Chen Min-Jie, Huang Rong, Liang Rong-Bin, Pan Yi-Cong, Shu Hui-Ye, Liao Xu-Lin, Xu San-Hua, Ying Ping, Kang Min, Zhang Li-Juan, Ge Qian-Min, Shao Yi
Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Center of National Ocular Disease Clinical Research Center, Nanchang 330006, China.
J Clin Med. 2022 Mar 8;11(6):1478. doi: 10.3390/jcm11061478.
Numerous anterior neuroimaging researches have revealed that corneal ulcers (CU) are related to changes in cerebral anatomic structure and functional area. Nonetheless, functional characteristics of the brain's network organization still show no definite research results. The study was designed to confirm CU-associated spatial centrality distribution functional network of the whole cerebrum and explore the mechanism through which the larvaceous changed the intrinsic functional hubs.
In this study, 40 patients with CU and 40 normal controls (matched in sex, age, and education level) were enrolled in this study to undergo resting-state functional magnetic resonance imaging (fMRI) scans. The differences between the groups were determined by measuring the voxel-wise degree centrality (DC) throughout the whole cerebrum. For the purpose of assessing the correlation between abnormal DC value and clinical variables, the Linear correlation analysis was used.
Compared with normal controls (NCs), CU patients revealed high DC values in the frontal lobe, precuneus, inferior parietal lobule, posterior cingulate, occipital lobe, and temporal lobe in the brain functional connectivity maps throughout the brain. The intergroup differences also had high similarity on account of different thresholds. In addition, DC values were positively related to the duration of CU in the left middle frontal gyrus.
The experimental results revealed that patients with CU showed spatially unnatural intrinsic functional hubs whether DC values increased or decreased. This brings us to a new level of comprehending the functional features of CU and may offer useful information to make us obtain a clear understanding of the dysfunction of CU.
众多先前的神经影像学研究表明,角膜溃疡(CU)与脑解剖结构和功能区的变化有关。然而,大脑网络组织的功能特征仍未得出明确的研究结果。本研究旨在确认与CU相关的全脑空间中心性分布功能网络,并探讨幼虫改变内在功能枢纽的机制。
本研究纳入40例CU患者和40名正常对照者(在性别、年龄和教育水平上匹配),进行静息态功能磁共振成像(fMRI)扫描。通过测量全脑体素水平的度中心性(DC)来确定两组之间的差异。为了评估异常DC值与临床变量之间的相关性,采用线性相关分析。
与正常对照者(NCs)相比,CU患者在全脑功能连接图中的额叶、楔前叶、顶下小叶、后扣带回、枕叶和颞叶显示出较高的DC值。由于不同的阈值,组间差异也具有高度相似性。此外,左额中回的DC值与CU的病程呈正相关。
实验结果表明,无论DC值升高还是降低,CU患者均表现出空间上不自然的内在功能枢纽。这使我们对CU的功能特征有了新的认识,并可能为我们清晰理解CU功能障碍提供有用信息。