BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in adolescents characterized by inattention,hyperactivity,and impulsivity,which impact cognitive,behavioral,and emoti...BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in adolescents characterized by inattention,hyperactivity,and impulsivity,which impact cognitive,behavioral,and emotional functioning.Resting-state functional magnetic resonance imaging(rs-fMRI)provides critical insights into the functional architecture of the brain in ADHD.Despite extensive research,specific brain regions consistently affected in ADHD patients during these formative years have not been comprehensively delineated.AIM To identify consistent vulnerable brain regions in adolescent ADHD patients using rs-fMRI and activation likelihood estimation(ALE)meta-analysis.METHODS We conducted a comprehensive literature search up to August 31,2024,to identify studies investigating functional brain alterations in adolescents with ADHD.We utilized regional homogeneity(ReHo),amplitude of low-frequency fluctuations(ALFF),dynamic ALFF(dALFF)and fractional ALFF(fALFF)analyses.We compared the regions of aberrant spontaneous neural activity in adolescents with ADHD with those in healthy controls(HCs)using ALE.RESULTS Fifteen studies(468 adolescent ADHD patients and 466 HCs)were included.Combining the ReHo and ALFF/fALFF/dALFF data,the results revealed increased activity in the right lingual gyrus[LING,Brodmann Area(BA)18],left LING(BA 18),and right cuneus(CUN,BA 23)in adolescent ADHD patients compared with HCs(voxel size:592-32 mm³,P<0.05).Decreased activity was observed in the left medial frontal gyrus(MFG,BA 9)and left precuneus(PCUN,BA 31)in adolescent ADHD patients compared with HCs(voxel size:960-456 mm³,P<0.05).Jackknife sensitivity analyses demonstrated robust reproducibility in 11 of the 13 tests for the right LING,left LING,and right CUN and in 11 of the 14 tests for the left MFG and left PCUN.CONCLUSION We identified specific brain regions with both increased and decreased activity in adolescent ADHD patients,enhancing our understanding of the neural alterations that occur during this pivotal stage of development.展开更多
BACKGROUND Major depressive disorder(MDD)in adolescents and young adults contributes significantly to global morbidity,with inconsistent findings on brain structural changes from structural magnetic resonance imaging ...BACKGROUND Major depressive disorder(MDD)in adolescents and young adults contributes significantly to global morbidity,with inconsistent findings on brain structural changes from structural magnetic resonance imaging studies.Activation likeli-hood estimation(ALE)offers a method to synthesize these diverse findings and identify consistent brain anomalies.METHODS We performed a comprehensive literature search in PubMed,Web of Science,Embase,and Chinese National Knowledge Infrastructure databases for neuroi-maging studies on MDD among adolescents and young adults published up to November 19,2023.Two independent researchers performed the study selection,quality assessment,and data extraction.The ALE technique was employed to synthesize findings on localized brain function anomalies in MDD patients,which was supplemented by sensitivity analyses.RESULTS Twenty-two studies comprising fourteen diffusion tensor imaging(DTI)studies and eight voxel-based morphome-try(VBM)studies,and involving 451 MDD patients and 465 healthy controls(HCs)for DTI and 664 MDD patients and 946 HCs for VBM,were included.DTI-based ALE demonstrated significant reductions in fractional anisotropy(FA)values in the right caudate head,right insula,and right lentiform nucleus putamen in adolescents and young