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Emotion processing in Parkinson's disease: a blood oxygenation level-dependent functional magnetic resonance imaging study 被引量:6
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作者 Mohammed Benzagmout Sa?d Boujraf +8 位作者 Badreeddine Alami Hassane Ali Amadou Halima El Hamdaoui Amine Bennani Mounir Jaafari Ismail Rammouz Mustapha Maaroufi Rabia Magoul Driss Boussaoud 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第4期666-672,共7页
Parkinson's disease is a neurodegenerative disorder caused by loss of dopamine neurons in the substantia nigra pars compacta. Tremor, rigidity, and bradykinesia are the major symptoms of the disease. These motor i... Parkinson's disease is a neurodegenerative disorder caused by loss of dopamine neurons in the substantia nigra pars compacta. Tremor, rigidity, and bradykinesia are the major symptoms of the disease. These motor impairments are often accompanied by affective and emotional dysfunctions which have been largely studied over the last decade. The aim of this study was to investigate emotional processing organization in the brain of patients with Parkinson's disease and to explore whether there are differences between recognition of different types of emotions in Parkinson's disease. We examined 18 patients with Parkinson's disease(8 men, 10 women) with no history of neurological or psychiatric comorbidities. All these patients underwent identical brain blood oxygenation level-dependent functional magnetic resonance imaging for emotion evaluation. Blood oxygenation level-dependent functional magnetic resonance imaging results revealed that the occipito-temporal cortices, insula, orbitofrontal cortex, basal ganglia, and parietal cortex which are involved in emotion processing, were activated during the functional control. Additionally, positive emotions activate larger volumes of the same anatomical entities than neutral and negative emotions. Results also revealed that Parkinson's disease associated with emotional disorders are increasingly recognized as disabling as classic motor symptoms. These findings help clinical physicians to recognize the emotional dysfunction of patients with Parkinson's disease. 展开更多
关键词 Parkinson’s disease EMOTION processing BLOOD oxygenation level-dependent functional magnetic resonance imaging brain activation DOPAMINE neural REGENERATION
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Blood oxygen level–dependent functional magnetic resonance imaging can evaluate the efficiency of transcatheter arterial chemoembolization in hepatocellular carcinoma 被引量:2
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作者 Lizhi Xiao Enhua Xiao 《Journal of Interventional Medicine》 2019年第1期5-7,共3页
Hepatocellular carcinoma(HCC) is among the most common malignant tumors worldwide, and transcatheter arterial chemoembolization(TACE) technology has become the first-line treatment for advanced HCC. Another important,... Hepatocellular carcinoma(HCC) is among the most common malignant tumors worldwide, and transcatheter arterial chemoembolization(TACE) technology has become the first-line treatment for advanced HCC. Another important, recently developed technique is blood oxygen level–dependent functional magnetic resonance imaging(BOLD-fMRI), which utilizes hemoglobin as an endogenous contrast agent and measures deoxygenated hemoglobin content by sampling the oxygen content of tissues, thus reflecting the hemodynamics and pathophysiologic changes in body organs. Currently this technology is being used in patients with liver tumors;that is, it serves as an important tool in follow-up after TACE. The present paper summarizes these developments. 展开更多
关键词 Blood oxygen leveldependent magnetic resonance imaging EFFICIENCY HEPATOCELLULAR carcinoma TRANSCATHETER arterial CHEMOEMBOLIZATION
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Functional magnetic resonance imaging and the brain: A brief review 被引量:4
