳极蒙太奇在提高注意力方面比右阳极蒙太奇和假人更有效。未来的研究可能集中在认知训练中左阳极蒙太奇的应用上,以评估其在改善神经精神疾病认知方面的有效性。
    BACKGROUND: Executive dysfunction such as inattention or forgetfulness can lead to disruptions in a person\'s daily functioning and quality of life.
    OBJECTIVE: This triple-blinded randomized clinical trial assessed the efficacy of bifrontal (over the forehead) transcranial direct current stimulation (tDCS) concurrent with cognitive training to improve cognitive performance in a healthy sample.
    METHODS: Fifty-eight participants were randomly assigned to one of three stimulation conditions (2mA left anode-right cathode, 2mA right anode-left cathode, or sham), which was administered with cognitive training tasks 3x/week over 12 weeks with assessments at baseline, midpoint (6 weeks), and post-training (12 weeks). We assessed cognitive performance, functional connectivity, and the influence of individual differences in training advancement.
    RESULTS: Forty participants completed training. We found that at midpoint and post, all groups improved significantly on overall cognitive performance. The left anode group\'s attention & vigilance score improved significantly at post, but the other two groups did not. Greater attention training advancement predicted attention improvement by post, most notably in the left anode group. Finally, within-network connectivity decreased in the control network and increased in the somatomotor network across all groups.
    CONCLUSIONS: These results suggest that, given cognitive training, the left anode montage is more effective at improving attention than the right anode montage and sham. Future research may focus on the application of the left anode montage during cognitive training to assess its effectiveness in improving cognition in neuropsychiatric disorders.
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  • 文章类型: Journal Article
    两个(或更多)同时音符的感知,根据他们的音高间隔,可以大致分为辅音或不辅音。以前的文献表明,音乐家和非音乐家在辨别音乐间隔时采用不同的策略:而音乐家则依赖于两个基本频率之间的频率比,如“完美第五”(3:2)作为辅音和“三色调”(45:32)作为不和谐的间隔;非音乐家可能依赖于存在的\'粗糙度\'或\'节拍\',由基频差产生的,作为“不和谐”的关键元素。N1和P2沿中线电极的单独事件相关电位(ERP)差异提供了与此类“单独依赖”一致的证据。要复制和扩展,在这项研究中,我们重新进行了之前的实验,并分别收集相同方案的功能磁共振成像数据(稀疏采样修改)。行为和脑电图结果在很大程度上与我们先前的发现相对应。功能磁共振成像结果,通过单变量联合分析,心理-生理互动,和代表性相似性分析(RSA)方法,进一步加强中央中线相关大脑区域的参与,如腹内侧前额叶和背侧前扣带皮质,在辅音/不和谐的判断中。最终的时空探照灯RSA提供了令人信服的证据,与双侧颞叶上皮质一起,是中线N1和背侧前扣带回皮层的P2效应的关节位点(对于音乐家)。一起,这些分析重申,音乐家们更多地依靠经验驱动的知识来感知谐音/不谐音;但也证明了多重分析在限制EEG和fMRI发现方面的优势.
    The perception of two (or more) simultaneous musical notes, depending on their pitch interval(s), could be broadly categorized as consonant or dissonant. Previous literature has suggested that musicians and non-musicians adopt different strategies when discerning music intervals: while musicians rely on the frequency ratios between the two fundamental frequencies, such as \"perfect fifth\" (3:2) as consonant and \"tritone\" (45:32) as dissonant intervals; non-musicians may rely on the presence of \'roughness\' or \'beats\', generated by the difference of fundamental frequencies, as the key elements of \'dissonance\'. The separate Event-Related Potential (ERP) differences in N1 and P2 along the midline electrodes provided evidence congruent with such \'separate reliances\'. To replicate and to extend, in this study we reran the previous experiment, and separately collected fMRI data of the same protocol (with sparse sampling modifications). The behavioral and EEG results largely corresponded to our previous finding. The fMRI results, with the joint analyses by univariate, psycho-physiological interaction, and representational similarity analysis (RSA) approaches, further reinforce the involvement of central midline-related brain regions, such as ventromedial prefrontal and dorsal anterior cingulate cortex, in consonant/dissonance judgments. The final spatiotemporal searchlight RSA provided convincing evidence that the medial prefrontal cortex, along with the bilateral superior temporal cortex, is the joint locus of midline N1 and dorsal anterior cingulate cortex for the P2 effect (for musicians). Together, these analyses reaffirm that musicians rely more on experience-driven knowledge for consonance/dissonance perception; but also demonstrate the advantages of multiple analyses in constraining the findings from both EEG and fMRI.
