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哮喘患者自发性脑活动改变:静息态功能磁共振成像的局部一致性分析研究。

Altered spontaneous brain activity in patients with asthma: a resting-state functional MRI study using regional homogeneity analysis.

机构信息

Department of Ophthalmology, The First Affiliated Hospital of Nanchang University.

Department of Ophthalmology.

出版信息

Neuroreport. 2021 Dec 15;32(18):1403-1407. doi: 10.1097/WNR.0000000000001736.

Abstract

OBJECTIVE

Studies have shown that patients with asthma have changes in brain function activities, but the specific relationship is still unknown. This study aims to investigate the potential regional homogeneity (ReHo) brain activity changes in patients with asthma and healthy controls.

METHODS

Thirty-one patients with asthma and 31 healthy controls closely matched in age, sex, and weight underwent resting-state functional MRI scans, respectively. The ReHo method was applied to evaluate synchronous neural activity changes. Receiver operating characteristic curve was used to show high test-retest stability and a high degree of sensitivity and specificity.

RESULTS

Compared with the healthy controls, asthma patients had significantly increased ReHo values in left cerebellum posterior lobe and left superior frontal gyrus, and decreased ReHo values of right middle temporal gyrus, right Putamen, right inferior temporal gyrus, right inferior middle frontal gyrus, left middle occipital gyrus, and right precentral/middle frontal gyrus.

CONCLUSION

Patients with asthma have different functional changes in different brain regions, mainly including the cerebellum, frontal lobe, temporal lobe, and occipital lobe, which provides important pieces of evidence to support the role of brain networks in the pathophysiology of asthma and offers an entirely new target for potential therapeutic intervention in asthma.

摘要

目的

研究表明哮喘患者大脑功能活动发生改变,但具体关系尚不清楚。本研究旨在探讨哮喘患者与健康对照者静息态功能磁共振成像(rs-fMRI)局部一致性(ReHo)脑活动变化的潜在差异。

方法

对 31 例哮喘患者和 31 例年龄、性别和体重相匹配的健康对照者分别进行静息态功能磁共振扫描。采用 ReHo 方法评估同步神经活动变化。受试者工作特征曲线(ROC)显示测试-再测试具有较高的稳定性和较高的灵敏度及特异性。

结果

与健康对照组相比,哮喘患者左侧小脑后叶和左侧额上回 ReHo 值明显增高,右侧颞中回、右侧壳核、右侧颞下回、右侧额下回、左侧枕中回和右侧中央前/额中回 ReHo 值明显降低。

结论

哮喘患者不同脑区功能存在差异,主要涉及小脑、额叶、颞叶和枕叶,为大脑网络在哮喘病理生理学中的作用提供了重要证据,并为哮喘的潜在治疗干预提供了全新的靶点。

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