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精神分裂症患者的自发性、慢波和快波脑磁图活动

Spontaneous, slow and fast magnetoencephalographic activity in patients with schizophrenia.

作者信息

Sperling W, Martus P, Kober H, Bleich S, Kornhuber J

机构信息

Department of Psychiatry and Psychotherapy of Friedrich Alexander University of Erlangen-Nuremberg, Schwabachanlage 6-10, 91054, Erlangen, Germany.

出版信息

Schizophr Res. 2002 Dec 1;58(2-3):189-99. doi: 10.1016/s0920-9964(02)00238-4.

Abstract

A 2* 37 channel biomagnetic system (Magnes II) was used to record spontaneous magnetic activity for the frequency ranges 2-6 Hz and 12.5-30 Hz in 30 patients with schizophrenia (23 men and 17 women) and 30 healthy volunteers in both hemispheres during a resting condition. The dipole localization was calculated by the dipole density plot (DDP) method, which is a spatial averaging in order to decrease the influence of the nonfocal activity. The quantified DDP results were superimposed to T2-weighted MR-images of each patient's head as isocontour lines. To superimpose the MEG results to 3-D MRI data, the scanned head data set was fitted to the reconstructed MRI head shape using a surface fit programme developed by our department. The absolute dipole values were correlated with the psychopathological findings and the cumulative neuroleptic dosage for each patient. The group of patients with schizophrenia differed overall from the healthy subjects in the elevation of absolute dipole values measured in both hemispheres. For the region of slow dipole activity (2-6 Hz), a high correlation was found between the intensity of dipole concentration and productive psychotic symptoms (PANSS, P1-P7). Dipole localization (for both frequency ranges) showed a concentration effect (DCE) in the temporoparietal region in patients with schizophrenia.

摘要

使用一个2×37通道生物磁系统(Magnes II),在静息状态下记录30例精神分裂症患者(23名男性和17名女性)和30名健康志愿者两半球2 - 6赫兹及12.5 - 30赫兹频率范围内的自发磁活动。通过偶极密度图(DDP)方法计算偶极定位,这是一种空间平均法,以减少非焦点活动的影响。将量化的DDP结果作为等值线叠加到每位患者头部的T2加权磁共振图像上。为了将脑磁图(MEG)结果叠加到三维磁共振成像(MRI)数据上,使用我们科室开发的表面拟合程序,将扫描的头部数据集拟合到重建的MRI头部形状上。将绝对偶极值与每位患者的精神病理学发现及累积抗精神病药物剂量进行关联。精神分裂症患者组在两半球测量的绝对偶极值升高方面总体上与健康受试者不同。对于慢偶极活动区域(2 - 6赫兹),在偶极集中强度与阳性精神病性症状(阳性和阴性症状量表,P1 - P7)之间发现高度相关性。精神分裂症患者在颞顶叶区域(两个频率范围)的偶极定位显示出集中效应(DCE)。

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