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基底节区卒中患者多频段局部一致性改变:一项静息态功能磁共振成像研究

Regional homogeneity alterations in multifrequency bands in patients with basal ganglia stroke: A resting-state functional magnetic resonance imaging study.

作者信息

Li Qianqian, Hu Su, Mo Yingmin, Chen Hao, Meng Chaoguo, Zhan Linlin, Li Mengting, Quan Xuemei, Gao Yanyan, Cheng Lulu, Hao Zeqi, Jia Xize, Liang Zhijian

机构信息

Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.

School of Teacher Education, Zhejiang Normal University, Jinhua, China.

出版信息

Front Aging Neurosci. 2022 Aug 11;14:938646. doi: 10.3389/fnagi.2022.938646. eCollection 2022.

Abstract

OBJECTIVE

The aim of this study was to investigate the spontaneous regional neural activity abnormalities in patients with acute basal ganglia ischemic stroke (BGIS) using a multifrequency bands regional homogeneity (ReHo) method and to explore whether the alteration of ReHo values was associated with clinical characteristics.

METHODS

In this study, 34 patients with acute BGIS and 44 healthy controls (HCs) were recruited. All participants were examined by resting-state functional magnetic resonance imaging (rs-fMRI). The ReHo method was used to detect the alterations of spontaneous neural activities in patients with acute BGIS. A two-sample -test comparison was performed to compare the ReHo value between the two groups, and a Pearson correlation analysis was conducted to assess the relationship between the regional neural activity abnormalities and clinical characteristics.

RESULTS

Compared with the HCs, the patients with acute BGIS showed increased ReHo in the left caudate and subregions such as the right caudate and left putamen in conventional frequency bands. In the slow-5 frequency band, patients with BGIS showed decreased ReHo in the left medial cingulum of BGIS compared to the HCs and other subregions such as bilateral caudate and left putamen. No brain regions with ReHo alterations were found in the slow-4 frequency band. Moreover, we found that the ReHo value of left caudate was positively correlated with the NIHSS score.

CONCLUSION

Our findings revealed the alterations of ReHo in patients with acute BGIS in a specific frequency band and provided a new insight into the pathogenesis mechanism of BGIS. This study demonstrated the frequency-specific characteristics of ReHo in patients with acute BGIS, which may have a positive effect on the future neuroimaging studies.

摘要

目的

本研究旨在采用多频段局部一致性(ReHo)方法,研究急性基底节区缺血性卒中(BGIS)患者的自发性局部神经活动异常,并探讨ReHo值的改变是否与临床特征相关。

方法

本研究招募了34例急性BGIS患者和44名健康对照者(HCs)。所有参与者均接受静息态功能磁共振成像(rs-fMRI)检查。采用ReHo方法检测急性BGIS患者的自发性神经活动变化。进行两样本t检验比较两组间的ReHo值,并进行Pearson相关分析以评估局部神经活动异常与临床特征之间的关系。

结果

与HCs相比,急性BGIS患者在传统频段的左侧尾状核以及右侧尾状核和左侧壳核等亚区域的ReHo值升高。在慢5频段,BGIS患者左侧扣带回中部的ReHo值与HCs相比降低,且与双侧尾状核和左侧壳核等其他亚区域相比也降低。在慢4频段未发现ReHo值改变的脑区。此外,我们发现左侧尾状核的ReHo值与美国国立卫生研究院卒中量表(NIHSS)评分呈正相关。

结论

我们的研究结果揭示了急性BGIS患者在特定频段的ReHo值改变,为BGIS的发病机制提供了新的见解。本研究证明了急性BGIS患者ReHo值的频率特异性特征,这可能对未来的神经影像学研究产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/9403766/a51322b25c67/fnagi-14-938646-g001.jpg

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