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State of the Art of Brain Function Detection Technologies in Robot-Assisted Lower Limb Rehabilitation. 机器人辅助下肢康复中的脑功能检测技术现状。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-01 DOI: 10.1089/brain.2024.0005
Duojin Wang, Yihe Wu, Hongliu Yu

Background: With an aging population, the prevalence of neurological disorders is increasing, leading to a rise in lower limb movement disorders and, in turn, a growing need for rehabilitation training. Previous neuroimaging studies have shown a growing scientific interest in the study of brain mechanisms in robot-assisted lower limb rehabilitation (RALLR). Objective: This review aimed to determine differences in neural activity patterns during different RALLR tasks and the impact on neurofunctional plasticity. Methods: Sixty-five articles in the field of RALLR were selected and tested using three brain function detection technologies. Results: Most studies have focused on changes in activity in various regions of the cerebral cortex during different lower limb rehabilitation tasks but have also increasingly focused on functional changes in other cortical and deep subcortical structures. Our analysis also revealed a neglect of certain task types. Conclusion: We identify and discuss future research directions that may contribute to a clear understanding of neural functional plasticity under different RALLR tasks.

背景:随着人口老龄化,神经系统疾病的发病率不断上升,导致下肢运动障碍增加,反过来,对康复训练的需求也越来越大。以往的神经影像学研究表明,科学界对机器人辅助下肢康复(RALLR)中大脑机制的研究兴趣日益浓厚:本综述旨在确定不同机器人辅助下肢康复训练任务中神经活动模式的差异及其对神经功能可塑性的影响:方法:选取了 65 篇机器人下肢康复领域的文章,并使用三种脑功能检测技术(BFDT)进行了测试:结果:大多数研究关注不同下肢康复任务中大脑皮层各区域活动的变化,但也越来越多地关注其他皮层和皮层下深层结构的功能变化。我们的分析还揭示了对某些任务类型的忽视:我们确定并讨论了未来的研究方向,这些方向可能有助于清楚地了解不同下肢康复任务下的神经功能可塑性。
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引用次数: 0
Probabilistic Tractography-Based Tremor Network Connectivity in Tremor Dominant Parkinson's Disease and Essential Tremor plus. 基于震颤显性帕金森氏症和震颤加本质性震颤的概率性束流成像的震颤网络连接。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-07-03 DOI: 10.1089/brain.2023.0066
Shweta Prasad, Archith Rajan, Madhura Ingalhalikar, Rose Dawn Bharath, Jitender Saini, Pramod Kumar Pal

Background: The basal ganglia-thalamocortical (BGTC) and cerebello-thalamocortical (CTC) networks are implicated in tremor genesis; however, exact contributions across disorders have not been studied. Objective: Evaluate the structural connectivity of BGTC and CTC in tremor-dominant Parkinson's disease (TDPD) and essential tremor plus (ETP) with the aid of probabilistic tractography and graph theory analysis. Methods: Structural connectomes of the BGTC and CTC were generated by probabilistic tractography for TDPD (n = 25), ETP (ET with rest tremor, n = 25), and healthy control (HC, n = 22). The Brain Connectivity Toolbox was used for computing standard topological graph measures of segregation, integration, and centrality. Tremor severity was ascertained using the Fahn-Tolosa-Marin tremor rating scale (FTMRS). Results: There was no difference in total FTMRS scores. Compared with HC, TDPD had a lower global efficiency and characteristic path length. Abnormality in segregation, integration, and centrality of bilateral putamen, globus pallidus externa (GPe), and GP interna (GPi), with reduction of centrality of right caudate and cerebellar lobule 8, was observed. ETP showed reduction in segregation and integration of right GPe and GPi, ventrolateral posterior nucleus, and centrality of right putamen, compared with HC. Differences between TDPD and ETP were a reduction of strength of the right putamen, and lower clustering coefficient, local efficiency, and strength of the left GPi in TDPD. Conclusions: Contrary to expectations, TDPD and ETP may not be significantly different with regard to tremor pathogenesis, with definite overlaps. There may be fundamental similarities in network disruption across different tremor disorders with the same tremor activation patterns, along with disease-specific changes.

