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Updated: Jan 29, 2026

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评估微爆VNS治疗的fMRI引导定位范式
Kristl Vonck1, Ryan Verner2, Giovanni Ranuzzi3
1Ghent University, 4 Brain, Department of Neurology, Ghent, Belgium.
Epilepsy research
|January 27, 2026
概括
用fMRI指导的漫游神经刺激 (VNS) 的定位对于耐药性 (DRE) 是可行的. 虽然thalamic BOLD反应有所不同,但它与发作减少相关,这表明个性化VNS治疗的潜力.
科学领域:
- 神经科学是一个神经科学.
- 医疗技术 医疗技术 医学技术
- 的研究研究.
背景情况:
- 神经刺激 (VNS) 对有效,但个性化剂量需要更好的生理监测.
- 皮层和皮层下生理参与可以优化VNS治疗患者 (PwE).
研究的目的:
- 评估fMRI指导的VNS定位在耐药性患者中的可行性和安全性.
- 探索体BOLD反应作为VNS治疗参与和反应的生物标志物.
主要方法:
- 一项可行性研究招募了使用研究微爆VNS的DRE患者.
- 以fMRI指导的定位确定了6个月的最佳VNS设置,目标是最大的体BOLD响应.
- 32名参与者进行了植入,其中31人完成了6个月的随访和fMRI评估.
主要成果:
- 在所有参与者中都观察到显著的VNS唤起的体BOLD反应.
- 呈现一致的体BOLD信号增加的参与者更有可能对VNS作出反应.
- 6个月后,中位数的发作频率减少为42.6%,没有MRI相关的安全问题.
结论:
- 以fMRI指导的VNS定位在PWE使用研究设备是可行的和安全的.
- 体BOLD信号生物标志物虽然是可变的,但与发作反应相关,可以在早期可视化.
- 这种方法对个性化的VNS疗法有希望,尽管生物标志物需要改进.
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