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腦腫瘤患者大腦復(fù)雜度的fMRI研究

A resting state fMRI study of brain complexity in cerebral tumor patients

作者: 張雅檬  陶玲  錢志余  武江芬                         
單位:                                 南京航空航天大學(xué)自動(dòng)化學(xué)院(南京210016)            
關(guān)鍵詞:                               樣本熵;互樣本熵;復(fù)雜度;rs  BOLD-fMRI             
分類號(hào):
出版年·卷·期(頁碼):2015·34·5(441-446)
摘要:

目的 針對(duì)目前缺少對(duì)腦腫瘤患者客觀的認(rèn)知損傷評(píng)價(jià)標(biāo)準(zhǔn),本文提出基于靜息態(tài)功能磁共振數(shù)據(jù)的腦復(fù)雜度分析方法。方法 首先對(duì)24位腫瘤患者與18位健康志愿者的BOLD-fMRI圖像分別進(jìn)行預(yù)處理,再求取全腦平均樣本熵值及全腦體素樣本熵圖,然后求取以腫瘤部位為感興趣區(qū)域(region of interest, ROI)的功能連接和互樣本熵值對(duì)比分析。結(jié)果 健康志愿者樣本熵值明顯高于腫瘤患者(F=15.907,P=0.000),互樣本熵值與功能連接呈負(fù)相關(guān)關(guān)系,并且左額或左顳有腦腫瘤的患者在左額、左顳、楔葉的功能腦區(qū)與健康志愿者相比有明顯差異,該研究結(jié)果與臨床診斷數(shù)據(jù)較為一致。結(jié)論 提出一種基于樣本熵的腦復(fù)雜度分析方法,發(fā)現(xiàn)腫瘤會(huì)影響大腦的復(fù)雜度,腫瘤級(jí)別升高導(dǎo)致大腦復(fù)雜度的降低,該方法所得結(jié)果能夠作為評(píng)定腫瘤級(jí)別的量化參數(shù)之一。

Objective An analysis method of brain complexity based on resting state fMRI data was proposed for the lack of objective evaluation standard of cognitive impairment in cerebral tumor patients currently. Methods Firstly, we preprocessed BOLD fMRI images of 24 cerebral tumor patients and 18 healthy volunteers respectively, calculated the mean whole-brain sample entropy and the whole-brain voxel sample entropy maps, and then determined the tumor site for region of interest (ROI) area to analyze the correlation between function connection and cross-sample entropy. Results Whole brain entropy of healthy volunteers was significant higher than cerebral tumor patients (F=15.907,P=0.000), and negative correlation between function connection and cross sample entropy was observed. And there were significant differences in the left frontal, left temporal and cuneus brain functional areas between patients with brain tumor of the left frontal or left temporal and healthy volunteers. The results were consistent with clinical diagnosis results. Conclusions This analysis method of brain complexity based on sample entropy help to illustrate that tumor will affect the complexity of the brain, and the increase of tumor grade leads to the decrease of the brain complexity. The results in this method can be used as one of the quantitative parameters to evaluate the tumor grade.

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