Life Sciences Research Center, School of Life Sciences and Technology, Xidian University, Xi'an, Shaanxi 710071, China.
Magn Reson Imaging. 2013 Jul;31(6):996-1000. doi: 10.1016/j.mri.2013.03.019. Epub 2013 Apr 17.
Recently, there is an increasing interest in the study of the role of brain dysfunction in the pathogenesis of symptoms of functional dyspepsia (FD). More specifically, abnormal brain activities in patients with FD during the resting state have been proven by several positron emission tomography (PET) studies. Resting-state functional magnetic resonance imaging (fMRI) is also a valuable tool in investigating spontaneous brain activity abnormalities in pathological conditions. In the present study, we examined the amplitude of low-frequency fluctuations (ALFF) and fractional (f)ALFF changes in patients with FD by using fMRI. Twenty-nine patients with FD and sixteen healthy controls participated in this study. Between-group differences in ALFF/fALFF were examined using a permutation-based nonparametric test after accounting for the gender and age effects. The results revealed a significant between-group difference in fALFF but not in ALFF in multiple brain regions including the right insula, brainstem and cerebellum. Seed-based resting-state functional connectivity analysis revealed that FD patients have increased correlations between the right cerebellum and multiple brain regions including the bilateral brainstem, bilateral cerebellum, bilateral thalamus, left para-/hippocampus, left pallidum and left putamen. Furthermore, fLAFF values in the right insula were positively correlated with the severity of the disease. These findings have provided further evidence of spontaneous brain activity abnormalities in FD patients which might contribute to our understanding of the pathophysiology of the disease.
最近,人们对脑功能障碍在功能性消化不良(FD)症状发病机制中的作用研究产生了浓厚的兴趣。具体来说,几项正电子发射断层扫描(PET)研究已经证明,FD 患者在静息状态下大脑活动异常。静息态功能磁共振成像(fMRI)也是研究病理状态下自发性大脑活动异常的一种有价值的工具。在本研究中,我们使用 fMRI 检查了 FD 患者低频振幅(ALFF)和分数(f)ALFF 的变化。29 名 FD 患者和 16 名健康对照者参与了这项研究。在考虑性别和年龄效应后,采用基于置换的非参数检验检查了 ALFF/fALFF 的组间差异。结果显示,在多个脑区,包括右侧岛叶、脑干和小脑,fALFF 而非 ALFF 存在显著的组间差异。基于种子的静息态功能连接分析显示,FD 患者的右侧小脑与多个脑区之间的相关性增加,包括双侧脑干、双侧小脑、双侧丘脑、左侧旁/海马体、左侧苍白球和左侧壳核。此外,右侧岛叶的 fLAFF 值与疾病的严重程度呈正相关。这些发现为 FD 患者的自发性大脑活动异常提供了进一步的证据,可能有助于我们理解疾病的病理生理学。
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