基于主题的癫痫脑网络大规模整合动力学评估:内在点火框架的启示。

Subject-based assessment of large-scale integration dynamics in epileptic brain networks: insights from the intrinsic ignition framework.

机构信息

Epilepsy Program, Department of Neurology, Hospital Clínic, Neuroscience Institute, Carrer de Villarroel, 170, Barcelona, Catalonia, CP 08036, Spain.

Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Clinical and Experimental Neuroscience, Clinical Neurophysiology, Barcelona, Catalonia, CP 08036, Spain.

出版信息

Cereb Cortex. 2024 Oct 3;34(10). doi: 10.1093/cercor/bhae419.

Abstract

This study examined the dynamic properties of brain regions involved in the genesis and spread of seizures in 10 individuals diagnosed with pharmacoresistant focal epilepsy. The patients and 30 healthy controls underwent resting-state functional magnetic resonance imaging scans and the brain's functional network dynamics were analyzed using the intrinsic ignition framework. Comparative statistical analyses examined the differences in the integration and metastability measures in both groups in the whole brain and specific local brain regions. Invasive electroencephalography evaluations validated the findings of significant global and regional changes in the patient's brain network dynamics. There was a marked increase in global integration and metastability across the brain, reflecting substantial alterations in the overall connectivity and flexibility of the functional networks. Specific brain regions exhibited paradoxical dynamics within the seizure onset zone, with decreased intrinsic ignition and increased metastability. Increased intrinsic ignition was observed in remote brain regions, suggesting a reorganization of the brain network hubs and potential pathways for seizure propagation. Using the intrinsic ignition framework provided insights into dynamic alterations in the brain networks of patients with epilepsy. These have increased our understanding of the mechanisms underlying epileptic seizures and may guide the development of diagnostic biomarkers and targeted therapeutic interventions.

摘要

本研究旨在探究 10 名药物难治性局灶性癫痫患者癫痫发作起源和传播相关脑区的动态特征。患者和 30 名健康对照接受静息态功能磁共振成像扫描,并采用固有点火框架分析大脑的功能网络动力学。对比统计分析比较了两组在全脑和特定局部脑区的整合和亚稳性测量的差异。侵入性脑电图评估验证了患者大脑网络动力学存在显著的全局和区域性变化的发现。大脑整体的全局整合和亚稳性显著增加,反映了功能网络整体连通性和灵活性的重大改变。在癫痫发作起始区的特定脑区表现出反常的动力学,固有点火降低,亚稳性增加。在远程脑区观察到固有点火增加,表明大脑网络枢纽发生了重组,可能存在癫痫传播的潜在途径。使用固有点火框架提供了对癫痫患者大脑网络动态变化的深入了解。这些加深了我们对癫痫发作机制的理解,并可能为诊断生物标志物和靶向治疗干预的开发提供指导。

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