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Alterations of interhemispheric functional connectivity in patients with hypertensive retinopathy using voxelmirrored homotopic connectivity:a resting state fMRI study
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作者 Xue-Lin Wang Yu Chen +10 位作者 Jin-Yu Hu Hong Wei Qian Ling Liang-Qi He Cheng Chen Yi-Xin Wang Yan-Mei Zeng Xiao-Yu Wang Qian-Min Ge Xu Chen Yi Shao 《International Journal of Ophthalmology(English edition)》 2025年第2期297-307,共11页
AIM:To analyze whether alterations of voxel mirror homology connectivity(VMHC)values,as determined by resting-state functional magnetic resonance imaging(rsfMRI),occur in cerebral regions of patients with hypertensive... AIM:To analyze whether alterations of voxel mirror homology connectivity(VMHC)values,as determined by resting-state functional magnetic resonance imaging(rsfMRI),occur in cerebral regions of patients with hypertensive retinopathy(HR)and to determine the relationship between VMHC values and clinical characteristics in patients with HR.METHODS:Twenty-one patients with HR and 21 agematched healthy controls(HCs)were assessed by rsfMRI scanning.The functional connectivity between the hemispheres of the cerebrum was assessed by measuring VMHC,with the ability of VMHC to distinguish between the HR and HC groups assessed using receiver operating characteristic(ROC)curve analysis.Differences in the demographic and clinical characteristics of the HR and HC groups were analyzed by independent sample t-tests.The relationship between average VMHC in several brain areas of HR patients and clinical features was determined using Pearson correlation analysis.RESULTS:Mean VMHC values of the bilateral cuneus gyrus(BA19),bilateral middle orbitofrontal gyrus(BA47),bilateral middle temporal gyrus(BA39)and bilateral superior medial frontal gyrus(BA9)were lower in the HR than in the HC group.CONCLUSION:VMHC values can predict the development of early HR,prevent the transformation of hypertensive microangiopathy,and provide useful information explaining the changes in neural mechanism associated with HR. 展开更多
关键词 hypertensive retinopathy voxel-mirrored homotopic connectivity NEUROIMAGING functional mri resting state
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基于结构像及静息态功能MRI无灶性癫痫患者与正常人脑网络对比研究
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作者 彭兴珍 宗会迁 +4 位作者 张娅 李文玲 柳青 史朝霞 王萌 《临床放射学杂志》 北大核心 2025年第7期1188-1196,共9页
目的探讨无灶性癫痫患者在结构和静息态功能磁共振成像(rs-f MRI)中的异常脑区特征。方法纳入确诊的符合国际抗癫痫联盟(ILAE)分类标准的无灶性癫痫患者,同时纳入与患者在年龄和性别上匹配的对照组。两组均接受MRI扫描,以获取高分辨率的... 目的探讨无灶性癫痫患者在结构和静息态功能磁共振成像(rs-f MRI)中的异常脑区特征。方法纳入确诊的符合国际抗癫痫联盟(ILAE)分类标准的无灶性癫痫患者,同时纳入与患者在年龄和性别上匹配的对照组。两组均接受MRI扫描,以获取高分辨率的3D-T_(1)WI结构像和BOLD数据。结构性数据采用Free Surfer软件进行处理,基于DKT模板提取皮层体积、平均厚度和表面积,并通过秩和检验比较病例组与对照组的差异。功能性数据基于MATLAB 2020平台采用DPABI软件,通过低频振幅(ALFF)和分数低频振幅(f ALFF)分析评估脑区的低频振荡活动,通过局部一致性(Re Ho)分析评估脑区局部一致性,通过度中心性(DC)分析评估大脑功能网络中节点的重要性。结果结构性MRI分析结果显示,无灶性癫痫患者在左侧梭状回下的皮层平均厚度低于健康对照组(P<0.05)。功能像结果显示,与健康对照组相比,病例组在右侧额上眶回、左侧边缘叶和海马旁回等脑区的ALFF显著升高,而在左侧颞中回、右侧颞上回及右侧额上回的ALFF显著降低。此外,右侧额中回和梭状回的f ALFF显著增高,而右侧额上回的f ALFF显著下降。无灶性癫痫患者的Re Ho在左侧额下回、左侧颞下回及海马等脑区显著增高,而在左侧顶下小叶、左侧枕上回、右侧中央后回等脑区的Re Ho显著降低。DC分析显示,患者在左侧边缘叶、海马旁回、左侧额上回等脑区的DC值显著升高;相反,左侧小脑前叶和左侧扣带回的DC值显著降低。结论无灶性癫痫患者在多个脑区的结构和功能性连接性发生显著异常,为深入理解其病理机制及临床干预提供了关键影像学依据。 展开更多
关键词 无灶性癫痫 FREESURFER 静息态脑功能磁共振成像 脑功能网络
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针灸原发性痛经患者的脑功能网络分析:基于rs-fMRI数据 被引量:1
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作者 张中旭 马萧童 +3 位作者 周锋 杨艺超 王志群 郑运松 《分子影像学杂志》 2025年第2期138-144,共7页
