Sensory Deprivation

感官剥夺
  • 文章类型: Journal Article
    感觉体验不仅影响相应的初级感觉皮层,但突触和神经回路也以交叉模式的方式在其他大脑区域发挥作用。然而,目前尚不清楚少突胶质细胞(OL)的产生和髓鞘形成是否也可以进行交叉模式调制.这里,我们报告说,虽然生命早期的短期晶须剥夺从出生后第14天(P14)显著减少成熟的OLs的数量和初级体感皮层(S1)的髓鞘形成程度,它也同时影响初级视觉皮层(V1),但内侧前额叶皮质(mPFC)没有类似的减少。有趣的是,当小鼠从出生(P0)到P35长期早期晶须剥夺时,它们表现出明显的髓鞘形成受损,并在包括S1,V1和mPFC在内的区域中推导出分化的OLs数量,在P60检测到。同时,还降低了OL前体细胞(OPC)的过程复杂性,在mPFC中检测到。然而,当胡须剥夺发生在产后中后期(P35至P50),在P60时,V1和mPFC脑区的髓鞘形成均不受影响。除了mPFC中的OL和髓磷脂发育受损之外,长期的早期胡须剥夺小鼠也表现出社会新颖性的缺陷,伴随着mPFC中c-Fos的异常激活。因此,我们的研究结果揭示了一种新形式的交叉模态调制髓鞘形成的感官经验,可以导致异常的社会行为,提示大脑病理状况可能存在类似的机制,这些疾病同时存在感官和社会行为缺陷,比如自闭症谱系障碍。
    Sensory experience affects not only the corresponding primary sensory cortex, but also synaptic and neural circuit functions in other brain regions in a cross-modal manner. However, it remains unclear whether oligodendrocyte (OL) generation and myelination can also undergo cross-modal modulation. Here, we report that while early life short-term whisker deprivation from birth significantly reduces in the number of mature of OLs and the degree of myelination in the primary somatosensory cortex(S1) at postnatal day 14 (P14), it also simultaneously affects the primary visual cortex (V1), but not the medial prefrontal cortex (mPFC) with a similar reduction. Interestingly, when mice were subjected to long-term early whisker deprivation from birth (P0) to P35, they exhibited dramatically impaired myelination and a deduced number of differentiated OLs in regions including the S1, V1, and mPFC, as detected at P60. Meanwhile, the process complexity of OL precursor cells (OPCs) was also rduced, as detected in the mPFC. However, when whisker deprivation occurred during the mid-late postnatal period (P35 to P50), myelination was unaffected in both V1 and mPFC brain regions at P60. In addition to impaired OL and myelin development in the mPFC, long-term early whisker-deprived mice also showed deficits in social novelty, accompanied by abnormal activation of c-Fos in the mPFC. Thus, our results reveal a novel form of cross-modal modulation of myelination by sensory experience that can lead to abnormalities in social behavioral, suggesting a possible similar mechanism underlying brain pathological conditions that suffer from both sensory and social behavioral deficits, such as autism spectrum disorders.
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  • 文章类型: Journal Article
    关于剑桥视觉刺激器(CAM)疗法作为弱视患者管理策略的有效性的研究有限。此外,所有这些研究的样本量都很低。这项研究的主要目的是比较CAM治疗与被动闭塞治疗在单侧弱视治疗中的效果。
    在这项随机临床试验研究中,110名合作弱视儿童,以前没有被管理过的人,随机分为CAM治疗组(n=55)和被动闭塞治疗组(n=55)。在CAM过程中,5个具有不同空间频率(SF)(2、6、15、20、30个周期/度)的椎间盘被呈现给患者(每天30分钟,一周两次)。选择SF等于两条线的板,其优于测得的校正距离视敏度(CDVA)。在训练期间,非弱视眼被遮挡。在闭塞治疗组中执行标准闭塞治疗方案。在基线时测量所有患者的CDVA,然后在1,两个,治疗后三个月。
    CAM和闭塞治疗组患者的平均年龄为7.0±2.1和6.9±1.9岁,分别(p=.721)。术后CAM和闭塞治疗组之间的平均CDVA没有显着差异(0.30±0.16vs.0.25±0.14,p=.079),两个(0.15±0.10vs.0.15±0.11,p=.732)和距基线3个月(0.05±0.08和0.05±0.06,p=.919)。然而,两组在每次随访中CDVA的平均量均显著增加(均p<.001).关于弱视类型和严重程度,在2个月和3个月后,屈光参差患者和中度弱视患者中,CAM组的CDVA相对于基线的平均改善显著高于闭塞组(p<.05).