adults with MDD compared to HCs,with no regions exhibiting increased FA values.VBM-based ALE did not demonstrate significant alterations in gray matter volume.Sensitivity analyses highlighted consistent findings in the right caudate head(11 of 14 analyses),right insula(10 of 14 analyses),and right lentiform nucleus putamen(11 of 14 analyses).CONCLUSION Structural alterations in the right caudate head,right insula,and right lentiform nucleus putamen in young MDD patients may contribute to its recurrent nature,offering insights for targeted therapies.展开更多
BACKGROUND Adolescent major depressive disorder(MDD)is a significant mental health concern that often leads to recurrent depression in adulthood.Resting-state functional magnetic resonance imaging(rs-fMRI)offers uniqu...BACKGROUND Adolescent major depressive disorder(MDD)is a significant mental health concern that often leads to recurrent depression in adulthood.Resting-state functional magnetic resonance imaging(rs-fMRI)offers unique insights into the neural mechanisms underlying this condition.However,despite previous research,the specific vulnerable brain regions affected in adolescent MDD patients have not been fully elucidated.AIM To identify consistent vulnerable brain regions in adolescent MDD patients using rs-fMRI and activation likelihood estimation(ALE)meta-analysis.METHODS We performed a comprehensive literature search through July 12,2023,for studies investigating brain functional changes in adolescent MDD patients.We utilized regional homogeneity(ReHo),amplitude of low-frequency fluctuations(ALFF)and fractional ALFF(fALFF)analyses.We compared the regions of aberrant spontaneous neural activity in adolescents with MDD vs healthy controls(HCs)using ALE.RESULTS Ten studies(369 adolescent MDD patients and 313 HCs)were included.Combining the ReHo and ALFF/fALFF data,the results revealed that the activity in the right cuneus and left precuneus was lower in the adolescent MDD patients than in the HCs(voxel size:648 mm3,P<0.05),and no brain region exhibited increased activity.Based on the ALFF data,we found decreased activity in the right cuneus and left precuneus in adolescent MDD patients(voxel size:736 mm3,P<0.05),with no regions exhibiting increased activity.CONCLUSION Through ALE meta-analysis,we consistently identified the right cuneus and left precuneus as vulnerable brain regions in adolescent MDD patients,increasing our understanding of the neuropathology of affected adolescents.展开更多
OBJECTIVE: The objective of this study is to summarize and analyze the brain signal patterns of empathy for pain caused by facial expressions of pain utilizing activation likelihood estimation, a meta-analysis method....OBJECTIVE: The objective of this study is to summarize and analyze the brain signal patterns of empathy for pain caused by facial expressions of pain utilizing activation likelihood estimation, a meta-analysis method. DATA SOURCES: Studies concerning the brain mechanism were searched from the Science Citation Index, Science Direct, PubMed, DeepDyve, Cochrane Library, SinoMed, Wanfang, VIP, China National Knowledge Infrastructure, and other databases, such as SpringerLink, AMA, Science Online, Wiley Online, were collected. A time limitation of up to 13 December 2016 was applied to this study. DATA SELECTION: Studies presenting with all of the following criteria were considered for study inclusion: Use of functional magnetic resonance imaging, neutral and pained facial expression stimuli, involvement of adult healthy human participants over 18 years of age, whose empathy ability showed no difference from the healthy adult, a painless basic state, results presented in