目的采用静息态功能MRI(rs-fMRI)图论及连边分析方法探讨原发性痛经(PDM)患者针灸前后脑功能网络改变。方法纳入35例女性PDM患者,所有患者于经前7 d接受针灸治疗至月经来潮,取关元穴、双侧三阴交,每天治疗30 min。收集PDM患者针灸前后... 目的采用静息态功能MRI(rs-fMRI)图论及连边分析方法探讨原发性痛经(PDM)患者针灸前后脑功能网络改变。方法纳入35例女性PDM患者,所有患者于经前7 d接受针灸治疗至月经来潮,取关元穴、双侧三阴交,每天治疗30 min。收集PDM患者针灸前后经期视觉模拟评分(VAS)、痛经症状评分(CMSS)、焦虑自评分(SAS)、抑郁自评分(SDS)及颅脑fMRI数据。使用GRETNA软件对PDM患者针灸前后的脑功能数据进行图论及连边分析,并与临床评分作相关分析。结果针灸后,PDM患者经期VAS、CMSS、SAS、SDS减低(P<0.05);脑网络全局效率增高,平均集聚系数、平均路径长度减低(P<0.05);右侧脑岛与右侧额中回间、左侧中央沟盖与右侧颞上回间的功能连接(FC)增强;右侧中央前回与双侧丘脑、右侧豆状核间,右侧中央后回与左侧额中回、左侧补充运动区间,右侧前扣带回与左侧前扣带回、右侧后扣带回间,左侧中央前回与左侧丘脑间,右侧后扣带回与左侧颞中回间,左侧中央后回与左侧丘脑间的FC减弱(P<0.001);左侧中央前回与左侧丘脑间FC变化与SDS变化呈正相关(r=0.516,P=0.002)。结论本研究针灸疗法有较好的疗效,针灸可能使PDM患者脑网络镇痛相关的信息整合效率得到提高,疼痛相关的信息传递效率得到抑制;针灸起效涉及的神经通路可能为丘脑-感觉运动皮层回路、扣带皮层回路、突显网络,3条主线共同担负起镇痛、舒缓情绪和疼痛注意力转移的任务。 展开更多
关键词 原发性痛经 针灸 功能mri 脑网络
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帕金森病伴抑郁的伏隔核结构与功能异常:MRI分析
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作者 朱明慧 卡力布努尔·马合木提 郝璐 《分子影像学杂志》 2025年第6期770-775,共6页
伴发抑郁在帕金森病患者中极为常见,极大地影响帕金森患者的生活质量及预后,而在临床上帕金森抑郁的识别和诊断的重要性仍然被严重低估。伏隔核作为边缘系统和脑中的奖赏回路的关键组成部分,其结构和功能异常改变常被视为导致抑郁症及... 伴发抑郁在帕金森病患者中极为常见,极大地影响帕金森患者的生活质量及预后,而在临床上帕金森抑郁的识别和诊断的重要性仍然被严重低估。伏隔核作为边缘系统和脑中的奖赏回路的关键组成部分,其结构和功能异常改变常被视为导致抑郁症及其他精神疾病的潜在生理机制。本文伏隔核为切入点,从结构和功能MRI技术两方面展开综述并探讨在帕金森病抑郁患者中伏隔核异常的意义,以期帮助临床更好诊断,为未来的研究工作开辟新的视角和思路。 展开更多
关键词 帕金森病抑郁 伏隔核 结构mri 功能mri
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无抽搐电休克联合阿立哌唑增效剂治疗双相情感障碍抑郁相患者的静息态脑功能MRI研究
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作者 秦君 刘靖琛 孙波 《中国实用神经疾病杂志》 2025年第3期351-355,共5页
目的观察无抽搐电休克疗法(MECT)联合阿立哌唑增效剂治疗双相情感障碍抑郁相患者静息态脑功能磁共振成像(MRI)的变化。方法研究对象为青岛市精神卫生中心2020-04—2022-04收治的104例双相情感障碍抑郁相患者,分为对照组、观察组各52例,... 目的观察无抽搐电休克疗法(MECT)联合阿立哌唑增效剂治疗双相情感障碍抑郁相患者静息态脑功能磁共振成像(MRI)的变化。方法研究对象为青岛市精神卫生中心2020-04—2022-04收治的104例双相情感障碍抑郁相患者,分为对照组、观察组各52例,对照组采用阿立哌唑增效剂治疗,观察组在对照组治疗基础上联合MECT,对比2组治疗前后的抑郁状态、精神状态及总有效率,同时对观察组患者治疗前后的静息态脑功能MRI变化情况进行观察。结果治疗后观察组患者蒙哥马利-艾森贝格抑郁评定量表(MADRS)中的10个项目评分均低于对照组,简易智能状态检查量表(MMSE)中的5个项目得分均优于对照组,治疗总有效率也高于对照组(P<0.05)。MRI检查发现观察组患者治疗后双侧小脑后叶、双侧小脑前叶、右侧丘脑脑区的低频振幅值较治疗前高,右侧小脑前叶、额叶中央旁小叶、中央前回脑区和左侧顶下小叶的低频振幅值明显较治疗前低。结论MECT联合阿立哌唑治疗对双相抑郁患者病情具有良好的改善作用,总有效率高,MECT的作用机制与右侧颞叶、岛叶、小脑功能活动的改变相关。 展开更多
关键词 双相情感障碍抑郁相 无抽搐电休克疗法 阿立哌唑增效剂 静息态脑功能磁共振成像
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中枢神经细胞瘤的常规及功能MRI诊断
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作者 李润楠 黄安康 +2 位作者 陈振 皮厚山 许尚文 《中国CT和MRI杂志》 2025年第3期9-11,38,共4页
目的分析中枢神经细胞瘤的常规及功能MRI表现,提高对该疾病的认识。方法回顾性分析第九〇〇医院经病理证实的9例中枢神经细胞瘤临床、常规及功能MRI表现、病理结果等资料。结果9例患者中,5例为男性,4例为女性,年龄15-49岁,中位年龄31岁,... 目的分析中枢神经细胞瘤的常规及功能MRI表现,提高对该疾病的认识。方法回顾性分析第九〇〇医院经病理证实的9例中枢神经细胞瘤临床、常规及功能MRI表现、病理结果等资料。结果9例患者中,5例为男性,4例为女性,年龄15-49岁,中位年龄31岁,9例病灶均位于侧脑室内,其中7例靠近孟氏孔区,最大径2.5cm×1.2cm~4.6×3.8cm;实性病灶3例,囊实性病灶6例;6例囊实性病灶均可见皂泡征,4例较大病灶可见扇贝征。病灶实性部分T2WI呈不均匀高信号,DWI病灶呈略高信号,增强扫描呈明显不均匀强化;PWI病灶均呈相对高灌注;MRS病灶Cho峰升高,NAA峰下降,部分病灶内可见Gly峰。结论中枢神经细胞瘤的常规及功能MRI表现具有一定的特征性,术前诊断应综合分析病灶的部位、信号特征及功能MRI表现。 展开更多
关键词 中枢神经细胞瘤 功能磁共振 磁共振成像
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血液透析终末期肾病患者伴认知功能障碍的MRI研究进展
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作者 陈楚洁 肖慧 付丽媛 《中国医学装备》 2025年第3期148-153,共6页
认知功能障碍(CI)是终末期肾病(ESRD)患者中常见的并发症,早期即可在注意力、记忆力和执行力等多个领域认知下降,但ESRD患者伴CI的潜在神经病理机制很大程度上仍为未知,因此在早期阶段对其进行检测具有较大的挑战性。近年来,多模态磁共... 认知功能障碍(CI)是终末期肾病(ESRD)患者中常见的并发症,早期即可在注意力、记忆力和执行力等多个领域认知下降,但ESRD患者伴CI的潜在神经病理机制很大程度上仍为未知,因此在早期阶段对其进行检测具有较大的挑战性。近年来,多模态磁共振成像(MRI)的发展使该领域的研究取得诸多进展。基于此,系统综述血液透析ESRD患者伴CI的多模态MRI研究进展,从脑结构变化、脑功能变化、脑灌注变化和脑代谢变化方面阐述MRI技术在ERSD患者CI神经病理方面的重要进展,旨在分析ESRD患者CI的潜在机制,为早期诊断和治疗提供新方向。 展开更多
关键词 终末期肾病(ESRD) 血液透析 认知功能障碍(CI) 磁共振成像(mri) 脑功能成像
