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精神分裂症患者任务诱发脑熵揭示的认知网络紊乱。

Disrupted cognitive network revealed by task-induced brain entropy in schizophrenia.

机构信息

Department of Medical & Biological Engineering, Kyungpook National University, Daegu, Korea.

Department of Psychiatry, Kyungpook National University Chilgok Hospital, Daegu, Korea.

出版信息

Brain Imaging Behav. 2024 Oct;18(5):1186-1196. doi: 10.1007/s11682-024-00909-3. Epub 2024 Sep 2.

Abstract

Brain entropy (BEN), which measures the amount of information in brain activity, provides a novel perspective for evaluating brain function. Recent studies using resting-state functional magnetic resonance imaging (fMRI) have shown that BEN during rest can help characterize brain function alterations in schizophrenia (SCZ). However, there is a lack of research on BEN using task-evoked fMRI to explore task-dependent cognitive deficits in SCZ. In this study, we evaluate whether the reduced working memory (WM) capacity in SCZ is possibly associated with dynamic changes in task BEN during tasks with high cognitive demands. We analyzed data from 15 patients with SCZ and 15 healthy controls (HC), calculating task BEN from their N-back task fMRI scans. We then examined correlations between task BEN values, clinical symptoms, 2-back task performance, and neuropsychological test scores. Patients with SCZ exhibited significantly reduced task BEN in the cerebellum, hippocampus, parahippocampal gyrus, thalamus, and the middle and superior frontal gyrus (MFG and SFG) compared to HC. In HC, significant positive correlations were observed between task BEN and 2-back accuracy in several brain regions, including the MFG and SFG; such correlations were absent in patients with SCZ. Additionally, task BEN was negatively associated with scores for both positive and negative symptoms in areas including the parahippocampal gyrus among patients with SCZ. In conclusion, our findings indicate that a reduction in BEN within prefrontal and hippocampal regions during cognitively demanding tasks may serve as a neuroimaging marker for SCZ.

摘要

脑熵(BEN)衡量大脑活动中的信息量,为评估大脑功能提供了新的视角。最近使用静息态功能磁共振成像(fMRI)的研究表明,休息时的 BEN 有助于描述精神分裂症(SCZ)中的大脑功能改变。然而,利用任务诱发 fMRI 研究 SCZ 中与任务相关的认知缺陷的 BEN 研究较少。在这项研究中,我们评估了 SCZ 患者的工作记忆(WM)容量减少是否可能与高认知需求任务中的任务 BEN 的动态变化有关。我们分析了 15 名 SCZ 患者和 15 名健康对照者(HC)的 N-回任务 fMRI 扫描数据,计算了任务 BEN。然后,我们检查了任务 BEN 值与临床症状、2 回任务表现和神经心理学测试分数之间的相关性。与 HC 相比,SCZ 患者的小脑、海马体、海马旁回、丘脑以及中额回和上额回(MFG 和 SFG)的任务 BEN 显著降低。在 HC 中,在包括 MFG 和 SFG 在内的几个脑区中,任务 BEN 与 2 回准确性呈显著正相关;而在 SCZ 患者中则没有这种相关性。此外,在包括海马旁回在内的多个区域中,任务 BEN 与 SCZ 患者的阳性和阴性症状评分呈负相关。总之,我们的研究结果表明,在认知要求高的任务中,前额叶和海马体区域的 BEN 减少可能是 SCZ 的神经影像学标志物。

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