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功能磁共振成像检测重复正中神经刺激的血流动力学反应。

Functional MRI detection of hemodynamic response of repeated median nerve stimulation.

机构信息

Department of Biomedical Engineering, University of Iowa, 200 Hawkins Drive, C721 GH, Iowa City, IA 52242, USA.

出版信息

Magn Reson Imaging. 2013 May;31(4):550-4. doi: 10.1016/j.mri.2012.10.012. Epub 2012 Dec 8.

Abstract

Median nerve stimulation is a commonly used technique in the clinical setting to determine areas of neuronal function in the brain. Neuronal activity of repeated median nerve stimulation is well studied. The cerebral hemodynamic response of the stimulation, on the other hand, is not very clear. In this study, we investigate how cerebral hemodynamics behave over time using the same repeated median nerve stimulation. Ten subjects received constant repeated electrical stimulation to the right median nerve. Each subject had functional magnetic resonance imaging scans while receiving said stimulations for seven runs. Our results show that the blood oxygen level-dependent (BOLD) signal significantly decreases across each run. Significant BOLD signal decreases can also be seen within runs. These results are consistent with studies that have studied the hemodynamic habituation effect with other forms of stimulation. However, the results do not completely agree with the findings of studies where evoked potentials were examined. Thus, further inquiry of how evoked potentials and cerebral hemodynamics are coupled when using constant stimulations is needed.

摘要

正中神经刺激是临床中常用于确定大脑神经元功能区域的一种常用技术。对重复正中神经刺激的神经元活动已有深入研究。相比之下,刺激的脑血流动力学反应尚不清楚。在这项研究中,我们使用相同的重复正中神经刺激来研究脑血流动力学随时间的变化。10 名受试者接受右侧正中神经的恒定重复电刺激。每位受试者在接受七次扫描时都进行了功能磁共振成像扫描。我们的结果表明,每个运行过程中血氧水平依赖(BOLD)信号明显降低。在运行过程中也可以看到明显的 BOLD 信号降低。这些结果与研究其他形式刺激的血液动力学习惯化效应的研究结果一致。然而,这些结果与检查诱发电位的研究结果并不完全一致。因此,需要进一步探究当使用恒定刺激时,诱发电位和脑血流动力学是如何耦合的。

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