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术中MRI指导下经鼻蝶入路神经内镜手术治疗巨大无功能垂体腺瘤的疗效分析 被引量:4
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作者 谢森 韩轶鹏 +2 位作者 毛更生 朱伟杰 孟祥辉 《中国临床神经外科杂志》 2024年第1期8-11,共4页
目的探讨术中MRI指导下经鼻蝶入路神经内镜手术治疗巨大(最大径>4 cm)无功能垂体腺瘤的疗效。方法回顾性分析2009年2月至2015年6月经鼻蝶入路神经内镜手术治疗的24例巨大无功能垂体腺瘤的临床资料。术中使用MRI指导手术切除肿瘤。结... 目的探讨术中MRI指导下经鼻蝶入路神经内镜手术治疗巨大(最大径>4 cm)无功能垂体腺瘤的疗效。方法回顾性分析2009年2月至2015年6月经鼻蝶入路神经内镜手术治疗的24例巨大无功能垂体腺瘤的临床资料。术中使用MRI指导手术切除肿瘤。结果肿瘤最大直径4~5 cm有18例,>5 cm有6例。术中MRI扫描1次15例,2次6例,3次2例,4次1例;平均(1.5±0.8)次/例。肿瘤全切除18例,次全切除6例。术中发现脑脊液鼻漏2例,术后出现脑脊液鼻漏1例、一过性尿崩6例;未出现颅内感染、颅内血肿。术后随访3~60个月,平均45个月;术后视力及视野改善19例,头痛缓解11例;新发垂体功能低下3例,嗅觉功能障碍4例,肿瘤复发2例。结论术中MRI指导下经鼻蝶入路神经内镜手术是治疗巨大无功能垂体腺瘤安全有效的方式,能获得比较满意的疗效,手术安全性高、并发症少。 展开更多
关键词 垂体腺瘤 神经内镜 经鼻蝶入路 术中mri 疗效
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Acupuncture at Waiguan (TE5) influences activation/deactivation of functional brain areas in ischemic stroke patients and healthy people A functional MRI study 被引量:10
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作者 Junqi Chen Yong Huang +6 位作者 Xinsheng Lai Chunzhi Tang Junjun Yang Hua Chen Tongjun Zeng Junxian Wu Shanshan Qu 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第3期226-232,共7页
In the present study, 10 patients with ischemic stroke in the left hemisphere and six healthy controls were subjected to acupuncture at right Waiguan (TE5). In ischemic stroke subjects, functional MRI showed enhance... In the present study, 10 patients with ischemic stroke in the left hemisphere and six healthy controls were subjected to acupuncture at right Waiguan (TE5). In ischemic stroke subjects, functional MRI showed enhanced activation in Broadmann areas 5, 6, 7, 18, 19, 24, 32, the hypothalamic inferior lobe, the mamiilary body, and the ventral posterolateral nucleus of the left hemisphere, and Broadmann areas 4, 6, 7, 18, 19 and 32 of the right hemisphere, but attenuated activation of Broadmann area 13, the hypothalamic inferior lobe, the posterior lobe of the tonsil of cerebellum, and the culmen of the anterior lobe of hypophysis, in the left hemisphere and Broadmann area 13 in the right hemisphere. In ischemic stroke subjects, a number of deactivated brain areas were enhanced, including Broadmann areas 6, 11,20, 22, 37, and 47, the culmen of the anterior lobe of hypophysis, alae lingulae cerebella, and the posterior lobe of the tonsil of cerebellum of the left hemisphere, and Broadmann areas 8, 37, 45 and 47, the culmen of the anterior lobe of hypophysis, pars tuberalis adenohypophyseos, inferior border of lentiform nucleus, lateral globus pallidus, inferior temporal gyrus, and the parahippocampal gyrus of the right hemisphere. These subjects also exhibited attenuation of a number of deactivated brain areas, including Broadmann area 7. These data suggest that acupuncture at Waiguan specifically alters brain function in regions associated with sensation, vision, and motion in ischemic stroke patients. By contrast, in normal individuals, acupuncture at Waiguan generally activates brain areas associated with insomnia and other functions. 展开更多
关键词 neural regeneration acupuncture and moxibustion Waiguan (TE5) ischemic stroke specificity ofacupoints functional mri cerebral function imaging ACUPUNCTURE motion brain areas grants-supported paper photographs-containing paper NEUROREGENERATION
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Activated and deactivated functional brain areas in the Deqi state: A functional MRI study 被引量:4
