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A radiomics approach for predicting gait freezing in Parkinson's disease based on resting-state functional magnetic resonance imaging indices:A cross-sectional study
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作者 Miaoran Guo Hu Liu +6 位作者 Long Gao Hongmei Yu Yan Ren Yingmei Li Huaguang Yang Chenghao Cao Guoguang Fan 《Neural Regeneration Research》 2026年第4期1621-1627,共7页
Freezing of gait is a significant and debilitating motor symptom often observed in individuals with Parkinson's disease.Resting-state functional magnetic resonance imaging,along with its multi-level feature indice... Freezing of gait is a significant and debilitating motor symptom often observed in individuals with Parkinson's disease.Resting-state functional magnetic resonance imaging,along with its multi-level feature indices,has provided a fresh perspective and valuable insight into the study of freezing of gait in Parkinson's disease.It has been revealed that Parkinson's disease is accompanied by widespread irregularities in inherent brain network activity.However,the effective integration of the multi-level indices of resting-state functional magnetic resonance imaging into clinical settings for the diagnosis of freezing of gait in Parkinson's disease remains a challenge.Although previous studies have demonstrated that radiomics can extract optimal features as biomarkers to identify or predict diseases,a knowledge gap still exists in the field of freezing of gait in Parkinson's disease.This cross-sectional study aimed to evaluate the ability of radiomics features based on multi-level indices of resting-state functional magnetic resonance imaging,along with clinical features,to distinguish between Parkinson's disease patients with and without freezing of gait.We recruited 28 patients with Parkinson's disease who had freezing of gait(15 men and 13 women,average age 63 years)and 30 patients with Parkinson's disease who had no freezing of gait(16 men and 14 women,average age 64 years).Magnetic resonance imaging scans were obtained using a 3.0T scanner to extract the mean amplitude of low-frequency fluctuations,mean regional homogeneity,and degree centrality.Neurological and clinical characteristics were also evaluated.We used the least absolute shrinkage and selection operator algorithm to extract features and established feedforward neural network models based solely on resting-state functional magnetic resonance imaging indicators.We then performed predictive analysis of three distinct groups based on resting-state functional magnetic resonance imaging indicators indicators combined with clinical features.Subsequently,we conducted 100 additional five-fold cross-validations to determine the most effective model for each classification task and evaluated the performance of the model using the area under the receiver operating characteristic curve.The results showed that when differentiating patients with Parkinson's disease who had freezing of gait from those who did not have freezing of gait,or from healthy controls,the models using only the mean regional homogeneity values achieved the highest area under the receiver operating characteristic curve values of 0.750(with an accuracy of 70.9%)and 0.759(with an accuracy of 65.3%),respectively.When classifying patients with Parkinson's disease who had freezing of gait from those who had no freezing of gait,the model using the mean amplitude of low-frequency fluctuation values combined with two clinical features achieved the highest area under the receiver operating characteristic curve of 0.847(with an accuracy of 74.3%).The most significant features for patients with Parkinson's disease who had freezing of gait were amplitude of low-frequency fluctuation alterations in the left parahippocampal gyrus and two clinical characteristics:Montreal Cognitive Assessment and Hamilton Depression Scale scores.Our findings suggest that radiomics features derived from resting-state functional magnetic resonance imaging indices and clinical information can serve as valuable indices for the identification of freezing of gait in Parkinson's disease. 展开更多
关键词 amplitude of low-frequency fluctuation degree centrality feedforward neural network freezing of gait machine learning parahippocampal gyrus Parkinson's disease receiver operating characteristic regional homogeneity resting-state functional magnetic resonance imaging
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Dynamic changes of spontaneous brain activity in patients after LASIK:a resting-state fMRI study
