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功能性消化不良的全脑功能连接识别。

Whole-brain functional connectivity identification of functional dyspepsia.

机构信息

School of Life Sciences and Technology, Xidian University, Xi'an, PR China.

出版信息

PLoS One. 2013 Jun 17;8(6):e65870. doi: 10.1371/journal.pone.0065870. Print 2013.


DOI:10.1371/journal.pone.0065870
PMID:23799056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3684590/
Abstract

Recent neuroimaging studies have shown local brain aberrations in functional dyspepsia (FD) patients, yet little attention has been paid to the whole-brain resting-state functional network abnormalities. The purpose of this study was to investigate whether FD disrupts the patterns of whole-brain networks and the abnormal functional connectivity could reflect the severity of the disease. The dysfunctional interactions between brain regions at rest were investigated in FD patients as compared with 40 age- and gender- matched healthy controls. Multivariate pattern analysis was used to evaluate the discriminative power of our results for classifying patients from controls. In our findings, the abnormal brain functional connections were mainly situated within or across the limbic/paralimbic system, the prefrontal cortex, the tempo-parietal areas and the visual cortex. About 96% of the subjects among the original dataset were correctly classified by a leave one-out cross-validation approach, and 88% accuracy was also validated in a replication dataset. The classification features were significantly associated with the patients' dyspepsia symptoms, the self-rating depression scale and self-rating anxiety scale, but it was not correlated with duration of FD patients (p>0.05). Our results may indicate the effectiveness of the altered brain functional connections reflecting the disease pathophysiology underling FD. These dysfunctional connections may be the epiphenomena or causative agents of FD, which may be affected by clinical severity and its related emotional dimension of the disease rather than the clinical course.

摘要

最近的神经影像学研究表明,功能性消化不良(FD)患者存在局部脑异常,但人们对全脑静息态功能网络异常关注较少。本研究旨在探讨 FD 是否会破坏全脑网络模式,以及异常的功能连接是否可以反映疾病的严重程度。与 40 名年龄和性别匹配的健康对照相比,我们研究了 FD 患者静息时大脑区域之间的功能失调相互作用。采用多变量模式分析评估了我们的结果对分类患者和对照的判别能力。在我们的研究结果中,异常的脑功能连接主要位于边缘/边缘系统内或之间、前额叶皮层、颞顶区和视觉皮层。在原始数据集的 96%左右的受试者中,采用留一法交叉验证方法进行正确分类,在复制数据集上也验证了 88%的准确率。分类特征与患者的消化不良症状、自评抑郁量表和自评焦虑量表显著相关,但与 FD 患者的病程无关(p>0.05)。我们的研究结果可能表明,改变的脑功能连接反映了 FD 潜在病理生理学的有效性。这些功能失调的连接可能是 FD 的表象或因果因素,可能受疾病严重程度及其相关情绪维度的影响,而不是病程的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/357500599c65/pone.0065870.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/3c952c053bdb/pone.0065870.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/b24491bbe203/pone.0065870.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/82166a6827fa/pone.0065870.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/ba9d9388e7f8/pone.0065870.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/357500599c65/pone.0065870.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/3c952c053bdb/pone.0065870.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/b24491bbe203/pone.0065870.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/82166a6827fa/pone.0065870.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/ba9d9388e7f8/pone.0065870.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8d/3684590/357500599c65/pone.0065870.g005.jpg

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本文引用的文献

[1]
The role of psychosocial factors and psychiatric disorders in functional dyspepsia.

Nat Rev Gastroenterol Hepatol. 2013-1-29

[2]
The influence of positive and negative emotional associations on semantic processing in depression: an fMRI study.

Hum Brain Mapp. 2014-2

[3]
Identifying major depression using whole-brain functional connectivity: a multivariate pattern analysis.

Brain. 2012-3-14

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Natural history of functional gastrointestinal disorders: comparison of two longitudinal population-based studies.

Dig Liver Dis. 2011-12-1

[5]
Gender-related differences in the dysfunctional resting networks of migraine suffers.

PLoS One. 2011-11-2

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Interaction between dysfunctional connectivity at rest and heroin cues-induced brain responses in male abstinent heroin-dependent individuals.

PLoS One. 2011-10-18

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Functional connectivity magnetic resonance imaging classification of autism.

Brain. 2011-10-17

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Abnormal resting brain activity in patients with functional dyspepsia is related to symptom severity.

Gastroenterology. 2011-5-17

[9]
Current understanding of pathogenesis of functional dyspepsia.

J Gastroenterol Hepatol. 2011-4

[10]
Gastric distention induced functional magnetic resonance signal changes in the rodent brain.

Neuroscience. 2011-2-1

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