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  • 文章类型: Journal Article
    当前框架提出,由于预测误差(PE)信号改变和对环境波动性的错误估计,妄想是由异常信念更新引起的。我们旨在调查信念更新的行为和神经特征是否与妄想的存在特别相关或通常与明显的精神分裂症相关。
    我们的横截面设计包括人类参与者(n[女性/男性]=66[25/41]),分为四组:健康参与者有轻微的(n=22)或强烈的妄想样想法(n=18),和被诊断为精神分裂症的参与者有轻微的(n=13)或强烈的妄想(n=13),导致2×2的设计,这可以测试妄想和诊断的效果。参与者在fMRI扫描过程中执行了具有稳定和不稳定的任务偶然性的反向学习任务。我们使用分层高斯滤波器模型形式化学习,并对结果不确定性和波动性的信念进行了基于模型的fMRI分析,结果和波动率信念的精确加权PE。
    与健康对照相比,精神分裂症患者表现出更低的准确性和更高的选择转换,而妄想并不影响这些措施。妄想的参与者在额纹状体区域显示出与PE相关的精确加权神经激活增加。诊断为精神分裂症的人高估了环境波动性,并在前脑岛表现出减弱的神经波动性,内侧额回和角回。
    妄想信念与纹状体PE信号改变相关。并置,潜在的令人不安的信念,即环境不断变化,这种主观波动的较弱的神经编码似乎与明显的精神分裂症有关,但不存在妄想的想法。
    UNASSIGNED: Current frameworks propose that delusions result from aberrant belief updating due to altered prediction error (PE) signaling and misestimation of environmental volatility. We aimed to investigate whether behavioral and neural signatures of belief updating are specifically related to the presence of delusions or generally associated with manifest schizophrenia.
    UNASSIGNED: Our cross-sectional design includes human participants (n[female/male] = 66[25/41]), stratified into four groups: healthy participants with minimal (n = 22) or strong delusional-like ideation (n = 18), and participants with diagnosed schizophrenia with minimal (n = 13) or strong delusions (n = 13), resulting in a 2 × 2 design, which allows to test for the effects of delusion and diagnosis. Participants performed a reversal learning task with stable and volatile task contingencies during fMRI scanning. We formalized learning with a hierarchical Gaussian filter model and conducted model-based fMRI analysis regarding beliefs of outcome uncertainty and volatility, precision-weighted PEs of the outcome- and the volatility-belief.
    UNASSIGNED: Patients with schizophrenia as compared to healthy controls showed lower accuracy and heightened choice switching, while delusional ideation did not affect these measures. Participants with delusions showed increased precision-weighted PE-related neural activation in fronto-striatal regions. People with diagnosed schizophrenia overestimated environmental volatility and showed an attenuated neural representation of volatility in the anterior insula, medial frontal and angular gyrus.
    UNASSIGNED: Delusional beliefs are associated with altered striatal PE-signals. Juxtaposing, the potentially unsettling belief that the environment is constantly changing and weaker neural encoding of this subjective volatility seems to be associated with manifest schizophrenia, but not with the presence of delusional ideation.