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作者 Hui Zhang Zi-Song Xu +11 位作者 Jin-Yu Hu Zhen-Zhe Liu Lei Zhong Liang-Qi He Cheng Chen Xiao-Yu Wang Hong Wei Yan-Mei Zeng Qian Ling Xu Chen Yi-Xin Wang Yi Shao 《International Journal of Ophthalmology(English edition)》 2025年第3期487-495,共9页
AIM:To investigate changes in local brain activity after laser assisted in situ keratomileusis(LASIK)in myopia patients,and further explore whether post-LASIK(POL)patients and healthy controls(HCs)can be distinguished... AIM:To investigate changes in local brain activity after laser assisted in situ keratomileusis(LASIK)in myopia patients,and further explore whether post-LASIK(POL)patients and healthy controls(HCs)can be distinguished by differences in dynamic amplitude of low-frequency fluctuations(dALFF)in specific brain regions.METHODS:The resting-state functional magnetic resonance imaging(rs-fMRI)data were collected from 15 myopic patients who underwent LASIK and 15 matched healthy controls.This method was selected to calculate the corresponding dALFF values of each participant,to compare dALFF between the groups and to determine whether dALFF distinguishes reliably between myopic patients after LASIK and HCs using the linear support vector machine(SVM)permutation test(5000 repetitions).RESULTS:dALFF was lower in POL than in HCs at the right precentral gyrus and right insula.Classification accuracy of the SVM was 89.1%(P<0.001).CONCLUSION:The activity of spontaneous neurons in the right precentral gyrus and right insula of myopic patients change significantly after LASIK.SVM can correctly classify POL patients and HCs based on dALFF differences. 展开更多
关键词 laser assisted in situ keratomileusis resting-state functional magnetic resonance imaging dynamic brain activity amplitude of low-frequency fluctuations support vector machine
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慢性高原病脑部改变的MRI研究进展
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作者 王学玲 孙艳秋 《影像研究与医学应用》 2026年第1期1-3,共3页
慢性高原病是由于长期暴露于高海拔低氧环境而引起多系统受累的临床综合征,主要表现为红细胞过度增多、肺动脉高压及低氧血症。脑是一个对缺氧极其敏感又高耗氧、耗能的器官,长期处于高海拔缺氧状态下会出现头痛、头晕、失眠、记忆力减... 慢性高原病是由于长期暴露于高海拔低氧环境而引起多系统受累的临床综合征,主要表现为红细胞过度增多、肺动脉高压及低氧血症。脑是一个对缺氧极其敏感又高耗氧、耗能的器官,长期处于高海拔缺氧状态下会出现头痛、头晕、失眠、记忆力减退、注意力不集中等一系列症状。本综述基于MRI技术,探讨了慢性高原病对脑部结构和功能的影响,包括脑萎缩、脑白质病变、脑血管变化以及认知和情绪障碍,旨在为高海拔地区的居民提供健康指导,并为未来的研究提供方向。 展开更多
关键词 慢性高原病 高海拔 低氧血症 mri 大脑
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应用MRI T_(2)^(*) mapping分区定量评估不同年龄组髌软骨的初步研究
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作者 陈曦 胡杰 杨献峰 《影像研究与医学应用》 2026年第1期27-30,34,共5页
目的:探讨MRI T_(2)^(*)mapping定量技术在不同年龄段健康髌软骨研究中的应用价值。方法:回顾性收集2022年10月—2025年5月于南京大学医学院附属鼓楼医院接受膝关节软骨成像检查的100例健康髌软骨受检者的临床资料,按年龄分为10~19岁、2... 目的:探讨MRI T_(2)^(*)mapping定量技术在不同年龄段健康髌软骨研究中的应用价值。方法:回顾性收集2022年10月—2025年5月于南京大学医学院附属鼓楼医院接受膝关节软骨成像检查的100例健康髌软骨受检者的临床资料,按年龄分为10~19岁、20~29岁、30~39岁、40~49岁、50~59岁5组,每组20例。将髌软骨划为6个分区,应用T_(2)^(*)mapping技术定量分析各分区的T_(2)^(*)值及软骨厚度,并按年龄分组比较各区的差异。结果:不同年龄组别的髌软骨厚度之间差异无统计学意义(P>0.05)。20~29岁年龄组内侧下区的T_(2)^(*)值高于10~19岁、40~49岁、50~59岁年龄组(P<0.05);20~29岁年龄组外侧下区的T_(2)^(*)值高于40~49岁、50~59岁年龄组(P<0.05);50~59岁组内侧中区的T_(2)^(*)值低于20~29岁组、30~39岁组、40~49岁组(P<0.05);其他软骨分区的不同年龄组别间的髌软骨T_(2)^(*)值比较差异无统计学意义(P>0.05)。结论:软骨厚度参数在不同年龄段未呈现显著差异;T_(2)^(*)值的年龄相关性具有重要的临床价值,有助于早期髌软骨病变的诊断及治疗策略的制定。 展开更多
关键词 mri 髌软骨 年龄 T_(2)^(*)值 软骨厚度
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Global Functional Network Connectivity Disturbances in Parkinson’s Disease with Mild Cognitive Impairment by Resting-State Functional MRI 被引量:2
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作者 Xin-xin SHUAI Xiang-chuang KONG +2 位作者 Yan ZOU Si-qi WANG Yu-hui WANG 《Current Medical Science》 SCIE CAS 2020年第6期1057-1066,共10页
Examining the spontaneous BOLD activity to understand the neural mechanism of Parkinson’s disease(PD)with mild cognitive impairment(MCI)is a focus in resting-state functional MRI(rs-fMRI)studies.This study aimed to i... Examining the spontaneous BOLD activity to understand the neural mechanism of Parkinson’s disease(PD)with mild cognitive impairment(MCI)is a focus in resting-state functional MRI(rs-fMRI)studies.This study aimed to investigate the alteration of brain functional connectivity in PD with MCI in a systematical way at two levels:functional connectivity analysis within resting state networks(RSNs)and functional network connectivity(FNC)analysis.Using group independent component analysis(ICA)on rs-fMRI data acquired from 30 participants(14 healthy controls and 16 PD patients with MCI),16 RSNs were identified,and functional connectivity analysis within the RSNs and FNC analysis were carried out between groups.Compared to controls,patients with PD showed decreased functional connectivity within putamen network,thalamus network,cerebellar network,attention network,and self-referential network,and increased functional connectivity within execution network.Globally disturbed,mostly