Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Prog Neuropsychopharmacol Biol Psychiatry. 2018 Feb 2;81:228-235. doi: 10.1016/j.pnpbp.2017.09.020. Epub 2017 Sep 20.
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.
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。
Prog Neuropsychopharmacol Biol Psychiatry. 2017-9-20
Hear Res. 2013-7-26
Prog Neuropsychopharmacol Biol Psychiatry. 2015-6-3
Front Neurosci. 2022-1-21
Front Hum Neurosci. 2021-1-18