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作者 Maggie SM Chow Sharon L Wu +2 位作者 Sarah E Webb Katie Gluskin DT Yew 《World Journal of Radiology》 CAS 2017年第1期5-9,共5页
Functional magnetic resonance imaging(fMRI) is em-ployed in many behavior analysis studies, with blood oxygen level dependent-(BOLD-) contrast imaging being the main method used to generate images. The use of BOLD-con... Functional magnetic resonance imaging(fMRI) is em-ployed in many behavior analysis studies, with blood oxygen level dependent-(BOLD-) contrast imaging being the main method used to generate images. The use of BOLD-contrast imaging in f MRI has been refined over the years, for example, the inclusion of a spin echo pulse and increased magnetic strength were shown to produce better recorded images. Taking careful precautions to control variables during measurement, comparisons between different specimen groups can be illustrated by f MRI imaging using both quantitative and qualitative methods. Differences have been observed in comparisons of active and resting, developing and aging, and defective and damaged brains in various studies. However, cognitive studies using f MRI still face a number of challenges in interpretation that can only be overcome by imaging large numbers of samples. Furthermore, f MRI studies of brain cancer, lesions and other brain pathologies of both humans and animals are still to be explored. 展开更多
关键词 functional magnetic resonance image Blood oxygen level dependent imaging Humans Pig and rodent models AGING Drug effects Brain lesions and disease
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Alteration of functional connectivity in patients with Alzheimer’s disease revealed by resting-state functional magnetic resonance imaging 被引量:5
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作者 Jie Zhao Yu-Hang Du +2 位作者 Xue-Tong Ding Xue-Hu Wang Guo-Zun Men 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第2期285-292,共8页
The main symptom of patients with Alzheimer’s disease is cognitive dysfunction. Alzheimer’s disease is mainly diagnosed based on changes in brain structure. Functional connectivity reflects the synchrony of function... The main symptom of patients with Alzheimer’s disease is cognitive dysfunction. Alzheimer’s disease is mainly diagnosed based on changes in brain structure. Functional connectivity reflects the synchrony of functional activities between non-adjacent brain regions, and changes in functional connectivity appear earlier than those in brain structure. In this study, we detected resting-state functional connectivity changes in patients with Alzheimer’s disease to provide reference evidence for disease prediction. Functional magnetic resonance imaging data from patients with Alzheimer’s disease were used to show whether particular white and gray matter areas had certain functional connectivity patterns and if these patterns changed with disease severity. In nine white and corresponding gray matter regions, correlations of normal cognition, early mild cognitive impairment, and late mild cognitive impairment with blood oxygen level-dependent signal time series were detected. Average correlation coefficient analysis indicated functional connectivity patterns between white and gray matter in the resting state of patients with Alzheimer’s disease. Functional connectivity pattern variation correlated with disease severity, with some regions having relatively strong or weak correlations. We found that the correlation coefficients of five regions were 0.3–0.5 in patients with normal cognition and 0–0.2 in those developing Alzheimer’s disease. Moreover, in the other four regions, the range increased to 0.45–0.7 with increasing cognitive impairment. In some white and gray matter areas, there were specific connectivity patterns. Changes in regional white and gray matter connectivity patterns may be used to predict Alzheimer’s disease;however, detailed information on specific connectivity patterns is needed. All study data were obtained from the Alzheimer’s Disease Neuroimaging Initiative Library of the Image and Data Archive Database. 展开更多
