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经颅直流电刺激对轻度认知障碍全脑网络拓扑属性的影响

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目的 探讨经颅直流电刺激(tDCS)对轻度认知障碍(MCI)患者脑功能网络拓扑属性的影响。方法 纳入33例MCI患者随机分为真刺激组(18例)、伪刺激组(15例)。所有患者均接受连续10 d的tDCS治疗,阳极刺激左背外侧前额叶皮层(DLPFC),阴极刺激右侧眶额叶皮层。治疗前、后进行神经心理学量表评估和静息态功能磁共振成像(rs-fMRI)图像采集,采用GRETNA软件对rs-fMRI图像进行预处理和图论分析。采用Pearson相关性分析计算行为学指标与两组间显著差异网络拓扑属性指标的相关性。结果 真刺激组、伪刺激组患者治疗前、后及治疗后两组间在节点属性(介数中心度、度中心度、节点局部效率)上差异均有统计学意义(P<0。05)。与治疗前比较,真刺激组治疗后的总体认知[简易精神状态检测量表(MMSE)评分(25。89±2。16)分、蒙特利尔认知评估量表(MoCA)评分(21。16±2。77)分]、记忆[听觉词语学习测验-再认(AVLT-N7)评分(4。95±1。81)分]及语言[波士顿命名测试(BNT)评分(19。47±3。13)分]功能评分均明显提高(P<0。05)。行为学功能改变与网络拓扑属性指标具有相关性(P<0。05)。结论 tDCS可以有效调控MCI认知相关脑区节点的局部拓扑属性,改善认知功能。
Effects of transcranial direct current stimulation on whole brain network topologic attributes in mild cognitive impairment
Objective To investigate the effects of transcranial direct current stimulation(tDCS)on the topologic attributes of brain functional network in the patients with mild cognitive impairment(MCI).Meth-ods Thirty-three included patients with MCI were randomly divided into the real stimulation group(18 ca-ses)and pseudo-stimulation group(15 cases).All patients received the tDCS treatment for consecutive 10 d.The left dorsolateral prefrontal cortex(DLPFC)was stimulated by the anode,while the right orbital socket DLPFC was stimulated by the cathode.The neuropsychological scale assessment and resting state functional magnetic resonance imaging(rs-fMRI)image collection were performed before and after treatment.The GRETNA software was used to preprocess the rs-fMRI images and analyze the graph theory.The Pearson correlation analysis was used to calculate the correlation between behavioral indicators and network attribute indicators of significant difference between the two groups.Results There were statistically significant differ-ences in the node attributes(intermediate number centrality,degree centrality and local efficiency of nodes)before and after treatment,and between the two groups after treatment(P<0.05).Compared with before treatment,the scores of MMSE,MoCA,AVLT-N7 and BNT after treatment in the real stimulation group were significantly increased[(25.89±2.16)points,(21.16±2.77)points,(4.95±1.81)points,(19.47±3.13)points].Conclusion tDCS could effectively regulate the local topological attributes of nodes in the cognitive-related brain region of MCI and improve the cognitive function.

mild cognitive impairmentgraph theoretic analysistranscranial direct current stimulationmagnetic resonance imagingbrain network

李怡、郭志伟、刘柯岚、唐子涵、母其文

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西南医科大学附属医院放射科,四川泸州 646000

川北医学院第二临床医学院脑功能康复与成像研究所,四川南充 637000

轻度认知障碍 图论分析 经颅直流电刺激 磁共振成像 脑网络

四川省南充市科技局市级应用技术研究与开发项目四川省南充市科技局市校科技战略合作项目

21YFZJ002322SXQT0345

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(12)
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