Ottawa Hospital Research Institute, University of Ottawa, Division of Neurosurgery, The Ottawa Hospital, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada; Mind, Brain Imaging and Neuroethics, Canada Research Chair, EJLB-Michael Smith Chair for Neuroscience and Mental Health, Royal Ottawa Mental Health Centre, University of Ottawa Institute of Mental Health Research, 1145 Carling Avenue, Rm. 6435, Ottawa, ON, K1Z 7K4, Canada.
Glioma Surgery Division, Department of Neurological Surgery, Huashan Hospital, Fudan University, 518 Wuzhong E Rd, Shanghai, China.
Neurosci Biobehav Rev. 2018 Jan;84:245-261. doi: 10.1016/j.neubiorev.2017.11.019. Epub 2017 Dec 2.
This study represents a systematic review of the insights provided by resting state functional MRI (rs-fMRI) use in the glioma population. Following PRISMA guidelines, 45 studies were included in the review and were classified in glioma-related neuronal changes (n=28) and eloquent area localization (n=17). Despite the heterogeneous nature of the studies, there is considerable evidence of diffuse functional reorganization occurring in the setting of gliomas with local and interhemispheric functional connectivity alterations involving different functional networks. The studies showed evidence of decreased long distance functional connectivity and increased global local efficiency occurring in the setting of gliomas. The tumour grade seems to correlate with distinct functional connectivity changes. Overall, there is a potential clinical utility of rs-fMRI for identifying the functional brain network disruptions occurring in the setting of gliomas. Further studies utilizing standardized analytical methods are required to elucidate the mechanism through which gliomas induce global changes in brain connectivity.
本研究代表了对静息态功能磁共振成像(rs-fMRI)在神经胶质瘤人群中提供的见解的系统评价。根据 PRISMA 指南,综述纳入了 45 项研究,并分为与神经胶质瘤相关的神经元变化(n=28)和功能区定位(n=17)。尽管研究具有异质性,但有相当多的证据表明,在神经胶质瘤中存在弥漫性功能重组,涉及不同功能网络的局部和半球间功能连接改变。研究表明,在神经胶质瘤中存在远距离功能连接减少和全局局部效率增加的证据。肿瘤分级似乎与不同的功能连接变化相关。总之,rs-fMRI 具有识别神经胶质瘤中发生的功能脑网络破坏的潜在临床应用价值。需要进一步利用标准化分析方法的研究来阐明神经胶质瘤引起脑连接全局变化的机制。
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