Functional Neuroimaging

功能神经影像学
  • 文章类型: Journal Article
    冥想的神经科学提供了对冥想对幸福的有益影响的洞察力,并告知了对意识的理解。然而,需要进一步的研究来阐明大脑活动和冥想之间的联系机制。非侵入性脑刺激(NIBS)为因果关系研究冥想的神经机制提供了一种有希望的方法。先前的NIBS冥想研究主要针对额叶和顶叶皮质,表明有可能通过NIBS增强冥想的行为和神经效应。此外,NIBS在长期冥想者中揭示了不同的神经特征。尽管如此,NIBS-冥想研究的方法学差异导致了对先前结果的明确解释的挑战。未来的NIBS研究应该进一步研究冥想的核心基础,包括特定的大脑网络和振荡,和高级冥想的因果神经机制。总的来说,NIBS冥想研究有望增强基于冥想的干预措施,以支持非临床和临床人群的福祉和韧性。以及揭示冥想和意识的大脑-思维机制。
    The neuroscience of meditation is providing insight into meditation\'s beneficial effects on well-being and informing understanding of consciousness. However, further research is needed to explicate mechanisms linking brain activity and meditation. Non-invasive brain stimulation (NIBS) presents a promising approach for causally investigating neural mechanisms of meditation. Prior NIBS-meditation research has predominantly targeted frontal and parietal cortices suggesting that it might be possible to boost the behavioral and neural effects of meditation with NIBS. Moreover, NIBS has revealed distinct neural signatures in long-term meditators. Nonetheless, methodological variations in NIBS-meditation research contributes to challenges for definitive interpretation of previous results. Future NIBS studies should further investigate core substrates of meditation, including specific brain networks and oscillations, and causal neural mechanisms of advanced meditation. Overall, NIBS-meditation research holds promise for enhancing meditation-based interventions in support of well-being and resilience in both non-clinical and clinical populations, and for uncovering the brain-mind mechanisms of meditation and consciousness.
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  • 文章类型: Journal Article
    功能神经影像学的最新进展表明,重症监护病房中一些反应迟钝的患者保持的意识水平与其意识的行为诊断不一致。功能近红外光谱(fNIRS)是一种便携式的光学神经成像方法,可用于测量具有良好时间和空间分辨率的神经活动。然而,fNIRS检测意识神经相关性的可靠性尚待确定。在一系列的研究中,我们评估了fNIRS是否可以记录感官,感性的,健康参与者和行为无反应患者的命令驱动神经处理。在个体健康受试者水平上,我们证明了fNIRS可以检测通常研究的静息状态网络,感觉运动处理,语音特定的听觉处理,和意志指令驱动的大脑活动到运动想象任务。然后,我们对三名急性脑损伤患者进行了fNIRS测试,发现当被指示想象打网球时,一个人可以随意调节他们的大脑活动,尽管没有可观察到的意识行为迹象,但仍提供了保持意识的证据。fNIRS在检测行为无反应患者中保留的意识方面的成功应用凸显了其作为发现重症监护环境中隐藏的认知状态的有价值工具的潜力。
    Recent advancements in functional neuroimaging have demonstrated that some unresponsive patients in the intensive care unit retain a level of consciousness that is inconsistent with their behavioral diagnosis of awareness. Functional near-infrared spectroscopy (fNIRS) is a portable optical neuroimaging method that can be used to measure neural activity with good temporal and spatial resolution. However, the reliability of fNIRS for detecting the neural correlates of consciousness remains to be established. In a series of studies, we evaluated whether fNIRS can record sensory, perceptual, and command-driven neural processing in healthy participants and in behaviorally nonresponsive patients. At the individual healthy subject level, we demonstrate that fNIRS can detect commonly studied resting state networks, sensorimotor processing, speech-specific auditory processing, and volitional command-driven brain activity to a motor imagery task. We then tested fNIRS with three acutely brain injured patients and found that one could willfully modulate their brain activity when instructed to imagine playing a game of tennis-providing evidence of preserved consciousness despite no observable behavioral signs of awareness. The successful application of fNIRS for detecting preserved awareness among behaviorally nonresponsive patients highlights its potential as a valuable tool for uncovering hidden cognitive states in critical care settings.