increased functional connectivity of FNC was observed in PD group,and insular network and execution network were the dominant network with extensively increased functional connectivity with other RSNs.Cerebellar network showed decreased functional connectivity with caudate network,insular network,and self-referential network.In general,decreased functional connectivity within RSNs and globally disturbed,mostly increased functional connectivity of FNC may be characteristics of PD.Increased functional connectivity within execution network may be an early marker of PD.The multi-perspective study based on RSNs may be a valuable means to assess functional changes corresponding to specific RSN,contributing to the understanding of the neural mechanism of PD. 展开更多
关键词 Parkinson's disease resting-state functional mri resting-state functional connectivity functional network connectivity
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Resting-state fMRI studies in epilepsy 被引量:11
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作者 Wurina Yu-Feng Zang Shi-Gang Zhao 《Neuroscience Bulletin》 SCIE CAS CSCD 2012年第4期449-455,共7页
Epilepsy is a disease characterized by abnormal spontaneous activity in the brain.Resting-state functional magnetic resonance imaging(RS-fMRI) is a powerful technique for exploring this activity.With good spatial an... Epilepsy is a disease characterized by abnormal spontaneous activity in the brain.Resting-state functional magnetic resonance imaging(RS-fMRI) is a powerful technique for exploring this activity.With good spatial and temporal resolution,RS-fMRI is a promising approach for accurate localization of the focus of seizure activity.Although simultaneous electroencephalogram-fMRI has been performed with patients in the resting state,most studies focused on activation.This mini-review focuses on RS-fMRI alone,including its computational methods and its application to epilepsy. 展开更多
关键词 resting-state fmri EPILEPSY LOCALIZATION NETWORK
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Regional homogeneity abnormalities in patients with tensiontype headache:a resting-state fMRI study 被引量:8
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作者 Pian Wang Handan Du +4 位作者 Ning Chen Jian Guo Qiyong Gong Junran Zhang Li He 《Neuroscience Bulletin》 SCIE CAS CSCD 2014年第6期949-955,共7页
Tension-type headache(TTH) is the most prevalent type of primary headache. Many studies have shown that the pathogenesis of primary headache is associated with fine structural or functional changes. However, these s... Tension-type headache(TTH) is the most prevalent type of primary headache. Many studies have shown that the pathogenesis of primary headache is associated with fine structural or functional changes. However, these studies were mainly based on migraine. The present study aimed to investigate whether TTH patients show functional disturbances compared with healthy subjects. We used restingstate functional magnetic resonance imaging(f MRI) and regional homogeneity(Re Ho) analysis to identify changes in the local synchronization of spontaneous activity in patients with TTH. Ten patients with TTH and 10 age-, gender-, and education-matched healthy controls participated in the study. After demographic and clinical characteristics were acquired, a 3.0-T MRI system was used to obtain restingstate f MRIs. Compared with healthy controls, the TTH group exhibited significantly lower Re Ho values in the bilateral caudate nucleus, the precuneus, the putamen, the left middle frontal gyrus, and the superior frontal gyrus. There was no correlation between mean Re Ho values in TTH patients and duration of TTH, number of attacks, duration of daily attacks, Visual Analogue Scale score, or Headache Impact Test-6 score. These results suggest that TTHpatients exhibit reduced synchronization of neuronal activity in multiple regions involved in the integration and processing of pain signals. 展开更多
关键词 tension-type headache resting-state fmri ReHo basal ganglia
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神经根沉降征影响腰椎管狭窄症经皮内镜减压效果的MRI评价
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作者 王楠 陈双 +5 位作者 席志鹏 钱宇章 张啸宇 顾军 康然 谢林 《中国组织工程研究》 北大核心 2026年第9期2262-2268,共7页
背景:神经根沉降征作为腰椎管狭窄的新评估指标,提高了对腰椎管狭窄症的影像学认识,但是关于神经根沉降征是否影响全内窥镜下腰椎管减压的预后疗效,目前仍存在争议。目的:探讨神经根沉降征对全内窥镜下腰椎管减压治疗腰椎管狭窄症疗效... 背景:神经根沉降征作为腰椎管狭窄的新评估指标,提高了对腰椎管狭窄症的影像学认识,但是关于神经根沉降征是否影响全内窥镜下腰椎管减压的预后疗效,目前仍存在争议。目的:探讨神经根沉降征对全内窥镜下腰椎管减压治疗腰椎管狭窄症疗效的影响。方法:回顾性分析江苏省中西医结合医院2018年9月至2022年9月收治的69例腰椎管狭窄症患者行全内窥镜下腰椎管减压的病历资料。根据MRI下神经根是否沉降将患者分为2组,阳性组45例,阴性组24例。比较两组患者一般资料、腰痛及腿痛目测类比评分、Oswestry功能障碍指数及Macnab疗效优良率,对比治疗前后腰椎椎管矢状径、横径、椎管面积及腰椎前凸角的变化。结果与结论:①两组患者术后腰腿痛目测类比评分及Oswestry功能障碍指数均较术前有所降低,差异有显著性意义(P<0.05);组间比较而言,阳性组治疗后1周、1年腰腿痛目测类比评分明显低于阴性组,差异有显著性意义(P<0.05);②两组术后椎管面积、椎管矢状径及椎管横径均较术前明显扩大,差异有显著性意义(P<0.05);③两组术后腰椎前凸角均未产生明显影响,术前、术后相比差异均无显著性意义(P>0.05);④通过改良MacNab标准评估患者术后1年疗效,阳性组优30例,良11例,可3例,差1例,优良率为91%;阴性组优16例,良4例,可4例,优良率为83%,但两组间差异无显著性意义(P>0.05);⑤结果表明,全内窥镜下腰椎管减压治疗腰椎管狭窄症疗效突出,可达到精确减压,MRI上可得到良好的体现,而伴或不伴马尾神经根沉降征对术后疗效无明显影响。 展开更多