关键词 Alzheimer's disease blood oxygen level-dependent signal correlation coefficient functional connectivity pattern functional magnetic resonance imaging gray MATTER RESTING state white MATTER
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Central swallowing in normal adults using functional magnetic resonance imaging
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作者 Shasha Li Cheng Luo +2 位作者 Chengqi He Qiyong Gong Dong Zhou 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第4期258-264,共7页
BACKGROUND: While brain-imaging studies in healthy adults have indicated that multiple cortical regions are involved in swallowing, these functional imaging techniques have not been extensively applied to the complet... BACKGROUND: While brain-imaging studies in healthy adults have indicated that multiple cortical regions are involved in swallowing, these functional imaging techniques have not been extensively applied to the complete understand neurophysiology of swallowing in China. A full understanding of normal swallowing neurophysiology is important for improving functional outcomes for dysphagia due to neurologic disorders or damage with increasing age. Thus the interpretations of the functional contributions of various brain areas in swallowing should be scientifically researched. OBJECTIVE: To identify the activation and characteristic of swallowing center in healthy adults using functional magnetic resonance imaging. DESIGN, TIME AND SETTING: An uncontrolled neuroimaging study was performed at the Outpatient Clinic, Department of Radiology, West China Hospital of Sichuan University between March and November 2008. PARTICIPANTS: Ten healthy right-handed volunteers, aged over 20 years with a mean age of (34.2 + 8.1) years, a range of 25-45 years and including five males and five females participated. A medical history was obtained from all potential subjects and all subjects were free of systemic diseases and neurological disorders. METHODS: The healthy volunteers were examined with event-related functional magnetic resonance imaging of blood oxygenation level-dependent while laryngeal swallow-related movements were recorded. Subjects were scanned during voluntary saliva swallowing and water bolus swallowing activation tasks. Data was processed using the General Linear Model. A voxel by voxel group comparison was performed using random effect analysis. Any cluster with a corrected P 〈 0.05 for spatial extent was considered significant. MAIN OUTCOME MEASURES: The cerebral cortical activation maps of voluntary swallowing of saliva and swallowing of water bolus in healthy adults were observed. RESULTS: A multifocal cortical representation of swallowing was in the precentral gyrus, postcentral gyrus, insula, anterior cingulate gyrus, thalamus, basal ganglia and cerebellum, in a bilateral and asymmetrical manner, predominantly on the left hemisphere in the volunteers (P 〈 0.05). CONCLUSION: Activation of the cortex during normal swallowing tasks may be functionally linked to basal nuclei, thalamus, and cerebellum, greatly appearing in the left hemisphere. 展开更多
关键词 SWALLOWING central swallowing blood oxygenation level-dependent functional magnetic resonance imaging
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Morphological and functional evaluation of chronic kidney disease using magnetic resonance imaging
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作者 Tsutomu Inoue Eito Kozawa +1 位作者 Hirokazu Okada Hiromichi Suzuki 《World Journal of Clinical Urology》 2014年第3期325-329,共5页
