Christidi Foteini, Orgianelis Ilias, Merkouris Ermis, Koutsokostas Christos, Tsiptsios Dimitrios, Karavasilis Efstratios, Psatha Evlampia A, Tsiakiri Anna, Serdari Aspasia, Aggelousis Nikolaos, Vadikolias Konstantinos
Neurology Department, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Department of Radiology, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Neurol Int. 2024 Jan 19;16(1):189-201. doi: 10.3390/neurolint16010012.
Stroke is a major leading cause of chronic disability, often affecting patients' motor and sensory functions. Functional magnetic resonance imaging (fMRI) is the most commonly used method of functional neuroimaging, and it allows for the non-invasive study of brain activity. The time-dependent coactivation of different brain regions at rest is described as resting-state activation. As a non-invasive task-independent functional neuroimaging approach, resting-state fMRI (rs-fMRI) may provide therapeutically useful information on both the focal vascular lesion and the connectivity-based reorganization and subsequent functional recovery in stroke patients. Considering the role of a prompt and accurate prognosis in stroke survivors along with the potential of rs-fMRI in identifying patterns of neuroplasticity in different post-stroke phases, this review provides a comprehensive overview of the latest literature regarding the role of rs-fMRI in stroke prognosis in terms of motor and sensory outcomes. Our comprehensive review suggests that with the advancement of MRI acquisition and data analysis methods, rs-fMRI emerges as a promising tool to study the motor and sensory outcomes in stroke patients and evaluate the effects of different interventions.
中风是导致慢性残疾的主要原因之一,常常影响患者的运动和感觉功能。功能磁共振成像(fMRI)是功能神经成像中最常用的方法,它能够对大脑活动进行非侵入性研究。不同脑区在静息状态下随时间的共同激活被称为静息态激活。作为一种非侵入性、不依赖任务的功能神经成像方法,静息态功能磁共振成像(rs-fMRI)可能为中风患者的局灶性血管病变、基于连接性的重组以及随后的功能恢复提供具有治疗价值的信息。考虑到及时准确的预后对中风幸存者的作用以及rs-fMRI在识别不同中风后阶段神经可塑性模式方面的潜力,本综述全面概述了关于rs-fMRI在中风预后中对运动和感觉结果作用的最新文献。我们的全面综述表明,随着MRI采集和数据分析方法的进步,rs-fMRI成为研究中风患者运动和感觉结果以及评估不同干预效果的一种有前景的工具。