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Mediterranean diet and brain functional connectivity in a population without dementia. 地中海饮食与无痴呆人群的脑功能连通性。
Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1473399
Efstratios Karavasilis, Vasileios Balomenos, Foteini Christidi, Georgios Velonakis, Georgia Angelopoulou, Mary Yannakoulia, Eirini Mamalaki, Archontoula Drouka, Dora Brikou, Angeliki Tsapanou, Yian Gu, Nikolaos Scarmeas

Introduction: Adjustable lifestyle factors, such as diet, are associated with cognitive functions, structural and functional brain measures, but the association between the functional connectivity (FC) and the Mediterranean Diet (Medicine) in population without dementia is yet to be explored.

Methods: The association between MeDi and brain FC in 105 individuals without dementia aged 63 (SD ± 8.72) years old who underwent brain MRI including resting-state (rs) functional MRI (fMRI) was examined. Dietary intake was evaluated through four 24-h recalls using the multiple-pass method and adherence to the MeDi was estimated using the MedDietScore, with higher values indicating greater adherence to MeDi. Multivariable linear regression models were used to investigate the associations between FC (both positive and negative associations) and MedDietScore.

Results: Rs-fMRI analysis revealed significant associations between FC and MedDietScore. The FC between the medial prefrontal cortex and a cluster located in left postcentral gyrus and in the left supramarginal gyrus was positively associated with MedDietScore. On the other hand, the FC between medial visual and right posterior division of both middle and superior temporal gyrus was negatively associated with MedDietScore. Of note, a temporal negative correlation was detected between above-mentioned FC networks. The FC between superior temporal gyrus and occipital regions was associated with participants' attention, executive functions, and memory scores. Furthermore, the associations for attention and executive functions were pronounced in participants with high adherence to MeDi compared to those with low adherence to MeDi.

Discussion: In conclusion, our study documented an association between higher adherence to MeDi and rs-FC in fronto-parietal and temporo-occipital regions, particularly in areas that are involved in cognitive processes altered across normal and pathological aging. From a clinical point of view, our findings support a favorable role of MeDi on FC which may have significant clinical implications in the rapidly aging population. Rs-fMRI is also proposed as a useful tool in the emerging field of nutritional neuroscience and a candidate non-invasive biomarker of brain aging.

可调节的生活方式因素,如饮食,与认知功能、大脑结构和功能测量有关,但在无痴呆人群中,功能连通性(FC)与地中海饮食(医学)之间的关系尚有待探索。方法:对105例63岁(SD±8.72)岁无痴呆患者行静息态(rs)功能MRI (fMRI)脑MRI检查,观察MeDi与脑FC的关系。通过4次24小时回顾评估饮食摄入量,使用多重通过法,使用MedDietScore评估MeDi的依从性,数值越高表明对MeDi的依从性越高。采用多变量线性回归模型研究FC(正相关和负相关)与MedDietScore之间的关系。结果:Rs-fMRI分析显示FC与MedDietScore之间存在显著关联。内侧前额叶皮层与位于左侧中央后回和左侧边缘上回的一个簇之间的FC与meddieetscore呈正相关。另一方面,颞中上回内侧视觉区和右侧后分割区之间的FC与meddieetscore呈负相关。值得注意的是,上述FC网络之间存在时间负相关。颞上回和枕部之间的FC与参与者的注意力、执行功能和记忆得分有关。此外,与低遵医嘱的参与者相比,高遵医嘱的参与者的注意力和执行功能的关联更为明显。讨论:总之,我们的研究记录了在额顶区和颞枕区,特别是在参与正常和病理性衰老改变的认知过程的区域,较高的MeDi依从性和rs-FC之间的关联。从临床角度来看,我们的研究结果支持MeDi对FC的有利作用,这可能对快速老龄化的人口具有重要的临床意义。Rs-fMRI也被认为是营养神经科学新兴领域的有用工具和候选的非侵入性脑衰老生物标志物。
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引用次数: 0
Inferring neurocognition using artificial intelligence on brain MRIs. 利用人工智能在脑核磁共振成像上推断神经认知。
Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1455436
Mohammad Arafat Hussain, Patricia Ellen Grant, Yangming Ou

Brain magnetic resonance imaging (MRI) offers a unique lens to study neuroanatomic support of human neurocognition. A core mystery is the MRI explanation of individual differences in neurocognition and its manifestation in intelligence. The past four decades have seen great advancement in studying this century-long mystery, but the sample size and population-level studies limit the explanation at the individual level. The recent rise of big data and artificial intelligence offers novel opportunities. Yet, data sources, harmonization, study design, and interpretation must be carefully considered. This review aims to summarize past work, discuss rising opportunities and challenges, and facilitate further investigations on artificial intelligence inferring human neurocognition.