关键词 神经根沉降征 腰椎管狭窄症 全内窥镜技术 mri 椎管面积 腰椎前凸角 回顾性研究
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Age-related connectivity differences between attention deficit and hyperactivity disorder patients and typically developing subjects:a resting-state functional MRI study 被引量:2
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作者 Jisu Hong Bo-yong Park +1 位作者 Hwan-ho Cho Hyunjin Park 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第10期1640-1647,共8页
Attention deficit and hyperactivity disorder(ADHD) is a disorder characterized by behavioral symptoms including hyperactivity/impulsivity among children,adolescents,and adults.These ADHD related symptoms are influen... Attention deficit and hyperactivity disorder(ADHD) is a disorder characterized by behavioral symptoms including hyperactivity/impulsivity among children,adolescents,and adults.These ADHD related symptoms are influenced by the complex interaction of brain networks which were under explored.We explored age-related brain network differences between ADHD patients and typically developing(TD) subjects using resting state f MRI(rs-f MRI) for three age groups of children,adolescents,and adults.We collected rs-f MRI data from 184 individuals(27 ADHD children and 31 TD children;32 ADHD adolescents and 32 TD adolescents;and 31 ADHD adults and 31 TD adults).The Brainnetome Atlas was used to define nodes in the network analysis.We compared three age groups of ADHD and TD subjects to identify the distinct regions that could explain age-related brain network differences based on degree centrality,a well-known measure of nodal centrality.The left middle temporal gyrus showed significant interaction effects between disease status(i.e.,ADHD or TD) and age(i.e.,child,adolescent,or adult)(P 0.001).Additional regions were identified at a relaxed threshold(P 0.05).Many of the identified regions(the left inferior frontal gyrus,the left middle temporal gyrus,and the left insular gyrus) were related to cognitive function.The results of our study suggest that aberrant development in cognitive brain regions might be associated with age-related brain network changes in ADHD patients.These findings contribute to better understand how brain function influences the symptoms of ADHD. 展开更多
关键词 nerve regeneration attention deficit and hyperactivity disorder cognitive function connectivity resting-state f mri Brainnetome Atlas whole brain analysis disease-aging interaction effect neuroscience neural regeneration
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Numerical study of resting-state fMRI based on kernel ICA
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作者 朱冬娟 王训恒 阮宗才 《Journal of Southeast University(English Edition)》 EI CAS 2010年第1期78-81,共4页
In order to facilitate the extraction of the default mode network(DMN), reduce the data complexity of the functional magnetic resonance imaging (fMRI)and overcome the restriction of the linearity of the mixing pro... In order to facilitate the extraction of the default mode network(DMN), reduce the data complexity of the functional magnetic resonance imaging (fMRI)and overcome the restriction of the linearity of the mixing process encountered with the independent component analysis(ICA), a framework of dimensionality reduction and nonlinear transformation is proposed. First, the principal component analysis(PCA)is applied to reduce the time dimension 153 594×128 of the fMRI data to 153 594×5 for simplifying complexity computation and obtaining 95% of the information. Secondly, a new kernel-based nonlinear ICA method referred as the kernel ICA(KICA)based on the Gaussian kernel is introduced to analyze the resting-state fMRI data and extract the DMN. Experimental results show that the KICA provides a better performance for the resting-state fMRI data analysis compared with the classical ICA. Furthermore, the DMN is accurately extracted and the noise is reduced. 展开更多
关键词 kernel independent component analysis principal component analysis functional magnetic resonance imaging(fmri resting-state
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Dopamine D4 Receptor Gene Associated with the Frontal-Striatal-Cerebellar Loop in Children with ADHD: A Resting-State fMRI Study 被引量:12
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作者 ANDan Qian Xin Wang +8 位作者 Huiru Liu Jiejie Tao Jiejie Zhou Qiong Ye Jiance Li Chuang Yang Jingliang Cheng Ke Zhao Meihao Wang 《Neuroscience Bulletin》 SCIE CAS CSCD 2018年第3期497-506,共10页