X-ray computed tomography(CT),ultrasonography(US)and radionuclide scanning are important clinical methods for evaluating morphology of the kidney.These modalities are also applicable for estimating kidney function wit... X-ray computed tomography(CT),ultrasonography(US)and radionuclide scanning are important clinical methods for evaluating morphology of the kidney.These modalities are also applicable for estimating kidney function with time lapse analysis using proper contrastmedia as may be necessary.In the case of US,it can estimate kidney function based on the measurement of blood flow using the Doppler effect.Formerly,magnetic resonance imaging(MRI)was an inappropriate diagnostic imaging technique for abdominal organs because of their respiratory displacements.However,MRI is now actively used for kidney as well as liver or other parenchymal organs,in tandem with the technological advances.Unlike unenhanced X-ray CT,"conventional"MRI can distinguish the border between cortex and medulla in T1 or T2 weighted images.It was known that the border blurred with decreasing kidney function.Moreover,several other particular imaging methods were introduced in recent years,and these could be called"functional"MRI.In this review,the following are discussed:functional MRI for chronic kidney disease,which include blood oxygenation level-dependent MRI for evaluation of hypoxia,diffusion-weighted imagingfor evaluation of fibrosis,diffusion tensor imaging for evaluation of microstructure,and arterial spin labeling to evaluate the amount of organ perfusion,accompanied with several related articles.The ultimate goal of functional MRI is to provide useful in vivo information repeatedly for daily medical treatment non-invasively. 展开更多
关键词 magnetic resonance imaging Chronic kidney disease Blood oxygenation level-dependent effect DIFFUSION-WEIGHTED imaging Diffusion tensor imaging Arterial spin labeling FIBROSIS Hypoxia functional magnetic resonance imaging
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Multimodality magnetic resonance imaging in hepatic encephalopathy: An update 被引量:5
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作者 Xiao-Dong Zhang Long-Jiang Zhang +1 位作者 Sheng-Yong Wu Guang-Ming lu 《World Journal of Gastroenterology》 SCIE CAS 2014年第32期11262-11272,共11页
Hepatic encephalopathy(HE) is a neuropsychiatric complication of cirrhosis or acute liver failure. Currently, HE is regarded as a continuous cognitive impairment ranging from the mildest stage, minimal HE to overt HE.... Hepatic encephalopathy(HE) is a neuropsychiatric complication of cirrhosis or acute liver failure. Currently, HE is regarded as a continuous cognitive impairment ranging from the mildest stage, minimal HE to overt HE. Hyperammonaemia and neuroinflammation are two main underlying factors which contribute to the neurological alterations in HE. Both structural and functional impairments are found in the white mater and grey mater involved in HE. Although the investigations into HE pathophysiological mechanism are enormous, the exact pathophysiological causes underlying HE remain controversial. Multimodality magnetic resonance imaging(MRI) plays an important role in helping to understand the pathological process of HE. This paper reviews the up-to-date multimodality MRI methods and predominant findings in HE patients with a highlight ofthe increasingly important role of blood oxygen level dependent functional MRI. 展开更多
关键词 Hepatic encephalopathy magnetic resonance imaging magnetic resonance spectroscopy Diffusion weighted imaging Default-mode network Blood oxygenation level dependent functional magnetic resonance imaging
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非增强T1-mapping、DKI、BOLD-MRI在评估IgA肾病患者肾功能中的应用价值研究
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作者 宋佳琪 王垚 +8 位作者 唐欣斌 谭卓菁 陈敏月 袁建雷 孙晨 周非 陆慧健 袁莉 施钊钰 《南通大学学报(医学版)》 2024年第3期206-212,共7页
