严重的运动障碍与慢性中风中较低的收缩性大脑年龄有关
Gilsoon Park1, Mahir H Khan2,3, Justin W Andrushko4
1Mark and Mary Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, United States.
medRxiv : the preprint server for health sciences
|November 22, 2024
概括
脑卒中病变加速脑衰老和减缓脑衰老,影响运动功能. 区域大脑年龄提供了关于中风恢复神经可塑性的见解.
科学领域:
- 神经成像是一种神经成像.
- 中风研究研究中风研究
- 大脑衰老的老化
背景情况:
- 脑卒中会导致慢性脑部变化,影响运动功能.
- 大脑预测年龄差异 (大脑-PAD) 是一个敏感的生物标志物.
- 之前的研究将全球大脑PAD与中风后较差的运动结果联系起来.
研究的目的:
- 调查局部中风病变负载,区域大脑年龄和运动障碍之间的关系.
- 确定中风如何影响不同大脑区域的大脑年龄.
- 确定中风后运动结果的预测因素.
主要方法:
- 分析了501名慢性中风患者的MRI扫描.
- 使用图形卷积网络算法估计区域大脑-PAD.
- 评估了损伤负荷,并使用线性混合效应模型和机器学习来分析与运动结果的关联.
主要成果:
- 较大的病变大小与较老的病变性大脑年龄和较年轻的病变性大脑年龄相关.
- 突出网络中的损伤负荷显著影响了区域大脑年龄.
- 皮质脊柱体损伤负荷和逆损伤前端对称网络大脑年龄预测的运动结果.
结论:
- 脑卒中病变在脑半球和脑半球中产生不同的衰老效应,这表明了补偿机制.
- 区域大脑年龄评估可以作为神经可塑性的生物标志物,并指导中风恢复干预.
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