Wentao Zeng , Yan Wang , Peng Yao , Qijun Wang , Xiangqiang Meng , Leyao Zou , Yang Bai , Zhen Feng
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引用次数: 0
Abstract
Background
Functional near-infrared spectroscopy (fNIRS) has emerged as a valuable tool for detecting brain functional activities. Motor imagery (MI) tasks have been employed to evoke brain responses in patients with disorders of consciousness (DOC), providing potential insights into their consciousness levels. However, the utility of brain functional characteristics for patient diagnosis and prognosis remains unclear.
Objective
This study aims to use fNIRS to investigate the characteristics of brain functional activities evoked by MI task in populations with varying levels of consciousness, and to explore the potential of these characteristics in the diagnosis and prognosis of DOC.
Methods
fNIRS was used to measure hemodynamic responses during MI tasks in a cohort of 63 DOC patients (26 vegetative states [VS] and 37 minimally conscious states [MCS]) and 70 healthy controls (HC). The mean values of hemodynamic responses in each brain region were extracted for inter-group and intra-group comparisons. Additionally, the correlation between hemodynamic responses and prognosis of DOC patients was investigated.
Results
Inter-group comparisons revealed that HC had significantly higher hemodynamic responses than both the MCS and VS groups across all brain regions. The MCS group demonstrated significantly higher responses than the VS group in the left premotor cortex, left primary motor cortex, right primary motor cortex, and left parietal cortex. In intra-group comparisons, 33 and 7 pairs of brain regions were significantly different in the HC and MCS group, while no significant differences were observed in the VS group. Furthermore, a significant correlation was found between the hemodynamic responses and the prognosis scores of DOC patients 6 months after the fNIRS examination.
Conclusions
Task-evoked functional activities in various brain regions among populations with varying levels of consciousness demonstrate significant intra-group and inter-group differences. The characteristics of brain functional activities provide valuable insights for the diagnosis and prognosis of DOC patients.
期刊介绍:
Neuroscience Letters is devoted to the rapid publication of short, high-quality papers of interest to the broad community of neuroscientists. Only papers which will make a significant addition to the literature in the field will be published. Papers in all areas of neuroscience - molecular, cellular, developmental, systems, behavioral and cognitive, as well as computational - will be considered for publication. Submission of laboratory investigations that shed light on disease mechanisms is encouraged. Special Issues, edited by Guest Editors to cover new and rapidly-moving areas, will include invited mini-reviews. Occasional mini-reviews in especially timely areas will be considered for publication, without invitation, outside of Special Issues; these un-solicited mini-reviews can be submitted without invitation but must be of very high quality. Clinical studies will also be published if they provide new information about organization or actions of the nervous system, or provide new insights into the neurobiology of disease. NSL does not publish case reports.