Talairach or Montreal Neurological Institute coordinates, multiple studies by the same team as long as they used different raw data. OUTCOME MEASURES: Activation likelihood estimation was used to calculate the combined main activated brain regions under the stimulation of pained facial expression. RESULTS: Eight studies were included, containing 178 subjects. Meta-analysis results suggested that the anterior cingulate cortex(BA32), anterior central gyrus(BA44), fusiform gyrus, and insula(BA13) were activated positively as major brain areas under the stimulation of pained facial expression. CONCLUSION: Our study shows that pained facial expression alone, without viewing of painful stimuli, activated brain regions related to pain empathy, further contributing to revealing the brain's mechanisms of pain empathy.展开更多
Background：Several studies using functional magnetic resonance imaging （fMRI） and positron emission tomography （PET） have indicated that cognitive remediation therapy （CRT） might improve cognitive function by c...Background：Several studies using functional magnetic resonance imaging （fMRI） and positron emission tomography （PET） have indicated that cognitive remediation therapy （CRT） might improve cognitive function by changing brain activations in patients with schizophrenia.However,the results were not consistent in these changed brain areas in different studies.The present activation likelihood estimation （ALE） meta-analysis was conducted to investigate whether cognitive function change was accompanied by the brain activation changes,and where the main areas most related to these changes were in schizophrenia patients after CRT.Analyses of whole-brain studies and whole-brain ＋ region of interest （ROI） studies were compared to explore the effect of the different methodologies on the results.Methods：A computerized systematic search was conducted to collect fMRI and PET studies on brain activation changes in schizophrenia patients from pre-to post-CRT.Nine studies using fMRI techniques were included in the meta-analysis.Ginger ALE 2.3.1 was used to perform meta-analysis across these imaging studies.Results：The main areas with increased brain activation were in frontal and parietal lobe,including left medial frontal gyrus,left inferior frontal gyrus,right middle frontal gyrus,right postcentral gyrus,and inferior parietal lobule in patients after CRT,yet no decreased brain activation was found.Although similar increased activation brain areas were identified in ALE with or without ROI studies,analysis including ROI studies had a higher ALE value.Conclusions：The current findings suggest that CRT might improve the cognition of schizophrenia patients by increasing activations of the frontal and parietal lobe.In addition,it might provide more evidence to confirm results by including ROI studies in ALE meta-analysis.展开更多
目的通过激活似然估计(ALE)的荟萃分析方法探讨感觉神经性耳聋(SNHL)病人的脑自发活动改变特点,进一步了解SNHL可能存在的脑功能损伤及重塑的神经机制。方法检索2023年8月21日之前Web of Science、PubMed、CNKI、万方医学网、中华医学...目的通过激活似然估计(ALE)的荟萃分析方法探讨感觉神经性耳聋(SNHL)病人的脑自发活动改变特点,进一步了解SNHL可能存在的脑功能损伤及重塑的神经机制。方法检索2023年8月21日之前Web of Science、PubMed、CNKI、万方医学网、中华医学期刊全文数据库中采用局部一致性(ReHo)及低频振幅/分数低频振幅(ALFF/fALFF)分析SNHL病人脑功能改变的文献,按照纳排标准对文献筛选后,采用激活似然估计法(ALE)纳入研究中SNHL病人自发脑神经活动异常的脑区进行Meta分析。结果共纳入22篇29项研究(SNHL 736例,对照487例),其中ReHo研究11项,ALFF/fALFF研究18项。联合ReHo/ALFF/fALFF分析方法且不区分耳聋侧别结果显示SNHL病人左侧丘脑背内侧核自发脑活动增加,左侧颞上回、左侧额下回岛盖部及左侧背外侧前额叶自发脑活动减低。分别依次对左/右耳SNHL病人、ReHo和ALFF/fALFF方法进行ALE分析,结果均未见任何异常活动脑区。结论运用ALE荟萃分析方法证实SNHL病人多个脑区存在自发活动异常,有助于进一步了解SNHL脑功能损伤及重塑的规律及特征,为其后续诊疗评估提供重要依据。展开更多
