Sun Jinmei, Du Rongrong, Zhang Bing, Hua Qiang, Wang Yingru, Zhang Yuanyuan, Ji Gong-Jun, He Kongliang, Wang Kai
Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, 230032, China.
Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, 230032, China.
Brain Imaging Behav. 2022 Dec;16(6):2637-2646. doi: 10.1007/s11682-022-00720-y. Epub 2022 Oct 1.
This study aimed to determine the minimal scanning duration of functional magnetic resonance imaging (fMRI) for producing individualized repetitive transcranial magnetic stimulation (rTMS) targets that are superior to the group-level targets. This study included 30 healthy subjects and 20 depressive patients with high-sampled fMRI data (> 69 min). We computed suboptimal targets by gradually increasing the scanning duration beginning at 6 min. The suboptimal target connectivity and spatial distance to the optimal target (based on the full-duration scanning data) were compared to an anatomically fixed target from a group analysis (termed as the group target). These analyses were repeated for healthy subjects and depressive patients, as well as for target masks in the dorsolateral prefrontal cortex (DLPFC) and inferior parietal lobule (IPL). As the scanning duration increased, the suboptimal targets gradually approached the optimal targets in the healthy subjects. Compared with the group targets, the suboptimal targets in the DLPFC showed higher connectivity strength after 10 min of data collection and shorter spatial distance after 40 min. Similar results were found in major depressive patients. In the IPL, the minimal scanning duration decreased to 6 and 8 min for connectivity strength and distance, respectively. These findings provide an important reference for individualized target definition in terms of scanning duration, which may standardize connectivity-based personalized studies. Future research is needed to further validate the therapeutic effects of the approach.
本研究旨在确定功能磁共振成像(fMRI)产生优于组水平靶点的个体化重复经颅磁刺激(rTMS)靶点所需的最短扫描时长。本研究纳入了30名健康受试者和20名患有抑郁症的患者,并获取了高采样频率的fMRI数据(> 69分钟)。我们从6分钟开始逐渐增加扫描时长来计算次优靶点。将次优靶点与最优靶点(基于全时长扫描数据)的连接性和空间距离,与来自组分析的解剖学固定靶点(称为组靶点)进行比较。对健康受试者和抑郁症患者,以及背外侧前额叶皮层(DLPFC)和顶下小叶(IPL)中的靶点掩码重复进行这些分析。随着扫描时长增加,健康受试者中的次优靶点逐渐接近最优靶点。与组靶点相比,DLPFC中的次优靶点在收集10分钟数据后显示出更高的连接强度,在40分钟后显示出更短的空间距离。在重度抑郁症患者中也发现了类似结果。在IPL中,连接强度和距离的最短扫描时长分别降至6分钟和8分钟。这些发现为扫描时长方面的个体化靶点定义提供了重要参考,这可能使基于连接性的个性化研究标准化。未来需要进一步研究来验证该方法的治疗效果。