Attention deficit hyperactivity disorder(ADHD)is a common childhood neuropsychiatric disorder that has been linked to the dopaminergic system. This study aimed to investigate the effects of regulation of the dopamin... Attention deficit hyperactivity disorder(ADHD)is a common childhood neuropsychiatric disorder that has been linked to the dopaminergic system. This study aimed to investigate the effects of regulation of the dopamine D4 receptor(DRD4) on functional brain activity during the resting state in ADHD children using the methods of regional homogeneity(Re Ho) and functional connectivity(FC). Resting-state functional magnetic resonance imaging data were analyzed in 49 children with ADHD. All participants were classified as either carriers of the DRD44-repeat/4-repeat(4 R/4 R) allele(n = 30) or the DRD42-repeat(2 R) allele(n = 19). The results showed that participants with the DRD4 2 R allele had decreased Re Ho bilaterally in the posterior lobes of the cerebellum, while Re Ho was increased in the left angular gyrus. Compared with participants carrying the DRD4 4 R/4 R allele, those with the DRD4 2 R allele showed decreased FC to the left angular gyrus in the left striatum, right inferior frontal gyrus, and bilateral lobes of the cerebellum. The increased FC regions included the left superior frontal gyrus, medial frontal gyrus, and rectus gyrus. These data suggest that the DRD4 polymorphisms are associated with localized brain activity and specific functional connections, including abnormality in the frontal-striatal-cerebellar loop. Our study not only enhances the understanding of the correlation between the cerebellar lobes and ADHD, but also provides an imaging basis for explaining the neural mechanisms underlying ADHD in children. 展开更多
关键词 Attention deficit hyperactivity disorder Dopamine D4 receptor Frontal-striatal-cerebellar loop resting-state functional magnetic resonance imaging Regional homogeneity Functional connectivity
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Altered asymmetries of resting-state MRI in the left thalamus of first-episode schizophrenia 被引量:3
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作者 Sha Liu Zhenglong Guo +6 位作者 Hongbao Cao Hong Li Xiaodong Hu Long Cheng Jianying Li Ruize Liu Yong Xu 《Chronic Diseases and Translational Medicine》 CSCD 2022年第3期207-217,共11页
Background:Schizophrenia(SCZ)is a complex psychiatric disorder associated with widespread alterations in the subcortical brain structure.Hemispheric asymmetries are a fundamental organizational principle of the human ... Background:Schizophrenia(SCZ)is a complex psychiatric disorder associated with widespread alterations in the subcortical brain structure.Hemispheric asymmetries are a fundamental organizational principle of the human brain and relate to human psychological and behavioral characteristics.We aimed to explore the state of thalamic lateralization of SCZ.Methods:We used voxel-based morphometry(VBM)analysis,whole-brain analysis of low-frequency fluctuations(ALFF),fractional amplitude of low-frequency fluctuations(fALFF),and resting-state seed-based functional connectivity(FC)analysis to investigate brain structural and functional deficits in SCZ.Also,we applied Pearson’’s correlation analysis to validate the correlation between Positive and Negative Symptom Scale(PANSS)scores and them.Results:Compared with healthy controls,SCZ showed increased gray matter volume(GMV)of the left thalamus(t=2.214,p=0.029),which positively correlated with general psychosis(r=0.423,p=0.010).SCZ also showed increased ALFF in the putamen,the caudate nucleus,the thalamus,fALFF in the nucleus accumbens(NAc),and the caudate nucleus,and decreased fALFF in the precuneus.The left thalamus showed significantly weaker resting-state FC with the amygdala and insula in SCZ.PANSS negative symptom scores were negatively correlated with the resting-state FC between the thalamus and the insula(r=-0.414,p=0.025).Conclusions:Collectively,these results suggest the possibility of aberrant laterality in the left thalamus and its FC with other related brain regions involved in the limbic system. 展开更多
关键词 asymmetry gray matter volume resting-state fmri SCHIZOPHRENIA THALAMUS
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Effects of methylphenidate on resting-state brain activity in normal adults: an fMRI study 被引量:4
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作者 Yihong Zhu Bin Gao +5 位作者 Jianming Hua Weibo Liu Yichao Deng Lijie Zhang Biao Jiang Yufeng Zang 《Neuroscience Bulletin》 SCIE CAS CSCD 2013年第1期16-27,共12页
