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Physical activity and hippocampal volume in young adults. 体育锻炼与年轻人的海马体积
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI: 10.1007/s11682-024-00916-4
Anastasia Cherednichenko, Anna Miró-Padilla, Jesús Adrián-Ventura, Irene Monzonís-Carda, Maria Reyes Beltran-Valls, Diego Moliner-Urdiales, César Ávila

Evidence from previous studies suggests that physical activity (PA) may contribute to functional and structural changes in the hippocampus throughout the lifespan. However, there is limited evidence available regarding the young adult population. Additionally, the personality traits that may influence this association remain unclear. With a sample of 84 young adults (43 women; age 22.7 ± 2.8y; range 18-29), the main aim of the current study was to analyze the association between objective and self-reported measures of daily PA and hippocampus subfield gray matter volumes, and to examine the role of the personality trait of punishment sensitivity in this association. Our results showed that only moderate to vigorous levels of objectively measured PA were positively associated with the hippocampal CA2/CA3 volume. Moreover, punishment sensitivity correlated negatively with the objective measure of sedentarism and with self-reported measures of PA. However, regression analyses did not find any interaction between punishment sensitivity and PA in explaining individual differences in hippocampal volumes. Thus, our data suggest that intense PA may contribute to enhancing the hippocampal CA2/CA3 volume in young adults.

以往研究的证据表明,体力活动(PA)可能有助于海马体在整个生命周期中的功能和结构变化。然而,目前有关青壮年人群的证据还很有限。此外,可能影响这种关联的人格特质仍不清楚。本研究以 84 名年轻成年人(43 名女性;年龄为 22.7 ± 2.8 岁;范围为 18-29 岁)为样本,主要目的是分析客观和自我报告的日常活动量与海马下场灰质体积之间的关联,并研究惩罚敏感性这一人格特质在这种关联中的作用。我们的研究结果表明,只有客观测量的中等至剧烈程度的PA与海马CA2/CA3体积呈正相关。此外,惩罚敏感性与久坐不动的客观测量和自我报告的活动量呈负相关。然而,回归分析并未发现惩罚敏感性与 PA 在解释海马体积个体差异方面存在任何交互作用。因此,我们的数据表明,高强度的业余爱好可能有助于提高青壮年海马CA2/CA3的体积。
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引用次数: 0
Neuroimaging evaluations of olfactory, gustatory, and neurological deficits in patients with long-term sequelae of COVID-19. 对 COVID-19 长期后遗症患者的嗅觉、味觉和神经系统缺陷进行神经影像学评估。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-09-28 DOI: 10.1007/s11682-024-00936-0
Carla Masala, Michele Porcu, Gianni Orofino, Giovanni Defazio, Ilenia Pinna, Paolo Solla, Tommaso Ercoli, Jasjit S Suri, Giacomo Spinato, Luca Saba

The World Health Organization indicated that around 36 million of patients in the European Region showed long COVID associated with olfactory and gustatory deficits. The precise mechanism underlying long COVID clinical manifestations is still debated. The aim of this study was to evaluate potential correlations between odor threshold, odor discrimination, odor identification, and the activation of specific brain areas in patients after COVID-19. Sixty subjects, 27 patients (15 women and 12 men) with long COVID and a mean age of 40.6 ± 13.4 years, were compared to 33 age-matched healthy controls (20 women and 13 men) with a mean age of 40.5 ± 9.8 years. Our data showed that patients with long COVID symptoms exhibited a significant decrease in odor threshold, odor discrimination, odor identification, and their sum TDI score compared to age-matched healthy controls. In addition, our results indicated significant correlations between odor discrimination and the increased activation in the right hemisphere, in the frontal pole, and in the superior frontal gyrus. This study indicated that the resting-state fMRI in combination with the objective evaluation of olfactory and gustatory function may be useful for the evaluation of patients with long COVID associated with anosmia and hyposmia.

