Migraine is the most common primary headache clinically, with high disability rate and heavy burden. Functional MRI (fMRI) plays a significant role in the study of migraine. This article reviews the main advances of migraine without aura (MwoA) based on resting-state fMRI in recent years, including the exploration of the mechanism of fMRI in the occurrence and development of MwoA in terms of regional functional activities and functional network connections, as well as the research progress of the potential clinical application of fMRI in aiding diagnosis and assessing treatment effect for MwoA. At last, this article summarizes the current distresses and prospects of fMRI research on MwoA.
We investigated the baseline brain activity level in patients with major depressive disorder (MDD) by amplitude of low-frequency fluctuation (ALFF) based on resting-state functional MRI (fMRI). We examined 13 patients in the MDD group and 14 healthy volunteers in the control group by resting-state fMRI on GE Signa 3.0T. We calculated and compared the ALFF values of the two groups. In the MDD group, ALFF values in the right medial prefrontal were higher than those in control group, with statistically significant differences (P<0.001). ALFF values in the left parietal in the MDD group were lower than those in control group with statistically significant differences (P<0.001). This resting-state fMRI study suggested that the alteration brain activity in the right medial prefrontal and left parietal ALFF contributed to the understanding of the pathophysiological mechanism of MDD patients.
This study sought to reveal the difference of brain functions at resting-state between subjects with sub-health and normal controls by using the functional magnetic resonance imaging (fMRI) technology. Resting-state fMRI scans were performed on 24 subjects of sub-health and on 24 healthy controls with gender, age and education matched with the sub-health persons. Compared to the healthy controls, the sub-health group showed significantly higher regional homogeneity (ReHo) in the left post-central gyrus and the right post-central gyrus. On the other hand, the sub-health group showed significantly lower ReHo in the left superior frontal gyrus, in the right anterior cingulated cortex and ventra anterior cingulate gyrus, in the left dorsolateral frontal gyrus, and in the right middle temporal gyrus. The Significant difference in ReHo suggests that thebsub-health persons have abnormalities in certain brain regions. It is proved that its specific action and meaning deserves further assessment.
目的 利用局部一致性（ReHo）方法探测创伤后应激障碍（PTSD）患者在静息状态下是否存在着大脑功能异常。 方法 2010年5月－7月对18例未经治疗的地震PTSD患者和19例同样经历地震但未患PTSD的对照者进行了静息态功能磁共振成像（Rs-fMRI） 扫描。应用ReHo方法处理Rs-fMRI数据，得出PTSD患者的异常脑区，并将患者存在组间差异的脑区ReHo值与临床用PTSD诊断量表（CAPS）、汉密尔顿抑郁量表（HAMD）和汉密尔顿焦虑量表（HAMA）分别进行相关分析。 结果 ① PTSD组ReHo显著增加的脑区包括右侧颞下回、楔前叶、顶下叶、中扣带回，左侧枕中回以及左/右侧后扣带回；ReHo显著降低的脑区包括左侧海马和左/右侧腹侧前扣带回。② 异常脑区中后扣带回和右侧中扣带回ReHo与HAMD呈负相关（中扣带回r=?0.575，P=0.012；右侧后扣带回：r=?0.507，P=0.032），其余脑区ReHo与临床指标无明显相关性（P＞0.05），左侧海马与CAPS的相关性相对其他脑区较大（r=?0.430，P=0.075）。 结论 PTSD患者在静息状态下即存在着局部脑功能活动的降低和增加，ReHo方法可能有助于研究PTSD患者静息状态脑活动。
Early diagnosis and accurate stage of liver fibrosis are important for conducting the clinic therapy and assessing the therapeutic outcome. Functional magnetic resonance imaging (fMRI), as a noninvasive and effective method, plays an important role in diagnosis and stage of liver fibrosis. This review focuses on the advances in fMRI evaluation of liver fibrosis.
The aim of this paper is to reveal the change of the brain function for nicotine addicts after smoking cessation, and explore the basis of neural physiology for the nicotine addicts in the process of smoking cessation. Fourteen subjects, who have a strong dependence on nicotine, have agreed to give up smoking and insist on completing the test, and 11 volunteers were recruited as the controls. The resting state functional magnetic resonance imaging and the regional homogeneity (ReHo) algorithm have been used to study the neural activity before and after smoking cessation. A two factors mixed design was used to investigate within-group effects and between-group effects. After 2 weeks’ smoking cessation, the increased ReHo value were exhibited in the brain area of supplementary motor area, paracentral lobule, calcarine, cuneus and lingual gyrus. It suggested that the synchronization of neural activity was enhanced in these brain areas. And between-group interaction effects were appeared in supplementary motor area, paracentral lobule, precentral gyrus, postcentral gyrus, and superior frontal gyrus. The results indicate that the brain function in supplementary motor area of smoking addicts would be enhanced significantly after 2 weeks’ smoking cessation.