脑磁共振成像(MRI)为研究人类神经认知的神经解剖学支持提供了一个独特的视角。一个核心的谜团是MRI对神经认知的个体差异及其在智力上的表现的解释。在过去的40年里,人们对这个长达一个世纪的谜团的研究取得了巨大的进展,但样本量和人口水平的研究限制了对个体水平的解释。最近大数据和人工智能的兴起提供了新的机会。然而,必须仔细考虑数据来源、协调、研究设计和解释。本文旨在总结过去的工作,讨论未来的机遇和挑战,并促进人工智能推断人类神经认知的进一步研究。
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引用次数: 0
Adolescent brain maturation associated with environmental factors: a multivariate analysis. 青少年大脑成熟与环境因素的关系:多变量分析。
Pub Date : 2024-11-19 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1390409
Bhaskar Ray, Dawn Jensen, Pranav Suresh, Bishal Thapaliya, Ram Sapkota, Britny Farahdel, Zening Fu, Jiayu Chen, Vince D Calhoun, Jingyu Liu

Human adolescence marks a crucial phase of extensive brain development, highly susceptible to environmental influences. Employing brain age estimation to assess individual brain aging, we categorized individuals (N = 7,435, aged 9-10 years old) from the Adolescent Brain and Cognitive Development (ABCD) cohort into groups exhibiting either accelerated or delayed brain maturation, where the accelerated group also displayed increased cognitive performance compared to their delayed counterparts. A 4-way multi-set canonical correlation analysis integrating three modalities of brain metrics (gray matter density, brain morphological measures, and functional network connectivity) with nine environmental factors unveiled a significant 4-way canonical correlation between linked patterns of neural features, air pollution, area crime, and population density. Correlations among the three brain modalities were notably strong (ranging from 0.65 to 0.77), linking reduced gray matter density in the middle temporal gyrus and precuneus to decreased volumes in the left medial orbitofrontal cortex paired with increased cortical thickness in the right supramarginal and bilateral occipital regions, as well as increased functional connectivity in occipital sub-regions. These specific brain characteristics were significantly more pronounced in the accelerated brain aging group compared to the delayed group. Additionally, these brain regions exhibited significant associations with air pollution, area crime, and population density, where lower air pollution and higher area crime and population density were correlated to brain variations more prominently in the accelerated brain aging group.

人类的青春期标志着大脑广泛发育的关键阶段,极易受到环境影响。采用脑年龄估计来评估个体脑老化,我们将来自青少年大脑和认知发展(ABCD)队列的个体(N = 7,435,年龄9-10岁)分为大脑成熟加速或延迟的两组,其中加速组与延迟组相比,认知能力也有所提高。一项将脑指标(灰质密度、脑形态测量和功能网络连接)的三种模式与九种环境因素整合在一起的四向多集典型相关分析揭示了神经特征关联模式、空气污染、区域犯罪和人口密度之间显著的四向典型相关。三种大脑模式之间的相关性非常强(范围从0.65到0.77),将颞中回和楔前叶灰质密度的降低与左侧内侧眶额皮质体积的减少联系起来,并伴随着右侧边缘上和双侧枕区皮质厚度的增加,以及枕亚区功能连通性的增加。与延迟衰老组相比,大脑加速衰老组的这些特定大脑特征明显更为明显。此外,这些大脑区域与空气污染、区域犯罪和人口密度有显著关联,其中在脑加速衰老组中,较低的空气污染、较高的区域犯罪和人口密度与大脑变化的相关性更为显著。
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引用次数: 0
Brain-based correlates of depression and traumatic brain injury: a systematic review of structural and functional magnetic resonance imaging studies. 抑郁症和脑外伤的脑相关性:结构和功能磁共振成像研究的系统回顾。
Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1465612
Vanessa A Baltazar, Ilya Demchenko, Vanessa K Tassone, Rachel L Sousa-Ho, Tom A Schweizer, Venkat Bhat

Introduction: Depression is prevalent after traumatic brain injury (TBI). However, there is a lack of understanding of the brain-based correlates of depression post-TBI. This systematic review aimed to synthesize findings of structural and functional magnetic resonance imaging (MRI) studies to identify consistently reported neural correlates of depression post-TBI.

Methods: A search for relevant published studies was conducted through OVID (MEDLINE, APA PsycINFO, and Embase), with an end date of August 3rd, 2023. Fourteen published studies were included in this review.

Results: TBI patients with depression exhibited distinct changes in diffusion- based white matter fractional anisotropy, with the direction of change depending on the acuteness or chronicity of TBI. Decreased functional connectivity (FC) of the salience and default mode networks was prominent alongside the decreased volume of gray matter within the insular, dorsomedial prefrontal, and ventromedial prefrontal cortices. Seven studies reported the correlation between observed neuroimaging and depression outcomes. Of these studies, 42% indicated that FC of the bilateral medial temporal lobe subregions was correlated with depression outcomes in TBI.

Discussion: This systematic review summarizes existing neuroimaging evidence and reports brain regions that can be leveraged as potential treatment targets in future studies examining depression post-TBI.