背景:基底节-丘脑皮质(BGTC)和大脑皮质-丘脑皮质(CTC)网络与震颤的发生有关,但对不同疾病的确切贡献尚未进行研究:借助概率牵引成像和图论分析,评估震颤显性帕金森病(TDPD)和本质震颤加(ETP)中 BGTC 和 CTC 的结构连通性:方法:通过概率牵引图生成 TDPD(25 人)、ETP(ET 伴静止性震颤,25 人)和健康对照组(HC,22 人)的 BGTC 和 CTC 结构连接组。大脑连接性工具箱用于计算标准拓扑图的分离度、整合度和中心度。使用法恩-托洛萨-马林震颤评分量表(FTMRS)确定震颤的严重程度:FTMRS 总分没有差异。与 HC 相比,TDPD 的全局效率和特征路径长度较低。双侧丘脑、苍白球外侧(GPe)和苍白球内侧(GPi)的分离、整合和中心性出现异常,右侧尾状体和小脑第 8 小叶的中心性降低。与 HC 相比,ETP 显示右侧 GPe 和 GPi、腹外侧后核的分离和整合以及右侧普塔门的中心性降低。TDPD和ETP之间的差异在于右侧推子的强度降低,TDPD中左侧GPi的聚类系数、局部效率和强度降低:结论:与预期相反,TDPD 和 ETP 在震颤发病机制方面可能没有显著差异,但有一定的重叠。具有相同震颤激活模式的不同震颤障碍在网络破坏方面可能存在基本相似性,同时也存在疾病特异性变化。
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引用次数: 0
Advances in Understanding Brain Connectivity. 社论:了解大脑连接性的进展。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-07-30 DOI: 10.1089/brain.2024.0047
Jennifer L Whitwell, Steven Laureys
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引用次数: 0
Particulate Matter Exposure and Default Mode Network Equilibrium During Early Adolescence. 微粒物质暴露与青春期早期默认模式网络平衡
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-07-03 DOI: 10.1089/brain.2023.0072
Clara G Zundel, Samantha Ely, Cole Brokamp, Jeffrey R Strawn, Tanja Jovanovic, Patrick Ryan, Hilary A Marusak

Background: Air pollution exposure has been associated with adverse cognitive and mental health outcomes in children, adolescents, and adults, although youth may be particularly susceptible given ongoing brain development. However, the neurodevelopmental mechanisms underlying the associations among air pollution, cognition, and mental health remain unclear. We examined the impact of particulate matter (PM2.5) on resting-state functional connectivity (rsFC) of the default mode network (DMN) and three key attention networks: dorsal attention, ventral attention, and cingulo-opercular. Methods: Longitudinal changes in rsFC within/between networks were assessed from baseline (9-10 years) to the 2-year follow-up (11-12 years) in 10,072 youth (M ± SD = 9.93 + 0.63 years; 49% female) from the Adolescent Brain Cognitive Development (ABCD®) study. Annual ambient PM2.5 concentrations from the 2016 calendar year were estimated using hybrid ensemble spatiotemporal models. RsFC was estimated using functional neuroimaging. Linear mixed models were used to test associations between PM2.5 and change in rsFC over time while adjusting for relevant covariates (e.g., age, sex, race/ethnicity, parental education, and family income) and other air pollutants (O3, NO2). Results: A PM2.5 × time interaction was significant for within-network rsFC of the DMN such that higher PM2.5 concentrations were associated with a smaller increase in rsFC over time. Further, significant PM2.5 × time interactions were observed for between-network rsFC of the DMN and all three attention networks, with varied directionality. Conclusion: PM2.5 exposure was associated with alterations in the development and equilibrium of the DMN-a network implicated in self-referential processing-and anticorrelated attention networks, which may impact trajectories of cognitive and mental health symptoms across adolescence.

