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Altered functional connectivity of brainstem ARAS nuclei unveils the mechanisms of disorders of consciousness in sTBI: an exploratory study.

作者信息

Zhang Peng, Zhou Yinan, Ni Haoqi, Huang Zhaoneng, Tang Can, Zhuge Qichuan, Dong Lun, Zhang Jun

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China; Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.

Department of Neurosurgery, Northern Jiangsu People's Hospital, Yangzhou 225000, China.

出版信息

Neuroimage Clin. 2025 Apr 18;46:103787. doi: 10.1016/j.nicl.2025.103787.


DOI:10.1016/j.nicl.2025.103787
PMID:40262479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12047610/
Abstract

OBJECTIVE: To investigate the functional connectivity (FC) characteristics of Ascending Reticular Activating System (ARAS) in patients with disorders of consciousness (DOC) following severe traumatic brain injury (sTBI), while introducing the Linear support vector machine (LSVM) to predict the recovery of consciousness. METHODS: Resting-state MRI was used to measure FC changes between the brainstem ARAS nuclei and whole-brain voxels. We compared the differences in FC between sTBI patients and healthy controls, as well as between the wake and DOC groups. Furthermore, the LSVM model for consciousness recovery was developed based on the Z-values of regions of interest (ROIs) and/or scale to distinguish the prognosis of sTBI patients. RESULTS: A total of 28 sTBI patients with DOC and 30 healthy controls were included, with no significant baseline differences (p > 0.05). Using the brainstem ARAS nuclei as the ROI, we observed increased FC in the subcortical regions compared to healthy controls. The strength of FC was significantly different between patients who recovered consciousness and those who did not at 6 months post-sTBI (AlphaSim corrected, p < 0.05, Cluster > 154). Furthermore, the LSVM model demonstrated strong predictive performance, with an area under the receiver operating characteristic curve of 0.81-0.98. CONCLUSIONS: Our study suggest that the disruption FC of ARAS from the subcortex to the cortex may be associated with DOC and prognosis in sTBI patients. Furthermore, the LSVM model shows potential value in distinguishing the recovery of consciousness.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/7974567ba424/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/0c77fdbd6d00/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/5549e6955292/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/11bc979cafbf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/60bb34ecad83/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/736a79cffd9e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/4a8b3a48ea52/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/7974567ba424/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/0c77fdbd6d00/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/5549e6955292/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/11bc979cafbf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/60bb34ecad83/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/736a79cffd9e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/4a8b3a48ea52/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ba/12047610/7974567ba424/gr6.jpg

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[1]
Altered functional connectivity of brainstem ARAS nuclei unveils the mechanisms of disorders of consciousness in sTBI: an exploratory study.

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[2]
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[8]
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本文引用的文献

[1]
Sleep spindles as a predictor of cognitive motor dissociation and recovery of consciousness after acute brain injury.

Nat Med. 2025-5

[2]
Abnormalities of cortical and subcortical spontaneous brain activity unveil mechanisms of disorders of consciousness and prognosis in patients with severe traumatic brain injury.

Int J Clin Health Psychol. 2024

[3]
The Cerebellum-Ventral Tegmental Area Microcircuit and Its Implications for Autism Spectrum Disorder: A Narrative Review.

Neuropsychiatr Dis Treat. 2024-10-29

[4]
Age dictates brain functional connectivity and axonal integrity following repetitive mild traumatic brain injuries in mice.

Neuroimage. 2024-9

[5]
Advances in functional and structural imaging of the brainstem: implications for disease.

Curr Opin Neurol. 2024-8-1

[6]
Functional hub disruption emphasizes consciousness recovery in severe traumatic brain injury.

Brain Commun. 2023-11-22

[7]
Altered functional connectivity of brainstem nuclei in new daily persistent headache: Evidence from resting-state functional magnetic resonance imaging.

CNS Neurosci Ther. 2024-3

[8]
Structural and functional connectivity of the whole brain and subnetworks in individuals with mild traumatic brain injury: predictors of patient prognosis.

Neural Regen Res. 2024-7-1

[9]
Regional, circuit and network heterogeneity of brain abnormalities in psychiatric disorders.

Nat Neurosci. 2023-9

[10]
A structural connectivity atlas of limbic brainstem nuclei.

Front Neuroimaging. 2023-1-12

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