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  • 文章类型: Journal Article
    本研究旨在使用血氧水平依赖性(BOLD)功能磁共振成像检查治疗前后由髓质梗塞(MI)引起的吞咽困难患者的不同吞咽动作期间的大脑活动。
    15例患者纳入本研究。在中风的急性期和4周的康复训练后,使用BOLD成像观察到唾液吞咽和费力的唾液吞咽过程中的脑激活。治疗前后唾液吞咽过程中脑区激活的差异,在治疗前后吞咽唾液时,并对治疗前后两种吞咽动作进行比较。
    在中风的急性期,在吞咽唾液过程中,只有双侧中央前回和左侧舌回被部分激活,脑岛没有明显的激活。努力吞咽唾液比治疗前吞咽唾液激活更多的大脑区域,包括双侧辅助运动区(SMA),中央后回,和右岛叶皮层。治疗后唾液吞咽过程中激活的脑区数量增加,包括双侧中央前回,中央后回,脑岛,丘脑,和SMA。
    从吞咽困难恢复后皮质激活增加,中央后回的激活增加可能起到功能性代偿作用。对于MI引起的吞咽困难患者,努力吞咽唾液是一种更有效的康复训练方法。
    UNASSIGNED: This study aims to examine brain activity during different swallowing actions in patients with dysphagia caused by medullary infarction (MI) before and after treatment using blood oxygen level-dependent (BOLD) functional magnetic resonance imaging.
    UNASSIGNED: Fifteen patients were enrolled in this study. Brain activation during saliva swallowing and effortful saliva swallowing was observed using BOLD imaging in the acute phase of stroke and after 4 weeks of rehabilitation training. Differences in the activation of brain regions during saliva swallowing before and after treatment, during effortful saliva swallowing before and after treatment, and between the two swallowing actions before and after treatment were compared.
    UNASSIGNED: In the acute phase of stroke, only the bilateral precentral and left lingual gyrus were partially activated during saliva swallowing, and there was no obvious activation in the insula. Effortful saliva swallowing activated more brain regions than saliva swallowing before treatment, including the bilateral supplementary motor area (SMA), postcentral gyrus, and right insular cortex. The number of brain regions activated during saliva swallowing increased after treatment, including the bilateral precentral gyrus, postcentral gyrus, insula, thalamus, and SMA.
    UNASSIGNED: Cortical activation increases after recovery from dysphagia, and the increased activation of the postcentral gyrus might play a functional compensatory role. Effortful saliva swallowing is a more effective rehabilitation training method for patients with dysphagia caused by MI.
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  • 文章类型: Journal Article
    背景:边缘性人格障碍(BPD)是一种严重的精神疾病,并发抑郁症和自杀率很高。尽管优化BPD治疗的重要性,关于神经过程与个体治疗反应的关系知之甚少。这项研究研究了在进行为期六个月的辩证行为疗法(DBT)或选择性5-羟色胺再摄取抑制剂(SSRI)治疗的随机临床试验后,情绪调节的功能磁共振成像(fMRI)任务期间基线区域脑血氧水平依赖性(BOLD)激活与治疗反应的关系。
    方法:未用药的BPD女性(N=37),最近的自杀行为或自我伤害,接受了功能磁共振成像任务,其中呈现了负面的个人记忆,并要求他们保持距离(即,下调他们的情绪反应)或沉浸(即自由体验情感)。然后患者随机接受DBT(N=16)或SSRI(N=21)治疗,评估基线和治疗后抑郁和BPD严重程度。
    结果:前额叶皮层的BOLD活动,前扣带,岛与距离有关。背外侧距离时的基线BOLD,腹外侧,和眶前额叶皮质(dlPFC,vlPFC,OFC)差异预测各治疗组的抑郁反应,在SSRI组中,活性越高,反应越好,较低的活性预测DBT组的反应更好。
    结论:所有女性样本。
    结论:研究结果表明,情绪调节期间更多的前额叶参与可能会预测SSRIs带来更多的抗抑郁益处,而较低的参与度可能预测对DBT的反应更好。这些结果表明SSRI和DBT治疗的不同作用机制,这可能允许fMRI指导个体化治疗选择。
    BACKGROUND: Borderline personality disorder (BPD) is a severe mental illness, with high rates of co-morbid depression and suicidality. Despite the importance of optimizing treatment in BPD, little is known about how neural processes relate to individual treatment response. This study examines how baseline regional brain blood oxygen level dependent (BOLD) activation during a functional magnetic resonance imaging (fMRI) task of emotion regulation is related to treatment response following a six-month randomized clinical trial of Dialectical Behavior Therapy (DBT) or Selective Serotonin Reuptake Inhibitor (SSRI) treatment.