Methylphenidate (MPH) is one of the most commonly used stimulants for the treatment of attention deficit hyperactivity disorder (ADHD). Although several studies have evaluated the effects of MPH on human brain act... Methylphenidate (MPH) is one of the most commonly used stimulants for the treatment of attention deficit hyperactivity disorder (ADHD). Although several studies have evaluated the effects of MPH on human brain activation during specific cognitive tasks using functional magnetic resonance imaging (fMRI), few studies have focused on spontaneous brain activity. In the current study, we investigated the effect of MPH on the intra-regional synchronization of spontaneous brain activity during the resting state in 18 normal adult males. A handedness questionnaire and the Wechsler Adult Intelligence Scale were applied before medication, and a resting-state fMRI scan was obtained 1 h after medication (20 mg MPH or placebo, order counterbalanced between participants). We demonstrated that: (1) there were no significant differences in the performance of behavioral tasks between the MPH and placebo groups; (2) the left middle and superior temporal gyri had stronger MPH-related regional homogeneity (ReHo); and (3) the left lingual gyrus had weaker MPH-related ReHo. Our findings showed that the ReHo in some brain areas changes with MPH compared to placebo in normal adults, even though there are no behavioral differences. This method can be applied to patients with mental illness who may be treated with MPH, and be used to compare the difference between patients taking MPH and normal participants, to help reveal the mechanism of how MPH works. 展开更多
关键词 METHYLPHENIDATE resting-state brain activity male adults functional magnetic resonance imaging regional homogeneity
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Brain functional connectivity network studies of acupuncture: a systematic review on resting-state fMRI 被引量:56
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作者 Rong-lin Cai Guo-ming Shen +1 位作者 Hao Wang Yuan-yuan Guan 《Journal of Integrative Medicine》 SCIE CAS CSCD 2018年第1期26-33,共8页
Background: Functional magnetic resonance imaging (fMRI) is a novel method for studying the changes of brain networks due to acupuncture treatment. In recent years, more and more studies have focused on the brain f... Background: Functional magnetic resonance imaging (fMRI) is a novel method for studying the changes of brain networks due to acupuncture treatment. In recent years, more and more studies have focused on the brain functional connectivity network of acupuncture stimulation. Objective: To offer an overview of the different influences of acupuncture on the brain functional connec- tivity network from studies using resting-state fMRI. Search strategy: The authors performed a systematic search according to PRISMA guidelines, The database PubMed was searched from January 1, 2006 to December 31, 2016 with restriction to human studies in English language. Inclusion criteria: Electronic searches were conducted in PubMed using the keywords "acupuncture" and "neuroimaging" or "resting-state fMRI" or "functional connectivity", Data extraction and analysis: Selection of included articles, data extraction and methodological quality assessments were respectively conducted by two review authors. Results: Forty-four resting-state fMRI studies were included in this systematic review according to inclu- sion criteria. Thirteen studies applied manual acupuncture vs. sham, four studies applied electro- acupuncture vs. sham, two studies also compared transcutaneous electrical acupoint stimulation vs. sham, and nine applied sham acupoint as control. Nineteen studies with a total number of 574 healthy subjects selected to perform fMRI only considered healthy adult volunteers. The brain functional connec- tivity of the patients had varying degrees of change. Compared with sham acupuncture, verum acupunc- ture could increase default mode network and sensorimotor network connectivity with pain-, affective- and memory-related brain areas. It has significantly greater connectivity of genuine acupuncture between the periaqueductal gray, anterior cingulate cortex, left posterior cingulate cortex, right anterior insula, limbic/paralimbic and precuneus compared with sham acupuncture. Some research had also shown that acupuncture could adjust the limbic-paralimbic-neocortical network, brainstem, cerebellum, subcortical and hippocampus brain areas. Conclusion: It can be presumed that the functional connectivity network is closely related to the mech- anism of acupuncture, and central integration plays a critical role in the acupuncture mechanism. 展开更多
关键词 resting-state functional magnetic resonance Acupuncture Functional connectivity Functional network Complementary medicine Alternative medicine
