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Different sensorimotor mechanism in fast and slow progression amyotrophic lateral sclerosis

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机构: [1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China [3]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
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关键词: amplitude of low frequency fluctuations amyotrophic lateral sclerosis functional connectivity resting state fMRI slow and fast progression rates

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The huge heterogeneity of the disease progression rate may cause inconsistent findings between local activity and functional connectivity of the primary sensorimotor area (PSMA) in amyotrophic lateral sclerosis (ALS). For illustration of this hypothesis, resting-state fMRI (RS-fMRI) data were collected and analyzed on 38 "definite" or "probable" ALS patients (19 fast and 19 slow, cut off median = 0.41) and 37 matched healthy controls. Amplitude of low frequency fluctuations (ALFFs) and functional connectivity strength (FCS) were analyzed within the PSMA. There was a decreased ALFF (p(FDR) <.05) and FCS (p = .022) in all ALS patients. The two metrics shared about 50% of variance (R = .7) and both showed significant positive correlation with ALS Functional Rating Scale-Revised (ALSFRS-R) in the fast (p values <.034) but not in the slow progression groups. Interestingly, when regressing out the ALFF, the PSMA network FCS, especially the inter-hemisphere FCS, showed negative correlation with the ALSFRS-R score in the slow (R = -.54, p = .026) but not the fast progression group. In summary, the current results suggest that RS-fMRI local activity and network functional connectivity accounts for the severity differently in the slow and fast progression ALS patients.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 神经科学 2 区 神经成像 2 区 核医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 神经成像 2 区 神经科学 2 区 核医学
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出版当年[2020]版:
Q1 NEUROIMAGING Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 NEUROSCIENCES
最新[2023]版:
Q1 NEUROIMAGING Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
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通讯机构: [1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China [3]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [*1]Department of Neurology, Xuanwu Hospital, Changchun Rd No.45, Beijing 100053, China [*2]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Changchun Rd No. 45, Beijing 100053, China.
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