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基于深度学习的脑静息态功能磁共振分析普瑞巴林治疗带状疱疹后神经痛的疗效。

The Curative Effect of Pregabalin in the Treatment of Postherpetic Neuralgia Analyzed by Deep Learning-Based Brain Resting-State Functional Magnetic Resonance Images.

机构信息

Dermatology of Department, Hebei College of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei, China.

Dermatology of 1st Department, Hebei Hospital of Traditional Chinese Medicine, Shijiazhuang 050011, Hebei, China.

出版信息

Contrast Media Mol Imaging. 2022 May 10;2022:2250621. doi: 10.1155/2022/2250621. eCollection 2022.

Abstract

This work aimed to investigate the brain resting-state functional magnetic resonance imaging (fMRI) technology based on the depth autoencoders algorithm and to evaluate the clinically curative effect of pregabalin in the treatment of postherpetic neuralgia (PHN). In this study, 40 patients with PHN were selected and rolled randomly into a treatment group and a control group (20 cases in each group). Then, a depth autoencoders algorithm was constructed and applied in the brain resting-state fMRI technology. The brains of 40 patients with PHN treated with pregabalin were scanned, and the time curve extracted from MRI images was convolved by linear drift removal bandpass filtering to reduce low-frequency drift and high-frequency noise, so the low-frequency amplitude was calculated. Based on the low-frequency amplitude method, the calculated low-frequency signal energy was eventually divided by the total power of the entire frequency band to obtain the low-frequency amplitude rate value. The amplitude of low-frequency fluctuation (ALFF) and fractional ALFF (f-ALFF) before and after treatment were compared between the treatment group and the control group, and the visual analog scale (VAS) after treatment was also observed. After 4 weeks of taking the drug, the VAS scores of patients from the treatment group in the first week (6.5 ± 0.8 points), the second week (6.5 ± 0.8 points), the third week (3.1 ± 0.3 points), and the fourth week (2.3 ± 0.4 points) after treatment were lower steeply than the scores before treatment (8.3 ± 1.1 points) ( < 0.05). Resting-state fMRI images showed that the fALFF of the 4 brain areas in the treatment group was higher than that of the control group, mainly including the bilateral frontal lobes, bilateral parietal lobes, left parietal lobes, and right posterior cerebellar lobes. Besides, the f-ALFF of the 6 brain areas in the treatment group was lower than that of the control group, mainly including the right frontal lobe, right parietal lobe, right middle frontal gyrus, precuneus, left frontal lobe, and superior frontal gyrus. In conclusion, the resting-state fMRI technology based on the depth autoencoders algorithm could efficiently display the brain area characteristic changes of patients with PHN before and after treatment, thereby providing a reference for the diagnosis of the patient's condition.

摘要

本研究旨在探讨基于深度自动编码器算法的脑静息态功能磁共振成像(fMRI)技术,并评估普瑞巴林治疗带状疱疹后神经痛(PHN)的临床疗效。本研究选取 40 例 PHN 患者,随机分为治疗组和对照组(每组 20 例)。然后构建深度自动编码器算法,应用于脑静息态 fMRI 技术。对 40 例接受普瑞巴林治疗的 PHN 患者进行脑部扫描,从 MRI 图像中提取时间曲线,通过线性漂移去除带通滤波卷积,以减少低频漂移和高频噪声,从而计算低频振幅。基于低频振幅法,计算出的低频信号能量除以整个频段的总功率,得到低频振幅率值。比较治疗组和对照组治疗前后低频振幅(ALFF)和分数低频振幅(f-ALFF)的变化,观察治疗后视觉模拟评分(VAS)的变化。药物治疗 4 周后,治疗组患者第 1 周(6.5±0.8 分)、第 2 周(6.5±0.8 分)、第 3 周(3.1±0.3 分)、第 4 周(2.3±0.4 分)VAS 评分明显低于治疗前(8.3±1.1 分)(<0.05)。静息态 fMRI 图像显示,治疗组 4 个脑区的 fALFF 高于对照组,主要包括双侧额叶、双侧顶叶、左侧顶叶和右侧小脑后叶。此外,治疗组 6 个脑区的 f-ALFF 低于对照组,主要包括右侧额叶、右侧顶叶、右侧额中回、楔前叶、左侧额叶和额上回。综上所述,基于深度自动编码器算法的静息态 fMRI 技术能够高效地显示 PHN 患者治疗前后脑区特征的变化,为患者病情的诊断提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d7f/9113910/dc2d1fa72a8b/CMMI2022-2250621.001.jpg

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