目的探讨应用静息态功能磁共振成像(resting state functional magnetic resonance imaging,rs-fMRI)技术研究原发性失眠(primary insomnia,PI)患者较为一致的易损脑区,从而揭示PI脑损伤可能的神经机制。材料与方法检索2022年4月7日之...目的探讨应用静息态功能磁共振成像(resting state functional magnetic resonance imaging,rs-fMRI)技术研究原发性失眠(primary insomnia,PI)患者较为一致的易损脑区,从而揭示PI脑损伤可能的神经机制。材料与方法检索2022年4月7日之前采用局部一致性(regional honogeneity,ReHo)及低频振幅/比率低频振幅/动态低频振幅(amplitude of low-frequency fluctuation/fraction amplitude of low-frequency fluctuation/dynamic amplitude of low-frequency fluctuation,ALFF/fALFF/dALFF)分析方法探讨PI患者脑功能改变的文献,按照严格的纳排标准,采用激活似然估计法(activation likelihood estimation,ALE)对既往研究中PI患者相对于健康对照组(healthy controls,HCs)自发神经活动异常的脑区进行整合分析。结果共纳入19篇文献20个研究(PI 706例,HCs 681例)。结合ReHo及ALFF/fALFF/dALFF数据元分析结果显示,PI患者相对于HCs左侧梭状回和海马旁回活动增加(体素分别为3640、928 mm3,P<0.05),并未发现活动减低的脑区。单独ALFF数据元分析结果显示,PI患者相对于HCs左侧梭状回活动增加(体素为1360 mm3,P<0.05),并未发现活动减低的脑区。单独ReHo数据元分析结果显示,PI患者相对于HCs并未出现任何活动增高或减低的脑区。结论本文通过ALE元分析发现PI患者较为一致的易损脑区为左侧梭状回和海马旁回,这有助于进一步从神经病理学的角度理解PI脑损伤。展开更多
The prefrontal cortex(PFC)is a critical non-invasive brain stimulation(NIBS)target for treating depression.However,the alterations of brain activations post-intervention remain inconsistent and the clinical moderators...The prefrontal cortex(PFC)is a critical non-invasive brain stimulation(NIBS)target for treating depression.However,the alterations of brain activations post-intervention remain inconsistent and the clinical moderators that could improve symptomatic effectiveness are unclear.The study aim was to systematically review the effectiveness of NIBS on depressive symptoms targeting PFC in functional magnetic resonance imaging(fMRI)studies.In our study,we delivered a combined activation likelihood estimation(ALE)meta-analysis and meta-regression.Until November 2020,three databases(PubMed,Web of Science,EMBASE)were searched and 14 studies with a total sample size of 584 were included in the ALE meta-analysis;after NIBS,four clusters in left cerebrum revealed significant activation while two clusters in right cerebrum revealed significant deactivation(P<0.001,cluster size>150 mm3).Eleven studies were statistically reanalyzed for depressive symptoms pre–post active-NIBS and the pooled effect size was very large[(d=1.82,95%CI(1.23,2.40)];significant moderators causing substantial heterogeneity(Chi squared=75.25,P<0.01;I2=87%)were detected through subgroup analysis and univariate meta-regression.Multivariate meta-regression was then conducted accordingly and the model suggested good fitness(Q=42.32,P<0.01).In all,NIBS targeting PFC balanced three core depressive-related neurocognitive networks(the salience network,the default mode network,and the central executive network);the striatum played a central role and might serve as a candidate treatment biomarker;gender difference,treatment-resistant condition,comorbidity,treatment duration,and localization all contributed to moderating depressive symptoms during NIBS.More high-quality,multi-center randomized controlled trails delivering personalized NIBS are needed for clinical practice in the future.展开更多
目的采用激活似然估计(ALE)荟萃分析方法观察长期专业技能训练诱发运动相关专业人员大脑灰质结构的可塑性。方法于CNKI、PubMed、Web of Science数据库及Google scholar检索2005年1月1日—2020年6月12日基于体素形态学分析(VBM)运动相...目的采用激活似然估计(ALE)荟萃分析方法观察长期专业技能训练诱发运动相关专业人员大脑灰质结构的可塑性。方法于CNKI、PubMed、Web of Science数据库及Google scholar检索2005年1月1日—2020年6月12日基于体素形态学分析(VBM)运动相关专业人员大脑灰质变化的文献,以Ginger ALE软件包对检索结果进行Meta分析。结果共纳入21项研究,包括396名专业运动员(试验组)和538名健康对照者(对照组)。与对照组相比,试验组左侧脑岛、右侧顶下小叶、右侧额中回、右侧前扣带回、左侧楔前叶及右侧颞上回灰质体积增大;右侧小脑前叶、右侧小脑顶、左侧海马旁回、右侧丘脑、右侧小脑后叶、右侧额上回及左侧楔前叶灰质密度增加。结论运动相关专业人员多个脑区灰质结构可塑性可能与其所受长期专业技能训练相关。展开更多
基金Supported by National Natural Science Foundation of China,No.82460282Guizhou Province Science and Technology Plan Project,No.ZK-2023-195+1 种基金Guizhou High-Level Innovative Talent Project,No.gzwjrs2022-013Health Commission of Guizhou Province Project,No.gzwkj2024-475 and No.gzwkj2021-150.
