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高频重复经颅磁刺激治疗难治性抑郁症的脑功能变化分析

Analysis of Brain Functional Changes in High-Frequency Repetitive Transcranial Magnetic Stimulation in Treatment-Resistant Depression.

作者信息

Ozekes Serhat, Erguzel Turker, Sayar Gokben Hizli, Tarhan Nevzat

机构信息

Department of Computer Engineering, Faculty of Engineering and Natural Sciences, Uskudar University, Istanbul, Turkey

Department of Computer Engineering, Faculty of Engineering and Natural Sciences, Uskudar University, Istanbul, Turkey.

出版信息

Clin EEG Neurosci. 2014 Oct;45(4):257-261. doi: 10.1177/1550059413515656. Epub 2014 Apr 14.

DOI:10.1177/1550059413515656
PMID:24733717
Abstract

Repetitive transcranial magnetic stimulation (rTMS) is a treatment procedure that uses magnetic fields to stimulate nerve cells in the brain, and is associated with significant improvements in clinical symptoms of major depressive disorder (MDD). The effect of rTMS treatment on the brain can be evaluated by cordance, a quantitative electroencephalography (QEEG) method that extracts information from absolute and relative power of EEG spectra. In this study, to analyze brain functional changes, pre- and post-rTMS, QEEG data were collected from 6 frontal electrodes (Fp1, Fp2, F3, F4, F7, and F8) in 2 slow bands (delta and theta) for 55 MDD subjects. To examine brain changes, cordance scores were determined, using repeated-measures analysis of variance (ANOVA). High-frequency rTMS was associated with cordance decrease in left frontal and right prefrontal regions in both delta and theta for nonresponders; it was associated with cordance increase in all right and left frontal electrodes, except F8, for responders.

摘要

重复经颅磁刺激(rTMS)是一种利用磁场刺激大脑神经细胞的治疗方法,与重度抑郁症(MDD)的临床症状显著改善相关。rTMS治疗对大脑的影响可以通过协调性分析来评估,这是一种定量脑电图(QEEG)方法,可从脑电图频谱的绝对功率和相对功率中提取信息。在本研究中,为了分析rTMS治疗前后的脑功能变化,从55名MDD受试者的6个额部电极(Fp1、Fp2、F3、F4、F7和F8)在2个慢波频段(δ波和θ波)收集了QEEG数据。为了检查大脑变化,使用重复测量方差分析(ANOVA)确定协调性得分。对于无反应者,高频rTMS与左额叶和右前额叶区域在δ波和θ波中的协调性降低相关;对于有反应者,除F8外,所有左右额部电极的协调性均增加。

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引用本文的文献

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Psychiatry Res Neuroimaging. 2020 Aug 30;302:111109. doi: 10.1016/j.pscychresns.2020.111109. Epub 2020 May 22.
2
Baseline Difference in Quantitative Electroencephalography Variables Between Responders and Non-Responders to Low-Frequency Repetitive Transcranial Magnetic Stimulation in Depression.抑郁症患者中低频重复经颅磁刺激治疗反应者与无反应者之间定量脑电图变量的基线差异
Front Psychiatry. 2020 Feb 27;11:83. doi: 10.3389/fpsyt.2020.00083. eCollection 2020.
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Intermediate phenotypes and biomarkers of treatment outcome in major depressive disorder.重度抑郁症治疗结果的中间表型和生物标志物
Dialogues Clin Neurosci. 2014 Dec;16(4):525-37. doi: 10.31887/DCNS.2014.16.4/aleuchter.