Community Health Station, China University of Mining and Technology-Beijing, Beijing 100083, China.
Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Comput Math Methods Med. 2021 Nov 28;2021:7344102. doi: 10.1155/2021/7344102. eCollection 2021.
The chronic pain of knee osteoarthritis in the elderly is investigated in detail in this paper, as well as the complexity of chronic pain utilising neuroimaging recognition techniques. Chronic pain in knee osteoarthritis (KOA) has a major effect on patients' quality of life and functional activities; therefore, understanding the causes of KOA pain and the analgesic advantages of different therapies is important. In recent years, neuroimaging techniques have become increasingly important in basic and clinical pain research. Thanks to the application and development of neuroimaging techniques in the study of chronic pain in KOA, researchers have found that chronic pain in KOA contains both injury-receptive and neuropathic pain components. The neuropathic pain mechanism that causes KOA pain is complicated, and it may be produced by peripheral or central sensitization, but it has not gotten enough attention in clinical practice, and there is no agreement on how to treat combination neuropathic pain KOA. As a result, using neuroimaging techniques such as magnetic resonance imaging (MRI), electroencephalography (EEG), magnetoencephalography (MEG), and near-infrared spectroscopy (NIRS), this review examines the changes in brain pathophysiology-related regions caused by KOA pain, compares the latest results in pain assessment and prediction, and clarifies the central brain analgesic mechanistic. The capsule network model is introduced in this paper from the perspective of deep learning network structure to construct an information-complete and reversible image low-level feature bridge using isotropic representation, predict the corresponding capsule features from MRI voxel responses, and then, complete the accurate reconstruction of simple images using inverse transformation. The proposed model improves the structural similarity index by about 10%, improves the reconstruction performance of low-level feature content in simple images by about 10%, and achieves feature interpretation and analysis of low-level visual cortical fMRI voxels by visualising capsule features, according to the experimental results.
本文详细研究了老年膝骨关节炎的慢性疼痛,以及利用神经影像学识别技术研究慢性疼痛的复杂性。膝骨关节炎(KOA)的慢性疼痛对患者的生活质量和功能活动有重大影响;因此,了解 KOA 疼痛的原因和不同治疗方法的镇痛优势很重要。近年来,神经影像学技术在基础和临床疼痛研究中变得越来越重要。由于神经影像学技术在 KOA 慢性疼痛研究中的应用和发展,研究人员发现 KOA 慢性疼痛既包含伤害感受性疼痛成分,也包含神经性疼痛成分。引起 KOA 疼痛的神经性疼痛机制复杂,可能由外周或中枢敏化引起,但在临床实践中尚未得到足够重视,对于联合神经性疼痛 KOA 的治疗方法也尚未达成共识。因此,本文利用磁共振成像(MRI)、脑电图(EEG)、脑磁图(MEG)和近红外光谱(NIRS)等神经影像学技术,研究 KOA 疼痛引起的相关脑区的病理生理学变化,比较疼痛评估和预测的最新结果,阐明中枢镇痛的机制。本文从深度学习网络结构的角度引入胶囊网络模型,利用各向同性表示构建信息完整且可逆的图像底层特征桥梁,从 MRI 体素响应中预测相应的胶囊特征,然后通过逆变换完成简单图像的精确重建。实验结果表明,该模型将结构相似性指数提高了约 10%,将简单图像底层特征内容的重建性能提高了约 10%,并通过可视化胶囊特征实现了对底层视觉皮层 fMRI 体素的特征解释和分析。