目的:探讨非增强T1-mapping磁共振,扩散峰度成像(diffusion kurtosis imaging,DKI)及血氧饱和水平依赖成像(blood oxygenation level-dependent MRI,BOLD-MRI)在IgA肾病(immunoglobulin A nephropathy,IgAN)患者的肾功能评估中的应用价... 目的:探讨非增强T1-mapping磁共振,扩散峰度成像(diffusion kurtosis imaging,DKI)及血氧饱和水平依赖成像(blood oxygenation level-dependent MRI,BOLD-MRI)在IgA肾病(immunoglobulin A nephropathy,IgAN)患者的肾功能评估中的应用价值,并对各项MRI参数的评估效用进行比较。方法:纳入经肾活检确诊的57例IgAN患者以及19名健康志愿者,根据肾功能不全严重程度[肾小球滤过率(estimated glomerular filtration rate,eGFR)水平]将IgAN患者分为轻度损害组[≥60 mL/(min·1.73 m^(2))]、中度损害组[30~<60 mL/(min·1.73 m^(2))]、重度损害组[<30 mL/(min·1.73 m^(2))],比较对照组与IgAN组各亚组间的肾脏MRI参数,分析T1-mapping(T1值)、DKI(Fak、MK、MD值)、BOLD-MRI(R2*值)与肾功能评估指标如eGFR、血清肌酐(serum creatinine,Scr)及胱抑素C(cystatin C,CysC)等的相关性,探索3种肾脏MRI在评估IgAN患者肾功能中的应用价值。结果:对照组与IgAN组T1值差异有统计学意义[(1592.15±89.91)ms vs(1776.30±172.08)ms,P<0.001];IgAN各肾功能不全亚组间T1值两两比较,差异均有统计学意义[轻度损害组(1684.86±103.57)ms、中度损害组(1888.99±182.01)ms、重度损害组(1969.14±133.74)ms,均P<0.001]。对照组与IgAN组Fak值差异有统计学意义[0.15(0.08~0.20)vs 0.19(0.11~0.32),P<0.05],轻度损害组与重度损害组间差异有统计学意义[0.17(0.11~0.25)vs 0.35(0.28~0.40),P<0.01];各组R2*值差异均无统计学意义。IgAN组T1值与eGFR、血红蛋白(hemoglobin,Hb)、红细胞压积(hematocrit,HCT)呈负相关(r=-0.620、-0.679、-0.629,均P<0.001),与Scr、CysC呈正相关(r=0.559、0.604,均P<0.001);Fak值与eGFR呈负相关(r=-4.004,P<0.05),与Scr、CysC呈正相关(r=0.366、0.378,P<0.05,P<0.01);MD值与Hb、HCT呈正相关(r=0.472、0.498,P<0.001);R2*值与各项临床指标皆无相关性;T1值预测IgAN肾功能轻、中、重度的AUC分别为0.791(95%CI:0.660~0.922,P<0.01)、0.972(95%CI:0.914~1.000,P<0.01)、0.988(95%CI:0.958~1.000,P<0.01);Fak值预测IgAN重度肾功能损害的AUC为0.883(95%CI:0.678~1.000,P<0.01)。结论:非增强T1-mapping、DKI对IgAN患者的肾功能状态具有预测价值,且非增强T1-mapping的预测价值优于DKI。 展开更多
关键词 IGA肾病 T1-mapping 扩散峰度成像 血氧饱和水平依赖成像 磁共振
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Temporally shifted hemodynamic response model helps to extract acupuncture-induced functional magnetic resonance imaging blood oxygenation-level dependent activities 被引量:1
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作者 Tsung-Jung Ho Jeng-Ren Duann +7 位作者 Chun-Ming Chen Jeon-Hor Chen Wu-Chung Shen Tung-Wu Lu Jan-Ray Liao Zen-Pin Lin Kuo-Ning Shaw Jaung-Geng Lin 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第7期823-829,共7页
Background The onsets of needling sensation introduced by acupuncture stimulus can vary widely from subject to subject. This should be explicitly accounted for by the model blood oxygenation-level dependent (BOLD) t... Background The onsets of needling sensation introduced by acupuncture stimulus can vary widely from subject to subject. This should be explicitly accounted for by the model blood oxygenation-level dependent (BOLD) time course used in general linear model (GLM) analysis to obtain more consistent across-subject group results. However, in standard GLM analysis, the model BOLD time course obtained by convolving a canonical hemodynamic response function with an experimental paradigm time course is assumed identical across subjects. Although some added-on properties to the model BOLD time course, such as temporal and dispersion derivatives, may be used to account for different BOLD response onsets, they can only account for the BOLD onset deviations to the extent of less than one repetition time (TR). Methods In this study, we explicitly manipulated the onsets of model BOLD time course by shifting it with -2, -1, or 1 TR and used these temporally shifted BOLD model to analyze the functional magnetic resonance imaging (fMRI) data obtained from three acupuncture fMRI experiments with GLM analysis. One involved acupuncture stimulus on left ST42 acupoint and the other two on left GB40 and left BL64 acupoints. Results The model BOLD time course with temporal shifts, in addition to temporal and dispersion derivatives, could result in better statistical power of the data analysis in terms of the average correlation coefficients between the used BOLD models and extracted BOLD responses from individual subject data and the T-values of the activation clusters in the grouped random effects. Conclusions The GLM analysis with ordinary BOLD model failed to catch the large variability of the onsets of the BOLD responses associated with the acupuncture needling sensation. Shifts in time with more than a TR on model BOLD time course might be required to better extract the acupuncture stimulus-induced BOLD activities from individual fMRI data. 展开更多
关键词 ACUPUNCTURE magnetic resonance imaging functional blood oxygenation-level dependent responses