    CAM和常规闭塞疗法可显著改善弱视儿童的CDVA,差异不显著;因此,它们可以用作替代品。CAM治疗需要弱视患者和父母的成本和时间。因此,它可以被认为是弱视患者的第二种治疗选择,尤其是屈光参差型和中度弱视,对修补的依从性差。
    UNASSIGNED: There are limited studies on the effectiveness of Cambridge vision stimulator (CAM) therapy as a management strategy in amblyopic patients. In addition, all these studies have a low sample size. The main purpose of this study was to compare the effect of CAM therapy with passive occlusion therapy in the management of unilateral amblyopia.
    UNASSIGNED: In this randomized clinical trial study, 110 cooperative amblyopic children, who had not been managed previously, were randomly divided into two groups of CAM therapy (n = 55) and passive occlusion therapy (n = 55). In the CAM procedure, five discs with different spatial frequencies (SF) (2, 6, 15, 20, 30 cycles/degree) were presented to the patient (30 minutes a day, twice a week). Plates with SF equal to the two lines better than the measured corrected distance visual acuity (CDVA) were chosen. During the training, the non-amblyopic eye was occluded. The standard occlusion therapy protocols were performed in the occlusion therapy group. The CDVA for all patients was measured at baseline and then at one, two, and three months after the treatment.
    UNASSIGNED: The mean age of patients in CAM and occlusion therapy groups was 7.0 ± 2.1 and 6.9 ± 1.9 years, respectively (p = .721). There was no significant difference in the mean CDVA between CAM and occlusion therapy groups after one (0.30 ± 0.16 vs. 0.25 ± 0.14, p = .079), two (0.15 ± 0.10 vs. 0.15 ± 0.11, p = .732) and three months (0.05 ± 0.08 and 0.05 ± 0.06, p = .919) from baseline. However, the mean amount of CDVA increased significantly in each follow-up in both groups (all p < .001). Regarding the amblyopia type and severity, the mean improvement of CDVA from baseline in the anisometropic patients and in moderate amblyopia was significantly higher in the CAM group than the occlusion group after two and three months (p < .05).
    UNASSIGNED: CAM and conventional occlusion therapies significantly improved CDVA in children with amblyopia, and the difference was not significant; therefore, they could be used as alternatives. CAM therapy requires cost and time for the amblyopic patient and parents. Thus, it can be considered as a second treatment option in amblyopic patients, especially anisometropic type and moderate amblyopia, with poor compliance to patching.
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  • 文章类型: Journal Article
    早期的生活经历塑造了整个一生的身体和行为结果。感觉回路在发育过程中特别容易受到环境和生理变化的影响。然而,不同类型的早期生活经历的影响通常是单独评估的.在这个迷你评论中,我们讨论了产后感官体验的具体影响,睡眠,社会孤立,和物质暴露对桶形皮层发育的影响。考虑到这些并发因素将增进对许多神经精神和神经发育障碍中非典型感觉知觉的病因的理解。
    Early life experiences shape physical and behavioral outcomes throughout lifetime. Sensory circuits are especially susceptible to environmental and physiological changes during development. However, the impact of different types of early life experience are often evaluated in isolation. In this mini review, we discuss the specific effects of postnatal sensory experience, sleep, social isolation, and substance exposure on barrel cortex development. Considering these concurrent factors will improve understanding of the etiology of atypical sensory perception in many neuropsychiatric and neurodevelopmental disorders.
