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Changes in Electrical Activities of the Brain Associated with Cognitive Functions in Type 2 Diabetes Mellitus: A Systematic Review. 2型糖尿病患者与认知功能相关的脑电活动变化:一项系统综述
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2022-03-27 DOI: 10.1177/15500594221089106
Amit Kanthi, Deepeshwar Singh, N K Manjunath, Raghuram Nagarathna

Introduction: Electroencephalogram (EEG) has the potentials to decipher the neural underpinnings of cognitive processes in clinical and healthy populations. Objective: The current systematic review is intended to examine the functional brain changes underlying cognitive dysfunctions in T2DM patients. Methods: The review was conducted on studies published in the PubMed, WebofScience, Cochrane, PsycInfo database till June 2021. The keywords used were electroencephalogram, T2DM, cognitive impairment/dysfunction. We considered studies using resting-state EEG and ERP. The preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines were followed to compile the studies. Results: The search yielded a total of 2384 studies. Finally, 16 independent studies were included. There was a pattern of a shift in EEG power observed from higher to lower frequencies in T2DM patients, though to a lesser degree than Alzheimer's disease patients. P300 latency was increased in T2DM patients mainly over frontal, parietal, and posterior regions. P300 and N100 amplitudes were decreased in T2DM patients than in healthy controls. Conclusion: The results indicate that T2DM has consequences for cognitive functions, and it finds a place in the continuum of healthy cognition to dementia.

脑电图(EEG)有潜力破译临床和健康人群认知过程的神经基础。目的:本系统综述旨在探讨T2DM患者认知功能障碍背后的脑功能改变。方法:对截至2021年6月在PubMed、WebofScience、Cochrane、PsycInfo数据库中发表的研究进行综述。关键词:脑电图、T2DM、认知功能障碍。我们考虑了使用静息状态EEG和ERP的研究。按照系统评价和荟萃分析(PRISMA)指南的首选报告项目进行研究。结果:共检索到2384项研究。最后,纳入了16项独立研究。在2型糖尿病患者中观察到脑电图功率从高频率到低频率的变化模式,尽管这种变化程度低于阿尔茨海默病患者。T2DM患者P300潜伏期增加主要发生在额、顶叶和后叶区域。T2DM患者的P300和N100波幅较健康对照降低。结论:T2DM对认知功能有影响,并在健康认知到痴呆的连续过程中占有一席之地。
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引用次数: 1
Cognitive Event-Related Potentials in Young Adults With Cerebral Palsy: A Proof-of-Concept Study. 青年脑瘫患者的认知事件相关电位:一项概念验证研究
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2020-12-03 DOI: 10.1177/1550059420977318
Christine L Lackner, Jan Willem Gorter, Sidney J Segalowitz

Cerebral palsy (CP) is a movement and posture disorder often accompanied by cognitive difficulties which can be assessed using event-related potentials (ERPs), an often-overlooked tool in this population. Here we describe our assessment protocol, examine its feasibility, and validate the use of single-subject ERP analyses in adolescents and young adults with CP, an analysis approach which recognizes the heterogeneity of the clinical population. This study involved a final sample of 9 adolescents/young adults with CP participating in the "MyStory" study (age range 16-29 years, Mage = 25.0 years; 6 female; Gross Motor Function Classification System level I [n = 4], II [n = 2], III [n = 1], IV [n = 1], and V [n = 1]). ERP components were elicited over medial prefrontal and central cortex (error- and correct-related negativities [ERN/CRN], error-positivity [Pe], N100, P200, N200, P300), as well as those generated over occipital cortex (P100, N170). Group and single-subject ERP statistics were computed for ERPs recorded over both areas. Using recently developed data analysis methods (independent components analysis and robust bootstrapped single-subject statistics), we measured the number of participants demonstrating significant condition differences at the timing of each ERP component of interest. We demonstrate good validity for ERPs recorded during 2 of our 3 tasks eliciting frontal activation (eg, 4 of 6 participants with usable data showed a significant single-subject medial frontal negativity condition difference in a context-switching task) and good validity for ERPs derived from a task engaging occipital regions (eg, 8 of 9 participants each showed a significant N170 face-object condition effect).

