Zhou F Q, Tan Y M, Wu L, Zhuang Y, He L C, Gong H H
1] Department of Radiology, the First Affiliated Hospital, Nanchang University, Nanchang, Jiangxi Province, 330006, PRC [2] Jiangxi Province Medical Imaging Research Institute, Nanchang, Jiangxi Province, 330006, PRC [3] Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Department of Radiology, the First Affiliated Hospital, Nanchang University, Nanchang, Jiangxi Province, 330006, PRC.
Sci Rep. 2015 Apr 21;5:9975. doi: 10.1038/srep09975.
Several neuroimaging studies have suggested brain reorganisation in patients with cervical spondylotic myelopathy (CSM); however, the changes in spontaneous neuronal activity that are associated with connectedness remain largely unknown. In this study, functional connectivity strength (FCS), a data-driven degree centrality method based on a theoretical approach, was applied for the first time to investigate changes in the sensory-motor network (SMN) at the voxel level. Comparatively, CSM not only showed significantly decreased FCS in the operculum-integrated regions, which exhibited reduced resting-state functional connectivity (rsFC) around the Rolandic sulcus, but it also showed increased FCS in the premotor, primary somatosensory, and parietal-integrated areas, which primarily showed an enhanced rsFC pattern. Correlation analysis showed that altered FCS (in the left premotor-ventral/precentral-operculum, right operculum-parietale 4, and right S1) was associated with worsening Japanese Orthopaedic Association scores and that the rsFC pattern was influenced by cervical cord micro-structural damage at the C2 level. Together, these findings suggest that during myelopathy, the intrinsic functional plasticity of the SMN responds to the insufficient sensory and motor experience in CSM patients. This knowledge may improve our understanding of the comprehensive functional defects found in CSM patients and may inspire the development of new therapeutic strategies in the future.
多项神经影像学研究表明,脊髓型颈椎病(CSM)患者存在大脑重组;然而,与连通性相关的自发神经元活动变化在很大程度上仍不清楚。在本研究中,首次应用基于理论方法的数据驱动度中心性方法——功能连接强度(FCS),在体素水平研究感觉运动网络(SMN)的变化。相比之下,CSM不仅在岛盖整合区域显示FCS显著降低,该区域在中央沟周围表现出静息态功能连接(rsFC)降低,而且在运动前区、初级体感区和顶叶整合区域显示FCS增加,这些区域主要表现出增强的rsFC模式。相关性分析表明,FCS改变(在左侧运动前区-腹侧/中央前回-岛盖、右侧岛盖-顶叶4区和右侧S1区)与日本骨科协会评分恶化相关,且rsFC模式受C2水平脊髓微观结构损伤的影响。总之,这些发现表明,在脊髓病期间,SMN的内在功能可塑性对CSM患者感觉和运动经验不足做出反应。这一认识可能会增进我们对CSM患者综合功能缺陷的理解,并可能在未来激发新治疗策略的发展。
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