    METHODS: Unmedicated females with BPD (N = 37), with recent suicidal behavior or self-injury, underwent an fMRI task in which negative personal memories were presented and they were asked to distance (i.e., downregulate their emotional response) or immerse (i.e., experience emotions freely). Patients were then randomized to DBT (N = 16) or SSRI (N = 21) treatment, with baseline and post-treatment depression and BPD severity assessed.
    RESULTS: BOLD activity in prefrontal cortex, anterior cingulate, and insula was associated with distancing. Baseline BOLD during distancing in dorsolateral, ventrolateral, and orbital prefrontal cortex (dlPFC, vlPFC, OFC) differentially predicted depression response across treatment groups, with higher activity predicting better response in the SSRI group, and lower activity predicting better response in the DBT group.
    CONCLUSIONS: All female samples.
    CONCLUSIONS: Findings indicate that greater prefrontal engagement during emotion regulation may predict more antidepressant benefit from SSRIs, whereas lower engagement may predict better response to DBT. These results suggest different mechanisms of action for SSRI and DBT treatment, and this may allow fMRI to guide individualized treatment selection.
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  • 文章类型: Journal Article
    背景:双相情感障碍(BD)患者的亲属患这种疾病的风险较高。识别与BD家族性脆弱性相关的大脑改变可以帮助发现内表型,与普通人群相比,在未受影响的BD亲属(BD-RELs)中更普遍的可量化生物学特征。这篇综述旨在通过概述BD-REL的静息态功能磁共振成像(rs-fMRI)改变来扩大我们对BD内表型的认识。
    方法:对PubMed的系统搜索,Scopus,并进行了WebofScience,以确定截至2024年1月在BD-RELs中进行的所有可用rs-fMRI研究。共选择了18项研究。6个包括无精神病史的BD-REL,10个包括有精神病史的BD-REL。两项调查检查了BD-RELs的rs-fMRI改变,有无BD的阈值下症状。
    结果:BD-RELs显示了皮质-边缘网络的rs-fMRI改变,额-丘脑-纹状体回路,额枕骨网,and,在较小程度上,在DMN。对于没有精神病理学史的BD-REL和出现精神疾病的BD-REL都是如此。有和没有精神症状的BD-REL中rs-fMRI改变的直接比较显示rs-fMRI异常的大部分非重叠模式。
    结论:小样本量和BD-RELs的临床异质性限制了我们研究结果的普遍性。
    结论:目前的文献表明,一级BD-REL在涉及情绪调节的大脑回路中表现出rs-fMRI改变,认知,奖励处理,和精神病易感性。需要未来的研究来验证这些发现,并探索它们作为早期检测和干预的生物标志物的潜力。
    BACKGROUND: Relatives of individuals with bipolar disorder (BD) are at higher risk of developing the disorder. Identifying brain alterations associated with familial vulnerability in BD can help discover endophenotypes, which are quantifiable biological traits more prevalent in unaffected relatives of BD (BD-RELs) than the general population. This review aimed at expanding our knowledge on endophenotypes of BD by providing an overview of resting-state functional magnetic resonance imaging (rs-fMRI) alterations in BD-RELs.
    METHODS: A systematic search of PubMed, Scopus, and Web of Science was performed to identify all available rs-fMRI studies conducted in BD-RELs up to January 2024. A total of 18 studies were selected. Six included BD-RELs with no history of psychiatric disorders and 10 included BD-RELs that presented psychiatric disorders. Two investigations examined rs-fMRI alterations in BD-RELs with and without subthreshold symptoms for BD.