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  • 文章类型: Journal Article
    背景:在不同任务下研究重度抑郁障碍(MDD)的功能不对称对临床诊断至关重要。
    方法:招募了50名患有MDD的个体和20名健康对照(HCS),在四个fNIRS任务下收集血液动力学数据(情绪图片,言语流利,指法和负面情绪图片描述任务)。积分值和功能连接强度用于探测MDD额叶和颞叶的神经激活和功能连接。Follows,在四个任务下,对MDD和HCS之间额叶皮质的不对称特征进行了仔细的分析和比较。
    结果:在所有任务中,与HCS相比,患有MDD的个体显示额叶和右颞叶之间的连通性增强,额叶和左颞叶之间的连通性降低。此外,MDD在左额叶表现出减弱的激活,在右额叶表现出夸大的激活,与HCS不同。此外,在联合任务期间,MDD和HCS额叶皮层激活特征的左右不对称差异更为明显.
    结论:需要进一步的研究来掌握控制各种任务之间左右不对称性的神经生理机制,以及任务诱发的脑疲劳对MDD中大脑皮层血流动力学的影响。
    结论:左右不对称特征为临床诊断MDD提供了有价值的神经生理学见解。MDD和HCS之间的激活模式和功能连接特征的变化与所选择的任务密切相关。因此,在临床实践中,仔细选择合适的fNIRS任务和相关特征可以显著提高MDD的诊断准确性。
    BACKGROUND: Research in functional asymmetry of Major Depressive Disorder (MDD) under different tasks is crucial for clinical diagnose.
    METHODS: Fifty individuals with MDD and twenty healthy controls (HCS) were recruited for hemodynamic data collection under four fNIRS tasks (Emotional picture, Verbal fluency, Fingering and Negative emotional picture description task). Integral values and functional connectivity strength were employed to probe neural activation and functional connectivity in frontal and temporal lobes in MDD. Following, asymmetry characteristic of the frontal cortex between MDD and HCS under four tasks were carefully analyzed and compared.
    RESULTS: Individuals with MDD demonstrated heightened connectivity between the frontal and right temporal lobes and reduced connectivity between the frontal and left temporal lobes compared to HCS in all tasks. Additionally, MDD exhibited attenuated activation in the left frontal lobes and exaggerated activation in the right frontal lobes, diverging from HCS. Furthermore, the disparities in left-right asymmetry characteristic of frontal cortex activation between MDD and HCS were more pronounced during the combined task.
    CONCLUSIONS: Further research is required to grasp the neurophysiological mechanisms governing left-right asymmetry across various tasks and the influence of task-induced brain fatigue on cerebral cortex hemodynamics in MDD.
    CONCLUSIONS: The left-right asymmetry feature provides valuable neurophysiological insights for diagnosing MDD clinically. Variations in activation patterns and functional connectivity features between MDD and HCS are closely tied to the task chosen. Thus, in clinical practice, carefully selecting appropriate fNIRS tasks and relevant features can significantly improve the diagnostic accuracy of MDD.
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  • 文章类型: Systematic Review
    缺乏对啮齿动物药物(自我)给药的功能神经影像学研究的系统评价。这里,我们总结了各类药物的急性或慢性给药对脑功能的影响,并确定了与人类文献的一致性。我们进行了系统的文献检索,并确定了125项关于体内啮齿动物静息态功能磁共振成像(n=84)或正电子发射断层扫描(n=41)的研究,涉及抑制剂(n=27)。阿片类药物(n=23),兴奋剂(n=72),和大麻(n=3)。结果主要显示纹状体的改变,与人类文学一致。前扣带回皮层和(非特异性)前额叶皮层也经常被牵连。在较短的给药后最常见的是上调,而在长期长期给药后,特别是在纹状体。重要的是,研究设计的结果是一致的,管理模型,成像方法,动物国家。结果提供了在给药后啮齿动物的静息状态脑功能改变的证据。暗示大脑的奖励网络类似于人类研究。然而,改变比以前已知的更动态,动态适应取决于药物给药的时间长短。
    A systematic review of functional neuroimaging studies on drug (self-) administration in rodents is lacking. Here, we summarized effects of acute or chronic drug administration of various classes of drugs on brain function and determined consistency with human literature. We performed a systematic literature search and identified 125 studies on in vivo rodent resting-state functional magnetic resonance imaging (n = 84) or positron emission tomography (n = 41) spanning depressants (n = 27), opioids (n = 23), stimulants (n = 72), and cannabis (n = 3). Results primarily showed alterations in the striatum, consistent with the human literature. The anterior cingulate cortex and (nonspecific) prefrontal cortex were also frequently implicated. Upregulation was most often found after shorter administration and downregulation after long chronic administration, particularly in the striatum. Importantly, results were consistent across study design, administration models, imaging method, and animal states. Results provide evidence of altered resting-state brain function in rodents upon drug administration, implicating the brain\'s reward network analogous to human studies. However, alterations were more dynamic than previously known, with dynamic adaptation depending on the length of drug administration.