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  • 文章类型: Journal Article
    单眼(单眼)人类是否与具有完整双眼的人类使用单眼深度线索来执行与模仿日常生活复杂活动的深度相关的视觉运动任务?如果是这样,表现是否取决于参与者的年龄,单眼和头部运动的持续时间?
    45例单眼病例(年龄范围6-37岁;2.4个月-31.0年的单眼)和46例年龄相似的双目控制执行了一项任务,要求他们多次通过环绕深度弯曲的电线的环,同时避免听觉反馈所指示的接触。在有和没有头枕的情况下执行任务,以随机顺序。错误率和速度是根据环和线之间的接触频率和总任务持续时间(调整错误时间)计算的,分别,全部从任务的视频记录中确定。使用面部跟踪软件从视频中分析头部运动。
    错误率随着年龄的增长而下降(P<0.001),直到青少年后期,而速度则没有这种趋势。在所有年龄段,在没有双眼的情况下,错误率增加,速度降低(P<0.001)。随着单眼持续时间的增加,误差没有减少(P=0.16)。头部运动对任务表现没有优势,尽管产生视差差异可与双目观看相媲美。
    动态性能,在没有双目观察的情况下,深度相关的视觉运动任务会减少,与年龄相关的绩效水平无关。这项研究没有发现任何证据表明,单眼深度线索的长期经验对于此类任务比双眼性的短暂丧失更有利。
    UNASSIGNED: Do one-eyed (uniocular) humans use monocular depth cues differently from those with intact binocularity to perform depth-related visuomotor tasks that emulate complex activities of daily living? If so, does performance depend on the participant\'s age, duration of uniocularity and head movements?
    UNASSIGNED: Forty-five uniocular cases (age range 6-37 years; 2.4 months-31.0 years of uniocularity) and 46 age-similar binocular controls performed a task that required them to pass a hoop around an electrified wire convoluted in depth multiple times, while avoiding contact as indicated by auditory feedback. The task was performed with and without head restraint, in random order. The error rate and speed were calculated from the frequency of contact between the hoop and wire and the total task duration (adjusting for error time), respectively, all determined from video recordings of the task. Head movements were analyzed from the videos using face-tracking software.
    UNASSIGNED: Error rate decreased with age (P < 0.001) until the late teen years while speed revealed no such trend. Across all ages, the error rate increased and speed decreased in the absence of binocularity (P < 0.001). There was no additional error reduction with duration of uniocularity (P = 0.16). Head movements provided no advantage to task performance, despite generating parallax disparities comparable to binocular viewing.
    UNASSIGNED: Performance in a dynamic, depth-related visuomotor task is reduced in the absence of binocular viewing, independent of age-related performance level. This study finds no evidence for a prolonged experience with monocular depth cues being advantageous for such tasks over transient loss of binocularity.
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  • 文章类型: Journal Article
    目的:本系统综述和荟萃分析旨在评估护士心理社会干预措施在解决重症监护病房(ICU)中的感觉剥夺方面的有效性。
    方法:对PubMed的全面搜索,WebofScience,EBSCOhost,谷歌学者,C∞NAHL,Embase,科克伦图书馆,和Y_K论文中心数据库于2023年8月至2024年5月进行,没有任何时间限制。此外,在大学图书馆对灰色文献进行了物理搜索。
    结果:研究表明,护士的心理社会干预措施显着改善了患者的意识水平(SMD=1.042,%95CI=0.716至1.369;Z=6.25;p<.05)和ICU的睡眠质量(SMD=1.21,95%CI=0.232至1.810;Z=2.49;p<.05)。心理社会干预的有效性因干预类型而异,患者年龄,ICU类型,患者组,和干预持续时间。值得注意的是,听觉刺激和芳香疗法表现出特别高的效果大小,显著提高患者的意识水平和睡眠质量。
    结论:结论:旨在减少重症监护病房感觉剥夺的社会心理干预措施对个人产生有益影响,显着提高他们的意识水平和改善睡眠质量。
    OBJECTIVE: This systematic review and meta-analysis aimed to assess the effectiveness of nurses\' psychosocial interventions for addressing sensory deprivation in intensive care units (ICUs).