导言:创伤性脑损伤(TBI)后抑郁症十分普遍。然而,人们对创伤性脑损伤后抑郁的脑相关因素缺乏了解。本系统综述旨在综合结构性和功能性磁共振成像(MRI)研究的结果,以确定一致报道的创伤性脑损伤后抑郁的神经相关因素:通过OVID(MEDLINE、APA PsycINFO和Embase)对已发表的相关研究进行了检索,检索结束日期为2023年8月3日。本综述纳入了 14 项已发表的研究:结果:患有抑郁症的创伤性脑损伤患者在基于扩散的白质分数各向异性方面表现出明显的变化,其变化方向取决于创伤性脑损伤的严重程度或慢性程度。在岛叶、背内侧前额叶和腹内侧前额叶皮质灰质体积减少的同时,显著性和默认模式网络的功能连通性(FC)也明显下降。七项研究报告了所观察到的神经影像与抑郁症结果之间的相关性。在这些研究中,42%的研究表明双侧内侧颞叶亚区的FC与创伤性脑损伤的抑郁结果相关:本系统综述总结了现有的神经影像学证据,并报告了在未来研究创伤后抑郁时可作为潜在治疗目标的脑区。
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引用次数: 0
Iron load in the normal aging brain measured with QSM and R 2 * at 7T: findings of the SENIOR cohort. 在 7T 下使用 QSM 和 R 2 * 测量正常老化大脑中的铁负荷:SENIOR 队列的研究结果。
Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1359630
Miguel Guevara, Stéphane Roche, Vincent Brochard, Davy Cam, Jacques Badagbon, Yann Leprince, Michel Bottlaender, Yann Cointepas, Jean-François Mangin, Ludovic de Rochefort, Alexandre Vignaud

Background: Iron accumulates in the brain during aging and is the focus of intensive research as an abnormal load, particularly in Deep Gray Matter (DGM), is related to neurodegeneration. Magnetic Resonance Imaging (MRI) metrics such as Quantitative Susceptibility Mapping (QSM) and apparent transverse relaxation rate R 2 * can be used to follow up iron in vivo. While the influence of age and sex on iron levels has already been reported, a careful consideration of neuronal risk factors, as well as for an enhanced sensitivity, is needed to define the normal evolution.

Methods: QSM and R 2 * at ultra-high field MRI are used to study iron in DGM using a carefully-characterized cohort of the healthy aging brain (SENIOR). Seventy-seven cognitively healthy elders (from 54 to 78 y/o) with clinical, biology, genetics, and cardiovascular risk factors careful evaluation. Differences linked with age, sex, cardiovascular risk factors and weight are studied.

Results: Age and sex have an influence on the brain iron deposition measured by QSM and R 2 * in a context of normal aging, without appearance of a pathological neurodegenerative process. Iron deposition shows higher values in the caudate and the putamen in older participants. Female participants present a higher level of iron in the amygdala, and males in the thalamus. Female participants also present differences in the accumbens, caudate and hippocampus when evaluating the joint age and sex effect. Participants with higher cardiovascular risk factors showed higher values of the iron, even without any impairment in their cognitive capability. An overweight is related with a higher iron load in the putamen for QSM and R 2 * in female participants. We controlled that these modifications of iron deposition are not related to a specific profile in the genotype of ApoE loci.

Conclusions: Establishing baseline values of QSM and R 2 * as iron probes in the context of aging is essential to determine differences in the process of neurodegeneration. Age and sex of participants are important factors that affect brain iron normal values. On the other hand, the presence of cardiovascular risk factors, which can be associated with age related diseases, can also potentially be linked with the iron deposition in the brain.