脑瘫(CP)是一种运动和姿势障碍,通常伴有认知困难,可以使用事件相关电位(erp)来评估,这是该人群中经常被忽视的工具。在这里,我们描述了我们的评估方案,检查了其可行性,并验证了在青少年和年轻CP患者中使用单受试者ERP分析,这是一种认识到临床人群异质性的分析方法。本研究最终纳入了9名参与“MyStory”研究的CP青少年/年轻人(年龄范围16-29岁,年龄= 25.0岁;6女;大肌肉运动功能分类系统I级[n = 4]、II级[n = 2]、III级[n = 1]、IV级[n = 1]、V级[n = 1])。ERP成分在内侧前额叶和中央皮层(错误和正确相关的负性[ERN/CRN],错误相关的正性[Pe], N100, P200, N200, P300)以及枕叶皮层(P100, N170)产生。计算两个区域记录的ERP的组和单受试者ERP统计。使用最近开发的数据分析方法(独立成分分析和稳健的自举单受试者统计),我们测量了在每个感兴趣的ERP成分的时间表现出显着条件差异的参与者数量。我们证明了在3个激发额叶激活的任务中的2个任务中记录的erp具有良好的效度(例如,6个具有可用数据的参与者中有4个在上下文切换任务中显示出显著的单受试者内侧额叶负性条件差异),并且在涉及枕部区域的任务中产生的erp具有良好的效度(例如,9个参与者中有8个显示出显著的N170面部-物体条件效应)。
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引用次数: 0
Brain Networks With Modified Connectivity in Patients With Neuropathic Pain and Spinal Cord Injury. 神经性疼痛和脊髓损伤患者脑网络连接改变。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2021-10-29 DOI: 10.1177/15500594211051485
Muhammad A Hasan, Parisa Sattar, Saad A Qazi, Matthew Fraser, Aleksandra Vuckovic

Background. Neuropathic pain (NP) following spinal cord injury (SCI) affects the quality of life of almost 40% of the injured population. The modified brain connectivity was reported under different NP conditions. Therefore, brain connectivity was studied in the SCI population with and without NP with the aim to identify networks that are altered due to injury, pain, or both. Methods. The study cohort is classified into 3 groups, SCI patients with NP, SCI patients without NP, and able-bodied. EEG of each participant was recorded during motor imagery (MI) of paralyzed and painful, and nonparalyzed and nonpainful limbs. Phased locked value was calculated using Hilbert transform to study altered functional connectivity between different regions. Results. The posterior region connectivity with frontal, fronto-central, and temporal regions is strongly decreased mainly during MI of dominant upper limb (nonparalyzed and nonpainful limbs) in SCI no pain group. This modified connectivity is prominent in the alpha and high-frequency bands (beta and gamma). Moreover, oscillatory modified global connectivity is observed in the pain group during MI of painful and paralyzed limb which is more evident between fronto-posterior, frontocentral-posterior, and within posterior and within frontal regions in the theta and SMR frequency bands. Cluster coefficient and local efficiency values are reduced in patients with no reported pain group while increased in the PWP group. Conclusion. The altered theta band connectivity found in the fronto-parietal network along with a global increase in local efficiency is a consequence of pain only, while altered connectivity in the beta and gamma bands along with a decrease in cluster coefficient values observed in the sensory-motor network is dominantly a consequence of injury only. The outcomes of this study may be used as a potential diagnostic biomarker for the NP. Further, the expected insight holds great clinical relevance in the design of neurofeedback-based neurorehabilitation and connectivity-based brain-computer interfaces for SCI patients.

