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近红外光谱成像辅助诊断抑郁障碍的临床研究

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目的:本研究旨在验证近红外光谱(near-infrared spectroscopy,NIRS)成像技术对于抑郁障碍的客观诊断效能.方法:入组2020年9月至2022年5月东南大学附属中大医院18至60岁抑郁障碍患者共197例,性别和年龄匹配的对照组138名,应用多通道NIRS仪检测被试在执行言语流畅性任务过程中大脑氧合血红蛋白随时间变化的特征进行客观诊断,计算NIRS波谱客观诊断抑郁障碍的灵敏度与特异度,并进一步应用受试者操作特征曲线分析任务期氧合血红蛋白的K激活值、S积分值、峰值、T重心用于区分抑郁障碍的分辨能力.结果:NIRS波谱诊断抑郁障碍的灵敏度为92%,特异度为78%.S积分和峰值对抑郁障碍诊断具有重要价值,但NIRS相关指标不能反映患者的抑郁严重程度.结论:NIRS波谱对于抑郁障碍具有较好的客观诊断价值.
Diagnostic efficiency of near-infrared spectroscopy for depressive disorders
Objective:This study aimed to validate the diagnostic efficiency of near-infrared spectroscopy(NIRS)for depressive disorders.Method:A total of subjects aged 18 to 60 years,from September 2020 to May 2022,in ZhongDa Hospital,Southeast University were enrolled,including 197 patients with depressive disorder and 138 gender and age matched healthy controls.Multi-channel NIRS was used to detect the changes of oxy-haemoglobin concentration over time in all subjects during the verbal fluency task.The sensitivity and specificity of NIRS spectroscopy in the objective diagnosis of depressive disorder were calculated.Receiver operator characteristic was used to analyze the diagnostic efficiency of NIRS indexes including K-activation value,S integral score,peak oxy-haemoglobin value and T centroid value for common mental disorders.Results:The diagnostic sensitivity and specificity of NIRS were 92%and 78%for depressive disorder.Receiver operator characteristic analyses showed that S integral score and peak oxy-haemoglobin is of great value in diagnosing depressive disorder.However,none of the NIRS indexes could manifest the depressive severity.Conclusion:NIRS spectrum was of great value for objectively diagnosing depressive disorder.

depressive disorderobjective diagnosisnear-infrared spectroscopysensitivityspecificity

尹营营、谭靓靓、徐治、李英辉、侯正华、岳莹莹、汪天宇、刘晓云、姜文颢、陈素珍、卢娜、游林林、袁勇贵

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210009 东南大学附属中大医院

抑郁障碍 客观诊断 近红外光谱 灵敏度 特异度

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(6)