文摘BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in adolescents characterized by inattention,hyperactivity,and impulsivity,which impact cognitive,behavioral,and emotional functioning.Resting-state functional magnetic resonance imaging(rs-fMRI)provides critical insights into the functional architecture of the brain in ADHD.Despite extensive research,specific brain regions consistently affected in ADHD patients during these formative years have not been comprehensively delineated.AIM To identify consistent vulnerable brain regions in adolescent ADHD patients using rs-fMRI and activation likelihood estimation(ALE)meta-analysis.METHODS We conducted a comprehensive literature search up to August 31,2024,to identify studies investigating functional brain alterations in adolescents with ADHD.We utilized regional homogeneity(ReHo),amplitude of low-frequency fluctuations(ALFF),dynamic ALFF(dALFF)and fractional ALFF(fALFF)analyses.We compared the regions of aberrant spontaneous neural activity in adolescents with ADHD with those in healthy controls(HCs)using ALE.RESULTS Fifteen studies(468 adolescent ADHD patients and 466 HCs)were included.Combining the ReHo and ALFF/fALFF/dALFF data,the results revealed increased activity in the right lingual gyrus[LING,Brodmann Area(BA)18],left LING(BA 18),and right cuneus(CUN,BA 23)in adolescent ADHD patients compared with HCs(voxel size:592-32 mm³,P<0.05).Decreased activity was observed in the left medial frontal gyrus(MFG,BA 9)and left precuneus(PCUN,BA 31)in adolescent ADHD patients compared with HCs(voxel size:960-456 mm³,P<0.05).Jackknife sensitivity analyses demonstrated robust reproducibility in 11 of the 13 tests for the right LING,left LING,and right CUN and in 11 of the 14 tests for the left MFG and left PCUN.CONCLUSION We identified specific brain regions with both increased and decreased activity in adolescent ADHD patients,enhancing our understanding of the neural alterations that occur during this pivotal stage of development.
基金Supported by the Guizhou Province Science and Technology Plan Project,No.ZK-2023-1952021 Health Commission of Guizhou Province Project,No.gzwkj2021-150.
文摘BACKGROUND Major depressive disorder(MDD)in adolescents and young adults contributes significantly to global morbidity,with inconsistent findings on brain structural changes from structural magnetic resonance imaging studies.Activation likeli-hood estimation(ALE)offers a method to synthesize these diverse findings and identify consistent brain anomalies.METHODS We performed a comprehensive literature search in PubMed,Web of Science,Embase,and Chinese National Knowledge Infrastructure databases for neuroi-maging studies on MDD among adolescents and young adults published up to November 19,2023.Two independent researchers performed the study selection,quality assessment,and data extraction.The ALE technique was employed to synthesize findings on localized brain function anomalies in MDD patients,which was supplemented by sensitivity analyses.RESULTS Twenty-two studies comprising fourteen diffusion tensor imaging(DTI)studies and eight voxel-based morphome-try(VBM)studies,and involving 451 MDD patients and 465 healthy controls(HCs)for DTI and 664 MDD patients and 946 HCs for VBM,were included.DTI-based ALE demonstrated significant reductions in fractional anisotropy(FA)values in the right caudate head,right insula,and right lentiform nucleus putamen in adolescents and young adults with MDD compared to HCs,with no regions exhibiting increased FA values.VBM-based ALE did not demonstrate significant alterations in gray matter volume.Sensitivity analyses highlighted consistent findings in the right caudate head(11 of 14 analyses),right insula(10 of 14 analyses),and right lentiform nucleus putamen(11 of 14 analyses).CONCLUSION Structural alterations in the right caudate head,right insula,and right lentiform nucleus putamen in young MDD patients may contribute to its recurrent nature,offering insights for targeted therapies.
基金Supported by The 2024 Guizhou Provincial Health Commission Science and Technology Fund Project,No.gzwkj2024-47502022 Provincial Clinical Key Specialty Construction Project。
文摘BACKGROUND Adolescent major depressive disorder(MDD)is a significant mental health concern that often leads to recurrent depression in adulthood.Resting-state functional magnetic resonance imaging(rs-fMRI)offers unique insights into the neural mechanisms underlying this condition.However,despite previous research,the specific vulnerable brain regions affected in adolescent MDD patients have not been fully elucidated.AIM To identify consistent vulnerable brain regions in adolescent MDD patients using rs-fMRI and activation likelihood estimation(ALE)meta-analysis.METHODS We performed a comprehensive literature search through July 12,2023,for studies investigating brain functional changes in adolescent MDD patients.We utilized regional homogeneity(ReHo),amplitude of low-frequency fluctuations(ALFF)and fractional ALFF(fALFF)analyses.We compared the regions of aberrant spontaneous neural activity in adolescents with MDD vs healthy controls(HCs)using ALE.RESULTS Ten studies(369 adolescent MDD patients and 313 HCs)were included.Combining the ReHo and ALFF/fALFF data,the results revealed that the activity in the right cuneus and left precuneus was lower in the adolescent MDD patients than in the HCs(voxel size:648 mm3,P<0.05),and no brain region exhibited increased activity.Based on the ALFF data,we found decreased activity in the right cuneus and left precuneus in adolescent MDD patients(voxel size:736 mm3,P<0.05),with no regions exhibiting increased activity.CONCLUSION Through ALE meta-analysis,we consistently identified the right cuneus and left precuneus as vulnerable brain regions in adolescent MDD patients,increasing our understanding of the neuropathology of affected adolescents.