世界卫生组织指出,欧洲地区约有 3 600 万患者表现出与嗅觉和味觉障碍相关的长 COVID。长 COVID 临床表现的确切机制仍存在争议。本研究旨在评估 COVID-19 患者的气味阈值、气味辨别、气味识别和特定脑区激活之间的潜在相关性。研究人员将 60 名受试者与 33 名年龄匹配的健康对照者(20 名女性和 13 名男性)(平均年龄为 40.5 ± 9.8 岁)进行了比较,前者是 27 名患有长 COVID 的患者(15 名女性和 12 名男性),平均年龄为 40.6 ± 13.4 岁。我们的数据显示,与年龄匹配的健康对照组相比,长期 COVID 患者的气味阈值、气味辨别力、气味识别力和 TDI 总分均显著下降。此外,我们的研究结果表明,气味辨别与右半球、额极和额上回的激活增加之间存在明显的相关性。这项研究表明,静息态 fMRI 与嗅觉和味觉功能的客观评估相结合,可能有助于评估伴有嗅觉缺失和嗅觉减退的长 COVID 患者。
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引用次数: 0
Metabolic syndrome is associated with reduced default mode network functional connectivity in young post-9/11 Veterans. 代谢综合征与 9/11 后年轻退伍军人默认模式网络功能连接性降低有关。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-09-30 DOI: 10.1007/s11682-024-00927-1
Aubrey A Knoff, Madeleine K Nowak, Emily J Van Etten, V Carlota Andreu-Arasa, Michael Esterman, Elizabeth C Leritz, Francesca C Fortenbaugh, William P Milberg, Catherine B Fortier, David H Salat

Metabolic syndrome is a collection of health factors that increases risk for cardiovascular disease. A condition of aging, metabolic syndrome is associated with reduced brain network integrity, including functional connectivity alterations among the default mode, regions vulnerable to neurodegeneration. Prevalence of metabolic syndrome is elevated in younger populations including post-9/11 Veterans and individuals with posttraumatic stress disorder, but it is unclear whether metabolic syndrome affects brain function in earlier adulthood. Identifying early effects of metabolic syndrome on brain network integrity is critical, as these impacts could contribute to increased risk for cognitive disorders later in life for Veterans. The current study examined whether metabolic syndrome and its individual components were associated with default mode functional connectivity. We also explored the contribution of posttraumatic stress disorder and traumatic brain injury on these metabolic syndrome-brain relationships. Post-9/11 Veterans with combat deployment history (95 with and 325 without metabolic syndrome) underwent functional magnetic resonance imaging to capture seed-based resting-state functional connectivity within the default mode. The metabolic syndrome group demonstrated reduced positive functional connectivity between the posterior cingulate cortex seed and the bilateral superior frontal gyrus. Data-driven analyses demonstrated that metabolic syndrome components, particularly cholesterol and central adiposity, were associated with widespread reductions in default mode network connectivity. Functional connectivity was also reduced in participants with metabolic syndrome but without current posttraumatic stress disorder diagnosis and with traumatic brain injury history. These results suggest that metabolic syndrome disrupts resting-state functional connectivity decades earlier than prior work has shown.

代谢综合征是一系列增加心血管疾病风险的健康因素。代谢综合征是一种衰老症状,与大脑网络完整性降低有关,包括默认模式之间的功能连接改变,这些区域容易发生神经变性。代谢综合征在年轻群体中的发病率较高,包括 9/11 事件后的退伍军人和创伤后应激障碍患者,但代谢综合征是否会影响成年早期的大脑功能尚不清楚。确定代谢综合征对大脑网络完整性的早期影响至关重要,因为这些影响可能会导致退伍军人日后患认知障碍的风险增加。本研究探讨了代谢综合征及其各个组成部分是否与默认模式功能连接有关。我们还探讨了创伤后应激障碍和创伤性脑损伤对这些代谢综合征与大脑关系的影响。对有作战部署史的 9/11 后退伍军人(95 人患有代谢综合征,325 人无代谢综合征)进行了功能磁共振成像,以捕捉默认模式中基于种子的静息态功能连接。代谢综合征组显示后扣带回皮层种子和双侧额上回之间的正功能连接性降低。数据驱动分析表明,代谢综合征成分,尤其是胆固醇和中枢脂肪,与默认模式网络连通性的广泛降低有关。患有代谢综合征但目前未确诊为创伤后应激障碍的参与者和有脑外伤史的参与者的功能连接性也有所降低。这些结果表明,代谢综合征对静息态功能连通性的破坏要比之前的研究早几十年。
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引用次数: 0
Deficient salience and default mode functional integration in high worry-proneness subject: a connectome-wide association study. 高忧虑倾向者的显著性和默认模式功能整合缺陷:一项全连接体关联研究。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-10-09 DOI: 10.1007/s11682-024-00951-1
Youxue Zhang, Mingjun Duan, Hui He

