Schmidt Sara A, Carpenter-Thompson Jake, Husain Fatima T
Neuroscience Program, University of Illinois, Champaign, IL 61820, USA.
College of Medicine, University of Illinois, Champaign, IL 61820, USA.
Neuroimage Clin. 2017 Jul 22;16:196-204. doi: 10.1016/j.nicl.2017.07.015. eCollection 2017.
Resting state functional connectivity studies of tinnitus have provided inconsistent evidence concerning its neural bases. This may be due to differences in the methodology used, but it is also likely related to the heterogeneity of the tinnitus population. In this study, our goal was to identify resting state functional connectivity alterations that consistently appear across tinnitus subgroups. We examined two sources of variability in the subgroups: tinnitus severity and the length of time a person has had chronic tinnitus (referred to as tinnitus duration). Data for the current large-scale analysis of variance originated partly from our earlier investigations (Schmidt et al., 2013; Carpenter-Thompson et al., 2015) and partly from previously unpublished studies. Decreased correlations between seed regions in the default mode network and the precuneus were consistent across individuals with long-term tinnitus (who have had tinnitus for greater than one year), with more bothersome tinnitus demonstrating stronger decreases. In the dorsal attention network, patients with moderately severe tinnitus showed increased correlations between seeds in the network and the precuneus, with this effect also present in only some patients with mild tinnitus. The same effects were not seen in patients with mild tinnitus and tinnitus duration between 6 and 12 months. Our results are promising initial steps towards identifying invariant neural correlates of tinnitus and indexing differences between subgroups.
耳鸣静息态功能连接性研究对于其神经基础提供了不一致的证据。这可能是由于所使用方法的差异,但也可能与耳鸣人群的异质性有关。在本研究中,我们的目标是识别在耳鸣亚组中一致出现的静息态功能连接性改变。我们研究了亚组中的两个变异性来源:耳鸣严重程度以及个体患有慢性耳鸣的时间长度(称为耳鸣持续时间)。当前大规模方差分析的数据部分源自我们早期的研究(施密特等人,2013年;卡彭特 - 汤普森等人,2015年),部分源自以前未发表的研究。在默认模式网络中的种子区域与楔前叶之间相关性降低在长期耳鸣患者(耳鸣持续时间超过一年)中是一致的,耳鸣越困扰,相关性降低越明显。在背侧注意网络中,中度严重耳鸣患者显示该网络中的种子区域与楔前叶之间的相关性增加,这种效应也仅在一些轻度耳鸣患者中出现。在轻度耳鸣且耳鸣持续时间在6至12个月之间的患者中未观察到相同效应。我们的结果是朝着识别耳鸣不变的神经关联以及对亚组之间差异进行索引迈出的有前景的初步步骤。
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