Hirano Shigeki, Yamada Makiko
Department of Neurology, Graduate School of Medicine, Chiba Univeisity, Japan.
Brain Nerve. 2013 Jun;65(6):659-67.
Neurons are anatomically and physiologically connected to each other, and these connections are involved in various neuronal functions. Multiple important neural networks involved in neurodegenerative diseases can be detected using network analyses in functional neuroimaging. First, the basic methods and theories of voxel-based network analyses, such as principal component analysis, independent component analysis, and seed-based analysis, are described. Disease- and symptom-specific brain networks have been identified using glucose metabolism images in patients with Parkinson's disease. These networks enable us to objectively evaluate individual patients and serve as diagnostic tools as well as biomarkers for therapeutic interventions. Many functional MRI studies have shown that "hub" brain regions, such as the posterior cingulate cortex and medial prefrontal cortex, are deactivated by externally driven cognitive tasks; such brain regions form the "default mode network." Recent studies have shown that this default mode network is disrupted from the preclinical phase of Alzheimer's disease and is associated with amyloid deposition in the brain. Some recent studies have shown that the default mode network is also impaired in Parkinson's disease, whereas other studies have shown inconsistent results. These incongruent results could be due to the heterogeneous pharmacological status, differences in mesocortical dopaminergic impairment status, and concomitant amyloid deposition. Future neuroimaging network analysis studies will reveal novel and interesting findings that will uncover the pathomechanisms of neurological and psychiatric disorders.
神经元在解剖学和生理学上相互连接,这些连接参与各种神经元功能。使用功能神经成像中的网络分析可以检测出涉及神经退行性疾病的多个重要神经网络。首先,描述了基于体素的网络分析的基本方法和理论,如主成分分析、独立成分分析和基于种子的分析。利用帕金森病患者的葡萄糖代谢图像已经确定了疾病和症状特异性的脑网络。这些网络使我们能够客观地评估个体患者,并作为诊断工具以及治疗干预的生物标志物。许多功能磁共振成像研究表明,“枢纽”脑区,如后扣带回皮质和内侧前额叶皮质,会被外部驱动的认知任务激活;这些脑区形成了“默认模式网络”。最近的研究表明,这种默认模式网络在阿尔茨海默病的临床前期就被破坏,并且与大脑中的淀粉样蛋白沉积有关。最近的一些研究表明,默认模式网络在帕金森病中也受损,而其他研究则显示出不一致的结果。这些不一致的结果可能是由于药理学状态的异质性、中皮质多巴胺能损伤状态的差异以及伴随的淀粉样蛋白沉积。未来的神经成像网络分析研究将揭示新颖有趣的发现,这些发现将揭示神经和精神疾病的发病机制。