Worry has been conceptualized as a relatively uncontrollable chain of thought that increases the risk of mental problems, such as anxiety disorders. Here, we examined the link between individual variation in the functional connectome and worry proneness, which remains unclear. A total of 32 high worry-proneness (HWP) subjects and 25 low worry-proneness (LWP) subjects were recruited. We conducted multivariate distance-based matrix regression to identify phenotypic relationships in high-dimensional brain resting-state functional connectivity data from HWP subjects. Multiple hub regions, including key brain nodes of the salience network (SN) and default mode network (DMN), were identified in HWP subjects. Follow-up analyses revealed that a high worry-proneness score was dominated by functional connectivity between the SN and the DMN. Moreover, HWP subjects showed hypoconnectivity between the cerebellum and the SN and DMN compared with LWP subjects. This cross-sectional study could not fully measure the causal relationships between changes in functional networks and worry proneness in healthy subjects. Functional changes in the cerebellum-cortical region might affect the modulation of external stimuli processing. Together, our results provide new insight into the role of key networks, including the SN, DMN and cerebellum, in understanding the potential mechanism underlying the high worry dimension in healthy subjects.

忧虑被认为是一种相对不可控的思维链,会增加出现焦虑症等精神问题的风险。在这里,我们研究了功能连接组的个体差异与忧虑倾向之间的联系,而这一联系目前仍不清楚。我们共招募了 32 名高忧虑倾向(HWP)受试者和 25 名低忧虑倾向(LWP)受试者。我们对 HWP 受试者的高维大脑静息态功能连接数据进行了基于距离的多变量矩阵回归,以识别表型关系。在 HWP 受试者中发现了多个枢纽区域,包括显著性网络(SN)和默认模式网络(DMN)的关键大脑节点。后续分析表明,忧虑倾向得分高的受试者,其大脑显著性网络(SN)和默认模式网络(DMN)之间的功能连接占主导地位。此外,与低分受试者相比,高分受试者的小脑与SN和DMN之间的连接性较低。这项横断面研究无法全面衡量健康受试者功能网络变化与忧虑倾向之间的因果关系。小脑-皮层区域的功能变化可能会影响外部刺激处理的调节。总之,我们的研究结果为了解包括SN、DMN和小脑在内的关键网络在理解健康受试者高担忧维度的潜在机制中的作用提供了新的视角。
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引用次数: 0
Differential correlations of changes in in vivo neuroimaging markers of hippocampal volume and arteriolosclerosis with declining financial and health literacy in old age. 海马体体积和动脉硬化的体内神经影像学标志物的变化与老年期经济和健康素养下降的差异相关性。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1007/s11682-024-00945-z
Lei Yu, Tianhao Wang, Alifiya Kapasi, Melissa Lamar, Gary Mottola, Konstantinos Arfanakis, David A Bennett, Patricia A Boyle

Financial and health literacy is essential for older adults to navigate complex decision processes in late life. However, the neurobiological basis of age-related decline in financial and health literacy is poorly understood. This study aimed to characterize progression of neurodegenerative and vascular conditions over time, and to assess how these changes coincide with declining financial and health literacy in old age. Data came from 319 community-living older adults who were free of dementia at baseline, and underwent annual literacy assessments, as well as biennial 3-Tesla neuroimaging scans. Financial and health literacy was assessed using a battery of 32 items. Two in vivo neuroimaging markers of neurodegenerative and cerebrovascular conditions were used, i.e., hippocampal volume and the ARTS marker of arteriolosclerosis. A multivariate linear mixed effects model estimated the simultaneous changes in financial and health literacy, hippocampal volume, and the ARTS score. Over a mean of 7 years of follow-up, these older adults experienced a significant decline in financial and health literacy, a significant reduction in hippocampal volume, and a significant progression in ARTS score. Individuals with faster hippocampal atrophy had faster decline in literacy. Similarly, those with faster progression in ARTS also had faster decline in literacy. The correlation between the rates of hippocampal atrophy and declining literacy, however, was stronger than the correlation between the progression of ARTS with declining literacy. These findings suggest that neurodegeneration and, to a lesser extent, cerebrovascular conditions are correlated with declining financial and health literacy in old age.