背景:铁在衰老过程中会在大脑中积累,是深入研究的重点,因为异常负荷,尤其是深层灰质(DGM)中的异常负荷,与神经变性有关。磁共振成像(MRI)指标,如定量易感图(QSM)和表观横向弛豫速率 R 2 *,可用于跟踪体内铁的情况。虽然年龄和性别对铁含量的影响已有报道,但仍需仔细考虑神经元风险因素并提高灵敏度,以确定正常的演变过程:方法:利用超高磁场磁共振成像的 QSM 和 R 2 *,通过一组经过仔细特征描述的健康老年脑(SENIOR)来研究 DGM 中的铁。对 77 名认知健康的老年人(54 至 78 岁/年)进行了临床、生物学、遗传学和心血管风险因素的仔细评估。研究了与年龄、性别、心血管风险因素和体重有关的差异:结果:在正常衰老的背景下,年龄和性别对通过 QSM 和 R 2 * 测量的脑铁沉积有影响,但没有出现病理性神经退行性过程。年龄越大,尾状核和普鲁曼的铁沉积值越高。女性参与者杏仁核中的铁含量较高,男性参与者丘脑中的铁含量较高。在评估年龄和性别的共同影响时,女性参与者在延脑、尾状核和海马中的铁含量也存在差异。具有较高心血管风险因素的参与者显示出较高的铁值,即使他们的认知能力没有受到任何损害。体重超重与女性参与者的QSM和R 2 *的普塔门铁负荷较高有关。我们发现,这些铁沉积的变化与载脂蛋白E基因型的特定特征无关:结论:确定 QSM 和 R 2 * 的基线值作为老龄化背景下的铁探针,对于确定神经变性过程中的差异至关重要。参与者的年龄和性别是影响脑铁正常值的重要因素。另一方面,与年龄相关疾病有关的心血管风险因素也可能与大脑中的铁沉积有关。
{"title":"<ArticleTitle xmlns:ns0=\"http://www.w3.org/1998/Math/MathML\">Iron load in the normal aging brain measured with QSM and <ns0:math> <ns0:msubsup><ns0:mrow><ns0:mi>R</ns0:mi></ns0:mrow> <ns0:mrow><ns0:mn>2</ns0:mn></ns0:mrow> <ns0:mrow><ns0:mo>*</ns0:mo></ns0:mrow> </ns0:msubsup> </ns0:math> at 7T: findings of the SENIOR cohort.","authors":"Miguel Guevara, Stéphane Roche, Vincent Brochard, Davy Cam, Jacques Badagbon, Yann Leprince, Michel Bottlaender, Yann Cointepas, Jean-François Mangin, Ludovic de Rochefort, Alexandre Vignaud","doi":"10.3389/fnimg.2024.1359630","DOIUrl":"10.3389/fnimg.2024.1359630","url":null,"abstract":"<p><strong>Background: </strong>Iron accumulates in the brain during aging and is the focus of intensive research as an abnormal load, particularly in Deep Gray Matter (DGM), is related to neurodegeneration. Magnetic Resonance Imaging (MRI) metrics such as Quantitative Susceptibility Mapping (QSM) and apparent transverse relaxation rate <math> <msubsup><mrow><mi>R</mi></mrow> <mrow><mn>2</mn></mrow> <mrow><mo>*</mo></mrow> </msubsup> </math> can be used to follow up iron <i>in vivo</i>. While the influence of age and sex on iron levels has already been reported, a careful consideration of neuronal risk factors, as well as for an enhanced sensitivity, is needed to define the normal evolution.</p><p><strong>Methods: </strong>QSM and <math> <msubsup><mrow><mi>R</mi></mrow> <mrow><mn>2</mn></mrow> <mrow><mo>*</mo></mrow> </msubsup> </math> at ultra-high field MRI are used to study iron in DGM using a carefully-characterized cohort of the healthy aging brain (SENIOR). Seventy-seven cognitively healthy elders (from 54 to 78 y/o) with clinical, biology, genetics, and cardiovascular risk factors careful evaluation. Differences linked with age, sex, cardiovascular risk factors and weight are studied.</p><p><strong>Results: </strong>Age and sex have an influence on the brain iron deposition measured by QSM and <math> <msubsup><mrow><mi>R</mi></mrow> <mrow><mn>2</mn></mrow> <mrow><mo>*</mo></mrow> </msubsup> </math> in a context of normal aging, without appearance of a pathological neurodegenerative process. Iron deposition shows higher values in the caudate and the putamen in older participants. Female participants present a higher level of iron in the amygdala, and males in the thalamus. Female participants also present differences in the accumbens, caudate and hippocampus when evaluating the joint age and sex effect. Participants with higher cardiovascular risk factors showed higher values of the iron, even without any impairment in their cognitive capability. An overweight is related with a higher iron load in the putamen for QSM and <math> <msubsup><mrow><mi>R</mi></mrow> <mrow><mn>2</mn></mrow> <mrow><mo>*</mo></mrow> </msubsup> </math> in female participants. We controlled that these modifications of iron deposition are not related to a specific profile in the genotype of ApoE loci.</p><p><strong>Conclusions: </strong>Establishing baseline values of QSM and <math> <msubsup><mrow><mi>R</mi></mrow> <mrow><mn>2</mn></mrow> <mrow><mo>*</mo></mrow> </msubsup> </math> as iron probes in the context of aging is essential to determine differences in the process of neurodegeneration. Age and sex of participants are important factors that affect brain iron normal values. On the other hand, the presence of cardiovascular risk factors, which can be associated with age related diseases, can also potentially be linked with the iron deposition in the brain.</p>","PeriodicalId":73094,"journal":{"name":"Frontiers in neuroimaging","volume":"3 ","pages":"1359630"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre- and post-therapy functional MRI connectivity in severe acute brain injury with suppression of consciousness: a comparative analysis to epilepsy features. 严重急性脑损伤伴意识抑制的治疗前和治疗后功能磁共振成像连通性:与癫痫特征的比较分析。
Pub Date : 2024-10-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1445952
Emilio G Cediel, Erika A Duran, Jeffrey Laux, William Reuther, Olivia Leggio, Belfin Robinson, Varina L Boerwinkle