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作者 Yong Huang Tongjun Zeng +5 位作者 Guifeng Zhang Ganlong Li Na Lu Xinsheng Lai Yangjia Lu Jiarong Chen 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第30期2362-2369,共8页
We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects cludng acupuncture, Twelve healthy volunteers received sham and true needling at ... We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects cludng acupuncture, Twelve healthy volunteers received sham and true needling at the Waiguan (TE5) acupoint. Real-time cerebral functional MRI showed that compared with non-sensation after sham needling, true needling activated Brodmann areas 3, 6, 8, 9, 10, 11, 13, 20, 21, 37, 39, 40, 43, and 47, the head of the caudate nucleus, the parahippocampal gyrus, thalamus and red nucleus. True needling also deactivated Brodmann areas 1,2, 3, 4, 5, 6, 7, 9. 10. 18.24.31.40 and 46. 展开更多
关键词 NEEDLING sham needling Waiguan (TE5) sham point DEQI functional mri brain region activation DEACTIVATION neural regeneration
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A central analgesic mechanism of acupuncture for migraine An ongoing functional MRI study 被引量:3
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作者 Lei Lan Yujie Gao +5 位作者 Fang Zeng Wei Qin Mingkai Dong Mailan Liu Taipin Guo Fanrong Liang 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第28期2649-2655,共7页
Shaoyang acupoints are the most frequently used in migraine treatment. However, the central anal- gesic mechanism remains poorly understood. Studies have demonstrated that single stimulus of the verum acupuncture in h... Shaoyang acupoints are the most frequently used in migraine treatment. However, the central anal- gesic mechanism remains poorly understood. Studies have demonstrated that single stimulus of the verum acupuncture in healthy subjects can induce significant connectivity or activity changes in pain- related central networks compared with sham acupuncture. However, these findings are not indicative of the central analgesic mechanism of acupuncture at Shaoyang acupoints. Thus, we recruited 100 migraine sufferers and randomly assigned them into five groups: Shaoyang uncommon acupoint, Shaoyang common acupoint, Yangming uncommon acupoint, non-acupoint control, and blank control groups. Subjects were subjected to evaluation of curative effects and functional MRI prior to and after 10 and 20 acupuncture treatments. All subjects were diagnosed by physicians and enrolled following clinical physical examination. Subjects were observed during 1-4 weeks after inclusion. At the fifth week, the first clinical evaluation and resting functional MRI were conducted. The Shaoyang uncom- mon acupoint, Shaoyang common acupoint, Yangming uncommon acupoint, and non-acupoint control grousp then were treated with acupuncture, five times per week, 20 times in total over 4 weeks. The second and third clinical evaluations and resting functional MRI screenings were conducted following 10 and 20 acupuncture treatments. The blank control group was observed during the 5 to 8 week pe- riod, followed by clinical evaluation and resting functional MRI. The aim of this study was to examine changes in brain functional activity and central networks in subjects with migraine undergoing acu- puncture at Shaoyang uncommon acupoints. This study provides a further explanation of the central analgesic mechanism by which acupuncture at Shaoyang acupoints treats migraine, 展开更多