在晚年生活中,财务和健康知识对于老年人驾驭复杂的决策过程至关重要。然而,人们对与年龄相关的财务和健康素养下降的神经生物学基础知之甚少。本研究旨在描述神经退行性疾病和血管疾病随时间推移而发生的变化,并评估这些变化如何与老年人财务和健康素养的下降相吻合。数据来自 319 名社区生活的老年人,他们在基线时没有痴呆症,每年接受一次扫盲评估,每两年接受一次 3-Tesla 神经影像扫描。财务和健康素养评估由 32 个项目组成。使用了神经退行性疾病和脑血管疾病的两个体内神经影像标记,即海马体积和动脉硬化的 ARTS 标记。多变量线性混合效应模型估算了财务和健康素养、海马体积和 ARTS 评分的同时变化。在平均 7 年的随访中,这些老年人的财务和健康素养显著下降,海马体积显著缩小,ARTS 评分显著上升。海马体萎缩速度越快的人,读写能力下降的速度也越快。同样,ARTS 下降越快的人,识字率下降也越快。然而,海马体萎缩速度与识字率下降之间的相关性要强于ARTS进展与识字率下降之间的相关性。这些研究结果表明,神经退行性变以及脑血管疾病(在较小程度上)与老年财务和健康素养的下降存在相关性。
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引用次数: 0
Association of bacterial overgrowth in the small intestine with cortical thickness and functional connectivity in Parkinson's disease involving mild cognitive impairment. 小肠细菌过度生长与帕金森病轻度认知障碍患者皮层厚度和功能连接的关系
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1007/s11682-024-00948-w
Qian Zhou, Baiyuan Yang, Yongyun Zhu, Fang Wang, Yuchao Tai, Zhaochao Liu, Jieyu Chen, Chunyu Liang, Hongju Yang, Ailan Pang, Xinglong Yang

This study explored potential associations of bacterial overgrowth in the small intestine, as detected based on levels of hydrogen and methane in breath after lactulose consumption, with cortical thickness and resting-state functional connectivity in different brain regions. Prospective comparison of 35 patients with Parkinson's disease (PD) involving mild cognitive impairment, 35 patients with PD with normal cognitive function and 17 healthy controls showed the largest level of hydrogen alone and the largest combined level of hydrogen and methane in patients with mild cognitive impairment. The comparison also revealed a significant negative correlation between those levels and thickness of the right insular cortex. Mild cognitive patients showed different functional connectivity between the right insula and cognition-related brain networks from normal cognitive patients. Our results suggest that bacterial overgrowth in the small intestine may contribute to cortical thinning and alterations in resting-state functional connectivity in PD involving mild cognitive impairment. These insights support and deepen previous observations implicating the gut-brain axis in the neurological disorder.

这项研究探讨了根据服用乳果糖后呼气中的氢气和甲烷水平检测出的小肠细菌过度生长与不同脑区皮层厚度和静息状态功能连接的潜在关联。对 35 名患有帕金森病并伴有轻度认知障碍的患者、35 名认知功能正常的帕金森病患者和 17 名健康对照者进行的前瞻性比较显示,轻度认知障碍患者的氢气单独水平最高,氢气和甲烷的综合水平最高。比较还显示,这些水平与右侧岛叶皮层的厚度之间存在明显的负相关。轻度认知障碍患者的右侧岛叶与认知相关脑网络之间的功能连接与正常认知障碍患者不同。我们的研究结果表明,小肠细菌过度生长可能会导致轻度认知障碍的帕金森病患者皮质变薄和静息状态功能连接的改变。这些见解支持并深化了之前关于肠脑轴与神经系统疾病相关的观察。
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引用次数: 0
Cortical microstructural alterations in different stages of Parkinson's disease. 帕金森病不同阶段的皮质微结构改变。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI: 10.1007/s11682-024-00931-5
Xueqin Bai, Tao Guo, Xiaojun Guan, Cheng Zhou, Jingjing Wu, Haoting Wu, Xiaocao Liu, Chengqing Wu, Jingwen Chen, Jiaqi Wen, Jianmei Qin, Sijia Tan, Xiaojie DuanMu, Luyan Gu, Ting Gao, Peiyu Huang, Baorong Zhang, Xiaojun Xu, Xiangwu Zheng, Minming Zhang

