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利用 fNIRS 研究静息状态阿尔茨海默病患者的大脑半球不对称性。

Investigation of hemispheric asymmetry in Alzheimer's disease patients during resting state revealed BY fNIRS.

机构信息

Department of Anatomy, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.

Regenerative and Restorative Medicine Research Center (REMER), Research Institute for Health Sciences and Technologies (SABITA), Istanbul Medipol University, Istanbul, Turkey.

出版信息

Sci Rep. 2024 Jun 11;14(1):13454. doi: 10.1038/s41598-024-62281-y.

Abstract

Alzheimer's disease (AD) is characterized by the gradual deterioration of brain structures and changes in hemispheric asymmetry. Meanwhile, healthy aging is associated with a decrease in functional hemispheric asymmetry. In this study, functional connectivity analysis was used to compare the functional hemispheric asymmetry in eyes-open resting-state fNIRS data of 16 healthy elderly controls (mean age: 60.4 years, MMSE (Mini-Mental State Examination): 27.3 ± 2.52) and 14 Alzheimer's patients (mean age: 73.8 years, MMSE: 22 ± 4.32). Increased interhemispheric functional connectivity was found in the premotor cortex, supplementary motor cortex, primary motor cortex, inferior parietal cortex, primary somatosensory cortex, and supramarginal gyrus in the control group compared to the AD group. The study revealed that the control group had stronger interhemispheric connectivity, leading to a more significant decrease in hemispheric asymmetry than the AD group. The results show that there is a difference in interhemispheric functional connections at rest between the Alzheimer's group and the control group, suggesting that functional hemispheric asymmetry continues in Alzheimer's patients.

摘要

阿尔茨海默病(AD)的特征是大脑结构的逐渐恶化和半球不对称性的改变。同时,健康的衰老与功能性半球不对称性的降低有关。在这项研究中,使用功能连接分析比较了 16 名健康老年对照组(平均年龄:60.4 岁,MMSE(简易精神状态检查):27.3±2.52)和 14 名阿尔茨海默病患者(平均年龄:73.8 岁,MMSE:22±4.32)在睁眼静息状态下 fNIRS 数据中的功能性半球不对称。与 AD 组相比,对照组在运动前皮质、辅助运动皮质、初级运动皮质、下顶叶皮质、初级体感皮质和缘上回中发现了更强的大脑半球间功能连接。研究表明,对照组的大脑半球间连接更强,导致半球不对称性的下降比 AD 组更显著。结果表明,AD 组和对照组在静息时大脑半球间功能连接存在差异,提示阿尔茨海默病患者的功能性半球不对称性持续存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7799/11166983/92dea60a39de/41598_2024_62281_Fig1_HTML.jpg

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