Objective To investigate the differences in the topology of functional brain networks between populations with good spatial navigation ability and those with poor spatial navigation ability. Methods From September 2020 to September 2021, 100 college students from PLA Army Border and Coastal Defense Academy were selected to test the spatial navigation ability. The 25 students with the highest spatial navigation ability were selected as the GN group, and the 25 with the lowest spatial navigation ability were selected as the PN group, and their resting-state functional MRI and 3D T1-weighted structural image data of the brain were collected. Graph theory analysis was applied to study the topology of the brain network, including global and local topological properties. Results The variations in the clustering coefficient, characteristic path length, and local efficiency between the GN and PN groups were not statistically significant within the threshold range (P>0.05). The brain functional connectivity networks of the GN and PN groups met the standardized clustering coefficient (γ)>1, the standardized characteristic path length (λ)≈1, and the small-world property (σ)>1, being consistent with small-world network property. The areas under curve (AUCs) for global efficiency (0.22±0.01 vs. 0.21±0.01), γ value (0.97±0.18 vs. 0.81±0.18) and σ value (0.75±0.13 vs. 0.64±0.13) of the GN group were higher than those of the PN group, and the differences were statistically significant (P<0.05); the between-group difference in AUC for λ value was not statistically significant (P>0.05). The results of the nodal level analysis showed that the AUCs for nodal clustering coefficients in the left superior frontal gyrus of orbital region (0.29±0.05 vs. 0.23±0.07), the right rectus gyrus (0.29±0.05 vs. 0.23±0.09), the middle left cingulate gyrus and its lateral surround (0.22±0.02 vs. 0.25±0.02), the left inferior occipital gyrus (0.32±0.05 vs. 0.35±0.05), the right cerebellar area 3 (0.24±0.04 vs. 0.26±0.03), and the right cerebellar area 9 (0.22±0.09 vs. 0.13±0.13) were statistically different between the two groups (P<0.05). The differences in AUCs for degree centrality and nodal efficiency between the two groups were not statistically significant (P>0.05). Conclusions Compared with people with good spatial navigation ability, the topological properties of the brains of the ones with poor spatial navigation ability still conformed to the small-world network properties, but the connectivity between brain regions reduces compared with the good spatial navigation ability group, with a tendency to convert to random networks and a reduced or increased nodal clustering coefficient in some brain regions. Differences in functional brain network connectivity exist among people with different spatial navigation abilities.
Amblyopia is a visual development deficit caused by abnormal visual experience in early life, mainly manifesting as defected visual acuity and binocular visual impairment, which is considered to reflect abnormal development of the brain rather than organic lesions of the eye. Previous studies have reported abnormal spontaneous brain activity in patients with amblyopia. However, the location of abnormal spontaneous activity in patients with amblyopia and the association between abnormal brain function activity and clinical deficits remain unclear. The purpose of this study is to analyze spontaneous brain functional activity abnormalities in patients with amblyopia and their associations with clinical defects using resting-state functional magnetic resonance imaging (fMRI) data. In this study, 31 patients with amblyopia and 31 healthy controls were enrolled for resting-state fMRI scanning. The results showed that spontaneous activity in the right angular gyrus, left posterior cerebellum, and left cingulate gyrus were significantly lower in patients with amblyopia than in controls, and spontaneous activity in the right middle temporal gyrus was significantly higher in patients with amblyopia. In addition, the spontaneous activity of the left cerebellum in patients with amblyopia was negatively associated with the best-corrected visual acuity of the amblyopic eye, and the spontaneous activity of the right middle temporal gyrus was positively associated with the stereoacuity. This study found that adult patients with amblyopia showed abnormal spontaneous activity in the angular gyrus, cerebellum, middle temporal gyrus, and cingulate gyrus. Furthermore, the functional abnormalities in the cerebellum and middle temporal gyrus may be associated with visual acuity defects and stereopsis deficiency in patients with amblyopia. These findings help explain the neural mechanism of amblyopia, thus promoting the improvement of the treatment strategy for amblyopia.