Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, VIC 3010, Australia; Department of Clinical Neurosciences, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, VIC 3065, Australia.
Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, VIC 3010, Australia; Department of Medicine, St Vincent's Hospital, The University of Melbourne, 41 Victoria Parade, Fitzroy, VIC 3065, Australia.
Epilepsy Res. 2020 Jan;159:106254. doi: 10.1016/j.eplepsyres.2019.106254. Epub 2019 Dec 9.
In order for fMRI findings to be valid and replicable, they must first adhere to quality standardisation. Currently, fMRI literature investigating idiopathic generalised epilepsy is heterogeneous in terms of design, acquisition, processing, and analysis. The present study reported the quality, methods, and functional connectivity findings of fMRI research investigating idiopathic generalised epilepsies, targeting studies that best represent valid and replicable methodologies. Twenty-four studies were identified in the present systematic review. The default mode network showed more significantly altered connectivity than other resting state networks. These networks and associated regions of interest were frequently deactivated at rest amongst all idiopathic generalised epilepsy subtypes compared to controls. This review highlights the need for standardization in acquisition techniques and parameters, processing steps, and analysis techniques, if research in this field is to be replicable. There is also a need for further investigation into default mode network connectivity in the juvenile absence epilepsy population, as a common subtype of idiopathic generalized epilepsy.
为了使 fMRI 研究结果具有有效性和可重复性,首先必须遵守质量标准化。目前,研究特发性全面性癫痫的 fMRI 文献在设计、采集、处理和分析方面存在差异。本研究报告了针对最能代表有效和可重复方法学的研究,调查特发性全面性癫痫的 fMRI 研究的质量、方法和功能连接发现。在本系统评价中确定了 24 项研究。与对照组相比,默认模式网络的连接变化比其他静息态网络更为显著。与对照组相比,所有特发性全面性癫痫亚型在静息状态下这些网络及其相关的感兴趣区域经常被去激活。本综述强调了如果要使该领域的研究具有可重复性,就需要在采集技术和参数、处理步骤以及分析技术方面进行标准化。此外,还需要进一步研究青少年失神癫痫人群的默认模式网络连接,因为这是特发性全面性癫痫的常见亚型。