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  • 文章类型: Journal Article
    晚年抑郁症(LLD)是一种相对常见且使人衰弱的精神障碍,还与认知功能障碍和死亡风险增加有关。考虑到全世界不断增长的老年人口,LLD越来越成为一个重要的公共卫生问题,这也是由于医疗保健系统承担的直接和间接成本的增加。了解LLD的神经解剖学和神经功能相关性对于开发更有针对性和有效的干预措施至关重要。从预防和治疗的角度来看。此ALE荟萃分析旨在通过分析与健康受试者(HC)相比对LLD患者进行的功能神经影像学研究,评估LLD神经生理学病理学中特定神经功能变化的参与。我们纳入了对844名受试者进行的19项研究,分为439例LLD和405例HCs。LLD患者,与HC相比,显示右上和内侧额叶回(Brodmann区(Bas)8,9),左扣带皮质(BA24),左壳核,留下了尾状尸体.相同的患者表现出显著的左颞上回过度激活(BA42),左额下回(BA45),右前扣带回皮质(BA24),右小脑运动员,离开小脑。总之,我们发现LLD中皮质-边缘-纹状体网络所包含区域的激活模式和脑功能发生了显著变化.此外,我们的结果提示皮质-纹状体-小脑网络内的区域在LLD的神经生理病理学中具有潜在作用.
    Late-life depression (LLD) is a relatively common and debilitating mental disorder, also associated with cognitive dysfunctions and an increased risk of mortality. Considering the growing elderly population worldwide, LLD is increasingly emerging as a significant public health issue, also due to the rise in direct and indirect costs borne by healthcare systems. Understanding the neuroanatomical and neurofunctional correlates of LLD is crucial for developing more targeted and effective interventions, both from a preventive and therapeutic standpoint. This ALE meta-analysis aims to evaluate the involvement of specific neurofunctional changes in the neurophysiopathology of LLD by analysing functional neuroimaging studies conducted on patients with LLD compared to healthy subjects (HCs). We included 19 studies conducted on 844 subjects, divided into 439 patients with LLD and 405 HCs. Patients with LLD, compared to HCs, showed significant hypoactivation of the right superior and medial frontal gyri (Brodmann areas (Bas) 8, 9), left cingulate cortex (BA 24), left putamen, and left caudate body. The same patients exhibited significant hyperactivation of the left superior temporal gyrus (BA 42), left inferior frontal gyrus (BA 45), right anterior cingulate cortex (BA 24), right cerebellar culmen, and left cerebellar declive. In summary, we found significant changes in activation patterns and brain functioning in areas encompassed in the cortico-limbic-striatal network in LLD. Furthermore, our results suggest a potential role for areas within the cortico-striatal-cerebellar network in the neurophysiopathology of LLD.