背景。脊髓损伤(SCI)后神经性疼痛(NP)影响了近40%的受伤人群的生活质量。不同NP条件下脑连通性的改变。因此,我们研究了有和没有NP的SCI人群的大脑连接,目的是确定由于损伤、疼痛或两者兼而有之而改变的网络。方法。研究队列分为有NP的SCI患者、无NP的SCI患者和健全人3组。在瘫痪和疼痛、非瘫痪和非疼痛肢体运动想象(MI)时记录每个参与者的脑电图。利用希尔伯特变换计算锁相值,研究不同区域间功能连通性的变化。结果。在脊髓损伤无疼痛组中,后侧区域与额、额中央和颞区的连通性主要在优势上肢(非瘫痪和无痛肢体)发生MI时强烈下降。这种改变后的连通性在α和高频波段(β和γ)尤为突出。此外,疼痛组在疼痛肢体和瘫痪肢体的MI期间观察到振荡修饰的整体连通性,其在theta和SMR频段的额-后部、额-中央-后部以及后部和额区之间更为明显。聚类系数和局部效率值在无疼痛报告组中降低,而在PWP组中升高。结论。在额顶网络中发现的θ波段连通性的改变以及局部效率的整体提高仅是疼痛的结果,而在感觉-运动网络中观察到的β和γ波段连通性的改变以及簇系数值的降低主要是损伤的结果。这项研究的结果可能被用作NP的潜在诊断生物标志物。此外,这一发现对于设计基于神经反馈的脊髓损伤患者神经康复和基于连接的脑机接口具有重要的临床意义。
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引用次数: 0
QEEG Characterizations During Hyperventilation, Writing and Reading Conditions: A Pre-Post Cognitive-Behavioral Intervention Study on Students with Learning Difficulty. 过度换气、写作和阅读条件下的QEEG特征:学习困难学生认知行为干预前后的研究。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-01-02 DOI: 10.1177/15500594221147158
Pratima Kaushik

Background: Electroencephalography (EEG) has been used to measure neural correlates of cognitive and social development in children for decades. It is essential to evaluate the relationship between EEG parameters and cognitive measures to understand the mechanisms of learning problems better. Methods and procedure: Fifty school-going children with complaints of learning problems were studied. EEG and other cognitive measures were used to assess children before and after PEABLS; a cognitive-behavioral intervention was imparted. EEG was recorded while hyperventilation, writing, and reading conditions, and the values for absolute and relative powers were calculated. Results: The results suggested that the post-intervention absolute (in the theta and alpha bands) and relative (delta, theta, and alpha) power values were higher, and the relative power beta value was significantly lower at most of the electrodes in comparison to pre-intervention EEG measures. A significant high positive correlation in the children with learning problems between the relative power of alpha, beta O1O2, the relative power of theta, delta T3T4, and the academic scores, IQ, working memory, DTLD, and BGT values. Conclusion: These quantitative electroencephalogram findings in children with learning problems are related to cognitive measures. The findings could be due to brain immaturity and lack of learning opportunities.

背景:几十年来,脑电图(EEG)一直被用于测量儿童认知和社会发展的神经相关因素。研究脑电参数与认知测量之间的关系,有助于更好地理解学习问题的发生机制。方法与步骤:对50例自诉学习问题的学龄儿童进行研究。采用脑电图及其他认知测量对PEABLS前后儿童进行评估;给予认知行为干预。在过度通气、读写条件下记录脑电图,计算绝对功率和相对功率。结果:与干预前相比,干预后大多数电极的绝对功率(θ和α波段)和相对功率(δ、θ和α)值均较高,相对功率β值显著降低。学习障碍儿童的alpha、beta O1O2、theta、delta T3T4的相对强度与学业成绩、智商、工作记忆、DTLD、BGT值呈显著高正相关。结论:学习障碍儿童的脑电图定量结果与认知测量有关。这些发现可能是由于大脑不成熟和缺乏学习机会。
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引用次数: 1
A Comparative Investigation of Wavelet Families for Classification of EOG Signals Related to Healthy and ADHD Children. 小波族对健康与ADHD儿童脑电信号分类的比较研究。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-08-22 DOI: 10.1177/15500594231192817
Shahrzad Ayoubipour, Nasrin Sho'ouri

