机构:[1]Department of Neurology, Xijing Hospital, Fourth Military Medical University, Xi’an, China[2]Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China广东省中医院
Functional near infrared spectroscopy (fNIRS) is an emerging non-invasive technique that allows bedside mea-surement of blood oxygenation level-dependent hemodynamic signals. We aimed to examine the efficacy of resting-state fNIRS in detecting the residual functional networks in patients with disorders of consciousness (DOC). We performed resting-state fNIRS in 23 DOC patients of whom 12 were in minimally conscious state (MCS) and 11 were in unresponsive wakefulness state (UWS). Ten regions of interest (ROIs) in the prefrontal cortex (PFC) were selected: both sides of Brodmann area (BA) 9, BA10, BA44, BA45, and BA46. Graph-theoretical analysis and seed-based correlation analyses were used to investigate the network topology and the strength of pairwise connections between ROIs and channels. MCS and UWS exhibited varying degrees of the loss of to-pological architecture, and the regional nodal properties of BA10 were significantly different between them (Nodal degree, PLeft BA10 = 0.01, PRight BA10 < 0.01; nodal efficiency, PLeft BA10 = 0.03, PRight BA10 < 0.01). Compared to healthy controls, UWS had impaired functions in both short-and long-distance connectivity, however, MCS had significantly impaired functions only in long-distance connectivity. The functional connec-tivity of right BA10 (AUC = 0.88) and the connections between left BA46 and right BA10 (AUC = 0.86) had excellent performance in differentiating MCS and UWS. MCS and UWS have different patterns of topological architecture and short-and long-distance connectivity in PFC. Intraconnections within BA10 and interhemi-spheric connections between BA10 and 46 are excellent resting-state fNIRS classifiers for distinguishing between MCS and UWS.
基金:
Shaanxi Province Special Support Program for Leading Talents in Scientific and Technological Innovation (tzjhjw)
第一作者机构:[1]Department of Neurology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
通讯作者:
通讯机构:[1]Department of Neurology, Xijing Hospital, Fourth Military Medical University, Xi’an, China[2]Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China[*1]Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China[*2]Department of Neurology, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, China
推荐引用方式(GB/T 7714):
Liu Yu,Kang Xiao-gang,Chen Bei-bei,et al.Detecting residual brain networks in disorders of consciousness: A resting-state fNIRS study[J].BRAIN RESEARCH.2023,1798:doi:10.1016/j.brainres.2022.148162.
APA:
Liu, Yu,Kang, Xiao-gang,Chen, Bei-bei,Song, Chang-geng,Liu, Yan...&Jiang, Wen.(2023).Detecting residual brain networks in disorders of consciousness: A resting-state fNIRS study.BRAIN RESEARCH,1798,
MLA:
Liu, Yu,et al."Detecting residual brain networks in disorders of consciousness: A resting-state fNIRS study".BRAIN RESEARCH 1798.(2023)