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  • 文章类型: Journal Article
    在过去的二十年中,院外心脏骤停后的生存率有所提高。尽管取得了这些进展,即使在院外心脏骤停后意识早期恢复的患者中,长期认知障碍仍然普遍存在;然而,对决定因素和潜在机制知之甚少。我们利用心脏骤停后surVIVAL队列完全恢复意识的院外心脏骤停幸存者,使用出院时的静息状态功能MRI和蒙特利尔认知评估以及三个月随访时的全面神经心理学评估,将认知测量与脑网络变化相关联。大约一半的院外心脏骤停幸存者在出院时表现出认知障碍,在大多数情况下,认知缺陷在三个月的随访中持续存在,特别是在执行和视觉空间功能方面。与健康对照相比,院外心脏骤停幸存者表现出静息状态网络之间的连通性增加,特别是涉及额顶叶网络。额顶网络和视觉网络之间的连接增加与不利的认知结果相关(β=14.0,P=0.01),而高等教育似乎赋予了一些认知保护(β=-2.06,P=0.03)。总之,这些数据突出了轻微认知障碍的重要性,在院外心脏骤停的幸存者谁是有资格回家出院,以及功能性MRI识别与认知结果相关的脑网络改变的潜力。
    Survival rates after out-of-hospital cardiac arrest have improved over the past two decades. Despite this progress, long-term cognitive impairment remains prevalent even in those with early recovery of consciousness after out-of-hospital cardiac arrest; however, little is known about the determinants and underlying mechanisms. We utilized the REcovery after cardiac arrest surVIVAL cohort of out-of-hospital cardiac arrest survivors who fully regained consciousness to correlate cognition measurements with brain network changes using resting-state functional MRI and the Montreal Cognitive Assessment at hospital discharge and a comprehensive neuropsychological assessment at three-month follow-up. About half of out-of-hospital cardiac arrest survivors displayed cognitive impairments at discharge, and in most, cognitive deficits persisted at three-month follow-up, particularly in the executive and visuospatial functions. Compared to healthy controls, out-of-hospital cardiac arrest survivors exhibited increased connectivity between resting-state networks, particularly involving the frontoparietal network. The increased connectivity between the frontoparietal and visual networks was associated with less favourable cognitive outcomes (β = 14.0, P = 0.01), while higher education seemed to confer some cognitive protection (β = -2.06, P = 0.03). In sum, the data highlight the importance of subtle cognitive impairment, also in out-of-hospital cardiac arrest survivors who are eligible for home discharge, and the potential of functional MRI to identify alterations in brain networks correlating with cognitive outcomes.
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  • 文章类型: Journal Article
    目的:利用功能近红外光谱(fNIRS)研究发现,在不同情绪效价条件下,自传体记忆任务(AMT)过程中背外侧前额叶皮质(DLPFC)的激活差异可能是抑郁症和不同抑郁症亚型的神经生理标志。此外,与非焦虑抑郁症相比,焦虑抑郁在DLPFC中表现出异常的血流动力学激活。本研究旨在使用fNIRS来研究在不同情绪价态刺激触发的AMT期间,伴有和不伴有焦虑的抑郁症患者的DLPFC中的血流动力学激活。
    方法:我们招募了194名抑郁症患者(91名非焦虑抑郁症患者,103名患有焦虑抑郁)和110名来自中国大学生的健康对照。在AMT期间,使用53通道fNIRS检测三组的脑血流动力学差异。
    结果:结果显示:(1)健康对照组和非焦虑抑郁患者,左DLPFC中oxy-Hb的激活在正情绪效价下明显高于负情绪效价下,而在对焦虑抑郁的反应中观察到的积极情绪效价和消极情绪效价之间没有显着差异;(2)焦虑抑郁组的负性情绪效价下的Oxy-Hb激活显着高于非焦虑抑郁组。
    结论:本研究显示,左侧DLPFC中负性情绪效价的血流动力学过度激活可能是由于焦虑和非焦虑抑郁症患者的神经生理差异所致。
    OBJECTIVE: Using functional near-infrared spectroscopy (fNIRS) previous studies have found that activation differences in the dorsolateral prefrontal cortex (DLPFC) during an autobiographical memory task (AMT) under the condition of different emotional valences may be neurophysiological markers of depression and different depression subtypes. Additionally, compared with non-anxious depression, anxious depression presents abnormal hemodynamic activation in the DLPFC. This study aimed to use fNIRS to investigate hemodynamic activation in the DLPFC of depression patients with and without anxiety during AMT triggered by different emotional valence stimuli.
    METHODS: We recruited 194 patients with depression (91 with non-anxious depression, 103 with anxious depression) and 110 healthy controls from Chinese college students. A 53-channel fNIRS was used to detect cerebral hemodynamic differences in the three groups during AMT.
    RESULTS: The results showed that: (1) the activation of oxy-Hb in the left DLPFC was significantly higher under positive emotional valence than under negative emotional valence for healthy controls and patients with non-anxious depression, while there was no significant difference between positive and negative emotional valence observed in response to anxious depression; and (2) Oxy-Hb activation under negative emotional valence was significantly higher in the anxious depression group than in the non-anxious depression group.
    CONCLUSIONS: This study revealed that the hemodynamic hyperactivation of negative emotional valence in the left DLPFC may be due to the neurophysiological differences between anxious and non-anxious patients with depression.