Based on previous research, there are differences between eye movements of people with attention-deficit hyperactivity disorder (ADHD) and of healthy people, as a result, the existence of differences regarding the electrooculogram (EOG) signals of the 2 groups exists. Thus, this study aimed to examine the recorded EOG signals of 30 ADHD children and 30 healthy children while performing an attention-related task. For this purpose, the EOG signals of these 2 groups were decomposed utilizing various wavelet functions. Afterward, features, including mean, energy, and standard deviation (SD) of approximation and detail wavelet coefficients were calculated. The Davies-Bouldin (DB) index was used for the evaluation of the feature space quality. Finally, the 2 groups were classified using one-dimensional feature vector and support vector machine (SVM). The SD of detail coefficients (db4) was selected as the most effective feature for separating the 2 groups. Statistical analysis revealed that the values of energy and SD of EOG signals' detail coefficients were significantly lower in the ADHD group in comparison with the healthy group (P<.001). These results showed that the speed of the ADHD group's eye movements was slower due to the fact that the high-frequency band activity of EOG signals in the healthy group was higher. In addition, the EOG signals were classified with a detection accuracy of 83.42 ± 3.8%. The results of this study can be applied in designing an EOG biofeedback protocol to treat or mitigate the symptoms of ADHD patients.

根据以往的研究,注意缺陷多动障碍(ADHD)患者的眼球运动与正常人存在差异,因此两组的眼电信号存在差异。因此,本研究旨在检查30名ADHD儿童和30名健康儿童在执行注意相关任务时记录的脑电图信号。为此,利用不同的小波函数对两组eeg信号进行分解。然后,计算近似和细节小波系数的均值、能量和标准差(SD)等特征。采用Davies-Bouldin (DB)指数对特征空间质量进行评价。最后,利用一维特征向量和支持向量机(SVM)对两组进行分类。选取细节系数的SD (db4)作为区分两组的最有效特征。统计分析发现,ADHD组脑电图信号细节系数的能量值和SD值明显低于健康组(P < 0.05)
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引用次数: 0
An Improved AlexNet Model and Cepstral Coefficient-Based Classification of Autism Using EEG. 改进的AlexNet模型及基于倒谱系数的自闭症脑电分类。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-05-29 DOI: 10.1177/15500594231178274
R Menaka, R Karthik, S Saranya, M Niranjan, S Kabilan

Autism is a neurodevelopmental disorder that cannot be completely cured, but early intervention during childhood can improve outcomes. Identifying autism spectrum disorder (ASD) has relied on subjective detection methods that involve questionnaires, medical professionals, and therapists and are subject to observer variability. The need for early diagnosis and the limitations of subjective detection methods has led researchers to explore machine learning-based approaches, such as Random Forests, K-Nearest Neighbors, Naive Bayes, and Support Vector Machines, to predict ASD meltdowns. In recent years, deep learning techniques have gained traction for early ASD detection. This study evaluates the performance of various deep learning networks, including AlexNet, VGG16, and ResNet50, using 5 cepstral coefficient features for ASD detection. The main contributions of this study are the utilization of Cepstral Coefficients in the processing stage to construct spectrograms and the modification of the AlexNet architecture for precise classification. Experimental observations indicate that the AlexNet with Linear Frequency Cepstral Coefficients (LFCC) yields the highest accuracy of 85.1%, while a customized AlexNet with LFCC achieves 90% accuracy.