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针刺治疗缺血性脑卒中运动功能障碍康复BOLD-fMRI研究进展 被引量:3
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作者 朱力 余成新 《磁共振成像》 CAS CSCD 北大核心 2023年第4期132-136,共5页
缺血性脑卒中(ischemic stroke, IS)为我国首要致死致残疾病,70%患者并发运动功能障碍,针刺已成为一项早期重要辅助治疗手段。近年来,血氧水平依赖功能磁共振成像已成为研究针刺卒中的最常用方法。本研究从局部一致性、低频振幅等代表... 缺血性脑卒中(ischemic stroke, IS)为我国首要致死致残疾病,70%患者并发运动功能障碍,针刺已成为一项早期重要辅助治疗手段。近年来,血氧水平依赖功能磁共振成像已成为研究针刺卒中的最常用方法。本研究从局部一致性、低频振幅等代表的局部功能传统体素分析和动态功能连接(dynamic functional connection, DFC)分析、图论分析等代表的复杂全脑网络分析研究成果比较入手,综述了针刺IS运动功能障碍研究从局部功能延伸至全脑功能分析,从体素研究向脑网络研究转化,并正在进一步向全脑整体网络研究深入的转变历程及利弊,进而提出目前该类研究已从基于单纯感觉运动网络(sensory motor network, SMN)映射的运动完成研究逐步过渡到基于默认网络(default mode network, DMN)映射的运动认知研究,但尚未完全普及。本综述为针刺IS运动功能障碍研究提供如灵活运用任务设计,围绕SMN及DMN双动态网络,采用DFC、图论等全脑网络分析针刺前后运动功能连接及属性变化等方法学指导及理论支持,从而更好地阐释针刺IS运动功能障碍康复机制并指导临床。 展开更多
关键词 针刺 缺血性脑卒中 运动功能康复机制 血氧水平依赖功能磁共振成像 脑网络 运动认知 磁共振成像
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Blood Oxygenation Level-dependent Magnetic Resonance Imaging of Breast Cancer: Correlation with Carbonic Anhydrase IX and Vascular Endothelial Growth Factor 被引量:8
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作者 YingWang Min Liu Mu-Lan Jin 《Chinese Medical Journal》 SCIE CAS CSCD 2017年第1期71-76,共6页
Background: Blood oxygenation level-dependent magnetic resonance imaging (BOLD-MRI) is a functional MRI technique which involves using the paramagnetic properties of deoxyhemoglobin to image the local tissue oxygen... Background: Blood oxygenation level-dependent magnetic resonance imaging (BOLD-MRI) is a functional MRI technique which involves using the paramagnetic properties of deoxyhemoglobin to image the local tissue oxygen concentration. The purpose of this study was to investigate whether BOLD-MRI could evaluate hypoxia and angiogenesis of breast invasive ductal carcinoma (IDC). Methods: Ninety-eight female patients with IDC were retrospectively included in this research. All patients underwent breast BOLD-MRI at 3.0 T before surgery. R2* values of BOLD-MR1 were measured. The expression of carbonic anhydrase IX (CA IX) and vascular endothelial growth factor (VEGF) was analyzed by immunohistochemistry. Spearman's correlation analysis was used to correlate R2* value with CA IX and VEGF levels. Results: Heterogeneous intensity on BOLD-MRI images was the main finding of IDCs. The mean R2* value was 52.8 ± 18.6 Hz. The R2* values in patients with axillary lymph node metastasis were significantly higher than the R2* values in patients without axillary lymph node metastasis (t = 2.882, P = 0.005). R2* values increased with CA IX level and positively correlated with the level of CA 1X (r = 0.616, P 〈 0.001); however, R2* value had no significantly correlation with the level of VEGF (r = 0.110, P = 0.281). Conclusion: B OLD-MRI could noninvasively evaluate chronic hypoxia of IDC, but not angiogenesis. 展开更多
关键词 ANGIOGENESIS Blood oxygenation level-dependent magnetic resonance imaging Carbonic Anhydrase IX HYPOXIA Invasive Ductal Carcinoma Vascular Endothelial Growth Factor
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BOLD-fMRI对2型糖尿病患者早期肾脏功能变化的研究 被引量:3
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作者 孙海珍 宋雪燕 卢山 《磁共振成像》 CAS CSCD 北大核心 2023年第7期61-66,共6页
目的探讨基于血氧水平依赖的功能MRI(blood oxygenation level dependent functional MRI,BOLD-fMRI)对2型糖尿病(diabetes mellitus,DM)患者早期肾脏功能性缺氧的评估价值。材料与方法将55例2型DM患者按照是否含有微量白蛋白分为单纯DM... 目的探讨基于血氧水平依赖的功能MRI(blood oxygenation level dependent functional MRI,BOLD-fMRI)对2型糖尿病(diabetes mellitus,DM)患者早期肾脏功能性缺氧的评估价值。材料与方法将55例2型DM患者按照是否含有微量白蛋白分为单纯DM组27例和早期糖尿病肾病(diabetic nephropathy,DN)组28例,同时招募年龄、性别匹配的30例健康志愿者作为对照组(normal control,NC)。行BOLD-fMRI扫描,计算得到皮质R2^(*)值(cortical R2^(*),CR2^(*))、髓质R2^(*)值(medullary R2^(*),MR2^(*))及髓质/皮质R2^(*)(R2^(*)ratio between medulla and cortex,MCR),进行组内及组间比较分析,并绘制受试者工作特征(receiver operating characteristic,ROC)曲线。结果三组内MR2^(*)值均显著高于CR2^(*)值(P均<0.05)。三组间CR2^(*)值差异无统计学意义(P>0.05);DM组的MR2^(*)值、MCR均显著高于NC组和早期DN组(P均<0.05),而早期DN组与NC组间差异无统计学意义(P>0.05)。MR2^(*)值、MCR及二者联合鉴别NC组与DM组的曲线下面积(area under the curve,AUC)值分别为0.884[95%置信区间(confidence interval,CI):0.802~0.966]、0.802(95%CI:0.690~0.915)和0.891(95%CI:0.811~0.971);鉴别DM组与早期DN组的AUC值分别为0.819(95%CI:0.707~0.931)、0.759(95%CI:0.630~0.889)和0.824(95%CI:0.714~0.934),均具有良好的诊断价值。各指标的诊断效能上差异无统计学意义(P>0.05)。结论BOLD-fMRI可以从氧合水平无创评估DM患者早期的肾脏损害情况,并能监测到在临床尚未出现蛋白尿阶段的肾脏髓质功能性缺氧改变,为临床早期诊断、及时治疗和改善预后提供依据,具有重要的临床价值。 展开更多
