Zhang Bing, Li Biao, Liu Rong-Qiang, Shu Yong-Qiang, Min You-Lan, Yuan Qing, Zhu Pei-Wen, Lin Qi, Ye Lei, Shao Yi
Department of Ophthalmology, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang Province, China.
Department of Ophthalmology, the First Affiliated Hospital of Nanchang University, Jiangxi Province Ocular Disease Clinical Research Center, Nanchang 330006, Jiangxi Province, China.
Int J Ophthalmol. 2020 Feb 18;13(2):263-270. doi: 10.18240/ijo.2020.02.10. eCollection 2020.
To use the voxel-wise degree centrality (DC) method to explore the underlying functional network brain-activity in patients with ophthalmectomy.
A total of 32 ophthalmic surgery patients (10 women and 22 men), and 32 healthy subjects (10 women and 22 men) highly matched in gender, age, and the same operation method. Everyone experienced a resting-state functional magnetic resonance imaging scan. The spontaneous brain activity could be assessed by DC. Correlation analysis was used to explore the relationships between the average DC signal values and behavior performance in different regions. Receiver operating characteristic (ROC) curve analysis was utilized to differentiate between ophthalmectomy patients and healthy controls (HCs).
Compared with HCs, ophthalmectomy patients had greatly reduced DC values in left lingual gyrus, bilateral lingual lobe, left cingulate gyrus, and increased DC values of left cerebellum posterior lobe, left middle frontal gyrus1, right supramarginal gyrus, left middle frontal gyrus2, right middle frontal gyrus. However, we did not find that there was a correlation between the average DC values from various brain regions and clinical manifestations.
Dysfunction may be caused by ophthalmectomy in lots of cerebral areas, which may show the potential pathological mechanism of ophthalmectomy and it is beneficial to clinical diagnosis.
采用基于体素的度中心性(DC)方法,探究眼球摘除术患者潜在的脑功能网络活动情况。
选取32例眼科手术患者(10名女性,22名男性)和32名健康受试者(10名女性,22名男性),两组在性别、年龄及手术方式上高度匹配。所有受试者均接受静息态功能磁共振成像扫描。通过DC评估自发脑活动情况。采用相关性分析探究不同脑区平均DC信号值与行为表现之间的关系。利用受试者工作特征(ROC)曲线分析对眼球摘除术患者和健康对照者进行区分。
与健康对照者相比,眼球摘除术患者左侧舌回、双侧舌叶、左侧扣带回的DC值显著降低,左侧小脑后叶、左侧额中回1、右侧缘上回、左侧额中回2、右侧额中回的DC值升高。然而,未发现各脑区平均DC值与临床表现之间存在相关性。
眼球摘除术可能导致多个脑区功能障碍,这可能揭示了眼球摘除术潜在的病理机制,对临床诊断具有一定的指导意义。