Severe acute brain injury (SABI) with suppressed consciousness is a major societal burden, with early prognosis being crucial for life-and-death treatment decisions. Resting-state functional MRI (rs-fMRI) is promising for prognosis and identifying epileptogenic activity in SABI. While established for SABI prognosis and seizure networks (SzNET) identification in epilepsy, the rs-fMRI use for SzNET detection in SABI is limited. This study compared evolution of SzNET and resting-state networks (RSN) pre-to-post treatment in SABI and epilepsy, hypothesizing that changes would align with clinical evolution. Therapies included epilepsy surgery for the epilepsy group and antiseizure medication for the SABI group. Independent component analysis (ICA) was used to identify SzNET and RSNs in all rs-fMRI. High-frequency BOLD (HF-BOLD), an ICA power spectrum-based index, quantified RSN and SzNET changes by the patient. Confidence intervals measured HF-BOLD changes pre-to-post-therapy. Baseline HF-BOLD and HF-BOLD changes were compared using linear-mixed models and interaction tests. Five SABI and ten epilepsy patients were included. SzNET were identified in all SABI's pre-therapy rs-fMRI. The clinical changes in SABI and epilepsy were consistent with rs-fMRI findings across groups. HF-BOLD reduced in the epilepsy group RSN post-therapy (-0.78, 95% CI -3.42 to -0.33), but the evidence was insufficient to determine an HF-BOLD reduction in SABI patients or SzNET. The HF-BOLD change trend in pre-to-post epilepsy surgery scans paralleled the clinical improvement, suggesting that the power spectrum may quantify the degree of abnormality on ICA-derived networks. Despite limitations such as small sample sizes, this exploratory study provides valuable insights into network dysfunction in SABI and epilepsy.

伴有意识抑制的严重急性脑损伤(SABI)是一项重大的社会负担,早期预后对于生死攸关的治疗决策至关重要。静息态功能磁共振成像(rs-fMRI)有望用于 SABI 的预后和致痫活动的识别。虽然 rs-fMRI 已被用于 SABI 的预后判断和癫痫发作网络(SzNET)的识别,但在 SABI 中用于 SzNET 检测的 rs-fMRI 还很有限。本研究比较了 SzNET 和静息态网络(RSN)在 SABI 和癫痫治疗前后的变化,假设其变化将与临床变化一致。癫痫组的治疗包括癫痫手术,SABI 组的治疗包括抗癫痫药物。独立成分分析(ICA)用于识别所有 rs-fMRI 中的 SzNET 和 RSN。高频BOLD(HF-BOLD)是一种基于ICA功率谱的指数,可量化患者的RSN和SzNET变化。置信区间测量了治疗前到治疗后的 HF-BOLD 变化。使用线性混合模型和交互检验比较基线 HF-BOLD 和 HF-BOLD 变化。共纳入了五名 SABI 患者和十名癫痫患者。在所有 SABI 患者的治疗前 rs-fMRI 中均发现了 SzNET。各组 SABI 和癫痫患者的临床变化与 rs-fMRI 发现一致。治疗后,癫痫组 RSN 的高频-BOLD 有所下降(-0.78,95% CI -3.42至-0.33),但证据不足以确定 SABI 患者或 SzNET 的高频-BOLD 下降。癫痫手术前后扫描的高频-BOLD变化趋势与临床改善情况一致,这表明功率谱可以量化ICA衍生网络的异常程度。尽管存在样本量小等局限性,但这项探索性研究为了解 SABI 和癫痫的网络功能障碍提供了宝贵的见解。
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引用次数: 0
Multimodal functional imaging and clinical correlates of pain regions in chronic low-back pain patients treated with spinal cord stimulation: a pilot study. 脊髓刺激治疗慢性腰背痛患者疼痛区域的多模态功能成像和临床相关性:一项试点研究。
Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1474060
Yazan Shamli Oghli, Arjun Ashok, Steven Glener, Isaiah Ailes, Mashaal Syed, Ki Chang Kang, Sara Naghizadehkashani, Islam Fayed, Feroze B Mohamed, Kiran Talekar, Laura Krisa, Chengyuan Wu, Caio Matias, Mahdi Alizadeh

Objective: Spinal cord stimulation (SCS) is an invasive treatment option for patients suffering from chronic low-back pain (cLBP). It is an effective treatment that has been shown to reduce pain and increase the quality of life in patients. However, the activation of pain processing regions of cLBP patients receiving SCS has not been assessed using objective, quantitative functional imaging techniques. The purpose of the present study was to compare quantitative resting-state (rs)-fMRI and arterial spin labeling (ASL) measures between SCS patients and healthy controls and to correlate clinical measures with quantitative multimodal imaging indices in pain regions.

Methods: Multi-delay 3D GRASE pseudo-continuous ASL and rs-fMRI data were acquired from five patients post-SCS with cLBP and five healthy controls. Three ASL measures and four rs-fMRI measures were derived and normalized into MNI space and smoothed. Averaged values for each measure from a pain atlas were extracted and compared between patients and controls. Clinical pain scores assessing intensity, sensitization, and catastrophizing, as well as others assessing global pain effects (sleep quality, disability, anxiety, and depression), were obtained in patients and correlated with pain regions using linear regression analysis.

