机构:[a]Beijing Jishuitan Hospital,[b]Department of Pain Management, Xuanwu Hospital Capital Medical University,疼痛科首都医科大学宣武医院[c]School of Biomedical Engineering, Capital Medical University, Beijing, China
The effects of repetitive transcranial magnetic stimulation (rTMS), the clinical treatment for postherpetic neuralgia (PHN), on whole-brain functional network of PHN patients is not fully understood.To explore the effects of rTMS on the whole-brain functional network of PHN patients.10 PHN patients (male/female: 5/5 Age: 63-79 years old) who received rTMS treatment were recruited in this study. High-resolution T1-weighted and functional Magnetic Resonance Imaging (fMRI) were acquired before and after 10 consecutive rTMS sessions. The whole-brain functional connectivity networks were constructed by Pearson correlation. Global and node-level network parameters, which can reflect the topological organization of the brain network, were calculated to investigate the characteristics of whole-brain functional networks. Non-parametric paired signed rank tests were performed for the above network parameters with sex and age as covariates. P?<?.05 (with FDR correction for multi-comparison analysis) indicated a statistically significant difference. Correlation analysis was performed between the network parameters and clinical variables.The rTMS showed significant increase in characteristic path length and decrease of clustering coefficient, global, and local efficiency derived from the networks at some specific network sparsity, but it showed no significant difference for small-worldness. rTMS treatment showed significant differences in the brain regions related to sensory-motor, emotion, cognition, affection, and memory, as observed by changes in node degree, node betweenness, and node efficiency. Besides, node-level network parameters in some brain areas showed significant correlations with clinical variables including visual analog scales (VAS) and pain duration.rTMS has significant effects on the whole-brain functional network of PHN patients with a potential for suppression of sensory-motor function and improvement of emotion, cognition, affection, and memory functions.
基金:
This work was supported by Beijing Jishuitan Hospital Nova Program [XKXX201819]; Beijing Natural Science Foundation [7174282]; Beijing Municipal Administration
of Hospitals Clinical Medicine Development of Special Funding Support [ZYLX201507]; Beijing Health System High Level Health Technical Personnel Training Plan
[2015-3-067].
第一作者机构:[a]Beijing Jishuitan Hospital,[b]Department of Pain Management, Xuanwu Hospital Capital Medical University,
共同第一作者:
通讯作者:
通讯机构:[*1]Xicheng District, Beijing, China[*2]School of Biomedical Engineering, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Qian Pei,Zhizheng Zhuo,Bin Jing,et al.The effects of repetitive transcranial magnetic stimulation on the whole-brain functional network of postherpetic neuralgia patients.[J].Medicine.2019,98(25):e16105.doi:10.1097/MD.0000000000016105.
APA:
Qian Pei,Zhizheng Zhuo,Bin Jing,Qianqian Meng,Xiangyu Ma...&Haiyun Li.(2019).The effects of repetitive transcranial magnetic stimulation on the whole-brain functional network of postherpetic neuralgia patients..Medicine,98,(25)
MLA:
Qian Pei,et al."The effects of repetitive transcranial magnetic stimulation on the whole-brain functional network of postherpetic neuralgia patients.".Medicine 98..25(2019):e16105