关键词 neural regeneration acupuncture and moxibustion MIGRAINE ACUPUNCTURE analgesia central re-sponse functional mri sessions of acupuncture continuous central activity study design grants-supported paper NEUROREGENERATION
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Functional MRI activation of primary and secondary motor areas in healthy subjects 被引量:3
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作者 Donghai Li Honghan Gong +1 位作者 Xiangzuo Xiao Jinhua Wan 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第2期138-141,共4页
BACKGROUND: Functional MRI (fMRI) demonstrates the localization of hand representation in the motor cortex, thereby providing feasible noninvasive mapping of functional activities in the human brain. OBJECTIVE: To... BACKGROUND: Functional MRI (fMRI) demonstrates the localization of hand representation in the motor cortex, thereby providing feasible noninvasive mapping of functional activities in the human brain. OBJECTIVE: To observe cortical activation within different cortical motor regions during repetitive hand movements in healthy subjects through the use of fMRI. DESIGN: An observational study, with each subject acting as his own control. SETTING: Department of Radiology, the First Affiliated Hospital of Nanchang University. PARTICIPANTS: Seven healthy volunteers, 4 males and 3 females, aged 19 to 38 years, participated in the study. All subjects were right-handed, with no neurological or psychological disorders. Informed written consent was obtained from all subjects, and the study was approved by the Institutional Review Board of the First Affiliated Hospital of Nanchang University. METHODS: The study was performed at the Department of Radiology between June-August 2005. A 1.5 Tesla Siemens MRI scanner (Symphony, Germany) was used to acquire T1-weighted structural images, which were oriented parallel to the line running through the anterior and the posterior commissures. Subjects were instructed on a task and were allowed to practice briefly prior to the imaging procedure. The motor activation task consisted of the right hand performing a clenching movement. The T1-W images were acquired from six alternating epochs of rest and activation from all seven healthy subjects. Data were collected with echoplanar imaging of brain oxygen level dependent (BOLD) sequence. Each series comprised six cycles of task performance (30 seconds), alternating with rest (30 seconds) periods, and 3-second time intervals. The differences between active and baseline fMRI imaging were calculated using the student t-test. Differential maps were overlaid on the high resolution TI-W structural image for neuroanatomical correlation of activation areas. MAIN OUTCOME MEASURES: The omega-shaped hand knobs were recognized on T1-W structural images. Active signal changes in the primary (M1) and secondary motor (M2) areas, as well as the relationship between the hand knobs and M1 area activation, were analyzed. Region of interest was selected for signal change quantitative graphic analysis. RESULTS: All 7 enrolled volunteers were included in the final analysis. In the present study, hand knob structures were recognized on T1-weighted images in all subjects and were omega-shaped in the axial plane. Significant functional activations were observed in the contralateral primary motor area of all subjects. Activation signals were distributed mainly in the central sulcus around the hand knob. The contralateral primary sensory (S1) cortex was activated in most cases, and ipsilateral M1 was activated in 3 subjects. Contralateral or bilateral supplementary motor