Results: Arterial transit time derived from ASL and several rs-fMRI measures were significantly different in patients in regions involved with sensation (primary somatosensory cortex and ventral posterolateral thalamus [VPL]), pain input (posterior short gyrus of the insula [PS]), cognition (dorsolateral prefrontal cortex [DLPC] and posterior cingulate cortex [PCC]), and fear/stress response (hippocampus and hypothalamus). Unidimensional pain rating and sensitization scores were linearly associated with PS, VPL, DLPC, PCC, and/or amygdala activity in cLBP patients.

Conclusion: The present results provide evidence that ASL and rs-fMRI can contrast functional activation in pain regions of cLBP patients receiving SCS and healthy subjects, and they can be associated with clinical pain evaluations as quantitative assessment tools.

目的:脊髓刺激(SCS)是慢性腰背痛(cLBP)患者的一种侵入性治疗方法。它是一种有效的治疗方法,已被证明能减轻患者的疼痛并提高其生活质量。然而,目前尚未使用客观、定量的功能成像技术评估接受 SCS 治疗的慢性腰背痛患者疼痛处理区域的激活情况。本研究旨在比较 SCS 患者和健康对照组的定量静息态(rs)-fMRI 和动脉自旋标记(ASL)测量结果,并将临床测量结果与疼痛区域的定量多模态成像指数相关联:方法: 采集了五名SCS后cLBP患者和五名健康对照者的多延迟三维GRASE伪连续ASL和rs-fMRI数据。得出了三种 ASL 测量值和四种 rs-fMRI 测量值,并将其归一化到 MNI 空间并进行平滑处理。从疼痛图谱中提取每个测量值的平均值,并在患者和对照组之间进行比较。通过线性回归分析,获得了患者的临床疼痛评分(评估强度、敏感性和灾难性)以及其他评估整体疼痛影响的评分(睡眠质量、残疾、焦虑和抑郁),并将其与疼痛区域相关联:结果:ASL得出的动脉通过时间和几项rs-fMRI测量结果在患者的感觉(初级躯体感觉皮层和丘脑腹后外侧[VPL])、疼痛输入(岛叶后短回[PS])、认知(背外侧前额叶皮层[DLPC]和后扣带回皮层[PCC])和恐惧/压力反应(海马体和下丘脑)相关区域存在显著差异。cLBP 患者的单维疼痛评分和敏感化评分与 PS、VPL、DLPC、PCC 和/或杏仁核活动呈线性相关:本研究结果提供了证据,证明 ASL 和 rs-fMRI 可对比接受 SCS 的 cLBP 患者和健康受试者疼痛区域的功能激活,并可作为定量评估工具与临床疼痛评估相关联。
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引用次数: 0
Quantitative reliability assessment of brain MRI volumetric measurements in type II GM1 gangliosidosis patients. 对II型GM1神经节苷脂病患者脑部核磁共振成像容积测量的定量可靠性评估
Pub Date : 2024-09-13 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1410848
Christopher Zoppo, Josephine Kolstad, Jean Johnston, Precilla D'Souza, Anna Luisa Kühn, Zeynep Vardar, Ahmet Peker, Clifford Lindsay, Zubir S Rentiya, Robert King, Heather Gray-Edwards, Behroze Vachha, Maria T Acosta, Cynthia J Tifft, Mohammed Salman Shazeeb

Purpose: GM1-gangliosidosis (GM1) leads to extensive neurodegenerative changes and atrophy that precludes the use of automated MRI segmentation techniques for generating brain volumetrics. We developed a standardized segmentation protocol for brain MRIs of patients with type II GM1 and then assessed the inter- and intra-rater reliability of this methodology. The volumetric data may be used as a biomarker of disease burden and progression, and standardized methodology may support research into the natural history of the disease which is currently lacking in the literature.

Approach: Twenty-five brain MRIs were included in this study from 22 type II GM1 patients of which 8 were late-infantile subtype and 14 were juvenile subtype. The following structures were segmented by two rating teams on a slice-by-slice basis: whole brain, ventricles, cerebellum, lentiform nucleus, thalamus, corpus callosum, and caudate nucleus. The inter- and intra-rater reliability of the segmentation method was assessed with an intraclass correlation coefficient as well as Sorensen-Dice and Jaccard coefficients.

Results: Based on the Sorensen-Dice and Jaccard coefficients, the inter- and intra-rater reliability of the segmentation method was significantly better for the juvenile patients compared to late-infantile (p < 0.01). In addition, the agreement between the two rater teams and within themselves can be considered good with all p-values < 0.05.

Conclusions: The standardized segmentation approach described here has good inter- and intra-rater reliability and may provide greater accuracy and reproducibility for neuromorphological studies in this group of patients and help to further expand our understanding of the natural history of this disease.

