髓鞘少突胶质细胞糖蛋白抗体血清阳性与血清阴性视神经炎分化过程中静态和动态大范围脑功能网络连接中断。

IF 2.6 3区 医学 Q2 CLINICAL NEUROLOGY
Neuroradiology Pub Date : 2025-08-01 Epub Date: 2025-05-20 DOI:10.1007/s00234-025-03643-9
Wentao Wang, Xilan Liu, Yan Sha, Ximing Wang, Ping Lu
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引用次数: 0

摘要

目的:区分髓鞘少突胶质细胞糖蛋白抗体血清阳性视神经炎(MOG-ON)和血清阴性视神经炎的能力在临床实践中至关重要。我们利用静息状态功能磁共振成像(RS-fMRI)研究了通过大规模功能网络连接(FNC)的潜在神经机制和分化生物标志物。方法:对79例患者进行独立成分分析(ICA),其中MOG-ON患者23例,血清阴性on患者30例,健康对照26例。利用ICA提取的静息状态网络(RSNs)研究组内和组间的静态FNC (sFNC)变化。此外,利用k-means聚类分析识别了5种动态FNC (dFNC)状态,并计算了几种状态相关属性。并进行受试者工作特征(ROC)曲线分析,以确定其在鉴别诊断中的价值。结果:在sFNC分析中,与HC组相比,患者组在几个rsn内显示出减少的网络功能连接(FC)。与血清阴性on组相比,MOG-ON组在内侧视觉网络(mVN)和后置默认模式网络(pDMN)中表现出显著改变的网络内FC。与hc组比较,患者组rsn间网络FC也出现异常。在dFNC分析中,与hc相比,患者组在状态1和5的占用率和停留时间发生了变化,并且状态相关指标的变化在MOG-ON组和血清阴性on组之间也很明显。在ROC曲线分析方面,采用静态与动态相结合的方法,达到最佳的诊断效果。结论:异常大规模的静态和动态脑功能网络有助于更好地了解MOG-ON和血清阴性- on的神经机制及其分化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disrupted static and dynamic Large-scale brain functional network connectivity in the differentiation of myelin oligodendrocyte glycoprotein Antibody-Seropositive from seronegative optic neuritis.

Purpose: The ability to distinguish myelin oligodendrocyte glycoprotein antibody-seropositive optic neuritis (MOG-ON) from seronegative-ON is critical in clinical practice. We investigate potential neural mechanisms and differentiation biomarkers via large-scale functional network connectivity (FNC) using resting-state functional magnetic resonance imaging (RS-fMRI).

Methods: RS-fMRI-based independent component analysis (ICA) was performed in 79 subjects, including 23 with MOG-ON, 30 with seronegative-ON and 26 healthy controls (HCs). The resting-state networks (RSNs) extracted from the ICA were used to investigate static FNC (sFNC) changes within and between groups. In addition, 5 dynamic FNC (dFNC) states were identified using k-means cluster analysis, and several state-related properties were calculated. Receiver operating characteristic (ROC) curve analysis was also performed to determine its value in differential diagnosis.

Results: In the sFNC analysis, the patient groups showed decreased intranetwork functional connectivity (FC) within several RSNs compared to the HC group. The MOG-ON group presented significantly altered intranetwork FC in the medial visual network (mVN) and posterior default mode network (pDMN) compared with the seronegative-ON group. Compared with the HCs, the patient groups also presented abnormal internetwork FC between RSNs. In the dFNC analysis, the patient groups presented altered fractional occupancy and dwell times in states 1 and 5 compared with HCs, and the changes in state-related metrics were also distinct between the MOG-ON and seronegative-ON groups. In terms of ROC curve analysis, optimal diagnostic performance was achieved by combining static and dynamic approaches.

Conclusions: Abnormal large-scale static and dynamic brain functional networks may help to better understand the neural mechanisms of MOG-ON and seronegative-ON and their differentiation.

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来源期刊
Neuroradiology
Neuroradiology 医学-核医学
CiteScore
5.30
自引率
3.60%
发文量
214
审稿时长
4-8 weeks
期刊介绍: Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.
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