自闭症是一种不能完全治愈的神经发育障碍,但在儿童时期进行早期干预可以改善结果。自闭症谱系障碍(ASD)的识别依赖于主观检测方法,包括问卷调查、医疗专业人员和治疗师,并且受观察者变化的影响。早期诊断的需要和主观检测方法的局限性促使研究人员探索基于机器学习的方法,如随机森林、k近邻、朴素贝叶斯和支持向量机,来预测自闭症谱系障碍的崩溃。近年来,深度学习技术在早期ASD检测中获得了关注。本研究评估了各种深度学习网络的性能,包括AlexNet, VGG16和ResNet50,使用5个倒谱系数特征进行ASD检测。本研究的主要贡献是在处理阶段利用倒谱系数来构建谱图,以及修改AlexNet架构以进行精确分类。实验结果表明,线性频率倒谱系数(LFCC)的AlexNet准确率最高,达到85.1%,而定制的LFCC AlexNet准确率达到90%。
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引用次数: 2
Electroencephalographic Evaluation in Fibromyalgia: A Systematic Review. 纤维肌痛的脑电图评价:系统综述。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2021-03-17 DOI: 10.1177/1550059421997128
Géssika Araújo de Melo, Marcela Laís Lima Holmes Madruga, Nelson Torro

Introduction. The evaluation of individuals with fibromyalgia is challenging. Electroencephalography is a promising resource for identifying physiological biomarkers in fibromyalgia, contributing to its diagnosis. Objective. To review studies involving the use of electroencephalography to evaluate individuals with fibromyalgia. Method. A systematic review of studies published in the PubMed, Lilacs, and SciELO databases from 2001 to 2020 was conducted. The keywords used were electroencephalogram, electroencephalography, and fibromyalgia. The database search complied with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) criteria. Results. A total of 136 articles were identified after a database search using the keywords "fibromyalgia" AND "electroencephalography", and 131 articles were found using the keywords "fibromyalgia" AND "electroencephalogram" (EEG). In the end, 20 articles remained after applying the exclusion criteria. The data was organized into subcategories related to the form of use, protocols, electroencephalographic findings in patients with fibromyalgia, and the EEG analysis method. Conclusion. Electroencephalography is a promising method for identifying and characterizing biomarkers for fibromyalgia.

介绍。对纤维肌痛患者的评估是具有挑战性的。脑电图是识别纤维肌痛生理生物标志物的一种有前途的资源,有助于其诊断。目标。回顾涉及使用脑电图评估纤维肌痛个体的研究。方法。对2001年至2020年在PubMed、Lilacs和SciELO数据库中发表的研究进行了系统回顾。关键词为脑电图、脑电图、纤维肌痛。数据库检索符合系统评价和荟萃分析(PRISMA)标准的首选报告项目。结果。以“纤维肌痛”和“脑电图”为关键词检索数据库,共检索到136篇文章;以“纤维肌痛”和“脑电图”为关键词检索到131篇文章。应用排除标准后,最终剩下20篇文章。数据被组织成与使用形式、方案、纤维肌痛患者的脑电图结果和脑电图分析方法相关的亚类。结论。脑电图是一种很有前途的方法来识别和表征纤维肌痛的生物标志物。
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引用次数: 4
"World-Informed" Neuroscience for Diversity and Inclusion: An Organizational Change in Cognitive Sciences. “世界知情”的多样性和包容性神经科学:认知科学的组织变革。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2023-11-01 Epub Date: 2022-06-12 DOI: 10.1177/15500594221105755
Kiyoto Kasai, Shin-Ichiro Kumagaya, Yusuke Takahashi, Yutaka Sawai, Akito Uno, Yousuke Kumakura, Mika Yamagishi, Akiko Kanehara, Kentaro Morita, Mariko Tada, Yoshihiro Satomura, Naohiro Okada, Shinsuke Koike, Sho Yagishita