空气污染暴露与儿童、青少年和成年人的认知和心理健康不良后果有关,但由于大脑正在发育,青少年可能特别容易受到空气污染的影响。然而,空气污染、认知和心理健康之间关联的神经发育机制仍不清楚。我们研究了颗粒物(PM2.5)对默认模式网络(DMN)和三个关键注意力网络(背侧注意力网络、腹侧注意力网络和丘脑-小脑)的静息态功能连通性(rsFC)的影响。从基线(9-10岁)到两年随访(11-12岁),对青少年脑认知发展(ABCD®)研究中的10072名青少年(M+SD=9.93+0.63岁;49%为女性)进行了网络内/网络间rsFC纵向变化评估。使用混合集合时空模型估算了2016日历年的年度环境PM2.5浓度。RsFC通过功能神经影像学进行估算。在调整相关协变量(如年龄、性别、种族/民族、父母教育程度、家庭收入)和其他空气污染物(O3、NO2)的同时,采用线性混合模型检验 PM2.5 与 rsFC 随时间变化之间的关联。PM2.5与时间的交互作用对DMN的网内rsFC具有显著影响,即PM2.5浓度越高,rsFC随时间的增长越小。此外,在DMN和所有三个注意力网络的网络间rsFC中也观察到了明显的PM2.5 x时间交互作用,其方向性各不相同。PM2.5暴露与DMN--一个与自我参照处理有关的网络--和反相关注意力网络的发展和平衡的改变有关,这可能会影响整个青春期的认知和心理健康症状的轨迹。
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引用次数: 0
Altered Resting-State Brain Entropy in Cerebral Small Vessel Disease Patients with Cognitive Impairment. 伴有认知障碍的脑小血管疾病患者静息态脑熵的改变
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2024-07-30 DOI: 10.1089/brain.2024.0007
Ying Zhang, Minglu Hu, Siyu Fan, Shanshan Cao, Baogen Du, Shanshan Yin, Long Zhang, Yanghua Tian, Kai Wang, Qiang Wei

Objective: Cerebral small vessel disease (CSVD) is a primary vascular disease of cognitive impairment. Previous studies have predominantly focused on brain linear features. However, the nonlinear measure, brain entropy (BEN), has not been elaborated. Thus, this study aims to investigate if BEN abnormalities could manifest in CSVD patients with cognitive impairment. Methods: Thirty-four CSVD patients with cognitive impairment and 37 healthy controls (HCs) were recruited. Analysis of gray matter approximate entropy (ApEn) and sample entropy (SampEn) which are two indices of BEN was calculated. To explore whether BEN can provide unique information, we further performed brain linear methods, namely, amplitude of low frequency fluctuation (ALFF) and regional homogeneity (ReHo), to observe their differences. The ratios of BEN/ALFF and BEN/ReHo which represent the coupling of nonlinear and linear features were introduced. Correlation analysis was conducted between imaging indices and cognition. Subsequently, the linear support vector machine (SVM) was used to assess their discriminative ability. Results: CSVD patients exhibited lower ApEn and SamEn values in sensorimotor areas, which were correlated with worse memory and executive function. In addition, the results of BEN showed little overlap with ALFF and ReHo in brain regions. Correlation analysis also revealed a relationship between the two ratios and cognition. SVM analysis using BEN and its ratios as features achieved an accuracy of 74.64% (sensitivity: 86.49%, specificity: 61.76%, and AUC: 0.82439). Conclusion: Our study reveals that the reduction of sensorimotor system complexity is correlated with cognition. BEN exhibits distinctive characteristics in brain activity. Combining BEN and the ratios can be new biomarkers to diagnose CSVD with cognitive impairment.

