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[成人弱视患者的异常自发性脑功能活动:一项静息态功能磁共振成像研究]

[Abnormal spontaneous brain functional activity in adult patients with amblyopia: a resting-state functional magnetic resonance imaging study].

作者信息

Chen Xia, Liao Meng, Jiang Ping, Liu Longqian, Gong Qiyong

机构信息

Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610041, P. R. China.

Department of Optometry and Visual Science, West China School of Medicine, Sichuan University, Chengdu 610041, P. R. China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2022 Aug 25;39(4):759-766. doi: 10.7507/1001-5515.202203072.


DOI:10.7507/1001-5515.202203072
PMID:36008340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10957354/
Abstract

Amblyopia is a visual development deficit caused by abnormal visual experience in early life, mainly manifesting as defected visual acuity and binocular visual impairment, which is considered to reflect abnormal development of the brain rather than organic lesions of the eye. Previous studies have reported abnormal spontaneous brain activity in patients with amblyopia. However, the location of abnormal spontaneous activity in patients with amblyopia and the association between abnormal brain function activity and clinical deficits remain unclear. The purpose of this study is to analyze spontaneous brain functional activity abnormalities in patients with amblyopia and their associations with clinical defects using resting-state functional magnetic resonance imaging (fMRI) data. In this study, 31 patients with amblyopia and 31 healthy controls were enrolled for resting-state fMRI scanning. The results showed that spontaneous activity in the right angular gyrus, left posterior cerebellum, and left cingulate gyrus were significantly lower in patients with amblyopia than in controls, and spontaneous activity in the right middle temporal gyrus was significantly higher in patients with amblyopia. In addition, the spontaneous activity of the left cerebellum in patients with amblyopia was negatively associated with the best-corrected visual acuity of the amblyopic eye, and the spontaneous activity of the right middle temporal gyrus was positively associated with the stereoacuity. This study found that adult patients with amblyopia showed abnormal spontaneous activity in the angular gyrus, cerebellum, middle temporal gyrus, and cingulate gyrus. Furthermore, the functional abnormalities in the cerebellum and middle temporal gyrus may be associated with visual acuity defects and stereopsis deficiency in patients with amblyopia. These findings help explain the neural mechanism of amblyopia, thus promoting the improvement of the treatment strategy for amblyopia.

摘要

弱视是一种由早期生活中异常视觉经验引起的视觉发育缺陷,主要表现为视力缺陷和双眼视觉障碍,被认为反映了大脑的异常发育而非眼睛的器质性病变。先前的研究报道了弱视患者存在异常的自发脑活动。然而,弱视患者异常自发活动的位置以及脑功能活动异常与临床缺陷之间的关联仍不清楚。本研究的目的是使用静息态功能磁共振成像(fMRI)数据分析弱视患者的自发脑功能活动异常及其与临床缺陷的关联。在本研究中,31名弱视患者和31名健康对照者纳入进行静息态fMRI扫描。结果显示,弱视患者右侧角回、左侧小脑后部和左侧扣带回的自发活动显著低于对照组,而右侧颞中回的自发活动在弱视患者中显著更高。此外,弱视患者左侧小脑的自发活动与弱视眼的最佳矫正视力呈负相关,右侧颞中回的自发活动与立体视锐度呈正相关。本研究发现,成年弱视患者在角回、小脑、颞中回和扣带回表现出异常的自发活动。此外,小脑和颞中回的功能异常可能与弱视患者的视力缺陷和立体视不足有关。这些发现有助于解释弱视的神经机制,从而促进弱视治疗策略的改进。

相似文献

[1]
[Abnormal spontaneous brain functional activity in adult patients with amblyopia: a resting-state functional magnetic resonance imaging study].

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2022-8-25

[2]
Abnormal Spontaneous Brain Activity in Patients With Anisometropic Amblyopia Using Resting-State Functional Magnetic Resonance Imaging.

J Pediatr Ophthalmol Strabismus. 2017-9-1

[3]
[Clinical observation of spontaneous brain activity in children with congenital cortical cataract amblyopia].

Zhonghua Yan Ke Za Zhi. 2023-7-11

[4]
Partial correlation analysis reveals abnormal retinotopically organized functional connectivity of visual areas in amblyopia.

Neuroimage Clin. 2018-1-31

[5]
Altered Amplitude of Low-Frequency Fluctuations and Degree Centrality in Patients with Acute Subjective Tinnitus: A Resting-State Functional Magnetic Resonance Imaging Study.

J Integr Neurosci. 2022-6-21

[6]
Altered local spontaneous brain activity pattern in children with right-eye amblyopia of varying degrees: evidence from fMRI.

Neuroradiology. 2023-12

[7]
Distinct patterns of spontaneous brain activity between children and adults with anisometropic amblyopia: a resting-state fMRI study.

Graefes Arch Clin Exp Ophthalmol. 2016-3

[8]
Altered cortical morphology of visual cortex in adults with monocular amblyopia.

J Magn Reson Imaging. 2019-3-10

[9]
[Study on the changes of spontaneous brain activity in maintenance hemodialysis patients with end-stage renal disease based on three different resting state-functional magnetic resonance low-frequency amplitude algorithms].

Zhonghua Yi Xue Za Zhi. 2021-1-26

[10]
Functional connectivity density alterations in children with strabismus and amblyopia based on resting-state functional magnetic resonance imaging (fMRI).

BMC Ophthalmol. 2022-2-2

本文引用的文献

[1]
RESTplus: an improved toolkit for resting-state functional magnetic resonance imaging data processing.

Sci Bull (Beijing). 2019-7-30

[2]
Altered Effective Connectivity of Children and Young Adults With Unilateral Amblyopia: A Resting-State Functional Magnetic Resonance Imaging Study.

Front Neurosci. 2021-7-6

[3]
Underlying neurological mechanisms associated with symptomatic convergence insufficiency.

Sci Rep. 2021-3-22

[4]
Repetitive visual cortex transcranial random noise stimulation in adults with amblyopia.

Sci Rep. 2021-2-4

[5]
Altered Brain Network Centrality in Patients with Adult Strabismus with Amblyopia: A Resting-State Functional Magnetic Resonance Imaging (fMRI) Study.

Med Sci Monit. 2020-11-23

[6]
Functional specialization in human dorsal pathway for stereoscopic depth processing.

Exp Brain Res. 2020-11

[7]
Proposal for human visual pathway in the extrastriate cortex by fiber tracking method using diffusion-weighted MRI.

Neuroimage. 2020-10-15

[8]
Percent amplitude of fluctuation: A simple measure for resting-state fMRI signal at single voxel level.

PLoS One. 2020-1-8

[9]
The cingulate cortex and limbic systems for action, emotion, and memory.

Handb Clin Neurol. 2019

[10]
Global prevalence of amblyopia and disease burden projections through 2040: a systematic review and meta-analysis.

Br J Ophthalmol. 2020-8

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