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神经影像学与月经周期:一项多模态的系统综述。

Neuroimaging the menstrual cycle: A multimodal systematic review.

机构信息

Department of Neuroscience, Science for Life Laboratory, Uppsala University, Sweden.

Department of Psychiatry, Department of Family Medicine, University of Colorado School of Medicine-Anschutz Medical Campus, USA.

出版信息

Front Neuroendocrinol. 2021 Jan;60:100878. doi: 10.1016/j.yfrne.2020.100878. Epub 2020 Oct 22.

Abstract

Increasing evidence indicates that ovarian hormones affect brain structure, chemistry and function of women in their reproductive age, potentially shaping their behavior and mental health. Throughout the reproductive years, estrogens and progesterone levels fluctuate across the menstrual cycle and can modulate neural circuits involved in affective and cognitive processes. Here, we review seventy-seven neuroimaging studies and provide a comprehensive and data-driven evaluation of the accumulating evidence on brain plasticity associated with endogenous ovarian hormone fluctuations in naturally cycling women (n = 1304). The results particularly suggest modulatory effects of ovarian hormones fluctuations on the reactivity and structure of cortico-limbic brain regions. These findings highlight the importance of performing multimodal neuroimaging studies on neural correlates of systematic ovarian hormone fluctuations in naturally cycling women based on careful menstrual cycle staging.

摘要

越来越多的证据表明,卵巢激素会影响育龄女性的大脑结构、化学和功能,可能会影响她们的行为和心理健康。在整个生育期,雌激素和孕激素水平在月经周期中波动,并可以调节参与情感和认知过程的神经回路。在这里,我们回顾了 77 项神经影像学研究,并对与自然循环女性(n=1304)内源性卵巢激素波动相关的大脑可塑性的累积证据进行了全面和数据驱动的评估。结果特别表明,卵巢激素波动对皮质-边缘脑区的反应性和结构有调节作用。这些发现强调了基于仔细的月经周期分期,对自然循环女性中系统的卵巢激素波动的神经相关性进行多模态神经影像学研究的重要性。

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