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find Keyword "癫痫网络" 2 results
  • 颞叶癫痫的海马网络功能连接

    由于海马和其他颞叶结构与其他脑区存在连接, 颞叶癫痫(TLE)可以影响到颞叶以外的结构。采用磁共振(MRI)功能连接的方法来探索TLE海马网络的变化, 以更全面的分析TLE的异常分布范围。共纳入三组被试:左侧颞叶癫痫TLE组(13例); 右侧TLE组(11例)及健康对照组(16例)。分别在这三组被试中划定左、右两侧海马为感兴趣区(Regions of interest, ROIs)。通过测定静息态功能磁共振(functional MRI, fMRI)低频血氧水平(Blood oxygenation level dependent, BOLD)信号的相关性来寻找与ROIs存在着功能连接的脑区。采用独立样本t检验进行组间对比。在TLE中, 海马与多个脑区功能连接增强, 包括边缘系统中的几个关键区域(颞叶、岛叶、丘脑)、额叶、角回、基底节、脑干和小脑, 同时海马与一些脑区之间的功能连接减弱, 包括感觉运动皮质(视觉、体感、听觉、初级运动)和默认网络(楔前叶)。左侧TLE的功能连接改变较右侧TLE更为明显。TLE功能连接改变揭示了TLE累及多个脑区, 导致大脑神经网络功能失常。左侧TLE和右侧TLE的海马功能连接存在显著差异。

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  • Localization of epileptogenic zone based on reconstruction of dynamical epileptic network and virtual resection

    Drug-refractory epilepsy (DRE) may be treated by surgical intervention. Intracranial EEG has been widely used to localize the epileptogenic zone (EZ). Most studies of epileptic network focus on the features of EZ nodes, such as centrality and degrees. It is difficult to apply those features to the treatment of individual patients. In this study, we proposed a spatial neighbor expansion approach for EZ localization based on a neural computational model and epileptic network reconstruction. The virtual resection method was also used to validate the effectiveness of our approach. The electrocorticography (ECoG) data from 11 patients with DRE were analyzed in this study. Both interictal data and surgical resection regions were used. The results showed that the rate of consistency between the localized regions and the surgical resections in patients with good outcomes was higher than that in patients with poor outcomes. The average deviation distance of the localized region for patients with good outcomes and poor outcomes were 15 mm and 36 mm, respectively. Outcome prediction showed that the patients with poor outcomes could be improved when the brain regions localized by the proposed approach were treated. This study provides a quantitative analysis tool for patient-specific measures for potential surgical treatment of epilepsy.

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