放射学实践2024,Vol.39Issue(3) :335-341.DOI:10.13609/j.cnki.1000-0313.2024.03.006

基于独立成分分析的终末期肾病患者静态及动态功能网络连接研究

Static and dynamic functional network connectivity analysis in patients with end-stage renal disease:a study based on independent component analysis

张谍 陈影影 沈晶 都丽娜 谢青 敬丽 林琳 伍建林
放射学实践2024,Vol.39Issue(3) :335-341.DOI:10.13609/j.cnki.1000-0313.2024.03.006

基于独立成分分析的终末期肾病患者静态及动态功能网络连接研究

Static and dynamic functional network connectivity analysis in patients with end-stage renal disease:a study based on independent component analysis

张谍 1陈影影 2沈晶 1都丽娜 1谢青 1敬丽 1林琳 1伍建林1
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作者信息

  • 1. 116001 辽宁,大连大学附属中山医院放射科
  • 2. 518116 广东,深圳市肿瘤医院放射科
  • 折叠

摘要

目的:探索终末期肾病(ESRD)患者功能网络连接(FNC)的静态及动态变化特点.方法:收集33例ESRD患者及34例健康对照组作为研究对象.首先基于独立成分分析识别到6个静息态功能网络,即听觉网络、凸显网络、视觉网络、感觉运动网络(SMN)、执行控制网络(ECN)及默认网络.然后比较两组静态功能网络连接(sFNC)和动态功能网络连接(dFNC)相关参数的差异,并与神经心理测试进行相关分析.结果:sFNC分析显示ESRD组ECN与SMN的sFNC强度显著高于健康对照组(P<0.05,FDR校正),而且与执行功能评分[连线追踪测试A(TMT-A)]呈显著正相关(r=0.429,P=0.018).dFNC分析显示ESRD组状态3的时间分数和平均驻留时间显著低于健康对照组(P<0.05);状态2的时间分数(r=0.503,P=0.005)和平均驻留时间(r=0.412,P=0.024)与TMT-A评分呈显著正相关;状态4的时间分数与焦虑评分呈显著负相关(r=-0.372,P=0.043).结论:本研究采用独立成分分析的方法揭示了 ESRD患者静态及动态功能网络连接的特点,为深入理解ESRD患者神经病理损害机制提供了新视角.

Abstract

Objective:To explore the static and dynamic characteristics of functional network connectivity(FNC)in patients with end-stage renal disease(ESRD).Methods:33 patients with ESRD and 34 healthy controls(HC)were collected.Six resting-state functional networks were identified based on independent component analysis,including auditory network,visual network,sensorimotor network(SMN),salience network,executive control network(ECN)and default network.Then,the differences of the parameters related to static functional network connectivity(sFNC)and dynamic functional network connectivity(dFNC)were compared between the two groups,and the correlation between these parameters and neuropsychological tests was investigated.Results:The sFNC strength between ECN and SMN in patient group was significantly higher than that in HC(P<0.05,FDR cor-rection),and this sFNC strength was significantly positively correlated with the executive function score(trail making test A,TMT-A)(r=0.429,P=0.018).The dFNC analysis revealed that the frac-tional window and mean dwell time of state 3 in patient group were significantly lower than those in HC(P<0.05).The fractional window(r=0.503,P=0.005)and mean dwell time(r=0.412,P=0.024)of state 2 were significantly positively correlated with TMT-A score.The fractional window of state 4 was significantly negatively correlated with the anxiety score(r=-0.372,P=0.043).Conclu-sion:In this study,independent component analysis was used to reveal the characteristics of static and dynamic functional network connectivity in patients with ESRD,which provided a new insight based on functional network level for further understanding the mechanism of neuropathological damage in patients with ESRD.

关键词

终末期肾病/维持性血液透析/认知功能/功能网络连接/独立成分分析/动态脑网络

Key words

End-stage renal disease/Maintenance hemodialysis/Cognitive function/Function-al network connectivity/Independent component analysis/Dynamic brain network

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基金项目

国家自然科学基金(82071911)

大连市科技创新项目(2021JJ12SN38)

出版年

2024
放射学实践
华中科技大学同济医学院

放射学实践

CSTPCDCSCD北大核心
影响因子:1.08
ISSN:1000-0313
参考文献量36
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