area (SMA) was also activated in 6 cases. Premotor area, or super parietal lobe, was activated in two subjects. Three-dimensional reconstruction demonstrated that the active signal of M1 was primarily located at the middle-lateral surface of the contralateral precentral gyrus in Brodman's area 4, and the signal of SMA activation was located in the mesial surface of the premotor area. CONCLUSION: The knob structure of the precentral gyrus is the representative motor area for hand movement. The cerebral cortical motor network was extensively activated during voluntary hand movements in normal subjects. In alert, conscious human subjects, the activated fMRI signal safely and non-invasively localized and lateralized the motor cortical activity associated with simple voluntary repetitive hand movements. Whether higher cognitive functions, such as perception and speech, can be similarly mapped using the fMRI technique and the BOLD method remains to be determined in future well-designed human studies. 展开更多
关键词 functional mri cerebral cortex motor area
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Effective doctor-patient communication skills training optimizes functional organization of intrinsic brain architecture:a restingstate functional MRI study 被引量:2
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作者 Bing Zhang Ling Ni +10 位作者 Fangfang Wang Weiping Li Xin Zhang Xiaohua Gu Zuzana Nedelska Fei Chen Kun Wang Bin Zhu Renyuan Liu Jun Xu Jinfan Wang 《The Journal of Biomedical Research》 CAS CSCD 2017年第6期486-493,共8页
We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students ... We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training(P〈0.001). After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions(P 〈0.05, Alphasim corrected). The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline(r=-0.734, P= 0.036). The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization. 展开更多
关键词 brain architecture function resting-state functional mri(rs-fmri doctor-patient communication
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MRI功能成像联合血清学对鉴别前列腺病变性质的临床意义
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作者 刘涛 张孝孝 王敏旋 《国际医药卫生导报》 2024年第6期973-977,共5页
目的探讨MRI功能成像联合血清学对鉴别前列腺病变性质的临床意义。方法回顾性选取2021年7月至2023年7月延安市人民医院收治的疑似前列腺癌(PCa)患者120例,均为男性,均行3.0T MRI常规扫描、弥散加权成像(DWI)扫描、磁共振波谱(MRS)成像... 目的探讨MRI功能成像联合血清学对鉴别前列腺病变性质的临床意义。方法回顾性选取2021年7月至2023年7月延安市人民医院收治的疑似前列腺癌(PCa)患者120例,均为男性,均行3.0T MRI常规扫描、弥散加权成像(DWI)扫描、磁共振波谱(MRS)成像扫描及病理检查。根据病理结果,将患者分为PCa组(53例)及良性组(67例)。PCa组年龄(63.19±4.72)岁,良性组年龄(61.75±4.54)岁。比较两组血清游离前列腺特异性抗原(fPSA)水平、总前列腺特异性抗原(tPSA)水平、MRI功能成像结果、病理结果及不同检查方式的诊断效能。采用独立样本t检验和χ^(2)检验。结果PCa组血清fPSA、tPSA水平均高于良性组(均P<0.05);MRI常规扫描诊断灵敏度为69.81%(37/53)、特异度为83.58%(56/67)、准确率为77.50%(93/120),DWI诊断灵敏度为75.47%(40/53)、特异度为88.06%(59/67)、准确率为82.50%(99/120),MRS诊断灵敏度为73.58%(39/53)、特异度为86.57%(58/67)、准确率为80.83%(97/120),血清学诊断灵敏度为71.70%(38/53)、特异度为86.57%(58/67)、准确率为80.00%(96/120),联合诊断灵敏度为94.34%(50/53)、特异度为83.58%(56/67)、准确率为88.33%(106/120);联合诊断灵敏度、阳性预测值均高于MRI功能成像、血清学单独应用,漏诊率低于MRI功能成像、血清学单独应用(均P<0.05)。结论MRI功能成像联合血清学对PCa具有一定诊断价值,可作为临床鉴别前列腺病变性质的有效检查方式。 展开更多
关键词 前列腺病变 mri功能成像 游离前列腺特异性抗原 总前列腺特异性抗原
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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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Effects of visual information regarding tactile stimulation on the somatosensory cortical activation:a functional MRI study 被引量:1
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作者 Hyeok Gyu Kwon Sung Ho Jang Mi Young Lee 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第7期1119-1123,共5页