    METHODS: A comprehensive search of PubMed, Web of Science, EBSCOhost, Google Scholar, CİNAHL, Embase, Cochrane Library, and YÖK Thesis Center databases was conducted from August 2023 to May 2024, without any temporal restrictions. In addition, a physical search was made in the university library for grey literature.
    RESULTS: The study revealed that nurses\' psychosocial interventions significantly improved patients\' level of consciousness (SMD = 1.042, %95 CI = 0.716 to 1.369; Z = 6.25; p < .05) and sleep quality in ICUs (SMD=1.21, 95% CI= 0.232 to 1.810; Z = 2.49; p < .05). The effectiveness of psychosocial interventions varied based on the type of intervention, patient age, ICU type, patient group, and intervention duration. Notably, auditory stimuli and aromatherapy demonstrated particularly high effect sizes, significantly enhancing patients\' levels of consciousness and sleep quality.
    CONCLUSIONS: In conclusion, psychosocial interventions aimed at reducing sensory deprivation in intensive care units exert beneficial effects on individuals, notably enhancing their level of consciousness and improving sleep quality.
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  • 文章类型: Journal Article
    在正常视力的成年人中,短期单眼剥夺会导致眼优势的短暂转变,提升被剥夺的眼睛。这种效果已经通过知觉测试和生理记录得到了证明,但是以前的研究没有同时测量生理反应和剥夺的知觉效应。在这里,我们提出了一种将双眼竞争与瞳孔测量相结合的综合实验范式,为了介绍眼优势可塑性的客观生理指标,与感知测试同时获得。十名参与者报告了双眼竞争的感知动力学,我们测量瞳孔直径.刺激是一个白色和黑色的磁盘,每个单眼呈现。比较单眼剥夺前后2小时的竞争动力学和瞳孔大小痕迹,通过在优势眼上应用半透明贴片来实现。与先前的研究一致,我们观察到单眼剥夺增强了剥夺眼信号,因此增加了眼优势。根据以前的研究,我们还观察到瞳孔大小的微妙但系统的调制,跟踪黑色或白色圆盘的专有优势阶段之间的交替。单眼剥夺后,这些瞳孔大小调制的幅度增加,这与剥夺后眼睛的增强和眼优势的增加是一致的。这提供了证据表明剥夺会影响单眼视觉刺激的有效强度,连贯地影响感知报告和瞳孔直径的自动和无意识调节。我们的结果表明,双眼竞争和瞳孔测量的结合范例为剥夺效应的生理机制提供了新的见解。
    Short-term monocular deprivation in normally sighted adult humans produces a transient shift of ocular dominance, boosting the deprived eye. This effect has been documented with both perceptual tests and through physiological recordings, but no previous study simultaneously measured physiological responses and the perceptual effects of deprivation. Here we propose an integrated experimental paradigm that combines binocular rivalry with pupillometry, to introduce an objective physiological index of ocular dominance plasticity, acquired concurrently with perceptual testing. Ten participants reported the perceptual dynamics of binocular rivalry, while we measured pupil diameter. Stimuli were a white and a black disk, each presented monocularly. Rivalry dynamics and pupil-size traces were compared before and after 2 h of monocular deprivation, achieved by applying a translucent patch over the dominant eye. Consistent with prior research, we observed that monocular deprivation boosts the deprived-eye signal and consequently increases ocular dominance. In line with previous studies, we also observed subtle but systematic modulations of pupil size that tracked alternations between exclusive dominance phases of the black or white disk. Following monocular deprivation, the amplitude of these pupil-size modulations increased, which is consistent with the post-deprivation boost of the deprived eye and the increase of ocular dominance. This provides evidence that deprivation impacts the effective strength of monocular visual stimuli, coherently affecting perceptual reports and the automatic and unconscious regulation of pupil diameter. Our results show that a combined paradigm of binocular rivalry and pupillometry gives new insights into the physiological mechanisms underlying deprivation effects.
