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功能磁共振成像检测单侧搏动性耳鸣患者听觉网络功能连接的偏侧化效应。

Lateralization effects on functional connectivity of the auditory network in patients with unilateral pulsatile tinnitus as detected by functional MRI.

机构信息

Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2018 Feb 2;81:228-235. doi: 10.1016/j.pnpbp.2017.09.020. Epub 2017 Sep 20.


DOI:10.1016/j.pnpbp.2017.09.020
PMID:28941768
Abstract

Unilateral pulsatile tinnitus (PT) was proved to be a kind of disease with brain functional abnormalities within and beyond the auditory network (AN). However, changes in patterns of the lateralization effects of PT are yet to be established. Relationship between the AN and other brain networks in PT patients is also a scientific question need to be answered. In this study, we recruited 23 left-sided, 23 right-sided PT (LSPT, RSPT) patients and 23 normal controls (NC). We combined applied independent component analysis and seed-based functional connectivity (FC) analysis to investigate alteration feature of the FC of the AN by using resting-state functional magnetic resonance imaging (rs-fMRI). Compared with NC, LSPT patients demonstrated disconnected FC within the AN on both sides. Disrupted network integrity between AN and several brain functional networks, including executive control network, self-perceptual network and the limbic network, was also demonstrated in LSPT patient group bilaterally. In contrast, compared with NC, RSPT demonstrated decreased FC within the AN on the left side, but significant increased FC within the AN on the right side (symptomatic side). Enhanced FC between AN and executive control network, self-perceptual network and limbic network was also found mainly on the right side in patients with RSPT. Positive FC between the auditory network and the limbic network may be a reason to explain why RSPT patients are willing to be in the clinic. Briefly, LSPT exhibit disrupted network integrity in brain functional networks. But RSPT is featured by enhanced FC within AN and between networks, especially on the right (symptomatic) side. Corroboration of featured FC helps to reveal the pathophysiological changing process of the brain in patients with PT, providing imaging-based biomarker to distinguish PT from other kind of tinnitus.

摘要

单侧搏动性耳鸣 (PT) 被证实是一种与听觉网络 (AN) 内外脑功能异常相关的疾病。然而,PT 患者的偏侧化效应模式的变化尚未确定。PT 患者的 AN 与其他脑网络之间的关系也是一个需要回答的科学问题。在这项研究中,我们招募了 23 名左侧、23 名右侧 PT (LSPT、RSPT) 患者和 23 名正常对照者 (NC)。我们结合应用独立成分分析和种子点功能连接 (FC) 分析,利用静息态功能磁共振成像 (rs-fMRI) 研究 AN 的 FC 变化特征。与 NC 相比,LSPT 患者双侧 AN 内的 FC 呈现不连续。LSPT 患者双侧的 AN 与包括执行控制网络、自我感知网络和边缘网络在内的几个脑功能网络之间的网络完整性也被破坏。相比之下,与 NC 相比,RSPT 患者左侧 AN 内的 FC 减少,但右侧 (症状侧) AN 内的 FC 显著增加。RSPT 患者右侧 AN 与执行控制网络、自我感知网络和边缘网络之间的 FC 也增强。AN 与边缘网络之间的正 FC 可能是解释为什么 RSPT 患者愿意到临床就诊的原因之一。简而言之,LSPT 患者的脑功能网络中存在网络完整性破坏。而 RSPT 则表现为 AN 内和网络间 FC 增强,尤其是右侧 (症状侧)。对特征性 FC 的验证有助于揭示 PT 患者大脑的病理生理变化过程,为 PT 与其他类型耳鸣的鉴别提供基于影像学的生物标志物。

相似文献

[1]
Lateralization effects on functional connectivity of the auditory network in patients with unilateral pulsatile tinnitus as detected by functional MRI.

Prog Neuropsychopharmacol Biol Psychiatry. 2017-9-20

[2]
Abnormal resting-state functional connectivity study in unilateral pulsatile tinnitus patients with single etiology: A seed-based functional connectivity study.

Eur J Radiol. 2016-11

[3]
Abnormal regional activity and functional connectivity in resting-state brain networks associated with etiology confirmed unilateral pulsatile tinnitus in the early stage of disease.

Hear Res. 2017-3

[4]
Long-term reactions to pulsatile tinnitus are marked by weakened short-range functional connectivity within a brain network in the right temporal lobe.

J Magn Reson Imaging. 2018-12-21

[5]
Resting-state functional connectivity density mapping of etiology confirmed unilateral pulsatile tinnitus patients: Altered functional hubs in the early stage of disease.

Neuroscience. 2015-12-3

[6]
Disrupted local neural activity and functional connectivity in subjective tinnitus patients: evidence from resting-state fMRI study.

Neuroradiology. 2018-11

[7]
Using resting state functional connectivity to unravel networks of tinnitus.

Hear Res. 2013-7-26

[8]
Altered brain functional connectivity and correlation with psychological status in patients with unilateral pulsatile tinnitus.

Neurosci Lett. 2019-4-28

[9]
Tinnitus distress is linked to enhanced resting-state functional connectivity from the limbic system to the auditory cortex.

Hum Brain Mapp. 2017-5

[10]
Disrupted neural activity in unilateral vascular pulsatile tinnitus patients in the early stage of disease: evidence from resting-state fMRI.

Prog Neuropsychopharmacol Biol Psychiatry. 2015-6-3

引用本文的文献

[1]
Influence of the Peripheral Nervous System on Murine Osteoporotic Fracture Healing and Fracture-Induced Hyperalgesia.

Int J Mol Sci. 2022-12-28

[2]
PTSD symptoms and tinnitus severity: An analysis of veterans with posttraumatic headaches.

Health Psychol. 2022-3

[3]
Altered Neurovascular Coupling in Unilateral Pulsatile Tinnitus.

Front Neurosci. 2022-1-21

[4]
Surface-Based Amplitude of Low-Frequency Fluctuation Alterations in Patients With Tinnitus Before and After Sound Therapy: A Resting-State Functional Magnetic Resonance Imaging Study.

Front Neurosci. 2021-11-17

[5]
Lateralization effects in brain white matter reorganization in patients with unilateral idiopathic tinnitus: a preliminary study.

Brain Imaging Behav. 2022-2

[6]
Cortical Thickness Alterations in Patients With Tinnitus Before and After Sound Therapy: A Surface-Based Morphometry Study.

Front Neurosci. 2021-3-5

[7]
Altered cerebral blood flow in patients with unilateral venous pulsatile tinnitus: an arterial spin labeling study.

Br J Radiol. 2021-4-1

[8]
Neuroanatomical Alterations in Patients With Tinnitus Before and After Sound Therapy: A Combined VBM and SCN Study.

Front Hum Neurosci. 2021-1-18

[9]
Lateralization Effects on Cerebral Blood Flow in Patients With Unilateral Pulsatile Tinnitus Measured With Arterial Spin Labeling.

Front Hum Neurosci. 2020-11-17

[10]
Neuroanatomical Alterations in Patients With Tinnitus Before and After Sound Therapy: A Voxel-Based Morphometry Study.

Front Neurosci. 2020-9-8

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