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网络游戏障碍患者的异常中心性和功能连接性。

Aberrant degree centrality and functional connectivity in patients with internet gaming disorder.

作者信息

Yu Mingling, Li Qian, Mao Yu, He Yue, Liu Shengdan, Lu Xiaofei, Liu Chen, Lei Wei, Chen Guangxiang

机构信息

Department of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, Sichuan, China.

Department of Radiology, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038, China.

出版信息

J Psychiatr Res. 2025 Aug 5;190:121-127. doi: 10.1016/j.jpsychires.2025.07.002.

Abstract

Previous neuroimaging studies have revealed functional and structural abnormalities in the brains of internet gaming disorder (IGD) patients. However, few studies have focused on the functional network "hub" properties of the brain in patients with IGD. This study combined degree centrality (DC) with functional connectivity (FC) analysis based on resting-state functional magnetic resonance imaging (rs-fMRI) to investigate the connectivity patterns of whole-brain functional networks at the voxel level in patients with IGD. Ninety-seven IGD patients and seventy matched healthy controls (HCs) were included. Voxelwise DC analysis to quantify the functional network "hub" properties revealed significantly increased DC values in the bilateral superior temporal gyrus, bilateral postcentral gyrus and left precuneus in IGD patients compared with HCs. FC analysis using the brain regions with abnormal "hub" properties as seeds revealed increased connectivity of the left precuneus with the lingual gyrus, parahippocampal gyrus, orbitofrontal cortex (OFC), bilateral postcentral gyrus and right precuneus; bilateral postcentral gyrus with the precuneus, dorsolateral prefrontal cortex (DLPFC), OFC and middle temporal gyrus; and bilateral superior temporal gyrus with the postcentral gyrus, precuneus and middle temporal gyrus. The AUC values of DC, FC and the combined analysis for distinguishing IGD patients from HCs were 0.738, 0.850 and 0.864, respectively. These findings demonstrated that IGD may be a network disease characterized by disorganization of local and remote connectivity patterns; in particular, the disrupted FC between the left posterior central gyrus and middle temporal gyrus cross-DMN and sensorimotor network may be associated with the pathogenesis of IGD, which provides new insights into the neuropathological mechanisms underlying IGD.

摘要

以往的神经影像学研究已经揭示了网络游戏障碍(IGD)患者大脑中的功能和结构异常。然而,很少有研究关注IGD患者大脑的功能网络“枢纽”特性。本研究基于静息态功能磁共振成像(rs-fMRI),将度中心性(DC)与功能连接(FC)分析相结合,以研究IGD患者体素水平上全脑功能网络的连接模式。研究纳入了97名IGD患者和70名匹配的健康对照(HCs)。通过体素水平的DC分析来量化功能网络“枢纽”特性,结果显示,与HCs相比,IGD患者双侧颞上回、双侧中央后回和左侧楔前叶的DC值显著增加。以具有异常“枢纽”特性的脑区为种子点进行FC分析,结果显示左侧楔前叶与舌回、海马旁回、眶额皮质(OFC)、双侧中央后回和右侧楔前叶之间的连接增强;双侧中央后回与楔前叶、背外侧前额叶皮质(DLPFC)、OFC和颞中回之间的连接增强;双侧颞上回与中央后回、楔前叶和颞中回之间的连接增强。DC、FC以及区分IGD患者与HCs的联合分析的AUC值分别为0.738、0.850和0.864。这些发现表明,IGD可能是一种以局部和远程连接模式紊乱为特征的网络疾病;特别是,左侧中央后回与颞中回之间跨默认模式网络(DMN)和感觉运动网络的功能连接中断可能与IGD的发病机制有关,这为IGD潜在的神经病理机制提供了新的见解。

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