目的:脑小血管病(CSVD)是导致认知障碍的原发性血管疾病。以往的研究主要关注脑线性特征。然而,非线性测量指标--脑熵 (BEN) 却未得到详细阐述。因此,本研究旨在探讨认知障碍的 CSVD 患者是否会出现 BEN 异常:方法:招募 34 名患有认知障碍的 CSVD 患者和 37 名健康对照组(HCs)。计算灰质近似熵(ApEn)和样本熵(SampEn)这两个 BEN 指标。为了探索 BEN 是否能提供独特的信息,我们进一步采用了脑线性方法,即低频波动幅度(ALFF)和区域同质性(ReHo),以观察它们之间的差异。我们引入了 BEN/ALFF 和 BEN/ReHo 的比率,它们代表了非线性特征和线性特征的耦合。在成像指数和认知之间进行了相关性分析。随后,使用线性支持向量机(SVM)评估了它们的鉴别能力:结果:CSVD 患者感觉运动区的 ApEn 和 SamEn 值较低,这与记忆和执行功能较差有关。此外,BEN的结果显示与ALFF和ReHo在大脑区域的重叠很少。相关性分析也显示了这两个比率与认知能力之间的关系。利用 BEN 及其比率作为特征的 SVM 分析的准确率达到了 74.64 %(灵敏度:86.49 %;特异性:61.76 %;AUC:0.82439):我们的研究揭示了感觉运动系统复杂性的降低与认知的相关性。BEN 在大脑活动中表现出独特的特征。结合 BEN 和比率可作为诊断 CSVD 认知功能障碍的新生物标记物。
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引用次数: 0
Neural Signature of Rhyming Ability During Story Listening in Preschool-Age Children. 学龄前儿童听故事时押韵能力的神经特征
IF 2.4 3区 医学 Q3 Neuroscience Pub Date : 2024-06-01 Epub Date: 2024-06-07 DOI: 10.1089/brain.2023.0083
John S Hutton, Jonathan Dudley, Thomas DeWitt, Tzipi Horowitz-Kraus

Purpose: Rhyming is a phonological skill that typically emerges in the preschool-age range. Prosody/rhythm processing involves right-lateralized temporal cortex, yet the neural basis of rhyming ability in young children is unclear. The study objective was to use functional magnetic resonance imaging (fMRI) to quantify neural correlates of rhyming abilities in preschool-age children. Method: Healthy pre-kindergarten child-parent dyads were recruited for a study visit including MRI and the Preschool and Primary Inventory of Phonological Awareness (PIPA) rhyme subtest. MRI included an fMRI task where the child listened to a rhymed and unrhymed story without visual stimuli. fMRI data were processed using the CONN functional connectivity (FC) toolbox, with FC computed between 132 regions of interest (ROI) across the brain. Associations between PIPA score and FC during the rhymed versus unrhymed story were compared accounting for age, sex, and maternal education. Results: In total, 45 children completed MRI (age 54 ± 8 months, 37-63; 19M 26F). Median maternal education was college graduate. FC between ROIs in posterior default mode (imagery) and right fronto-parietal (executive function) networks was more strongly positively associated with PIPA score during the rhymed compared with the unrhymed story [F(2,39) = 10.95, p-FDR = 0.043], as was FC between ROIs in right-sided language (prosody) and dorsal attention networks [F(2,39) = 9.85, p-FDR = 0.044]. Conclusions: Preschool-age children with better rhyming abilities had stronger FC between ROIs supporting attention and prosody and also between ROIs supporting executive function and imagery, suggesting rhyme as a catalyst for attention, visualization, and comprehension. These represent novel neural biomarkers of nascent phonological skills.

