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[使用功能磁共振成像对短暂疼痛和触觉刺激引发的大脑失活进行特征描述]

[Characterization of brain deactivations elicited by transient painful and tactile stimuli using functional MRI].

作者信息

Wang Xiu-Zhi, Song Ying-Chao, Su Qian, Liang Meng

机构信息

School of Medical Technology, Tianjin Medical University, Tianjin 300203, China.

School of Medical Imaging, Tianjin Medical University, Tianjin 300203, China.

出版信息

Sheng Li Xue Bao. 2023 Aug 25;75(4):521-528.

Abstract

The aim of the present study was to explore the specific pattern of brain deactivation elicited by painful stimuli, in contrast with that elicited by tactile stimuli. Functional magnetic resonance imaging (fMRI) data were collected from 62 healthy subjects under painful and tactile stimuli with varying intensities. The brain deactivations under different conditions were identified using the general linear model. Two-way analysis of variance (ANOVA) was performed to test whether there was a significant interaction between perceived stimulus intensity (factor 1: high intensity, low intensity) and stimulus modality (factor 2: pain, touch) on the brain deactivations. The results showed that there were significant interactions between stimulus intensity and stimulus modality on the deactivations of left medial superior frontal gyrus, left middle occipital gyrus, left superior frontal gyrus and right middle occipital gyrus (P < 0.05, Cluster-level FWE). The deactivations induced by painful stimuli with low perceived intensity (β = -3.38 ± 0.52) were significantly stronger than those induced by painful stimuli with high perceived intensity (β = -1.22 ± 0.54) (P < 0.001), whereas the differences between the deactivations induced by tactile stimuli with different perceived intensities were not statistically significant. In addition, there were no significant differences between the deactivations elicited by painful and tactile stimuli with the same stimulus intensities. These results suggest that there is a specific relationship between the deactivations induced by painful stimuli in multiple brain regions (such as the left medial superior frontal gyrus) and the stimulus intensity, providing evidence for a deeper understanding of the brain mechanisms underlying pain perception.

摘要

本研究的目的是探究与触觉刺激所引发的大脑失活模式相比,疼痛刺激所引发的大脑失活的特定模式。通过功能磁共振成像(fMRI)收集了62名健康受试者在不同强度的疼痛和触觉刺激下的数据。使用一般线性模型识别不同条件下的大脑失活情况。进行双向方差分析(ANOVA)以测试在大脑失活方面,感知到的刺激强度(因素1:高强度、低强度)和刺激方式(因素2:疼痛、触觉)之间是否存在显著交互作用。结果表明,在左侧额上回中部、左侧枕中回、左侧额上回和右侧枕中回的失活方面,刺激强度和刺激方式之间存在显著交互作用(P < 0.05,聚类水平错误发现率校正)。低感知强度的疼痛刺激所引发的失活(β = -3.38 ± 0.52)显著强于高感知强度的疼痛刺激所引发的失活(β = -1.22 ± 0.54)(P < 0.001),而不同感知强度的触觉刺激所引发的失活之间的差异无统计学意义。此外,相同刺激强度的疼痛和触觉刺激所引发的失活之间无显著差异。这些结果表明,多个脑区(如左侧额上回中部)中疼痛刺激所引发的失活与刺激强度之间存在特定关系,为更深入理解疼痛感知的脑机制提供了证据。

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