基金supported by the National Natural Science Foundation of China,No.81473769(to WW),81772430(to WW)a grant from the Training Program of Innovation and Entrepreneurship for Undergraduates of Southern Medical University of Guangdong Province of China in 2016,No.201612121057(to WW)
文摘OBJECTIVE: The objective of this study is to summarize and analyze the brain signal patterns of empathy for pain caused by facial expressions of pain utilizing activation likelihood estimation, a meta-analysis method. DATA SOURCES: Studies concerning the brain mechanism were searched from the Science Citation Index, Science Direct, PubMed, DeepDyve, Cochrane Library, SinoMed, Wanfang, VIP, China National Knowledge Infrastructure, and other databases, such as SpringerLink, AMA, Science Online, Wiley Online, were collected. A time limitation of up to 13 December 2016 was applied to this study. DATA SELECTION: Studies presenting with all of the following criteria were considered for study inclusion: Use of functional magnetic resonance imaging, neutral and pained facial expression stimuli, involvement of adult healthy human participants over 18 years of age, whose empathy ability showed no difference from the healthy adult, a painless basic state, results presented in Talairach or Montreal Neurological Institute coordinates, multiple studies by the same team as long as they used different raw data. OUTCOME MEASURES: Activation likelihood estimation was used to calculate the combined main activated brain regions under the stimulation of pained facial expression. RESULTS: Eight studies were included, containing 178 subjects. Meta-analysis results suggested that the anterior cingulate cortex(BA32), anterior central gyrus(BA44), fusiform gyrus, and insula(BA13) were activated positively as major brain areas under the stimulation of pained facial expression. CONCLUSION: Our study shows that pained facial expression alone, without viewing of painful stimuli, activated brain regions related to pain empathy, further contributing to revealing the brain's mechanisms of pain empathy.
基金This study was supported by the grants from the National Nature Science Foundation of China
文摘Background：Several studies using functional magnetic resonance imaging （fMRI） and positron emission tomography （PET） have indicated that cognitive remediation therapy （CRT） might improve cognitive function by changing brain activations in patients with schizophrenia.However,the results were not consistent in these changed brain areas in different studies.The present activation likelihood estimation （ALE） meta-analysis was conducted to investigate whether cognitive function change was accompanied by the brain activation changes,and where the main areas most related to these changes were in schizophrenia patients after CRT.Analyses of whole-brain studies and whole-brain ＋ region of interest （ROI） studies were compared to explore the effect of the different methodologies on the results.Methods：A computerized systematic search was conducted to collect fMRI and PET studies on brain activation changes in schizophrenia patients from pre-to post-CRT.Nine studies using fMRI techniques were included in the meta-analysis.Ginger ALE 2.3.1 was used to perform meta-analysis across these imaging studies.Results：The main areas with increased brain activation were in frontal and parietal lobe,including left medial frontal gyrus,left inferior frontal gyrus,right middle frontal gyrus,right postcentral gyrus,and inferior parietal lobule in patients after CRT,yet no decreased brain activation was found.Although similar increased activation brain areas were identified in ALE with or without ROI studies,analysis including ROI studies had a higher ALE value.Conclusions：The current findings suggest that CRT might improve the cognition of schizophrenia patients by increasing activations of the frontal and parietal lobe.In addition,it might provide more evidence to confirm results by including ROI studies in ALE meta-analysis.