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  • 文章类型: Historical Article
    这项研究重新评估了弱视闭塞疗法的历史渊源,专注于9世纪伊斯兰学者的贡献,AliibnSahlibnRabbanal-Tabari(838-870CE)。
    调查深入塔巴里的著作,特别是“Firdousal-Hikma,“提取他解决一只眼睛视力下降的方法的见解。此外,该研究检查了ThabitibnQurrah和Rhazes等学者在闭塞疗法方面的后续进展,建立在塔巴里的基础工作上。
    Al-Tabari的报告包含了对弱视闭塞治疗的重要见解,早于通常归因于治疗的起源。在\“Firdousal-Hikma内,“他概述了解决视力下降的方法,提倡覆盖更健康的眼睛,以促进较弱的眼睛的功能。这些发现突显了al-Tabari及其同时代人在伊斯兰文明中的开创性努力,并挑战了围绕闭塞疗法历史的传统叙述。ThabitibnQurrah和Rhazes等学者随后的进步扩展了al-Tabari的工作,在伊斯兰文明中倡导类似的治疗方法。他们的贡献进一步巩固了闭塞治疗的实践,为其在随后几个世纪的持续发展和完善奠定基础。
    Al-Tabari对闭塞疗法的贡献强调了中世纪伊斯兰文明中科学探究的丰富遗产。这种历史观点揭示了西方背景之外对医学知识和实践的不同贡献,并强调了在更广泛的医学史上认识和尊重这些贡献的重要性。
    UNASSIGNED: This study reevaluates the historical origins of occlusion therapy for amblyopia, focusing on the contributions of the 9th-century Islamic scholar, Ali ibn Sahl ibn Rabban al-Tabari (838-870 CE).
    UNASSIGNED: The investigation delved into al-Tabari\'s writings, particularly \"Firdous al-Hikma,\" to extract insights into his approach to addressing reduced vision in one eye.Additionally, the study examined subsequent advancements in occlusion therapy by scholars such as Thabit ibn Qurrah and Rhazes, building upon al-Tabari\'sfoundational work.
    UNASSIGNED: Al-Tabari\'s reports contain significant insights into occlusion therapy for amblyopia, predating commonly attributed origins of the treatment. Within \"Firdous al-Hikma,\" he outlines methods for addressing reduced vision, advocating for the covering of the healthier eye to promote the function of the weaker eye. These findings highlight the pioneering efforts of al-Tabari and his contemporaries in the Islamic civilization and challenge the conventional narrative surrounding the history of occlusion therapy. Subsequent advancements by scholars such as Thabit ibn Qurrah and Rhazes expanded upon al-Tabari\'s work, advocating for similar therapeutic approaches within the Islamic civilization. Their contributions further solidified the practice of occlusion therapy, laying the groundwork for its continued evolution and refinement in subsequent centuries.
    UNASSIGNED: Al-Tabari\'s contributions to occlusion therapy underscore the rich heritage of scientific inquiry in theIslamic civilization during the medieval period. This historical perspective sheds light on the diverse contributions to medical knowledge and practice outside of Western contexts and emphasizes the importance of recognizing and honoring these contributions in the broader history of medicine.