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Modulatory effect of International standard Scalp Acupuncture on brain activation in the elderly as revealed by resting-state fMRI 被引量:14
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作者 Wai-Yeung Chung Song-Yan Liu +7 位作者 Jing-Chun Gao Yi-Jing Jiang Jing Zhang Shan-Shan Qu Ji-Ping Zhang Xiao-Long Tan Jun-Qi Chen Sheng-Xu Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第12期2126-2131,共6页
The specific mechanisms by which acupuncture affects the central nervous system are unclear. In the International Standard Scalp Acupuncture system, acupuncture needles are applied at the middle line of the vertex, an... The specific mechanisms by which acupuncture affects the central nervous system are unclear. In the International Standard Scalp Acupuncture system, acupuncture needles are applied at the middle line of the vertex, anterior parietal-temporal oblique line, and the posterior parietal-temporal oblique line. We conducted a single-arm prospective clinical trial in which seven healthy elderly volunteers (three men and four women;50–70 years old) received International Standard Scalp Acupuncture at MS5 (the mid-sagittal line between Baihui (DU20) and Qianding (DU21)), the left MS6 (line joining Sishencong (EX-HN1) and Xuanli (GB6)), and the left MS7 (line joining DU20 and Qubin (GB7)). After acupuncture, resting-state functional magnetic resonance imaging demonstrated changes in the fractional amplitude of low frequency fluctuations and regional homogeneity in various areas, showing remarkable enhancement of regional homogeneity in the bilateral anterior cingulate, left medial frontal gyrus, supramarginal gyrus, right middle frontal gyrus, and inferior frontal gyrus. Functional connectivity based on a seed region at the right middle frontal gyrus (42, 51, 9) decreased at the bilateral medial superior frontal gyrus. Our data preliminarily indicates that the international standard scalp acupuncture in healthy elderly participants specifcally enhances the correlation between the brain regions involved in cognition and implementation of the brain network regulation system and the surrounding adjacent brain regions. The study was approved by the Ethics Committee of the China-Japan Union Hospital at Jilin University, China, on July 18, 2016 (approval No. 2016ks043). 展开更多
关键词 nerve REGENERATION resting-state FUNCTIONAL magnetic resonance imaging International Standard SCALP Acupuncture acupoint specificity brain FUNCTIONAL CONNECTIVITY healthy elderly volunteers low frequency fluctuation regional homogeneity FUNCTIONAL CONNECTIVITY neural REGENERATION
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MRI动态增强扫描的时间-密度曲线对肌骨肿瘤与瘤样病变的诊断价值
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作者 池宸申 孙伟 +2 位作者 孟捷 沈嘉康 卓蕴慧 《中国CT和MRI杂志》 2026年第2期148-151,共4页
目的探讨MRI动态增强扫描的时间-密度曲线(TIC)对肌骨肿瘤与瘤样病变的诊断价值。方法回顾性分析2022年1月至2023年12月在我院接受手术治疗的84例肌骨肿瘤与瘤样病变患者的临床资料。纳入患者均在术前完成常规MRI以及MRI动态增强扫描,... 目的探讨MRI动态增强扫描的时间-密度曲线(TIC)对肌骨肿瘤与瘤样病变的诊断价值。方法回顾性分析2022年1月至2023年12月在我院接受手术治疗的84例肌骨肿瘤与瘤样病变患者的临床资料。纳入患者均在术前完成常规MRI以及MRI动态增强扫描,统计其形态学特征、信号征象、TIC曲线类型以及相关参数。以手术病理结果为“金标准”,使用Kappa一致性分析MRI动态增强扫描诊断肌骨肿瘤与瘤样病变与金标准的一致性。以手术病理结果将84例肌骨肿瘤与瘤样病变患者分为恶性组(n=51)与良性组(n=33)。比较两组患者的形态学特征、信号征象、TIC曲线类型以及MRI动态增强扫描参数。使用受试者工作特征(ROC)曲线分析各参数对肌骨肿瘤与瘤样病变的诊断价值。结果恶性组与良性组边缘、边界、强化比较,差异有统计学意义(P<0.05);以手术病理结果为金标准,MRI动态增强扫描诊断肌骨肿瘤与瘤样病变与金标准的Kappa值为0.730,说明诊断一致性较高(P<0.05)。其敏感度、特异度、准确率、良性预测值、恶性预测值分别为86.27%、87.88%、86.90%、80.56%、91.67%。秩和检验发现恶性组与良性组MRI动态增强扫描TIC曲线类型比较有极显著差异(P<0.05)。恶性组TIC曲线最大上升率大于良性组,峰值时间短于良性组(P<0.05)。TIC曲线最大上升率、峰值时间、二者联合诊断肌骨肿瘤与瘤样病变病灶良恶性的ROC曲线下面积分别为0.756、0.805、0.846(P<0.05)。结论MRI动态增强扫描诊断肌骨肿瘤与瘤样病变与手术结果一致性高,MRI动态增强扫描的TIC曲线对肌骨肿瘤与瘤样病变诊断具有一定价值,TIC曲线最大上升率、峰值时间可作为辅助评估指标。 展开更多
关键词 mri动态增强扫描 时间-密度曲线 肌骨肿瘤 瘤样病变 诊断价值
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Resting-state brain network remodeling after different nerve reconstruction surgeries:a functional magnetic resonance imaging study in brachial plexus injury rats
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作者 Yunting Xiang Xiangxin Xing +6 位作者 Xuyun Hua Yuwen Zhang Xin Xue Jiajia Wu Mouxiong Zheng He Wang Jianguang Xu 《Neural Regeneration Research》 SCIE CAS 2025年第5期1495-1504,共10页
