Department of Medical Informatics, Meiji University of Integrative Medicine.
Department of Neurosurgery, Meiji University of Integrative Medicine.
Magn Reson Med Sci. 2021 Dec 1;20(4):425-430. doi: 10.2463/mrms.mp.2020-0164. Epub 2021 Feb 5.
PURPOSE: We investigated the temporal dynamics of blood oxygen level-dependent (BOLD) signal responses during various stimuli, including real acupuncture, sham acupuncture, and palm scrubbing. For this purpose, deconvolution analysis was used to perform measurements using multi-band (MB) echo-planar imaging (EPI), which can improve time resolution, and to analyze brain responses without an expected reference function. METHODS: We devided 26 healthy right-handed adults into a group of 13 who received real acupuncture stimulation with manual manipulation and the other group of 13 who received sham acupuncture and palm scrubbing tactical stimulations. Data analysis was performed with a combination of analysis packages. RESULTS: We found stimulus-specific impulse responses of the BOLD signal in various brain regions. During real acupuncture, activated areas were observed in the secondary somatosensory cortex (SII) and insula during stimulation and in the anterior cingulate cortex (ACC), supplementary motor area (SMA), and thalamus after the stimulation. During sham acupuncture, activated areas were observed in the SII, insula, and thalamus during simulation. During the scrubbing condition, activated areas were observed in the contralateral primary somatosensory cortex (SI), SII, insula, and thalamus during stimulation. In particular, during the real acupuncture condition, significantly delayed and long-sustained increased signals were observed in several brain regions, in contrast to the signals induced with sham acupuncture and palm scrubbing.Coclusion: We speculated that the delayed and long-sustained signal increases were caused by peripheral nociceptors, flare responses, and time-consuming processing in the central nervous system. We used deconvolution analysis with MB EPI and tent functions to identify the delayed increase in the BOLD signal in the area related to pain perception specifically observed in real acupuncture stimulation. We propose that the specific BOLD signal change observed in this study will lead to the elucidation of the mechanism underlying the therapeutic effect of acupuncture stimulation.
目的:我们研究了在各种刺激下,包括真实针刺、假针刺和手掌摩擦,血氧水平依赖(BOLD)信号响应的时间动态。为此,我们使用多带宽(MB)回波平面成像(EPI)的去卷积分析来进行测量,这可以提高时间分辨率,并且无需预期参考函数即可分析大脑响应。
方法:我们将 26 名健康的右利手成年人分为 13 名接受手动操作的真实针刺刺激的组和 13 名接受假针刺和手掌摩擦刺激的组。数据分析采用分析包的组合进行。
结果:我们发现了不同脑区 BOLD 信号的刺激特异性脉冲响应。在真实针刺刺激时,在刺激期间观察到次级体感皮层(SII)和岛叶激活,在刺激后观察到前扣带皮层(ACC)、辅助运动区(SMA)和丘脑激活。在假针刺刺激时,在模拟期间观察到 SII、岛叶和丘脑的激活。在摩擦条件下,在刺激期间观察到对侧初级体感皮层(SI)、SII、岛叶和丘脑的激活。特别是在真实针刺条件下,与假针刺和手掌摩擦刺激引起的信号相比,几个脑区的信号观察到明显延迟和持续时间延长的增加。
结论:我们推测,这种延迟和持续时间延长的信号增加是由外周伤害感受器、闪光反应和中枢神经系统的耗时处理引起的。我们使用 MB EPI 和帐篷函数的去卷积分析来识别在真实针刺刺激中观察到的与疼痛感知相关区域中 BOLD 信号的延迟增加。我们提出,本研究中观察到的特定 BOLD 信号变化将有助于阐明针刺刺激治疗效果的机制。
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