Kim Dae Il, Mathalon D H, Ford J M, Mannell M, Turner J A, Brown G G, Belger A, Gollub R, Lauriello J, Wible C, O'Leary D, Lim K, Toga A, Potkin S G, Birn F, Calhoun V D
The Mind Research Network Institute, Albuquerque, NM 87131, USA.
Schizophr Bull. 2009 Jan;35(1):67-81. doi: 10.1093/schbul/sbn133.
Deficits in the connectivity between brain regions have been suggested to play a major role in the pathophysiology of schizophrenia. A functional magnetic resonance imaging (fMRI) analysis of schizophrenia was implemented using independent component analysis (ICA) to identify multiple temporally cohesive, spatially distributed regions of brain activity that represent functionally connected networks. We hypothesized that functional connectivity differences would be seen in auditory networks comprised of regions such as superior temporal gyrus as well as executive networks that consisted of frontal-parietal areas. Eight networks were found to be implicated in schizophrenia during the auditory oddball paradigm. These included a bilateral temporal network containing the superior and middle temporal gyrus; a default-mode network comprised of the posterior cingulate, precuneus, and middle frontal gyrus; and multiple dorsal lateral prefrontal cortex networks that constituted various levels of between-group differences. Highly task-related sensory networks were also found. These results indicate that patients with schizophrenia show functional connectivity differences in networks related to auditory processing, executive control, and baseline functional activity. Overall, these findings support the idea that the cognitive deficits associated with schizophrenia are widespread and that a functional connectivity approach can help elucidate the neural correlates of this disorder.
脑区之间连接性的缺陷被认为在精神分裂症的病理生理学中起主要作用。利用独立成分分析(ICA)对精神分裂症进行了功能磁共振成像(fMRI)分析,以识别多个时间上连贯、空间上分布的脑活动区域,这些区域代表功能连接网络。我们假设在由颞上回等区域组成的听觉网络以及由额顶叶区域组成的执行网络中会出现功能连接差异。在听觉失匹配范式期间,发现八个网络与精神分裂症有关。其中包括一个包含颞上回和颞中回的双侧颞叶网络;一个由后扣带回、楔前叶和额中回组成的默认模式网络;以及多个构成不同组间差异水平的背外侧前额叶皮质网络。还发现了与任务高度相关的感觉网络。这些结果表明,精神分裂症患者在与听觉处理、执行控制和基线功能活动相关的网络中表现出功能连接差异。总体而言,这些发现支持这样一种观点,即与精神分裂症相关的认知缺陷是广泛存在的,并且功能连接方法有助于阐明这种疾病的神经相关性。