慢性腰背痛患者皮质厚度和结构协方差网络的改变

IF 3.5 3区 医学 Q2 NEUROSCIENCES
Si-Yu Gu , Feng-Chao Shi , Shu Wang , Cheng-Yu Wang , Xin-Xin Yao , Yi-Fan Sun , Chuan-Xu Luo , Wan-Ting Liu , Jian-Bin Hu , Fei Chen , Ping-Lei Pan , Wen-Hui Li
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引用次数: 0

摘要

背景尽管慢性腰背痛(CLBP)患者的区域性脑结构变化已有报道,但结构协方差网络(SCN)的拓扑特性(指结构协方差网络的组织)仍不清楚。本研究应用图论分析探讨了SCN拓扑特性的改变,旨在理解CLBP患者SCN的整合与分离。根据 Desikan-Killiany 图谱从 68 个脑区提取皮层厚度,并用于重建 SCN。结果与普通人相比,CLBP 患者左上额叶皮层的皮质厚度较小。此外,左上额叶皮层厚度与CLBP患者的视觉模拟量表评分呈负相关。此外,与普通人相比,CLBP 患者表现出较低的全局效率和小世界性,以及较长的特征路径长度。这表明大脑传输和处理信息的能力下降,可能会影响CLBP患者对疼痛信号的处理,并导致CLBP的发展。结论从区域皮层厚度到复杂脑网络水平,我们的研究显示了CLBP患者皮层厚度和SCN拓扑特性的变化,从而有助于更好地理解CLBP的病理生理机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Altered cortical thickness and structural covariance networks in chronic low back pain

Background

Despite regional brain structural changes having been reported in patients with chronic low back pain (CLBP), the topological properties of structural covariance networks (SCNs), which refer to the organization of the SCNs, remain unclear. This study applied graph theoretical analysis to explore the alterations of the topological properties of SCNs, aiming to comprehend the integration and separation of SCNs in patients with CLBP.

Methods

A total of 38 patients with CLBP and 38 healthy controls (HCs), balanced for age and sex, were scanned using three-dimensional T1-weighted magnetic resonance imaging. The cortical thickness was extracted from 68 brain regions, according to the Desikan–Killiany atlas, and used to reconstruct the SCNs. Subsequently, graph theoretical analysis was employed to evaluate the alterations of the topological properties in the SCNs of patients with CLBP.

Results

In comparison to HCs, patients with CLBP had less cortical thickness in the left superior frontal cortex. Additionally, the cortical thickness of the left superior frontal cortex was negatively correlated with the Visual Analogue Scale scores of patients with CLBP. Furthermore, patients with CLBP, relative to HCs, exhibited lower global efficiency and small-worldness, as well as a longer characteristic path length. This indicates a decline in the brain's capacity to transmit and process information, potentially impacting the processing of pain signals in patients with CLBP and contributing to the development of CLBP. In contrast, there were no significant differences in the clustering coefficient, local efficiency, nodal efficiency, nodal betweenness centrality, or nodal degree between the two groups.

Conclusions

From the regional cortical thickness to the complex brain network level, our study demonstrated changes in the cortical thickness and topological properties of the SCNs in patients with CLBP, thus aiding in a better understanding of the pathophysiological mechanisms of CLBP.

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来源期刊
Brain Research Bulletin
Brain Research Bulletin 医学-神经科学
CiteScore
6.90
自引率
2.60%
发文量
253
审稿时长
67 days
期刊介绍: The Brain Research Bulletin (BRB) aims to publish novel work that advances our knowledge of molecular and cellular mechanisms that underlie neural network properties associated with behavior, cognition and other brain functions during neurodevelopment and in the adult. Although clinical research is out of the Journal''s scope, the BRB also aims to publish translation research that provides insight into biological mechanisms and processes associated with neurodegeneration mechanisms, neurological diseases and neuropsychiatric disorders. The Journal is especially interested in research using novel methodologies, such as optogenetics, multielectrode array recordings and life imaging in wild-type and genetically-modified animal models, with the goal to advance our understanding of how neurons, glia and networks function in vivo.
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