By nature, humans are "tojisha (participating subjects/player-witnesses)" who encounter an unpredictable real world. An important characteristic of the relationship between the individual brain and the world is that it creates a loop of interaction and mutual formation. However, cognitive sciences have traditionally been based on a model that treats the world as a given constant. We propose incorporating the interaction loop into this model to create "world-informed neuroscience (WIN)". Based on co-productive research with people with minority characteristics that do not match the world, we hypothesize that the tojisha and the world interact in a two-dimensional way of rule-based and story-based. By defining the cognitive process of becoming tojisha in this way, it is possible to contribute to the various issues of the real world and diversity and inclusion through the integration of the humanities and sciences. The critical role of the brain dopamine system as a basis for brain-world interaction and the importance of research on urbanicity and adolescent development as examples of the application of WIN were discussed. The promotion of these studies will require bidirectional translation between human population science and animal cognitive neuroscience. We propose that the social model of disability should be incorporated into cognitive sciences, and that disability-informed innovation is needed to identify how social factors are involved in mismatches that are difficult to visualize. To promote WIN to ultimately contribute to a diverse and inclusive society, co-production of research from the initial stage of research design should be a baseline requirement.

从本质上讲,人类是“tojisha(参与者/玩家目击者)”,他们会遇到不可预测的现实世界。个人大脑和世界之间关系的一个重要特征是,它创造了一个相互作用和相互形成的循环。然而,认知科学传统上是建立在将世界视为给定常数的模型之上的。我们建议将交互循环纳入该模型,以创建“世界信息神经科学(WIN)”。基于对与世界不匹配的少数人特征的共同生产研究,我们假设tojisha和世界以基于规则和基于故事的二维方式相互作用。以这种方式定义成为tojisha的认知过程,可以通过人文与科学的融合,为现实世界的各种问题以及多样性和包容性做出贡献。讨论了脑多巴胺系统作为脑-世界互动基础的关键作用,以及以WIN应用为例的城市化和青少年发展研究的重要性。促进这些研究需要人口科学和动物认知神经科学之间的双向转换。我们建议将残疾的社会模型纳入认知科学,并且需要残疾信息创新来确定社会因素如何参与难以可视化的不匹配。为了促进WIN最终为一个多元化和包容性的社会做出贡献,从研究设计的初始阶段开始,合作研究应该是一个基本要求。
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引用次数: 1
Effect of the Temporal Window of Integration of Speech Sound on Mismatch Negativity. 语音整合时间窗口对错配否定的影响。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2023-11-01 Epub Date: 2022-04-12 DOI: 10.1177/15500594221093607
Hiroshi Hoshino, Tetsuya Shiga, Yuhei Mori, Michinari Nozaki, Kazuko Kanno, Yusuke Osakabe, Haruka Ochiai, Tomohiro Wada, Masayuki Hikita, Shuntaro Itagaki, Itaru Miura, Hirooki Yabe

Speech-sound stimuli have a complex structure, and it is unclear how the brain processes them. An event-related potential (ERP), known as mismatch negativity (MMN), is elicited when an individual's brain detects a rare sound. In this study, MMNs were measured in response to an omitted segment of a complex sound consisting of a Japanese vowel. The results indicated that the latency from onset in the right hemisphere was significantly shorter than that in the frontal midline and left hemispheres during left ear stimulation. Additionally, the results of latency from omission showed that the latency of stimuli omitted in the latter part of the temporal window of integration (TWI) was longer than that of stimuli omitted in the first part of the TWI. The mean peak amplitude was found to be higher in the right hemisphere than in the frontal midline and left hemispheres in response to left ear stimulation. In conclusion, the results of this study suggest that would be incorrect to believe that the stimuli have strictly the characteristics of speech-sound. However. the results of the interaction effect in the latencies from omission were insignificant. These results suggest that the detection time for deviance may not be related to the stimulus ear. However, the type of deviant stimuli on latencies was found to be significant. This is because the detection of the deviants was delayed when a deviation occurred in the latter part of the TWI, regardless of the stimulation of the ear.