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  • 文章类型: Journal Article
    多巴胺严重影响奖励处理,感官知觉,和电机控制。然而,感觉经验对多巴胺能信号的调节还没有完全描述。这里,通过使用双侧单行晶须剥夺进行人工感官体验,我们证明,多巴胺能信号通路(DSP)中的基因转录在初级体感(桶状)皮层(S1)的颗粒层和球上层都经历了经验依赖性可塑性。感官体验和剥夺竞争DSP转录在邻近皮质柱中的重新调节,感觉剥夺引起的DSP变化在地形上受到限制。DSP中的这些变化超出了皮质图的可塑性,并影响神经元信息处理。D2受体的药理学规范,DSP的关键部件,揭示D2受体激活抑制兴奋性神经元兴奋性,超极化-使动作电位阈值,并降低瞬时点火率。这些发现表明,多巴胺能驱动起源于中脑多巴胺能神经元,瞄准感觉皮层,受到经验依赖的调节,可能会创建一个调节反馈回路来调节感官处理。最后,利用拓扑基因网络分析和互信息,我们确定了DSP经验依赖可塑性的分子中心。这些发现为感觉体验塑造大脑中多巴胺能信号的机制提供了新的见解,并可能有助于解开多巴胺耗尽后观察到的感觉缺陷。
    Dopamine critically influences reward processing, sensory perception, and motor control. Yet, the modulation of dopaminergic signaling by sensory experiences is not fully delineated. Here, by manipulating sensory experience using bilateral single-row whisker deprivation, we demonstrated that gene transcription in the dopaminergic signaling pathway (DSP) undergoes experience-dependent plasticity in both granular and supragranular layers of the primary somatosensory (barrel) cortex (S1). Sensory experience and deprivation compete for the regulation of DSP transcription across neighboring cortical columns, and sensory deprivation-induced changes in DSP are topographically constrained. These changes in DSP extend beyond cortical map plasticity and influence neuronal information processing. Pharmacological regulation of D2 receptors, a key component of DSP, revealed that D2 receptor activation suppresses excitatory neuronal excitability, hyperpolarizes the action potential threshold, and reduces the instantaneous firing rate. These findings suggest that the dopaminergic drive originating from midbrain dopaminergic neurons, targeting the sensory cortex, is subject to experience-dependent regulation and might create a regulatory feedback loop for modulating sensory processing. Finally, using topological gene network analysis and mutual information, we identify the molecular hubs of experience-dependent plasticity of DSP. These findings provide new insights into the mechanisms by which sensory experience shapes dopaminergic signaling in the brain and might help unravel the sensory deficits observed after dopamine depletion.
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  • 文章类型: Journal Article
    稳态可塑性稳定神经元的放电率,但是恢复低活动率的压力可以显着改变突触和细胞特性。以前大多数关于在啮齿动物前脑中完成活动沉默的体内平衡重新调整的研究都检查了剥夺两天后的变化,但是众所周知,更长的剥夺时间会产生不利影响。为了更好地理解这些影响的潜在机制,并解决在稳态可塑性过程中突触前和突触后区室如何变化,我们对小鼠皮质切片培养物进行了更严重的五天剥夺模式。我们开发并验证了一种计算框架,以从致密皮质组织的超分辨率光学显微镜图像中测量突触前和突触后隔室的数量和形态。使用这些工具,结合电生理微型兴奋性突触后电流测量,和电子显微镜水平的突触成像,我们评估了长期剥夺的功能和形态学结果.兴奋性突触在突触前和突触后都得到加强。令人惊讶的是,我们还观察到兴奋性突触的密度下降,从组织中突触前和突触后蛋白的共定位染色测量,和树突棘的数量。总的来说,我们的结果提示,活动被剥夺的皮层网络逐渐向较小的突触群移动.意义陈述新皮质切片培养物中的阻断活性在兴奋性突触产生协调的突触前和突触后变化。功能和结构分析表明,剥夺导致更少的兴奋性突触,但是每个都在突触前和突触后得到加强。这可能有助于癫痫样活动的出现。
    Homeostatic plasticity stabilizes firing rates of neurons, but the pressure to restore low activity rates can significantly alter synaptic and cellular properties. Most previous studies of homeostatic readjustment to complete activity silencing in rodent forebrain have examined changes after 2 d of deprivation, but it is known that longer periods of deprivation can produce adverse effects. To better understand the mechanisms underlying these effects and to address how presynaptic as well as postsynaptic compartments change during homeostatic plasticity, we subjected mouse cortical slice cultures to a more severe 5 d deprivation paradigm. We developed and validated a computational framework to measure the number and morphology of presynaptic and postsynaptic compartments from super-resolution light microscopy images of dense cortical tissue. Using these tools, combined with electrophysiological miniature excitatory postsynaptic current measurements, and synaptic imaging at the electron microscopy level, we assessed the functional and morphological results of prolonged deprivation. Excitatory synapses were strengthened both presynaptically and postsynaptically. Surprisingly, we also observed a decrement in the density of excitatory synapses, both as measured from colocalized staining of pre- and postsynaptic proteins in tissue and from the number of dendritic spines. Overall, our results suggest that cortical networks deprived of activity progressively move toward a smaller population of stronger synapses.