目的:GM1-神经节苷脂病(GM1)会导致广泛的神经退行性病变和萎缩,因此无法使用自动磁共振成像分割技术生成脑体积测量结果。我们为 II 型 GM1 患者的脑部 MRI 制定了标准化分割方案,然后评估了该方法在评分者之间和评分者内部的可靠性。容积数据可用作疾病负担和进展的生物标志物,标准化方法可支持对该疾病自然史的研究,而目前缺乏这方面的文献:本研究纳入了 22 位 II 型 GM1 患者的 25 张脑核磁共振图像,其中 8 位为晚期婴幼儿亚型,14 位为青少年亚型。由两个评分小组对以下结构进行逐片分割:全脑、脑室、小脑、扁桃体核、丘脑、胼胝体和尾状核。使用类内相关系数以及索伦森-狄斯系数和雅卡德系数评估了分割方法在评分者之间和评分者内部的可靠性:根据 Sorensen-Dice 和 Jaccard 系数,与晚发型患者相比,青少年患者的分割方法在评分者之间和评分者内部的可靠性明显更高(P < 0.01)。此外,两组评分者之间以及评分者内部的一致性也很好,所有 p 值均小于 0.05:本文描述的标准化分割方法在评分者之间和评分者内部都具有良好的可靠性,可为该类患者的神经形态学研究提供更高的准确性和可重复性,并有助于进一步扩展我们对该疾病自然史的了解。
{"title":"Quantitative reliability assessment of brain MRI volumetric measurements in type II GM1 gangliosidosis patients.","authors":"Christopher Zoppo, Josephine Kolstad, Jean Johnston, Precilla D'Souza, Anna Luisa Kühn, Zeynep Vardar, Ahmet Peker, Clifford Lindsay, Zubir S Rentiya, Robert King, Heather Gray-Edwards, Behroze Vachha, Maria T Acosta, Cynthia J Tifft, Mohammed Salman Shazeeb","doi":"10.3389/fnimg.2024.1410848","DOIUrl":"10.3389/fnimg.2024.1410848","url":null,"abstract":"<p><strong>Purpose: </strong>GM1-gangliosidosis (GM1) leads to extensive neurodegenerative changes and atrophy that precludes the use of automated MRI segmentation techniques for generating brain volumetrics. We developed a standardized segmentation protocol for brain MRIs of patients with type II GM1 and then assessed the inter- and intra-rater reliability of this methodology. The volumetric data may be used as a biomarker of disease burden and progression, and standardized methodology may support research into the natural history of the disease which is currently lacking in the literature.</p><p><strong>Approach: </strong>Twenty-five brain MRIs were included in this study from 22 type II GM1 patients of which 8 were late-infantile subtype and 14 were juvenile subtype. The following structures were segmented by two rating teams on a slice-by-slice basis: whole brain, ventricles, cerebellum, lentiform nucleus, thalamus, corpus callosum, and caudate nucleus. The inter- and intra-rater reliability of the segmentation method was assessed with an intraclass correlation coefficient as well as Sorensen-Dice and Jaccard coefficients.</p><p><strong>Results: </strong>Based on the Sorensen-Dice and Jaccard coefficients, the inter- and intra-rater reliability of the segmentation method was significantly better for the juvenile patients compared to late-infantile (<i>p</i> < 0.01). In addition, the agreement between the two rater teams and within themselves can be considered good with all <i>p</i>-values < 0.05.</p><p><strong>Conclusions: </strong>The standardized segmentation approach described here has good inter- and intra-rater reliability and may provide greater accuracy and reproducibility for neuromorphological studies in this group of patients and help to further expand our understanding of the natural history of this disease.</p>","PeriodicalId":73094,"journal":{"name":"Frontiers in neuroimaging","volume":"3 ","pages":"1410848"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Probing hippocampal stimulation in experimental temporal lobe epilepsy with functional MRI. 用功能磁共振成像探究实验性颞叶癫痫的海马刺激。
Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1423770
Niels Schwaderlapp, Enya Paschen, Pierre LeVan, Dominik von Elverfeldt, Carola A Haas

Electrical neurostimulation is currently used to manage epilepsy, but the most effective approach for minimizing seizure occurrence is uncertain. While functional MRI (fMRI) can reveal which brain areas are affected by stimulation, simultaneous deep brain stimulation (DBS)-fMRI examinations in patients are rare and the possibility to investigate multiple stimulation protocols is limited. In this study, we utilized the intrahippocampal kainate mouse model of mesial temporal lobe epilepsy (mTLE) to systematically examine the brain-wide responses to electrical stimulation using fMRI. We compared fMRI responses of saline-injected controls and epileptic mice during stimulation in the septal hippocampus (HC) at 10 Hz and demonstrated the effects of different stimulation amplitudes (80-230 μA) and frequencies (1-100 Hz) in epileptic mice. Motivated by recent studies exploring 1 Hz stimulation to prevent epileptic seizures, we furthermore investigated the effect of prolonged 1 Hz stimulation with fMRI. Compared to sham controls, epileptic mice showed less propagation to the contralateral HC, but significantly stronger responses in the ipsilateral HC and a wider spread to the entorhinal cortex and septal region. Varying the stimulation amplitude had little effect on the resulting activation patterns, whereas the stimulation frequency represented the key parameter and determined whether the induced activation remained local or spread from the hippocampal formation into cortical areas. Prolonged stimulation of epileptic mice at 1 Hz caused a slight reduction in local excitability. In this way, our study contributes to a better understanding of these stimulation paradigms.