Many studies have investigated the evidence for tactile and visual interactive responses to activation of various brain regions.However,few studies have reported on the effects of visuo-tactile multisensory integratio... Many studies have investigated the evidence for tactile and visual interactive responses to activation of various brain regions.However,few studies have reported on the effects of visuo-tactile multisensory integration on the amount of brain activation on the somatosensory cortical regions.The aim of this study was to examine whether coincidental information obtained by tactile stimulation can affect the somatosensory cortical activation using functional MRI.Ten right-handed healthy subjects were recruited for this study.Two tasks(tactile stimulation and visuotactile stimulation)were performed using a block paradigm during f MRI scanning.In the tactile stimulation task,in subjects with eyes closed,tactile stimulation was applied on the dorsum of the right hand,corresponding to the proximal to distal directions,using a rubber brush.In the visuotactile stimulation task,tactile stimulation was applied to observe the attached mirror in the MRI chamber reflecting their hands being touched with the brush.In the result of SPM group analysis,we found brain activation on the somatosensory cortical area.Tactile stimulation task induced brain activations in the left primary sensory-motor cortex(SM1)and secondary somatosensory cortex(S2).In the visuo-tactile stimulation task,brain activations were observed in the both SM1,both S2,and right posterior parietal cortex.In all tasks,the peak activation was detected in the contralateral SM1.We examined the effects of visuo-tactile multisensory integration on the SM1 and found that visual information during tactile stimulation could enhance activations on SM1 compared to the tactile unisensory stimulation. 展开更多
关键词 nerve regeneration functional mri somatosensory cortex somatosensory cortical activation visuotactile stimulation neural regeneration
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The brain activation pattern of the medial temporal lobe during chewing gum: a functional MRI study 被引量:2
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作者 Youn-Hee Choi Woo Hyuk Jang +5 位作者 Sang-Uk Im Keun-Bae Song Hee-Kyung Lee Han Do Lee You Sung Seo Sung Ho Jang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第5期812-814,共3页
The human brain is known to be influenced by environmental stimuli(Feeney et al.,1982;Kaplan,1988).Therefore,research on the brain activation pattern by external stimuli has been an important topic in neuroscience(... The human brain is known to be influenced by environmental stimuli(Feeney et al.,1982;Kaplan,1988).Therefore,research on the brain activation pattern by external stimuli has been an important topic in neuroscience(Kaplan,1988).Chewing gum has been known to have a positive effect on cognition,including alertness,attention,cognitive processing speed, 展开更多
关键词 mri The brain activation pattern of the medial temporal lobe during chewing gum a functional mri study
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Evaluating rehabilitation interventionsin Parkinson's disease with functional MRI:a promising neuroprotective strategy 被引量:2
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作者 Carlo Augusto Mallio Bruno Beomonte Zobel Carlo Cosimo Quattrocchi 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第5期702-703,共2页