    RESULTS: BD-RELs presented rs-fMRI alterations in the cortico-limbic network, fronto-thalamic-striatal circuit, fronto-occipital network, and, to a lesser extent, in the DMN. This was true both for BD-RELs with no history of psychopathology and for BD-RELs that presented psychiatric disorders. The direct comparison of rs-fMRI alterations in BD-RELs with and without psychiatric symptoms displayed largely non-overlapping patterns of rs-fMRI abnormalities.
    CONCLUSIONS: Small sample sizes and the clinical heterogeneity of BD-RELs limit the generalizability of our findings.
    CONCLUSIONS: The current literature suggests that first-degree BD-RELs exhibit rs-fMRI alterations in brain circuits involved in emotion regulation, cognition, reward processing, and psychosis susceptibility. Future studies are needed to validate these findings and to explore their potential as biomarkers for early detection and intervention.
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  • 文章类型: Journal Article
    精神分裂症是一种持续的神经系统疾病,严重影响认知,情感,和行为功能,突出的特点是妄想,幻觉,言语混乱,运动活动异常。由于这些症状与其他形式的精神病重叠,因此通常存在诊断挑战。因此,自动诊断方法的实施势在必行。这项研究利用功能磁共振成像(fMRI),一种神经成像模式,能够描绘不同大脑区域的功能激活。此外,使用不断发展的机器学习技术进行功能磁共振成像数据分析已取得了显着进步。这里,我们的研究是一种新颖的尝试,专注于精神分裂症的经典和非典型症状的综合评估。我们的目标是揭示大脑功能活动的相关变化。我们的研究包括两个不同的功能磁共振成像数据集(1.5T和3T),每个包括1.5T数据集的34名精神分裂症患者和3T数据集的25名精神分裂症患者,以及同等数量的健康对照。机器学习算法用于评估数据子集,能够深入评估当前有关症状影响的功能状况。识别的体素有助于确定受每种症状影响最大的大脑区域,以症状强度量化。这种严格的方法产生了各种新发现,同时保持了令人印象深刻的97%的分类准确率。通过阐明精神分裂症患者多个大脑区域激活模式的变化,这项研究有助于理解与该疾病相关的大脑功能变化。获得的见解可以为不同的临床干预措施提供信息,并提供一种准确评估症状严重程度的方法。为精神分裂症的治疗提供了新的途径.
    Schizophrenia is a persistent neurological disorder profoundly affecting cognitive, emotional, and behavioral functions, prominently characterized by delusions, hallucinations, disordered speech, and abnormal motor activity. These symptoms often present diagnostic challenges due to their overlap with other forms of psychosis. Therefore, the implementation of automated diagnostic methodologies is imperative. This research leverages Functional Magnetic Resonance Imaging (fMRI), a neuroimaging modality capable of delineating functional activations across diverse brain regions. Furthermore, the utilization of evolving machine learning techniques for fMRI data analysis has significantly progressive. Here, our study stands as a novel attempt, focusing on the comprehensive assessment of both classical and atypical symptoms of schizophrenia. We aim to uncover associated changes in brain functional activity. Our study encompasses two distinct fMRI datasets (1.5T and 3T), each comprising 34 schizophrenia patients for the 1.5T dataset and 25 schizophrenia patients for the 3T dataset, along with an equal number of healthy controls. Machine learning algorithms are applied to assess data subsets, enabling an in-depth evaluation of the current functional condition concerning symptom impact. The identified voxels contribute to determining the brain regions most influenced by each symptom, as quantified by symptom intensity. This rigorous approach has yielded various new findings while maintaining an impressive classification accuracy rate of 97 %. By elucidating variations in activation patterns across multiple brain regions in individuals with schizophrenia, this study contributes to the understanding of functional brain changes associated with the disorder. The insights gained may inform differential clinical interventions and provide a means of assessing symptom severity accurately, offering new avenues for the management of schizophrenia.
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