文摘目的通过激活似然估计(ALE)的荟萃分析方法探讨感觉神经性耳聋(SNHL)病人的脑自发活动改变特点,进一步了解SNHL可能存在的脑功能损伤及重塑的神经机制。方法检索2023年8月21日之前Web of Science、PubMed、CNKI、万方医学网、中华医学期刊全文数据库中采用局部一致性(ReHo)及低频振幅/分数低频振幅(ALFF/fALFF)分析SNHL病人脑功能改变的文献,按照纳排标准对文献筛选后,采用激活似然估计法(ALE)纳入研究中SNHL病人自发脑神经活动异常的脑区进行Meta分析。结果共纳入22篇29项研究(SNHL 736例,对照487例),其中ReHo研究11项,ALFF/fALFF研究18项。联合ReHo/ALFF/fALFF分析方法且不区分耳聋侧别结果显示SNHL病人左侧丘脑背内侧核自发脑活动增加,左侧颞上回、左侧额下回岛盖部及左侧背外侧前额叶自发脑活动减低。分别依次对左/右耳SNHL病人、ReHo和ALFF/fALFF方法进行ALE分析,结果均未见任何异常活动脑区。结论运用ALE荟萃分析方法证实SNHL病人多个脑区存在自发活动异常,有助于进一步了解SNHL脑功能损伤及重塑的规律及特征,为其后续诊疗评估提供重要依据。
基金supported by National Science Fund for Distinguished Young Scholars(81725005 to Fei Wang)National Natural Science Foundation Regional Innovation and Development Joint Fund(U20A6005 to Fei Wang)+1 种基金Jiangsu Provincial Key Research and Development Program(BE2021617 to Fei Wang)National Natural Science Foundation of China(62176129 to Xizhe Zhang).
文摘The prefrontal cortex(PFC)is a critical non-invasive brain stimulation(NIBS)target for treating depression.However,the alterations of brain activations post-intervention remain inconsistent and the clinical moderators that could improve symptomatic effectiveness are unclear.The study aim was to systematically review the effectiveness of NIBS on depressive symptoms targeting PFC in functional magnetic resonance imaging(fMRI)studies.In our study,we delivered a combined activation likelihood estimation(ALE)meta-analysis and meta-regression.Until November 2020,three databases(PubMed,Web of Science,EMBASE)were searched and 14 studies with a total sample size of 584 were included in the ALE meta-analysis;after NIBS,four clusters in left cerebrum revealed significant activation while two clusters in right cerebrum revealed significant deactivation(P<0.001,cluster size>150 mm3).Eleven studies were statistically reanalyzed for depressive symptoms pre–post active-NIBS and the pooled effect size was very large[(d=1.82,95%CI(1.23,2.40)];significant moderators causing substantial heterogeneity(Chi squared=75.25,P<0.01;I2=87%)were detected through subgroup analysis and univariate meta-regression.Multivariate meta-regression was then conducted accordingly and the model suggested good fitness(Q=42.32,P<0.01).In all,NIBS targeting PFC balanced three core depressive-related neurocognitive networks(the salience network,the default mode network,and the central executive network);the striatum played a central role and might serve as a candidate treatment biomarker;gender difference,treatment-resistant condition,comorbidity,treatment duration,and localization all contributed to moderating depressive symptoms during NIBS.More high-quality,multi-center randomized controlled trails delivering personalized NIBS are needed for clinical practice in the future.
文摘目的采用激活似然估计(ALE)荟萃分析方法观察长期专业技能训练诱发运动相关专业人员大脑灰质结构的可塑性。方法于CNKI、PubMed、Web of Science数据库及Google scholar检索2005年1月1日—2020年6月12日基于体素形态学分析(VBM)运动相关专业人员大脑灰质变化的文献,以Ginger ALE软件包对检索结果进行Meta分析。结果共纳入21项研究,包括396名专业运动员(试验组)和538名健康对照者(对照组)。与对照组相比,试验组左侧脑岛、右侧顶下小叶、右侧额中回、右侧前扣带回、左侧楔前叶及右侧颞上回灰质体积增大;右侧小脑前叶、右侧小脑顶、左侧海马旁回、右侧丘脑、右侧小脑后叶、右侧额上回及左侧楔前叶灰质密度增加。结论运动相关专业人员多个脑区灰质结构可塑性可能与其所受长期专业技能训练相关。