Distinct brain remodeling has been found after different nerve reconstruction strategies,including motor representation of the affected limb.However,differences among reconstruction strategies at the brain network lev... Distinct brain remodeling has been found after different nerve reconstruction strategies,including motor representation of the affected limb.However,differences among reconstruction strategies at the brain network level have not been elucidated.This study aimed to explore intranetwork changes related to altered peripheral neural pathways after different nerve reconstruction surgeries,including nerve repair,endto-end nerve transfer,and end-to-side nerve transfer.Sprague–Dawley rats underwent complete left brachial plexus transection and were divided into four equal groups of eight:no nerve repair,grafted nerve repair,phrenic nerve end-to-end transfer,and end-to-side transfer with a graft sutured to the anterior upper trunk.Resting-state brain functional magnetic resonance imaging was obtained 7 months after surgery.The independent component analysis algorithm was utilized to identify group-level network components of interest and extract resting-state functional connectivity values of each voxel within the component.Alterations in intra-network resting-state functional connectivity were compared among the groups.Target muscle reinnervation was assessed by behavioral observation(elbow flexion)and electromyography.The results showed that alterations in the sensorimotor and interoception networks were mostly related to changes in the peripheral neural pathway.Nerve repair was related to enhanced connectivity within the sensorimotor network,while end-to-side nerve transfer might be more beneficial for restoring control over the affected limb by the original motor representation.The thalamic-cortical pathway was enhanced within the interoception network after nerve repair and end-to-end nerve transfer.Brain areas related to cognition and emotion were enhanced after end-to-side nerve transfer.Our study revealed important brain networks related to different nerve reconstructions.These networks may be potential targets for enhancing motor recovery. 展开更多
关键词 brain functional networks end-to-end nerve transfer end-to-side nerve transfer independent component analysis nerve repair peripheral plexus injury resting-state functional connectivity
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静息态功能性MRI评价蓝斑-去甲肾上腺素系统介导伴有失眠抑郁症的发生机制
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作者 李仲贤 焦梓桐 +9 位作者 任涵月 张潘 彭敏 黄颖欣 李梦瑶 胡玥琛 梁峻铨 阎路达 符文彬 周鹏 《中国组织工程研究》 北大核心 2026年第12期3083-3090,共8页
背景:相关研究发现,抑郁症患者外周血去甲肾上腺素水平较低,失眠患者存在去甲肾上腺素代谢紊乱现象,提示蓝斑-去甲肾上腺素系统的功能异常可能是构成抑郁失眠共病的神经生物学基础。目的:采用静息态功能性MRI成像观察伴有失眠症状的抑... 背景:相关研究发现,抑郁症患者外周血去甲肾上腺素水平较低,失眠患者存在去甲肾上腺素代谢紊乱现象,提示蓝斑-去甲肾上腺素系统的功能异常可能是构成抑郁失眠共病的神经生物学基础。目的:采用静息态功能性MRI成像观察伴有失眠症状的抑郁症患者的脑干蓝斑功能连接,结合患者外周血去甲肾上腺素水平探讨伴有失眠症状抑郁症的潜在发生机制。方法:于2023年3月至2024年9月在深圳市宝安区中医院和社会招募伴有失眠症状的抑郁症患者60例(病例组),同期招募30例健康对照(健康对照组),采用汉密尔顿抑郁量表17项(HAMD-17)、抑郁自评量表(SDS)、匹兹堡睡眠指数量表(PSQI)和失眠严重程度指数量表(ISI)评估所有受试者的抑郁状态和睡眠质量,静息态功能性MRI检测所有受试者蓝斑区域的功能连接,ELISA法检测外周血去甲肾上腺素水平。对上述各项指标进行组间比较,采用Pearson相关分析功能连接差异显著的脑区、外周血去甲肾上腺素水平与临床量表评分的相关性。结果与结论:(1)病例组HAMD-17评分、SDS评分、PSQI评分和ISI评分均高于对照组(P<0.05),左侧蓝斑-左楔前叶、左侧蓝斑-左顶下小叶的功能连接值与外周血去甲肾上腺素水平低于健康受试组(P<0.05)。Pearson相关分析显示,外周血去甲肾上腺素水平与左侧蓝斑-左楔前叶功能连接值(r=0.40,P<0.01)、左侧蓝斑-顶下小叶功能连接值(r=0.36,P<0.01)呈正相关,与HAMD-17评分(r=-0.42,P<0.01)、PSQI评分(r=-0.46,P<0.01)呈负相关;左侧蓝斑-左楔前叶功能连接值与HAMD-17评分(r=-0.41,P<0.01)、PSQI评分(r=-0.44,P<0.01)呈负相关,左侧蓝斑-顶下小叶功能连接值与HAMD-17评分(r=-0.29,P<0.01)、PSQI评分(r=-0.36,P<0.01)呈负相关。(2)结果表明,左侧蓝斑与左楔前叶、左顶下小叶功能连接值及外周血去甲肾上腺素水平的降低与抑郁和失眠症状的加重密切相关,提示蓝斑-去甲肾上腺素系统功能失调可能通过影响大脑默认模式网络(包括左楔前叶和左顶下小叶)的功能连接,介导伴有失眠症状的抑郁症的发生机制。 展开更多
关键词 抑郁症 失眠 蓝斑 去甲肾上腺素 功能性mri成像 功能连接 机制研究
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MS-WTUNet面向心脏MRI分割的多尺度小波变换网络
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作者 黄佳敏 张小波 《现代信息科技》 2026年第1期52-57,共6页
心脏MRI图像的精准分割对心血管疾病诊疗至关重要,但由于心脏结构复杂、边界模糊以及组织对比度较低的问题,使得传统的U-Net网络实现准确分割仍面临挑战。文章提出一种多尺度小波变换网络MS-WTUNet,该网络以U-Net为骨架,在编码与解码各... 心脏MRI图像的精准分割对心血管疾病诊疗至关重要,但由于心脏结构复杂、边界模糊以及组织对比度较低的问题,使得传统的U-Net网络实现准确分割仍面临挑战。文章提出一种多尺度小波变换网络MS-WTUNet,该网络以U-Net为骨架,在编码与解码各层嵌入了与注意力相结合的小波块,在频域中强化纹理与边缘信息,有效提升了模型对复杂边界的表征能力。此外,模型辅以跨层多尺度特征融合与分层深度监督损失,进一步优化了模型从局部细节到全局语义的学习过程。在公开ACDC数据集上的实验表明,MS-WTUNet能够将心肌等边界模糊结构的分割精度提升至91.70%,为心脏MRI图像的自动分割提供了一种性能优异的解决方案。 展开更多
关键词 医学图像分割 U-Net 小波变换 mri图像
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基于注意力增强与边缘感知的脑肿瘤MRI跨模态生成方法
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作者 李好 杨智慧 李丰森 《中国医学物理学杂志》 2026年第1期65-75,共11页
目的:规避脑肿瘤MRI成像过程中存在的时间成本高、伪影多和模态获取不全等问题,研究一种高质量的跨模态脑肿瘤MRI图像生成方法。方法:提出一种融合注意力机制与边缘感知的配准生成对抗网络(AE-RegGAN),对T1模态到T2模态图像的跨模态合成... 目的:规避脑肿瘤MRI成像过程中存在的时间成本高、伪影多和模态获取不全等问题,研究一种高质量的跨模态脑肿瘤MRI图像生成方法。方法:提出一种融合注意力机制与边缘感知的配准生成对抗网络(AE-RegGAN),对T1模态到T2模态图像的跨模态合成,在生成器中引入CoordAttention模块以增强关键区域感知,并结合Sobel边缘检测以强化肿瘤边界表达;在判别器中加入梯度惩罚正则化以提升训练稳定性并缓解模式崩溃问题。结果:在对5760例脑肿瘤MRI数据训练、768例测试中,AE-RegGAN相较于原始RegGAN在局部肿瘤区域的峰值信噪比(PSNR)提升0.51 dB,结构相似性指数(SSIM)提升0.029;在全局图像上PSNR提升0.900 dB,SSIM提升0.032。全局图像配对t检验结果显示平均绝对误差(P=0.0264)、PSNR(P<0.0001)、SSIM(P<0.0001)指标差异均有统计学意义。消融实验进一步验证了注意力与边缘感知模块的有效性。结论:AE-RegGAN在多模态脑部MRI图像合成中表现出更优的结构保持能力与病灶敏感性,为辅助诊断提供了稳定、可信的图像补全方案。 展开更多
关键词 生成对抗网络 脑肿瘤mri图像生成 注意力机制 边缘感知 梯度正则化
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