乳腺癌患者大脑结构连通性与 1 年去势之间的关系:纵向弥散张量成像研究

IF 4.7 2区 医学 Q1 PSYCHIATRY Depression and Anxiety Pub Date : 2024-09-26 DOI:10.1155/2024/5595912
Mu Zi Liang, Peng Chen, Ying Tang, Yu Yan Liang, Shu Han Li, Guang Yun Hu, Zhe Sun, Yuan Liang Yu, Alex Molassiotis, M. Tish Knobf, Zeng Jie Ye
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引用次数: 0

摘要

研究目的本研究旨在探讨新诊断乳腺癌患者的大脑结构连接性与 1 年去势之间的关联。 研究方法2017年至2019年期间,多中心纵向项目 "乳腺癌康复计划(BRBC)"招募了部分患者。基线时使用弥散张量成像(DTI)评估大脑结构连通性,并在基线和1年后收集士气量表II的自我报告数据。进行了数据驱动的相关牵引成像,以识别与群体成员身份(士气低落增加与未增加)相关的重要神经通路。评估了从重要白质束中提取的定量各向异性(QA)增量预测值与群体成员资格的关系。 结果:21.2%(N = 31)的患者在 1 年后去势加剧。前枕下束(IFOF)与乳腺癌患者的 1 年去势相关。与传统的肿瘤-结节转移(TNM)分期模型相比,QAs在净重分类改进(NRI)和综合鉴别改进(IDI)方面的预测增量值分别为8.11%至46.89%和9.12%至23.95%。 结论IFOF的各向异性是新诊断乳腺癌患者1年去势的潜在预测神经标志物。 试验注册:ClinicalTrials.gov 标识符:NCT03026374
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Associations Between Brain Structural Connectivity and 1-Year Demoralization in Breast Cancer: A Longitudinal Diffusion Tensor Imaging Study

Purposes: This study aims to explore the association between brain structural connectivity and 1-year demoralization in patients with newly diagnosed breast cancer.

Methods: Patients were enrolled from a multicenter longitudinal program named as Be Resilient to Breast Cancer (BRBC) between 2017 and 2019. Brain structural connectivity was assessed with diffusion tensor imaging (DTI) at baseline and the demoralization scale II collected self-report data at baseline and 1 year later. A data-driven correlational tractography was performed to recognize significant neural pathways associated with the group membership (increased vs. nonincreased demoralization). The incremental prediction values of Quantitative Anisotropy (QA) extracted from the significant white matter tracts against the group membership were evaluated.

Results: 21.2% (N = 31) reported increased 1-year demoralization. Inferior fronto-occipital fasciculus (IFOF) was associated with 1-year demoralization in breast cancer. The incremental prediction values of QAs in net reclassification improvement (NRI) and integrated discrimination improvement (IDI) ranged from 8.11% to 46.89% and 9.12% to 23.95%, respectively, over the conventional tumor-nodal metatasis (TNM) staging model.

Conclusion: Anisotropy in IFOF is a potential prediction neuromarker to 1-year demoralization in patients with newly diagnosed breast cancer.

Trial Registration: ClinicalTrials.gov identifier: NCT03026374

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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