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  • 文章类型: Journal Article
    背景:据报道,成人发病的甲状腺功能减退症患者的call体(CC)中存在磁共振成像(MRI)脑异常。然而,尚无研究直接比较亚临床甲状腺功能减退症(SCH)中CC特异性形态学或功能改变,明显的甲状腺功能减退症(OH),和健康对照(HC)。此外,CC改变与认知和情绪的关系尚不清楚。
    方法:人口统计数据,临床变量,神经心理学评分,和152名参与者的MRI数据(60SCH,37OH,和55HC)被收集。这项研究调查了临床表现,三组CC亚区的形态和功能变化。此外,我们进行了相关分析,以探索这些因素之间的潜在关系.
    结果:与HC相比,SCH和OH组表现出较低的认知评分和较高的抑郁/焦虑评分。值得注意的是,SCH组CC的柱体和柱体体积较大。头端体之间的功能连接,SCH组的前中体和右中央和背外侧额上回增加。相比之下,SCH和OH基团在脾和右角回之间的功能连通性下降。在SCH组中,讲台体积与蒙特利尔认知评估和视觉空间/执行分数呈负相关,同时显示与24项汉密尔顿抑郁量表评分呈正相关。在OH基团中,头端体体积与血清促甲状腺激素水平呈负相关,而与血清总甲状腺素和游离甲状腺素水平呈正相关。
    结论:本研究提示不同阶段的成人发病甲状腺功能减退患者可能表现出不同的CC异常模式。这些发现为甲状腺功能减退症的神经病理生理机制提供了新的见解。
    BACKGROUND: Magnetic resonance imaging (MRI) brain abnormalities have been reported in the corpus callosum (CC) of patients with adult-onset hypothyroidism. However, no study has directly compared CC-specific morphological or functional alterations among subclinical hypothyroidism (SCH), overt hypothyroidism (OH), and healthy controls (HC). Moreover, the association of CC alterations with cognition and emotion is not well understood.
    METHODS: Demographic data, clinical variables, neuropsychological scores, and MRI data of 152 participants (60 SCH, 37 OH, and 55 HC) were collected. This study investigated the clinical performance, morphological and functional changes of CC subregions across three groups. Moreover, a correlation analysis was performed to explore potential relationships between these factors.
    RESULTS: Compared to HC, SCH and OH groups exhibited lower cognitive scores and higher depressive/anxious scores. Notably, rostrum and rostral body volume of CC was larger in the SCH group. Functional connectivity between rostral body, anterior midbody and the right precentral and dorsolateral superior frontal gyrus were increased in the SCH group. In contrast, the SCH and OH groups exhibited a decline in functional connectivity between splenium and the right angular gyrus. Within the SCH group, rostrum volume demonstrated a negative correlation with Montreal Cognitive Assessment and visuospatial/executive scores, while displaying a positive correlation with 24-item Hamilton Depression Rating Scale scores. In the OH group, rostral body volume exhibited a negative correlation with serum thyroid stimulating hormone levels, while a positive correlation with serum total thyroxine and free thyroxine levels.
    CONCLUSIONS: This study suggests that patients with different stages of adult-onset hypothyroidism may exhibit different patterns of CC abnormalities. These findings offer new insights into the neuropathophysiological mechanisms in hypothyroidism.
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  • 文章类型: Journal Article
    我们研究了阅读能力不同的儿童的词汇形态的神经认知基础,以了解基于意义的技能在学习阅读困难中的作用。
    儿童在功能近红外光谱神经成像过程中完成了听觉形态学和语音意识任务。我们首先研究了典型发展中读者的词汇形态与语音过程之间的关系(研究1,N=66,Mage=8.39),其次是对阅读障碍的词汇形态学过程进行更集中的调查(研究2,N=50,Mage=8.62)。
    相对于语音任务,典型的读者在形态学任务中表现出更强的语言神经回路参与度,这表明形态学分析涉及合成亚词汇处理的多个组成部分。对于在分析上更复杂的衍生词缀(例如ly),这种效果比在语义上更透明的游离基语素(雪人)更强。相比之下,相对于衍生性词缀条件,阅读障碍儿童在游离碱条件下表现出更强的激活。一起来看,研究结果表明,尽管患有阅读障碍的儿童可能会与衍生形态学作斗争,他们还可以使用自由基础词素\'语义信息来增强单词识别。
    这项研究通过确定阅读能力之间的相互作用来指导识字理论,词结构,以及发育中的大脑如何学习识别语音和打印中的单词。
    https://doi.org/10.23641/asha.25944949。
    UNASSIGNED: We examined the neurocognitive bases of lexical morphology in children of varied reading abilities to understand the role of meaning-based skills in learning to read with dyslexia.
