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Effects of computerized cognitive training on functional brain networks in patients with vascular cognitive impairment and no dementia

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Radiol & Nucl Med, 45 Changchun St, Beijing 100053, Peoples R China [2]Beijing Key Lab Magnet Resonance Imaging & Brain I, Beijing, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 Changchun St, Beijing 100053, Peoples R China [4]Jiangsu Normal Univ, Collaborat Innovat Ctr Language Abil, Xuzhou, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Dept Informat, 45 Changchun St, Beijing 100053, Peoples R China
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关键词: computerized cognitive training functional connectivity functional magnetic resonance imaging intrinsic connectivity network vascular cognitive impairment no dementia

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Aims: Previous neuroimaging studies of vascular cognitive impairment, no dementia (VCIND), have reported functional alterations, but far less is known about the effects of cognitive training on functional connectivity (FC) of intrinsic connectivity networks (ICNs) and how they relate to intervention-related cognitive improvement. This study provides comprehensive research on the changes in intra- and inter-brain functional networks in patients with VCIND who received computerized cognitive training, with a focus on the underlying mechanisms and potential therapeutic strategies. Methods: We prospectively collected 60 patients with VCIND who were randomly divided into the training group (N = 30) receiving computerized cognitive training and the control group (N = 30) receiving fixed cognitive training. Functional MRI scans and cognitive assessments were performed at baseline, at the 7-week training, and at the 6-month follow-up. Utilizing templates for ICNs, the study employed a linear mixed model to compare intra- and inter-network FC changes between the two groups. Pearson correlation was applied to calculate the relationship between FC and cognitive function. Results: We found significantly decreased intra-network FC within the default mode network (DMN) following computerized cognitive training at Month 6 (p = 0.034), suggesting a potential loss of functional specialization. Computerized training led to increased functional coupling between the DMN and sensorimotor network (SMN) (p = 0.01) and between the language network (LN) and executive control network (ECN) at Month 6 (p < 0.001), indicating compensatory network adaptations in patients with VCIND. Notably, the intra-LN exhibited enhanced functional specialization after computerized cognitive training (p = 0.049), with significant FC increases among LN regions, which correlated with improvements in neuropsychological measures (p < 0.05), emphasizing the targeted impact of computerized cognitive training on language abilities. Conclusions: This study provides insights into neuroplasticity and adaptive changes resulting from cognitive training in patients with VCIND, with implications for potential therapeutic strategies.

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 2 区 神经科学 2 区 药学
最新[2023]版:
大类 | 1 区 医学
小类 | 2 区 神经科学 2 区 药学
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出版当年[2022]版:
Q1 NEUROSCIENCES Q1 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q1 PHARMACOLOGY & PHARMACY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Radiol & Nucl Med, 45 Changchun St, Beijing 100053, Peoples R China [2]Beijing Key Lab Magnet Resonance Imaging & Brain I, Beijing, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Radiol & Nucl Med, 45 Changchun St, Beijing 100053, Peoples R China [2]Beijing Key Lab Magnet Resonance Imaging & Brain I, Beijing, Peoples R China
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