To explore the cortical microstructural alterations in Parkinson's disease (PD) at different stages. 149 PD patients and 76 healthy controls were included. PD patients were divided into early stage PD (EPD) (Hoehn-Yahr stage ≤ 2) and moderate-to-late stage PD (MLPD) (Hoehn-Yahr stage ≥ 2.5) according to their Hoehn-Yahr stages. All participants underwent two-shell diffusion MRI and the images were fitted to Neurite Orientation Dispersion and Density Imaging (NODDI) model to obtain the neurite density index (NDI) and orientation dispersion index (ODI) to reflect the cortical microstructure. We used gray matter-based spatial statistics method to compare the voxel-wise cortical NODDI metrics between groups. Partial correlation was used to correlate the NODDI metrics and global composite outcome in PD patients. Compared with healthy controls, EPD patients showed lower ODI in widespread regions, covering bilateral frontal, temporal, parietal and occipital cortices, as well as regional lower NDI in bilateral cingulate and frontal lobes. Compared with healthy controls, MLPD patients showed lower ODI and NDI in more widespread regions. Compared with EPD patients, MLPD patients showed lower ODI in bilateral temporal, parietal and occipital cortices, where the ODI values were negatively correlated with global composite outcome in PD patients. PD patients showed widespread cortical microstructural degeneration, characterized by reduced neurite density and orientation dispersion, and the cortical neuritic microstructure exhibit progressive degeneration during the progression of PD.

探讨帕金森病(PD)不同阶段皮质微结构的改变。研究对象包括 149 名帕金森病患者和 76 名健康对照者。帕金森病患者按其霍恩-雅尔分期分为早期帕金森病(EPD)(霍恩-雅尔分期≤2)和中晚期帕金森病(MLPD)(霍恩-雅尔分期≥2.5)。所有参与者均接受了双壳弥散核磁共振成像(Two-shell diffusion MRI)检查,并将图像拟合到神经元定向弥散和密度成像(NODDI)模型,以获得神经元密度指数(NDI)和定向弥散指数(ODI),从而反映皮质微观结构。我们使用基于灰质的空间统计方法来比较不同组间的体素皮质 NODDI 指标。我们采用偏相关法将NODDI指标与帕金森病患者的总体综合结果相关联。与健康对照组相比,EPD 患者在广泛区域显示出较低的 ODI,涵盖双侧额叶、颞叶、顶叶和枕叶皮层,同时在双侧扣带回和额叶显示出区域性较低的 NDI。与健康对照组相比,MLPD 患者在更广泛的区域显示出较低的 ODI 和 NDI。与EPD患者相比,MLPD患者双侧颞叶、顶叶和枕叶皮层的ODI较低,其中ODI值与PD患者的总体综合结果呈负相关。帕金森病患者表现出广泛的皮质微结构退行性变,以神经元密度降低和定向分散为特征,皮质神经元微结构在帕金森病进展过程中表现出进行性退行性变。
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引用次数: 0
Structural disruption in subjective cognitive decline and mild cognitive impairment. 主观认知能力下降和轻度认知障碍的结构性破坏。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-10-07 DOI: 10.1007/s11682-024-00933-3
Jie Song, Han Yang, Hailang Yan, Qian Lu, Lei Guo, Hui Zheng, Tianjiao Zhang, Bin Lin, Zhiyong Zhao, Chuan He, Ying Shen