关键词 2型糖尿病 糖尿病肾病 肾功能 血氧水平依赖 鉴别诊断 磁共振成像
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针刺干预阿尔茨海默病的BOLD-fMRI脑效应研究进展
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作者 任德琳 魏玉婷 +2 位作者 苏明莉 朱田田 严兴科 《世界科学技术-中医药现代化》 CSCD 北大核心 2023年第9期3098-3104,共7页
阿尔茨海默病(Alzheimer’s disease,AD)是以记忆障碍及多种认知能力退化为主的神经退行性疾病。针刺干预AD具有潜在的疗效,但起效机制尚未明确。血氧水平依赖功能磁共振成像(BOLD-fMRI)因精准定位AD异常脑区并监测分析功能活动的独特优... 阿尔茨海默病(Alzheimer’s disease,AD)是以记忆障碍及多种认知能力退化为主的神经退行性疾病。针刺干预AD具有潜在的疗效,但起效机制尚未明确。血氧水平依赖功能磁共振成像(BOLD-fMRI)因精准定位AD异常脑区并监测分析功能活动的独特优势,为揭示AD脑效应研究提供了技术支持。研究发现响应脑区及脑网络功能活动的异常变化与AD的发生发展密切相关。已有的研究表明针刺可通过改善AD患者多个认知相关脑区和脑网络的功能损害发挥治疗作用,这可能是针刺干预AD的脑功能机制。本文基于BOLD-fMRI技术,围绕AD常用的数据分析方法、AD发病的脑功能机制及针刺干预AD的脑效应研究3个方面进行阐述。以期为进一步探讨针刺干预AD脑效应研究提供参考。 展开更多
关键词 针刺 阿尔茨海默病 脑效应 血氧水平依赖功能磁共振成像
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MRI用于胶质瘤神经重塑的研究进展 被引量:1
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作者 陈迪 张思敏 +1 位作者 杨喜彪 月强(审校) 《国际医学放射学杂志》 2024年第4期390-395,共6页
胶质瘤是成人最常见的恶性脑肿瘤,复发率高且预后极差。神经重塑是大脑在胶质瘤生长中发生的复杂而精密的适应性反应,深入理解大脑的神经重塑对于改善胶质瘤病人生活质量,延长病人生存期具有重要意义。利用高分辨三维T1加权成像(3D T1WI... 胶质瘤是成人最常见的恶性脑肿瘤,复发率高且预后极差。神经重塑是大脑在胶质瘤生长中发生的复杂而精密的适应性反应,深入理解大脑的神经重塑对于改善胶质瘤病人生活质量,延长病人生存期具有重要意义。利用高分辨三维T1加权成像(3D T1WI)、扩散张量成像(DTI)及血氧水平依赖功能MRI(BOLD-fMRI)等技术,同时结合先进的影像分析方法可以探索胶质瘤病人结构和功能方面的可塑性及其相关机制。就不同MRI技术对胶质瘤病人结构和功能重塑的研究进行综述,并展望未来的研究方向。 展开更多
关键词 胶质瘤 磁共振成像 扩散张量成像 血氧水平依赖 神经重塑
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建立BOLD及MRS多模态fMRI针刺脑效应试验方案及其可行性研究 被引量:19
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作者 陈媛媛 赵彦萍 +9 位作者 方继良 钱天翼 洪洋 柳桂勇 张国雷 王珺 王寅 刘勇 徐凯彬 李小娇 《中国医学影像技术》 CSCD 北大核心 2018年第1期20-24,共5页
目的建立BOLD及MRS多模态fMRI试验方案,评估针刺合谷穴后前额叶内侧皮层的负激活效应与γ-氨基丁酸(GABA)变化的关系,并优化试验流程。方法对20名健康受试者进行针刺右侧合谷穴,并行BOLD及MRS多模态fMRI扫描。MRS采用MEGA-PRESS序列,RO... 目的建立BOLD及MRS多模态fMRI试验方案,评估针刺合谷穴后前额叶内侧皮层的负激活效应与γ-氨基丁酸(GABA)变化的关系,并优化试验流程。方法对20名健康受试者进行针刺右侧合谷穴,并行BOLD及MRS多模态fMRI扫描。MRS采用MEGA-PRESS序列,ROI为双侧前额叶内侧皮层,任务态为BOLD序列采用Block设计,设计方案为3次30s穴位刺激,间隔2min。在BOLD前后均行MRS扫描。处理图像后计算获得BOLD正负激活定量值(P_m)和ROI的GABA的定量值。结果 20名受试者均完成BOLD扫描,符合后处理要求,9名受试者MRS曲线稳定,纳入研究。20名受试者中,9名受试者呈正激活,P_m平均定量值为1.17±0.16;11名受试者呈负激活,P_m平均定量值为-1.31±0.17。9名受试者针刺前GABA平均浓度为(19.93±1.04)nmol/L,针刺后平均浓度为(20.04±0.81)nmol/L,针刺前、后GABA差值平均为(0.11±1.60)nmol/L。结论本研究建立的多模态(BOLD-fMRI及MRS)的脑功能定量研究方法成功率较高,检测到针刺时ROI的多模态脑功能变化,并可计算获得定量结果,在针刺脑效应机制研究中具有可行性。 展开更多
关键词 针刺 磁共振成像 血氧水平依赖 磁共振波谱 γ-氨基丁酸
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多参数功能MRI评价冷缺血再灌注肾损伤大鼠肾脏血流及氧合水平的价值
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作者 徐基磐 陈丽华 +5 位作者 任燕 袁仪忠 谢双双 王振 胡占东 沈文 《国际医学放射学杂志》 2024年第3期342-348,共7页
目的探讨动脉自旋标记(ASL)和血氧水平依赖(BOLD)技术评估冷缺血再灌注损伤(CIRI)大鼠肾脏血流和血氧微观改变的价值。方法将100只健康雄性SD大鼠随机分为4组,分别为肾脏冷缺血1 h组(CIRI 1 h)、冷缺血2 h组(CIRI 2 h)、冷缺血4 h组(CIR... 目的探讨动脉自旋标记(ASL)和血氧水平依赖(BOLD)技术评估冷缺血再灌注损伤(CIRI)大鼠肾脏血流和血氧微观改变的价值。方法将100只健康雄性SD大鼠随机分为4组,分别为肾脏冷缺血1 h组(CIRI 1 h)、冷缺血2 h组(CIRI 2 h)、冷缺血4 h组(CIRI 4 h)组及假手术组(CIRI 0 h),每组25只。每组随机选取5只分别在术前、术后(1 h、1 d、2 d、5 d)进行ASL及BOLD MRI,测量肾皮质的血流量(RBFCo)值及T_(2)^(*)值(T_(2)^(*)Co)、肾外的髓外带T_(2)^(*)值(T_(2)^(*)OSOM)和肾外髓内带T^(2*)值(T^(2*)ISOM)。随后切除大鼠左肾进行病理学分析并对肾小管损伤程度评分。采用单因素方差分析比较各组间及组内的不同时间点之间MRI参数和大鼠肾小管损伤程度评分之间的差异;采用Pearson相关分析MRI参数间及MRI参数与肾小管损伤程度评分的相关性。结果术后1 h,冷缺血组大鼠肾脏RBFCo、T_(2)^(*)_(Co)、T_(2)^(*)_(OSOM)值均较术前减低(均P<0.05);术后5 d,CIRI 0 h、CIRI 1 h组的RBFCo、T_(2)^(*)_(Co)、T_(2)^(*)_(OSOM)、T^(2*)_(ISOM)值恢复至其术前水平(均P>0.05),CIRI 4 h组上述指标仍低于术前水平(均P<0.05)。术后1 h、1 d、2 d,CIRI 4 h组T_(2)^(*)OSOM值均较其他各组低;术后5 d,CIRI 4 h组RBFCo、T^(2*)_(Co)、T^(2*)_(OSOM)、T^(2*)_(ISOM)值均低于CIRI 0 h组(均P<0.05)。CIRI 2 h组、CIRI 4 h组的术后各时间点的肾小管损伤程度评分均高于其术前(均P<0.05),术后随时间延长,评分呈减低趋势;术后各时间点,CIRI 4 h组评分均较CIRI 0 h、CIRI 1 h组高;术后1 h、2 d、5 d,CIRI 2 h组的评分均较CIRI 0 h、CIRI 1 h组的要高(均P<0.05)。RBF_(Co)、T_(2)^(*)Co、T_(2)^(*)_(OSOM)、T^(2*)_(ISOM)值与肾小管损伤评分均呈中度负相关(r=-0.714、-0.689、-0.518、-0.579,均P<0.001);RBFCo值与T_(2)^(*)_(Co)、T^(2*)_(OSOM)、T^(2*)_(ISOM)值呈中度正相关(r=0.704、0.525、0.612,均P<0.001);T_(2)^(*)_(Co)值与T_(2)^(*)_(OSOM)、T_(2)^(*)_(ISOM)值呈中度正相关(r=0.685、0.572,均P<0.001);T_(2)^(*)_(OSOM)值与T_(2)^(*)_(ISOM)值呈中度正相关(r=0.606,P<0.001)。结论ASL和BOLD成像可动态评估肾CIRI后组织血流及氧合水平的微观变化,为早期发现肾CIRI提供影像学依据。 展开更多
