School of Mechanical and Electrical Engineering and Automation, Shanghai University, Shanghai, 200444, China.
Department of Radiology & Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
J Biomed Semantics. 2021 Nov 25;12(1):21. doi: 10.1186/s13326-021-00256-y.
The activation degree of the orbitofrontal cortex (OFC) functional area in drug abusers is directly related to the craving for drugs and the tolerance to punishment. Currently, among the clinical research on drug rehabilitation, there has been little analysis of the OFC activation in individuals abusing different types of drugs, including heroin, methamphetamine, and mixed drugs. Therefore, it becomes urgently necessary to clinically investigate the abuse of different drugs, so as to explore the effects of different types of drugs on the human brain.
Based on prefrontal high-density functional near-infrared spectroscopy (fNIRS), this research designs an experiment that includes resting and drug addiction induction. Hemoglobin concentrations of 30 drug users (10 on methamphetamine, 10 on heroin, and 10 on mixed drugs) were collected using fNIRS and analyzed by combining algorithm and statistics.
Linear discriminant analysis (LDA), Support vector machine (SVM) and Machine-learning algorithm was implemented to classify different drug abusers. Oxygenated hemoglobin (HbO2) activations in the OFC of different drug abusers were statistically analyzed, and the differences were confirmed. Innovative findings: in both the Right-OFC and Left-OFC areas, methamphetamine abusers had the highest degree of OFC activation, followed by those abusing mixed drugs, and heroin abusers had the lowest. The same result was obtained when OFC activation was investigated without distinguishing the left and right hemispheres.
The findings confirmed the significant differences among different drug abusers and the patterns of OFC activations, providing a theoretical basis for personalized clinical treatment of drug rehabilitation in the future.
药物滥用者眶额皮层(OFC)功能区的激活程度与对药物的渴望和对惩罚的容忍直接相关。目前,在药物康复的临床研究中,对不同类型药物(包括海洛因、冰毒和混合药物)滥用者的 OFC 激活研究分析较少。因此,迫切需要对不同药物的滥用进行临床研究,以探索不同类型药物对人类大脑的影响。
本研究基于前额部高密度功能近红外光谱(fNIRS),设计了一个包括静息和药物成瘾诱导的实验。使用 fNIRS 收集 30 名药物使用者(10 名冰毒使用者、10 名海洛因使用者和 10 名混合药物使用者)的血红蛋白浓度,并通过结合算法和统计学进行分析。
采用线性判别分析(LDA)、支持向量机(SVM)和机器学习算法对不同药物滥用者进行分类。对不同药物滥用者的 OFC 中氧合血红蛋白(HbO2)的激活进行了统计分析,并确认了差异。创新性发现:在右眶额皮层(Right-OFC)和左眶额皮层(Left-OFC)区域,冰毒滥用者的 OFC 激活程度最高,其次是混合药物滥用者,海洛因滥用者的 OFC 激活程度最低。不区分左右半球进行 OFC 激活研究时,也得到了相同的结果。
这些发现证实了不同药物滥用者之间存在显著差异和 OFC 激活模式,为未来药物康复的个性化临床治疗提供了理论依据。