目的押韵是一种语音技能,通常出现在学龄前阶段。押韵/节奏处理涉及右侧颞叶皮层,但幼儿押韵能力的神经基础尚不清楚。研究目的是利用功能磁共振成像(fMRI)量化学龄前儿童押韵能力的神经相关因素:方法:招募健康的学龄前儿童-家长二人组进行研究访问,包括核磁共振成像和学龄前和小学语音意识量表(PIPA)韵律子测试。核磁共振成像包括一项 fMRI 任务,即让儿童在没有视觉刺激的情况下聆听一个有韵律和无韵律的故事。fMRI 数据使用 CONN 功能连接(FC)工具箱进行处理,在整个大脑的 132 个感兴趣区(ROI)之间计算 FC。在考虑年龄、性别和母亲教育程度的情况下,比较了有韵律故事与无韵律故事中 PIPA 分数和 FC 之间的关联:45名儿童完成了核磁共振成像(年龄54+8个月,37-63岁;19男26女)。母亲教育程度中位数为大学毕业。与无韵律故事相比,在有韵律故事中,后部默认模式(意象)和右侧前顶叶(执行功能)网络的 ROI 之间的 FC 与 PIPA 分数呈更强的正相关(F(2,39) = 10.95,p-FDR = 0.043),右侧语言(拟声)和背侧注意网络的 ROI 之间的 FC 也呈更强的正相关(F(2,39) = 9.85,p-FDR = 0.044):结论:押韵能力较强的学龄前儿童在支持注意力和拟声的 ROI 之间以及支持执行功能和想象的 ROI 之间具有更强的 FC,这表明押韵是注意力、可视化和理解能力的催化剂。这些都代表了新生语音技能的新生物标记。
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引用次数: 0
Brain Connectivity: Embracing the Nexus of Mind and Matter. 编辑:大脑连接:拥抱心灵与物质的联系。
IF 2.4 3区 医学 Q3 Neuroscience Pub Date : 2024-06-01 Epub Date: 2024-06-11 DOI: 10.1089/brain.2024.0036
Steven Laureys
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引用次数: 0
A Roundtable Discussion on Brain Connectivity. 关于大脑连接性的圆桌讨论。
IF 2.4 3区 医学 Q3 Neuroscience Pub Date : 2024-06-01 Epub Date: 2024-06-11 DOI: 10.1089/brain.2024.0037
Steven Laureys, Marc Raichle, Karl Friston, Susan Whitfield-Gabrieli, Jennifer Whitwell, Vince Calhoun, Linda Douw, Melanie Boly
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引用次数: 0
Personal Income Performance Correlates with Brain Structural Network Modularity but Not Intelligence Quotient. 个人收入表现与大脑结构网络模块化相关,但与智商无关
IF 2.4 3区 医学 Q3 Neuroscience Pub Date : 2024-06-01 Epub Date: 2024-06-07 DOI: 10.1089/brain.2023.0077
Fanny Nusbaum, Salem Hannoun, Berardino Barile, Ilaria Suprano, Sabine Mouchet, Dominique Sappey-Marinier

Introduction: This study aims to use diffusion tensor imaging (DTI) in conjunction with brain graph techniques to define brain structural connectivity and investigate its association with personal income (PI) in individuals of various ages and intelligence quotients (IQ). Methods: MRI examinations were performed on 55 male subjects (mean age: 40.1 ± 9.4 years). Graph data and metrics were generated, and DTI images were analyzed using tract-based spatial statistics (TBSS). All subjects underwent the Wechsler Adult Intelligence Scale for a reliable estimation of the full-scale IQ (FSIQ), which includes verbal comprehension index, perceptual reasoning index, working memory index, and processing speed index. The performance score was defined as the monthly PI normalized by the age of the subject. Results: The analysis of global graph metrics showed that modularity correlated positively with performance score (p = 0.003) and negatively with FSIQ (p = 0.04) and processing speed index (p = 0.005). No significant correlations were found between IQ indices and performance scores. Regional analysis of graph metrics showed modularity differences between right and left networks in sub-cortical (p = 0.001) and frontal (p = 0.044) networks. TBSS analysis showed greater axial and mean diffusivities in the high-performance group in correlation with their modular brain organization. Conclusion: This study showed that PI performance is strongly correlated with a modular organization of brain structural connectivity, which implies short and rapid networks, providing automatic and unconscious brain processing. Additionally, the lack of correlation between performance and IQ suggests a reduced role of academic reasoning skills in performance to the advantage of high uncertainty decision-making networks.