Subjective cognitive decline (SCD) marks the initial stage in Alzheimer's disease continuum. Nonetheless, current research findings regarding brain structural changes in the SCD are inconsistent. In this study, 37 SCD patients, 28 mild cognitive impairment (MCI) patients, and 42 healthy controls (HC) were recruited to investigate structural alterations. Morphological and microstructural differences among the three groups were analyzed based on T1- and diffusion-weighted images, correlating them with neuropsychological assessments. Additionally, classification analysis was performed by using support vector machines (SVM) categorize participants into three groups based on MRI features. Both SCD and MCI showed decreased volume in left inferior parietal lobe (IPL) compared to HC, while SCD showed altered morphologies in the right inferior temporal gyrus (ITG), right insula and right amygdala, and microstructures in fiber tracts of the right ITG, lateral occipital cortex (LOC) and insula relative to MCI. Moreover, the volume in the left IPL, right LOC, right amygdala and diffusivity value in fiber tracts of right LOC were significantly correlated with cognitive functions across all subjects. The classification models achieved an accuracy of > 0.7 (AUC = 0.8) in distinguishing the three groups. Our findings suggest that SCD and MCI share similar atrophy in the IPL but show more differences in morphological and microstructural features of cortical-subcortical areas.

主观认知能力下降(SCD)是阿尔茨海默病的初始阶段。然而,目前关于 SCD 中大脑结构变化的研究结果并不一致。本研究招募了 37 名 SCD 患者、28 名轻度认知障碍(MCI)患者和 42 名健康对照组(HC),以调查其结构变化。根据 T1 和弥散加权图像分析了三组患者的形态学和微观结构差异,并将其与神经心理学评估结果进行了关联。此外,还使用支持向量机(SVM)进行了分类分析,根据磁共振成像特征将参与者分为三组。与HC相比,SCD和MCI患者的左侧顶下叶(IPL)体积均有所减小;与MCI相比,SCD患者的右侧颞下回(ITG)、右侧岛叶和右侧杏仁核的形态以及右侧ITG、外侧枕叶皮层(LOC)和岛叶纤维束的微结构均有所改变。此外,在所有受试者中,左侧IPL、右侧LOC、右侧杏仁核的体积以及右侧LOC纤维束的扩散值与认知功能显著相关。分类模型区分三组的准确率大于 0.7(AUC = 0.8)。我们的研究结果表明,SCD和MCI在IPL上有相似的萎缩,但在皮层-皮层下区域的形态学和微观结构特征上表现出更大的差异。
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引用次数: 0
Functional brain alterations in COVID-19 patients using resting-state fMRI: a systematic review. 利用静息态 fMRI 观察 COVID-19 患者的大脑功能变化:系统综述。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-09-30 DOI: 10.1007/s11682-024-00935-1
Siti Maisarah Nasir, Noorazrul Yahya, Hanani Abdul Manan

This study systematically reviews the available evidence on resting-state functional magnetic resonance imaging (rs-fMRI) related to neurological symptoms and cognitive declines in COVID-19 patients. We followed PRISMA guidelines and looked up the PubMed, and Scopus databases for articles search on COVID-19 patients with neurological impairments, and functional connectivity alteration using rs-fMRI technique. Articles published between January 1, 2020, and May 31, 2024, are included in this study. The Quality Assessment Tool for Observational Prospective and Cross-Sectional Studies from the National Heart, Lung, and Blood Institute (NHLBI) was used to assess the quality of papers. A total of 15 articles met the inclusion criteria. The result reveals that the most prevalent neurological impairment associated with COVID-19 was cognitive decline, encompassing issues in attention, memory, processing speed, executive functions, language, and visuospatial ability. The brain connectivity results reveal that two brain areas were functionally altered; the prefrontal cortex and parahippocampus. The functional connectivity mainly increased in the frontal, temporal, and anterior piriform cortex, and reduced in the cerebellum, superior orbitofrontal cortex, and middle temporal gyrus, which also correlated with cognitive decline. The findings of neurological symptoms indicate one study reported a Disorder of Consciousness (DoC), and four studies reported COVID-19 patients with olfactory dysfunction. The present study concludes that COVID-19 can alter brain functional connectivity and offers significant insight into how COVID-19 affects the neuronal foundation of cognitive decline and other neurological impairments.

