Schmidt Sara A, Shahsavarani Somayeh, Khan Rafay A, Tai Yihsin, Granato Elsa C, Willson Caterina M, Ramos Pedro, Sherman Paul, Esquivel Carlos, Sutton Bradley P, Husain Fatima T
The Neuroscience Program, University of Illinois at Urbana-Champaign, USA.
Beckman Institute for Advance Science and Technology, University of Illinois at Urbana-Champaign, USA.
Neuroimage Rep. 2023 Feb 15;3(1):100158. doi: 10.1016/j.ynirp.2023.100158. eCollection 2023 Mar.
Resting state functional connectivity (RS-FC) studies of tinnitus over the years have produced inconsistent results. While findings can be organized into broad categories, such as increased correlations between auditory and limbic areas in tinnitus patients and a disrupted default mode network, there has been little one-to-one correspondence of results across RS-FC studies of tinnitus. While some of this variation can be explained by the heterogeneity of the tinnitus population, including tinnitus severity, the sources of variability in RS-FC of tinnitus patients are unclear. To directly assess the reliability of RS-FC measures in tinnitus, both tinnitus and control participants from two different sites (University of Illinois at Urbana-Champaign, or UIUC, and the Wilford Hall Ambulatory Surgical Center, or WHASC, at the Lackland Airforce Base in San Antonio, Texas) participated in two resting state MRI scans separated by exactly one week. Seed-to-seed analysis assessing correlations between the fMRI activity of 27 regions in the default mode, dorsal attention, auditory, visual, salience, and emotional processing networks were examined in control and tinnitus participants separately for each site. Additionally, heart rate and respiration measures were collected at UIUC, and the effect of extra physiological corrections using these measures on reliability was examined within the UIUC participants. Intra-class correlation coefficients (ICCs) were used as the measure of reliability. Overall, RS-FC in a seed-to-seed analysis was as reliable in tinnitus participants as it was in control participants in the seed regions examined. As previously shown in studies of participants with normal hearing sensitivity, intra-network reliability was higher than inter-network reliability. Related to this, stronger correlations between two seed regions were predictive of stronger reliability of the connectivity between those regions. These effects were seen in both control and tinnitus populations. Additional physiological corrections did not have a significant impact on the ICC values. The current study demonstrates that, on a whole-brain level, RS-FC assessed via seed-to-seed analysis is reliable in tinnitus participants. We therefore must look to other sources as potential causes of discrepancies across studies, such as variability within analysis techniques or within the behavioral characteristics of tinnitus participants.
多年来,耳鸣静息态功能连接(RS-FC)研究得出的结果并不一致。虽然研究结果可大致分为几大类,比如耳鸣患者听觉与边缘系统区域之间的相关性增加以及默认模式网络中断,但耳鸣RS-FC研究结果之间几乎没有一一对应的关系。虽然这种差异部分可归因于耳鸣人群的异质性,包括耳鸣严重程度,但耳鸣患者RS-FC变异性的来源尚不清楚。为了直接评估耳鸣中RS-FC测量的可靠性,来自两个不同地点(伊利诺伊大学厄巴纳-香槟分校,简称UIUC;以及位于得克萨斯州圣安东尼奥拉克兰空军基地的威尔福德·霍尔门诊手术中心,简称WHASC)的耳鸣患者和对照参与者都参加了相隔整整一周的两次静息态MRI扫描。分别在每个地点对对照参与者和耳鸣参与者进行种子到种子分析,评估默认模式、背侧注意、听觉、视觉、突显和情绪处理网络中27个区域的功能磁共振成像(fMRI)活动之间的相关性。此外,在UIUC收集了心率和呼吸测量数据,并在UIUC参与者中检查了使用这些测量进行额外生理校正对可靠性的影响。组内相关系数(ICC)用作可靠性的度量。总体而言,在种子到种子分析中,耳鸣参与者的RS-FC在检查的种子区域与对照参与者一样可靠。如先前在听力敏感度正常的参与者研究中所示,网络内可靠性高于网络间可靠性。与此相关的是,两个种子区域之间更强的相关性预示着这些区域之间连接的可靠性更强。在对照和耳鸣人群中均观察到了这些效应。额外的生理校正对ICC值没有显著影响。当前研究表明,在全脑水平上,通过种子到种子分析评估的RS-FC在耳鸣参与者中是可靠的。因此,我们必须寻找其他来源作为各研究结果差异的潜在原因,比如分析技术内部的变异性或耳鸣参与者行为特征内部的变异性。
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