缺血性中风患者的功能性和结构性大脑重组:多模式MRI融合研究
Fangyuan Cui1, Lei Zhao2, Mengxin Lu1,3
1Department of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, No.5 Haiyuncang, Dongcheng District, Beijing 100700, China.
Cerebral cortex (New York, N.Y. : 1991)
|August 11, 2023
概括
脑卒中患者在病变和远部区域显示同步的结构和功能性脑损伤. 在康复过程中,这些模式独立地发生变化,影响运动功能.
科学领域:
- 神经成像是一种神经成像.
- 脑卒中研究 脑卒中研究
- 大脑重组大脑重组
背景情况:
- 脑卒中的诊断和预后依赖于理解大脑的重组.
- 之前的MRI研究分析了单个模式,使多模式变化和运动缺陷联系不清楚.
研究的目的:
- 用多式融合研究中风后大脑结构和功能的共同改变模式.
- 检查这些变化与运动缺陷之间的关系.
- 为了比较基线和后续会议之间的变化.
主要方法:
- 招募了71名半患者和41名健康对照 (HC).
- 利用多式融合 (多式法定关联分析+联合独立组件分析) 以低频波动幅度 (ALFF) 和灰色物质体积 (GMV).
- 在基线和2周后期进行MRI.
主要成果:
- 与中风患者相比,中风患者在局部病变和远部区域的脑结构 (GMV) 和功能 (ALFF) 呈现同步下降.
- 局部损伤区域的损伤与运动功能缺陷相关.
- 2周后,ALFF在局部病变中增加,但GMV没有改善.
结论:
- 缺血性中风会导致局部和远部大脑区域的同步结构和功能损伤.
- 在运动恢复期间,结构和功能变化分开,功能独立于结构得到改善.
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