目前,神经电刺激被用于控制癫痫,但最大限度减少癫痫发作的最有效方法尚不确定。虽然功能磁共振成像(fMRI)可以揭示哪些脑区受到刺激的影响,但同时对患者进行脑深部刺激(DBS)-fMRI检查的情况并不多见,而且研究多种刺激方案的可能性也很有限。在这项研究中,我们利用海马内凯恩酸盐中位颞叶癫痫(mTLE)小鼠模型,使用 fMRI 系统地检查了全脑对电刺激的反应。我们比较了生理盐水注射对照组和癫痫小鼠在隔侧海马(HC)受到 10 Hz 刺激时的 fMRI 反应,并证明了不同刺激幅度(80-230 μA)和频率(1-100 Hz)对癫痫小鼠的影响。最近有研究探索用 1 赫兹刺激来预防癫痫发作,受此启发,我们进一步用 fMRI 研究了长时间 1 赫兹刺激的效果。与假对照组相比,癫痫小鼠对对侧大脑皮质的传播较少,但对同侧大脑皮质的反应明显较强,对内侧皮质和隔区的传播也较广。改变刺激幅度对所产生的激活模式影响不大,而刺激频率则是关键参数,它决定了诱导的激活是保持在局部还是从海马形成扩散到皮层区域。对癫痫小鼠进行1赫兹的长时间刺激会导致局部兴奋性略微降低。因此,我们的研究有助于更好地理解这些刺激范式。
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引用次数: 0
The importance of brain mapping for rehabilitation in birth nonprogressive neuromuscular diseases 脑图谱对出生后非进行性神经肌肉疾病康复的重要性
Pub Date : 2024-07-15 DOI: 10.3389/fnimg.2024.1359491
Aleksandra Tolmacheva, Olga Agranovich, E. Blagovechtchenski
While motor mapping has been extensively studied in acquired motor conditions, a lack has been observed in terms of research on neurological disorders present since birth, with damage to the spinal cord and peripheral nerves (hence, defined in this study as nonprogressive neuromuscular diseases). Despite an injury at the level below the brain, the subsequent changes in the motor system involve cortical reorganization. In the scientific community, the need for a comprehensive approach targeting the brain is increasingly recognized for greater motor recovery in these patients. Transcranial magnetic stimulation (TMS) and functional magnetic resonance imaging (fMRI) are the most utilized techniques for motor mapping. The knowledge obtained through motor mapping may be used to develop effective individual neuromodulation therapy that helps in functional motor recovery. This brief review compares the results of the brain mapping of a few existing studies in individuals with nonprogressive motor disorders of nonbrain origin present at birth to the brain mapping of individuals with similar acquired motor conditions. The review reveals some particular features in terms of central adaptation in individuals with birth conditions compared to their acquired counterparts, such as the nonsomatotopic presentation of involved muscles in the sensorimotor cortex and nonadjacent cortical areas. This topic is undoubtedly intriguing, justifying further research in the field. This review also discusses the benefits these patients can obtain from neuromodulation therapy addressed to the central nervous system and the importance of individual neurophysiological assessment in designing rehabilitation therapy for children with birth motor disorders.
虽然运动图谱对获得性运动病症进行了广泛的研究,但对自出生以来就存在的、脊髓和周围神经受损的神经系统疾病(因此,本研究将其定义为非进行性神经肌肉疾病)的研究却很缺乏。尽管受伤部位在大脑以下,但随后运动系统的变化涉及大脑皮层的重组。在科学界,人们越来越认识到需要一种针对大脑的综合方法来促进这些患者的运动康复。经颅磁刺激(TMS)和功能磁共振成像(fMRI)是最常用的运动图谱绘制技术。通过绘制运动图谱获得的知识可用于开发有效的个体神经调控疗法,帮助患者实现功能性运动恢复。这篇简短的综述将现有的几项研究结果进行了比较,这些研究的对象是出生时即患有非脑源性非进行性运动障碍的患者,以及患有类似后天性运动障碍的患者。与获得性运动障碍患者相比,该综述揭示了先天性运动障碍患者在中枢适应方面的一些特殊特征,如受累肌肉在感觉运动皮层和非相邻皮层区域的非同位呈现。毫无疑问,这一话题非常引人关注,值得在该领域开展进一步研究。本综述还讨论了中枢神经系统神经调控疗法可为这些患者带来的益处,以及个体神经生理学评估在设计先天性运动障碍儿童康复疗法中的重要性。
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引用次数: 0
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Frontiers in neuroimaging
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