导言:本研究旨在结合脑图技术使用弥散张量成像(DTI)来定义大脑结构连通性,并调查不同年龄和智商(IQ)的人的大脑结构连通性与个人收入(PI)的关系。研究方法对 55 名男性受试者(平均年龄:40.1 ± 9.4 岁)进行磁共振成像检查。生成图表数据和指标,并使用基于束的空间统计学(TBSS)分析 DTI 图像。所有受试者都接受了韦氏成人智力量表(Wechsler Adult Intelligence Scale)测试,以可靠地估算全量智商(FSIQ),其中包括言语理解指数、感知推理指数、工作记忆指数和处理速度指数。表现得分是指按受试者年龄归一化的月 PI。结果全局图指标分析表明,模块化与成绩得分呈正相关(p = 0.003),与 FSIQ(p = 0.04)和处理速度指数(p = 0.005)呈负相关。智商指数和成绩得分之间没有发现明显的相关性。图形度量的区域分析显示,左右网络在皮层下(p = 0.001)和额叶(p = 0.044)网络中存在模块化差异。TBSS分析表明,高效能组的轴向和平均弥散度更高,这与他们的大脑模块化组织相关。结论本研究表明,PI 成绩与大脑结构连接的模块化组织密切相关,这意味着短而快速的网络提供了自动和无意识的大脑处理。此外,成绩与智商之间缺乏相关性,这表明学术推理能力在成绩中的作用减弱,而高不确定性决策网络则具有优势。
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引用次数: 0
Structural Brain Connectivity and Treatment Improvement in Mood Disorder. 情绪失调症患者的大脑结构连通性与治疗效果的改善
IF 3.4 3区 医学 Q3 Neuroscience Pub Date : 2024-05-01 Epub Date: 2024-04-24 DOI: 10.1089/brain.2023.0063
Sébastien Dam, Jean-Marie Batail, Gabriel H Robert, Dominique Drapier, Pierre Maurel, Julie Coloigner

Background: The treatment of depressive episodes is well established, with clearly demonstrated effectiveness of antidepressants and psychotherapies. However, more than one-third of depressed patients do not respond to treatment. Identifying the brain structural basis of treatment-resistant depression could prevent useless pharmacological prescriptions, adverse events, and lost therapeutic opportunities. Methods: Using diffusion magnetic resonance imaging, we performed structural connectivity analyses on a cohort of 154 patients with mood disorder (MD) and 77 sex- and age-matched healthy control (HC) participants. To assess illness improvement, the patients with MD went through two clinical interviews at baseline and at 6-month follow-up and were classified based on the Clinical Global Impression-Improvement score into improved or not-improved (NI). First, the threshold-free network-based statistics (NBS) was conducted to measure the differences in regional network architecture. Second, nonparametric permutations tests were performed on topological metrics based on graph theory to examine differences in connectome organization. Results: The threshold-free NBS revealed impaired connections involving regions of the basal ganglia in patients with MD compared with HC. Significant increase of local efficiency and clustering coefficient was found in the lingual gyrus, insula, and amygdala in the MD group. Compared with the NI, the improved displayed significantly reduced network integration and segregation, predominately in the default-mode regions, including the precuneus, middle temporal lobe, and rostral anterior cingulate. Conclusions: This study highlights the involvement of regions belonging to the basal ganglia, the fronto-limbic network, and the default mode network, leading to a better understanding of MD disease and its unfavorable outcome.

背景:抑郁症发作的治疗方法已得到广泛认可,抗抑郁药物和心理疗法的疗效已得到明确证实。然而,超过三分之一的抑郁症患者对治疗没有反应。找出抗药性抑郁症的大脑结构基础可以避免无用的药物处方、不良事件和治疗机会的丧失:我们利用弥散磁共振成像技术,对 154 名心境障碍(MD)患者和 77 名性别和年龄匹配的健康对照组(HC)参与者进行了结构连接分析。为了评估病情改善情况,情绪障碍患者在基线和6个月随访时接受了两次临床访谈,并根据临床总体印象改善评分分为病情改善和未改善两类。首先,通过无阈值网络统计来测量区域网络结构的差异。其次,对基于图论的拓扑指标进行了非参数排列测试,以检查连接组组织的差异:结果:基于无阈值网络的统计显示,与高危人群相比,多发性硬化症患者基底节区域的连接受损。在 MD 组中,舌回、脑岛和杏仁核的局部效率和聚类系数显著增加。与未改善者相比,改善者的网络整合和分离明显减少,主要集中在默认模式区,包括楔前回、颞叶中部和喙前扣带回:本研究强调了基底神经节、前边缘网络和默认模式网络区域的参与,有助于更好地理解 MD 疾病及其不良结局。
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引用次数: 0
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Brain connectivity
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