Parkinson's disease (PD) is a progressive neurodegenerative disorder affecting approximately 10 million people world- wide (Planetta et al., 2014; Zigmond and Smeyne, 2014). The principal clinical features of PD ... Parkinson's disease (PD) is a progressive neurodegenerative disorder affecting approximately 10 million people world- wide (Planetta et al., 2014; Zigmond and Smeyne, 2014). The principal clinical features of PD are bradykinesia, rigidity, tremor at rest and postural instability (Planetta et al., 2014). It is known that both PD itself and the use of anti-parkinson drugs are associated with several non-motor symptoms such as cognitive impairment, neuropsychiatric disturbances and sleep, autonomic, and sensory disorders (Park and Stacy, 2009; Foster et al., 2014). The histopathological hallmark of PD is the reduction of dopaminergic cells in the substantia nigra pars compacta, causing dopamine deficiency in spe- cific nuclei of the basal ganglia such as the dorsal striatum (Fearnley and Lees, 1991; Planetta et al., 2014). The disrup- tion of the dopaminergic system has long been regarded as the major cause of PD; however, it has been shown that a widespread involvement of several non-dopaminergic path- ways also contribute to the clinical manifestations of PD (Park et al., 2014). 展开更多
关键词 mri Evaluating rehabilitation interventionsin Parkinson’s disease with functional mri
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MRI对早期宫颈癌病情诊断及评估的研究进展 被引量:3
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作者 马昕宇 顾辰洁 邢燕 《局解手术学杂志》 2024年第8期660-663,共4页
宫颈癌是女性生殖系统最常见的恶性肿瘤之一。磁共振成像(MRI)具有高软组织分辨率、无创、重复性强等特点,近年来发展非常迅速,已逐步应用于早期宫颈癌的诊断、分期、治疗及预后等方面,是早期宫颈癌诊治中不可缺少的影像学检查方法。本... 宫颈癌是女性生殖系统最常见的恶性肿瘤之一。磁共振成像(MRI)具有高软组织分辨率、无创、重复性强等特点,近年来发展非常迅速,已逐步应用于早期宫颈癌的诊断、分期、治疗及预后等方面,是早期宫颈癌诊治中不可缺少的影像学检查方法。本文就常规MRI及功能MRI在早期宫颈癌中的应用进展进行综述,以期为早期宫颈癌的临床诊断及治疗方案选择提供参考。 展开更多
关键词 早期宫颈癌 影像学检查 常规mri 功能mri
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A review of functional MRI application for brain research of Chinese language processing 被引量:2
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作者 Jianqiao Ge Jia-Hong Gao 《Magnetic Resonance Letters》 2023年第1期1-13,I0002,共14页
As one of the most widely used languages in the world,Chinese language is distinct from most western languages in many properties,thus providing a unique opportunity for understanding the brain basis of human language... As one of the most widely used languages in the world,Chinese language is distinct from most western languages in many properties,thus providing a unique opportunity for understanding the brain basis of human language and cognition.In recent years,non-invasive neuroimaging techniques such as magnetic resonance imaging(MRI)blaze a new trail to comprehensively study specific neural correlates of Chinese language processing and Chinese speakers.We reviewed the application of functional MRI(fMRI)in such studies and some essential findings on brain systems in processing Chinese.Specifically,for example,the application of task fMRI and resting-state fMRI in observing the process of reading and writing the logographic characters and producing or listening to the tonal speech.Elementary cognitive neuroscience and several potential research directions around brain and Chinese language were discussed,which may be informative for future research. 展开更多
关键词 functional mri Language task Chinese language processing Human brain RESTING-STATE
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