关键词 肾脏 冷缺血再灌注损伤 动脉自旋标记 血氧浓度依赖 磁共振成像 动物实验
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3.0TBOLDMR技术对大鼠急性单侧输尿管梗阻肾损害的研究 被引量:10
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作者 邢金子 刘爱连 +1 位作者 宋清伟 杨春洋 《磁共振成像》 CAS 2011年第6期439-445,共7页
目的探讨3.0T血氧水平依赖功能MRI(fMRI-BOLD)技术对急性单侧输尿管梗阻大鼠肾血氧水平改变的评估。材料与方法 16只健康SD大鼠,其中3只死亡出组,13只入组大鼠分别在结扎单侧输尿管前、结扎后1h及解除结扎后1h进行常规MR轴位T2WI及冠状... 目的探讨3.0T血氧水平依赖功能MRI(fMRI-BOLD)技术对急性单侧输尿管梗阻大鼠肾血氧水平改变的评估。材料与方法 16只健康SD大鼠,其中3只死亡出组,13只入组大鼠分别在结扎单侧输尿管前、结扎后1h及解除结扎后1h进行常规MR轴位T2WI及冠状位BOLD扫描。观察T2WI像上不同组别间双肾皮髓质信号及解剖结构改变,分别进行信噪比对比分析;在ADW4.4工作站进行BOLD图像重建,测量三次扫描双肾皮髓质R2*值,分别进行R2*值的对比分析。根据患侧肾盂扩张率不同,将其分为重度梗阻与轻度梗阻,并将其与R2*变化率进行对比分析;根据解除组患侧肾盂恢复率不同,将其分为缓解组与未缓解组,并分析其与梗阻程度及R2*变化率的关系。结果 T2WI像上梗阻前大鼠双肾皮质、髓质信噪比分别一致,双肾解剖结构清晰显示;梗阻后大鼠患侧肾实质信噪比均较梗阻前明显增高,皮、髓质分界欠清,肾盂均有不同程度扩张;解除组患侧肾实质信噪比高于梗阻前组,低于梗阻后组,皮髓质分界清晰,肾盂扩张不同程度恢复,健侧肾较梗阻前均未见明显变化。梗阻前组大鼠左、右肾髓质R2*值均高于相应肾皮质;左肾与右肾皮质、髓质R2*值无统计学差异。梗阻后组患肾髓质R2*值低于梗阻前组髓质R2*值,患侧肾皮质R2*值与梗阻前组无差异;健侧肾皮质R2*值略低于梗阻前组,髓质R2*值略高于梗阻前组。解除组患肾髓质R2*值低于梗阻前组,高于梗阻后组,患侧皮质R2*值与梗阻前、后组皮质R2*值无统计学差异;解除组健侧肾皮质R2*值略低于梗阻后组,髓质R2*值略高于梗阻后组。轻度梗阻R2*变化率低于重度梗阻。缓解组的梗阻程度及R2*变化率均低于未缓解组。结论 3.0TfMRI-BOLD技术通过测量R2*值能反映肾脏皮、髓质在正常情况下及急性单侧输尿管梗阻时氧代谢的变化。 展开更多
关键词 磁共振成像 肾脏 急性单侧输尿管梗阻 血氧水平依赖成像
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BOLD-MRI评价含碘对比剂对糖尿病肾病兔肾脏氧含量的影响 被引量:6
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作者 王佳欢 周菲 +1 位作者 魏宝春 林红 《中国医学影像技术》 CSCD 北大核心 2019年第8期1164-1168,共5页
目的采用BOLD-MRI评价含碘对比剂对糖尿病肾病兔肾脏氧含量的影响。方法对4组糖尿病肾病实验兔(每组8只)分别注射不同浓度含碘对比剂(200、240、300、350mgI/ml,命名为200亚组、240亚组、300亚组、350亚组),对照组(n=8)注射对应剂量生... 目的采用BOLD-MRI评价含碘对比剂对糖尿病肾病兔肾脏氧含量的影响。方法对4组糖尿病肾病实验兔(每组8只)分别注射不同浓度含碘对比剂(200、240、300、350mgI/ml,命名为200亚组、240亚组、300亚组、350亚组),对照组(n=8)注射对应剂量生理盐水,注射后1、24、48、72h进行BOLD-MR检查,测量实验兔肾皮质、外髓和内髓的R2^*值,比较不同组间及时间点间R2*值的差异。结果注射对比剂后1h,各组兔肾皮质、外髓和内髓R2^*值均升高,24h升至最高,之后开始下降。注射对比剂后各时间点,350亚组、300亚组、240亚组、200亚组与对照组间肾皮质、外髓、内髓的R2^*值总体差异均有统计学意义(P均<0.001),随碘对比剂浓度增高R2^*值逐渐增高,350亚组R2^*值最高。注射后24h,350亚组中,肾外髓R2^*值高于皮质和内髓(P均<0.05)。结论含碘对比剂可明显影响糖尿病肾病实验兔肾脏氧含量,其变化存在一定规律;BOLD-MRI可为临床合理应用对比剂和监测肾功能提供更多辅助信息。 展开更多
关键词 糖尿病肾病 碘化合物 对比剂 血氧水平依赖 磁共振成像
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耳鸣患者听觉皮质BOLD-fMRI研究 被引量:7
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作者 毛春丽 陈贤明 +2 位作者 陈自谦 叶友强 罗萍 《中华耳科学杂志》 CSCD 2009年第1期26-29,共4页
目的利用血氧水平依赖(blood oxygenation level dependent,BOLD)功能磁共振成像(functional magnetic resonance imaging)(BOLD-fMRI)技术观察耳鸣患者纯音刺激时大脑皮质区激活情况,探讨耳鸣的客观检查方法。方法对7例长期耳鸣患者行B... 目的利用血氧水平依赖(blood oxygenation level dependent,BOLD)功能磁共振成像(functional magnetic resonance imaging)(BOLD-fMRI)技术观察耳鸣患者纯音刺激时大脑皮质区激活情况,探讨耳鸣的客观检查方法。方法对7例长期耳鸣患者行BOLD-fMRI检查,观察其大脑皮质区激活信号,15例健康人作为对照组。结果15例健康志愿者纯音刺激时颞叶区均出现激活,颞上回激活率最高。刺激单耳时对侧听觉皮质激活体积和信号强度明显大于同侧(P<0.01),表现为对侧半球传导优势。耳鸣组纯音刺激时大脑皮质激活解剖部位、激活体积和信号强度无明显规律。结论长期耳鸣患者可能存在听觉皮质的异常神经活动。 展开更多
关键词 耳鸣 听觉皮质 血氧水平依赖功能磁共振成像(bold-fMRI)
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感音神经性聋患者听觉皮层BOLD-fMRI研究 被引量:4
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作者 陈贤明 毛春丽 +2 位作者 陈自谦 叶友强 罗萍 《听力学及言语疾病杂志》 CAS CSCD 北大核心 2009年第3期227-230,共4页
目的利用血氧水平依赖的功能磁共振成像(blood oxygenation level dependent functional magnetic resonance imaging,BOLD-fMRI)技术观察感音神经性聋患者纯音刺激时大脑听觉皮层激活情况,探讨感音神经性聋的中枢客观检查方法。方法对2... 目的利用血氧水平依赖的功能磁共振成像(blood oxygenation level dependent functional magnetic resonance imaging,BOLD-fMRI)技术观察感音神经性聋患者纯音刺激时大脑听觉皮层激活情况,探讨感音神经性聋的中枢客观检查方法。方法对22例单侧中重度感音神经性聋患者(耳聋组)和15例健康志愿者(对照组)行听觉刺激BOLD-fMRI检查,比较两组纯音刺激时听觉皮层激活的体积和信号强度。结果对照组纯音刺激单耳时,对侧听觉皮层激活体积和信号强度明显大于同侧(P<0.01),表现为对侧半球传导优势;耳聋组刺激健侧时健侧听觉皮层激活体积和信号强度大于患侧,但差异无统计学意义(P>0.05)。结论感音神经性聋患者纯音刺激健耳时对侧听觉半球传导优势消失,其听觉皮层可能发生了结构重塑。 展开更多
关键词 感音神经性聋 听觉皮层 血氧水平依赖的功能磁共振成像
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