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  • 文章类型: Journal Article
    尽管有有效的弱视治疗方法,治疗结果不可预测,这种情况在高达25%的患者中复发。我们的目的是评估大规模定量对比敏感度函数(CSF)数据源,再加上机器学习(ML)算法,可以预测弱视个体的治疗反应和复发。
    来自传统图表视敏度(VA)和新型CSF评估的视觉功能测量值被用作模型中的主要预测变量。从58个潜在预测因子中提取信息来预测治疗反应和复发。应用六种ML方法构建模型。Shapley添加剂扩张被用来解释预测。
    总共2559个连续记录的643例弱视患者符合建模条件。结合来自VA和CSF评估的变量对治疗反应预测的准确性最高。受试者工作特征曲线下面积(AUC)为0.863和0.815,用于3个月和6个月后的结果预测,分别。仅VA评估的变量就可以预测治疗反应,3个月和6个月后的AUC值为0.723和0.675,分别。CSF评估的变量导致复发预测的AUC为0.909,而单独的VA评估为0.539。添加VA变量并不能提高预测性能。CSF特征的眼间差异是复发风险的重要原因。
    我们的模型显示CSF数据可以增强治疗反应预测并准确预测弱视复发,它有可能通过为患者量身定制的决策来指导弱视管理。
    UNASSIGNED: Although effective amblyopia treatments are available, treatment outcome is unpredictable, and the condition recurs in up to 25% of the patients. We aimed to evaluate whether a large-scale quantitative contrast sensitivity function (CSF) data source, coupled with machine learning (ML) algorithms, can predict amblyopia treatment response and recurrence in individuals.
    UNASSIGNED: Visual function measures from traditional chart vision acuity (VA) and novel CSF assessments were used as the main predictive variables in the models. Information from 58 potential predictors was extracted to predict treatment response and recurrence. Six ML methods were applied to construct models. The SHapley Additive exPlanations was used to explain the predictions.
    UNASSIGNED: A total of 2559 consecutive records of 643 patients with amblyopia were eligible for modeling. Combining variables from VA and CSF assessments gave the highest accuracy for treatment response prediction, with the area under the receiver operating characteristic curve (AUC) of 0.863 and 0.815 for outcome predictions after 3 and 6 months, respectively. Variables from the VA assessment alone predicted the treatment response, with AUC values of 0.723 and 0.675 after 3 and 6 months, respectively. Variables from the CSF assessment gave rise to an AUC of 0.909 for recurrence prediction compared to 0.539 for VA assessment alone, and adding VA variables did not improve predictive performance. The interocular differences in CSF features are significant contributors to recurrence risk.
    UNASSIGNED: Our models showed CSF data could enhance treatment response prediction and accurately predict amblyopia recurrence, which has the potential to guide amblyopia management by enabling patient-tailored decision making.
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