College of Mechatronics and Automation, National University of Defense Technology, Changsha, Hunan, People's Republic of China.
Brain. 2012 May;135(Pt 5):1498-507. doi: 10.1093/brain/aws059. Epub 2012 Mar 14.
Recent resting-state functional connectivity magnetic resonance imaging studies have shown significant group differences in several regions and networks between patients with major depressive disorder and healthy controls. The objective of the present study was to investigate the whole-brain resting-state functional connectivity patterns of depressed patients, which can be used to test the feasibility of identifying major depressive individuals from healthy controls. Multivariate pattern analysis was employed to classify 24 depressed patients from 29 demographically matched healthy volunteers. Permutation tests were used to assess classifier performance. The experimental results demonstrate that 94.3% (P < 0.0001) of subjects were correctly classified by leave-one-out cross-validation, including 100% identification of all patients. The majority of the most discriminating functional connections were located within or across the default mode network, affective network, visual cortical areas and cerebellum, thereby indicating that the disease-related resting-state network alterations may give rise to a portion of the complex of emotional and cognitive disturbances in major depression. Moreover, the amygdala, anterior cingulate cortex, parahippocampal gyrus and hippocampus, which exhibit high discriminative power in classification, may play important roles in the pathophysiology of this disorder. The current study may shed new light on the pathological mechanism of major depression and suggests that whole-brain resting-state functional connectivity magnetic resonance imaging may provide potential effective biomarkers for its clinical diagnosis.
最近的静息态功能磁共振成像研究表明,重度抑郁症患者和健康对照者之间在几个区域和网络中存在显著的组间差异。本研究的目的是探讨抑郁症患者的全脑静息态功能连接模式,可用于从健康对照者中识别重度抑郁症个体。采用多变量模式分析对 24 名重度抑郁症患者和 29 名人口统计学匹配的健康志愿者进行分类。采用置换检验评估分类器的性能。实验结果表明,通过留一法交叉验证,94.3%(P<0.0001)的受试者被正确分类,包括所有患者的 100%识别。大多数具有最强判别力的功能连接位于默认模式网络、情感网络、视觉皮层区域和小脑内或之间,从而表明与疾病相关的静息态网络改变可能导致部分重度抑郁症的情绪和认知障碍。此外,在分类中具有较高判别力的杏仁核、前扣带皮层、海马旁回和海马可能在该疾病的病理生理学中发挥重要作用。本研究可能为重度抑郁症的病理机制提供新的见解,并表明全脑静息态功能连接磁共振成像可能为其临床诊断提供潜在的有效生物标志物。
Brain Struct Funct. 2015-1
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