骨关节炎的神经生物学:系统审查和激活概率估计元分析
Michelle Hall1,2, Fiona Dobson3, David Murray Klyne4
1Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia. halm@unimelb.edu.au.
Scientific reports
|August 1, 2023
概括
这一系统性审查没有发现骨关节炎 (OA) 患者与健康个体的整体大脑结构或功能差异. 然而,探索性分析显示右侧胰岛活动,连接性和OA体积降低,特别是在膝盖和部OA中.
科学领域:
- 神经科学是一个神经科学.
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
背景情况:
- 骨关节炎 (OA) 是一种普遍的退行性关节疾病,影响全球数百万人.
- 在OA中的神经成像研究显示了关于大脑变化的不一致的发现.
- 了解OA中的大脑变化对于全面的患者护理至关重要.
研究的目的:
- 系统地审查和元分析神经成像文献,以确定骨关节炎中一致的大脑变化.
- 综合当前关于OA患者与健康对照者的大脑结构和功能的证据.
主要方法:
- 系统搜索六个数据库,截至2022年6月.
- 包括原始的人类研究与神经成像数据,健康对照和>10名参与者.
- 激活概率估计 (ALE) 对报告峰值坐标和样本大小的研究的元分析.
主要成果:
- 在OA和健康对照人群之间,大脑结构或功能没有显著的整体差异.
- 探索性分析表明,OA患者的右侧胰岛活动,连接性和体积降低.
- 中间前额叶皮层也与关节骨折有关,这表明亚型特定的神经相关性.
结论:
- 尽管有异质性和研究质量限制,但本次审查确定了与OA相关的神经生物学结果.
- 右半岛是关键区域,与OA的神经支有关.
- 未来的研究应该专注于改进OA研究的神经成像方法.
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