本研究系统回顾了静息态功能磁共振成像(rs-fMRI)与 COVID-19 患者神经症状和认知能力下降相关的现有证据。我们遵循 PRISMA 指南,在 PubMed 和 Scopus 数据库中检索了有关 COVID-19 患者神经功能损伤和使用 rs-fMRI 技术的功能连接改变的文章。本研究纳入了 2020 年 1 月 1 日至 2024 年 5 月 31 日期间发表的文章。美国国家心肺血液研究所(NHLBI)的观察性前瞻性和横断面研究质量评估工具用于评估论文质量。共有 15 篇文章符合纳入标准。结果显示,与 COVID-19 相关的最普遍的神经损伤是认知能力下降,包括注意力、记忆力、处理速度、执行功能、语言和视觉空间能力等方面的问题。大脑连接结果显示,有两个大脑区域发生了功能性改变:前额叶皮层和副海马体。功能连接主要在额叶、颞叶和前梨状回皮层增加,而在小脑、眶额上皮层和颞中回减少,这也与认知能力下降有关。关于神经系统症状的研究结果表明,一项研究报告了意识障碍(DoC),四项研究报告了 COVID-19 患者的嗅觉功能障碍。本研究的结论是,COVID-19 可改变大脑功能连接,并为了解 COVID-19 如何影响认知功能衰退和其他神经损伤的神经元基础提供了重要启示。
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引用次数: 0
Resting-state functional abnormalities in ischemic stroke: a meta-analysis of fMRI studies. 缺血性脑卒中静息态功能异常:fMRI 研究荟萃分析。
IF 2.4 3区 医学 Q2 NEUROIMAGING Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI: 10.1007/s11682-024-00919-1
Zheng Zhang

Ischemic stroke is a leading neurological cause of severe disabilities and death in the world and has a major negative impact on patients' quality of life. However, the neural mechanism of spontaneous fluctuating neuronal activity remains unclear. This meta-analysis explored brain activity during resting state in patients with ischemic stroke including 22 studies of regional homogeneity, amplitude of low-frequency fluctuation, and fractional amplitude of low-frequency fluctuation (692 patients with ischemic stroke, 620 healthy controls, age range 35-80 years, 41% female, 175 foci). Results showed decreased regional activity in the bilateral caudate and thalamus and increased regional activity in the left superior occipital gyrus and left default mode network (precuneus/posterior cingulate cortex). Meta-analysis of the amplitude of low-frequency fluctuation studies showed that increased activity in the left inferior frontal gyrus was reduced across the progression from acute to chronic phases. These findings may indicate that disruption of the subcortical areas and default mode network could be one of the core functional abnormalities in ischemic stroke. Altered brain activity in the inferior frontal gyrus could be the imaging indicator of brain recovery/plasticity after stroke damage, which offers potential insight into developing prediction models and therapeutic strategies for ischemic stroke rehabilitation and recovery.

缺血性脑卒中是导致严重残疾和死亡的主要神经系统疾病,对患者的生活质量有很大的负面影响。然而,神经元活动自发波动的神经机制仍不清楚。这项荟萃分析探讨了缺血性脑卒中患者静息状态下的大脑活动,包括 22 项关于区域均匀性、低频波动振幅和低频波动分数振幅的研究(692 名缺血性脑卒中患者,620 名健康对照者,年龄范围 35-80 岁,41% 为女性,175 个病灶)。结果显示,双侧尾状核和丘脑的区域活动减少,左侧枕上回和左侧默认模式网络(楔前/扣带回后皮层)的区域活动增加。对低频波动研究的振幅进行的元分析表明,左侧额叶下回增加的活动在从急性期到慢性期的进展过程中有所减少。这些发现可能表明,皮层下区和默认模式网络的破坏可能是缺血性卒中的核心功能异常之一。额叶下回大脑活动的改变可能是脑卒中损伤后大脑恢复/可塑性的影像学指标,这为缺血性脑卒中康复和恢复的预测模型和治疗策略的开发提供了潜在的启示。
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Brain Imaging and Behavior
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