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    药物难治性癫痫患者同步电刺激的脑网络拓扑及连接特征研究

    Topological and connectivity characteristics of brain networks under simultaneous electrical stimulation in patients with drug-resistant epilepsy

    • 摘要: 目的 评估颅内电刺激对药物难治性癫痫(DRE)患者脑功能及脑网络的影响。方法 比较DRE患者在静息态与同步电刺激状态下功能连接脑网络的小世界属性、适配性及层级性差异,并采用基于网络的统计方法(NBS)分析两种状态下的差异连接特征。结果 两种状态下的网络拓扑属性无显著统计学差异,但在同步电刺激条件下,脑网络呈现小世界属性减弱趋势,适配性升高、层级性降低。NBS分析识别出一个以额叶、前额叶及颞叶为主要节点的差异功能连接子网络。结论 在同步电刺激条件下,DRE患者的功能连接脑网络可能表现为小世界属性减弱、网络适配性升高及主要功能网络层级性降低的趋势。额叶和前额叶等功能区在电刺激状态下可能被更大程度地调动参与脑网络活动。

       

      Abstract: Objective To evaluate the effects of intracranial electrical stimulation on brain function and brain networks in patients with drug-resistant epilepsy (DRE). Methods The small-world properties, assortativity, and hierarchy of functional connectivity networks were compared between the resting state and the simultaneous electrical stimulation state in patients with DRE. In addition, the Network-Based Statistic (NBS) method was applied to analyze differential connectivity patterns between the two conditions. Results No significant differences were found in network topological properties between the two conditions. However, under simultaneous electrical stimulation, the brain network showed a trend toward decreased small-worldness, along with increased assortativity and decreased hierarchy. NBS analysis identified a differential subnetwork primarily involving the frontal lobe, prefrontal cortex, and temporal lobe. Conclusions Under simultaneous electrical stimulation, functional connectivity networks in patients with DRE may exhibit a trend toward weakened small-world properties, elevated network assortativity, and reduced hierarchy of major functional networks. Frontal and prefrontal regions may be more strongly recruited to participate in brain network activity during electrical stimulation.

       

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