    UNASSIGNED: Children completed auditory morphological and phonological awareness tasks during functional near-infrared spectroscopy neuroimaging. We first examined the relation between lexical morphology and phonological processes in typically developing readers (Study 1, N = 66, Mage = 8.39), followed by a more focal inquiry into lexical morphology processes in dyslexia (Study 2, N = 50, Mage = 8.62).
    UNASSIGNED: Typical readers exhibited stronger engagement of language neurocircuitry during the morphology task relative to the phonology task, suggesting that morphological analyses involve synthesizing multiple components of sublexical processing. This effect was stronger for more analytically complex derivational affixes (like + ly) than more semantically transparent free base morphemes (snow + man). In contrast, children with dyslexia exhibited stronger activation during the free base condition relative to derivational affix condition. Taken together, the findings suggest that although children with dyslexia may struggle with derivational morphology, they may also use free base morphemes\' semantic information to boost word recognition.
    UNASSIGNED: This study informs literacy theories by identifying an interaction between reading ability, word structure, and how the developing brain learns to recognize words in speech and print.
    UNASSIGNED: https://doi.org/10.23641/asha.25944949.
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  • 文章类型: Journal Article
    使用静息状态功能磁共振成像(rs-fMRI)利用程度中心性(DC)方法研究慢性下腰痛(LDHCP)患者腰椎间盘突出症的中心机制。
    登记了25名LDHCP和22名健康对照(HC),并收集了他们大脑的rs-fMRI数据。我们比较了LDHCP和HC组的全脑DC值,并检查了LDHCP组中DC值与视觉模拟评分(VAS)之间的相关性,Oswestry功能障碍指数(ODI),和疾病持续时间。使用受试者工作特征(ROC)曲线分析评估诊断效能。
    LDHCP患者双侧小脑和脑干的DC值增加,而与HC相比,左颞中回和右中央后回的DC值降低。左颞中回DC值与VAS(r=0.416,p=0.039)、ODI(r=0.405,p=0.045)呈正相关,而与病程无相关性(p>0.05)。其他脑区与VAS无显著相关性,ODI,或疾病持续时间(p>0.05)。此外,从ROC曲线分析获得的结果表明,左颞中回的曲线下面积(AUC)为0.929。
    研究结果表明双侧小脑自发神经活动和功能连接的局部异常,双侧脑干,左颞中回,LDHCP患者的右中央后回。
    UNASSIGNED: To investigate the central mechanism of lumbar disc herniation in patients with chronic low back pain (LDHCP) using resting-state functional magnetic resonance imaging (rs-fMRI) utilizing the Degree Centrality (DC) method.
    UNASSIGNED: Twenty-five LDHCP and twenty-two healthy controls (HCs) were enrolled, and rs-fMRI data from their brains were collected. We compared whole-brain DC values between the LDHCP and HC groups, and examined correlations between DC values within the LDHCP group and the Visual Analogue Score (VAS), Oswestry Dysfunction Index (ODI), and disease duration. Diagnostic efficacy was evaluated using receiver operating characteristic (ROC) curve analysis.
    UNASSIGNED: LDHCP patients exhibited increased DC values in the bilateral cerebellum and brainstem, whereas decreased DC values were noted in the left middle temporal gyrus and right post-central gyrus when compared with HCs. The DC values of the left middle temporal gyrus were positively correlated with VAS (r = 0.416, p = 0.039) and ODI (r = 0.405, p = 0.045), whereas there was no correlation with disease duration (p > 0.05). Other brain regions showed no significant correlations with VAS, ODI, or disease duration (p > 0.05). Furthermore, the results obtained from ROC curve analysis demonstrated that the Area Under the Curve (AUC) for the left middle temporal gyrus was 0.929.
    UNASSIGNED: The findings indicated local abnormalities in spontaneous neural activity and functional connectivity in the bilateral cerebellum, bilateral brainstem, left middle temporal gyrus, and right postcentral gyrus among LDHCP patients.
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