语音刺激具有复杂的结构,目前还不清楚大脑是如何处理它们的。当一个人的大脑探测到一种罕见的声音时,就会引发一种事件相关电位(ERP),也就是所谓的失配消极性(MMN)。在这项研究中,MMNs被测量对一个由日语元音组成的复杂音的省略部分的反应。结果表明,在左耳刺激下,右半球的潜伏期明显短于额中线和左半球。此外,省略潜伏期的结果显示,在时间整合窗口的后半部分省略的刺激潜伏期比在时间整合窗口的前半部分省略的刺激潜伏期更长。在左耳刺激下,右半球的平均峰值幅度高于额叶中线和左半球。综上所述,本研究的结果表明,认为刺激具有严格的语音特征是不正确的。然而。遗漏潜伏期的交互作用结果不显著。这些结果表明,偏差的检测时间可能与刺激耳无关。然而,异常刺激的类型对潜伏期的影响是显著的。这是因为当TWI的后半部分发生偏差时,无论对耳朵的刺激如何,对偏差的检测都会延迟。
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引用次数: 1
The Characteristics of Power Spectral Density in Bipolar Disorder at the Resting State. 静息状态下双相情感障碍的功率谱密度特征。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2023-11-01 Epub Date: 2021-10-22 DOI: 10.1177/15500594211050487
Masakazu Sunaga, Yuichi Takei, Yutaka Kato, Minami Tagawa, Tomohiro Suto, Naruhito Hironaga, Noriko Sakurai, Masato Fukuda

Bipolar disorder (BD) is a common psychiatric disorder, but its pathophysiology is not fully elucidated. The current study focused on its electrophysiological characteristics, especially power spectral density (PSD). Resting state with eyes opened magnetoencephalography data were collected from 21 patients with BD and 22 healthy controls. The whole brain's PSD was calculated from source reconstructed waveforms at each frequency band (delta: 1-3 Hz, theta: 4-7 Hz, alpha: 8-12 Hz, low beta: 13-19 Hz, high beta: 20-29 Hz, and gamma: 30-80 Hz). We compared PSD values on the marked vertices at each frequency band between healthy and patient groups using a Mann-Whitney rank test to examine the relationship between significantly different PSD and clinical measures. The PSD in patients with BD was significantly decreased in lower frequency bands, mainly in the default mode network (DMN) areas (bilateral medial prefrontal cortex, bilateral precuneus, left inferior parietal lobe, and right temporal cortex in the alpha band) and salience network areas (SAL; left anterior insula [AI] at the delta band, anterior cingulate cortex at the theta band, and right AI at the alpha band). No significant differences in PSD were observed at low beta and high beta. PSD was not correlated with age or other clinical scales. Altered PSDs of the DMN and SAL were observed in the delta, theta, and alpha bands. These alterations contribute to the vulnerability of BD through the disturbance of self-referential mental activity and switching between the default mode and frontoparietal networks.

双相情感障碍(BD)是一种常见的精神疾病,但其病理生理学尚未完全阐明。目前的研究主要集中在其电生理特性,特别是功率谱密度(PSD)方面。从21名BD患者和22名健康对照组中收集睁开眼睛的静息状态脑磁图数据。根据每个频带的源重构波形计算整个大脑的PSD(delta:1-3 Hz,θ:4-7 Hz,α:8-12 Hz,低β:13-19 Hz,高β:20-29 Hz,伽玛:30-80 Hz)。我们使用Mann-Whitney秩检验比较了健康组和患者组之间每个频带标记顶点上的PSD值,以检查显著不同的PSD与临床测量之间的关系。BD患者的PSD在低频段显著降低,主要在默认模式网络(DMN)区域(位于α带的双侧内侧前额叶皮层、双侧楔前叶、左下顶叶和右颞叶皮层)和显著性网络区域(SAL;位于δ带的左前脑岛[AI]、位于θ带的前扣带皮层和位于α带上的右AI)。在低β和高β时未观察到PSD的显著差异。PSD与年龄或其他临床量表无关。在δ、θ和α带中观察到DMN和SAL的PSD改变。这些改变通过干扰自我参照的心理活动以及在默认模式和额顶顶网络之间切换,导致BD的脆弱性。
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引用次数: 2
期刊
Clinical EEG and Neuroscience
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