The present study aimed to investigate the effect of an auricular acupuncture intervention on the relationship between changes in oxyhemoglobin concentration(Δ[O2Hb])and arterial blood pressure(ABP).The cerebral oxyg...The present study aimed to investigate the effect of an auricular acupuncture intervention on the relationship between changes in oxyhemoglobin concentration(Δ[O2Hb])and arterial blood pressure(ABP).The cerebral oxygenation signals in the bilateral prefrontal cortex(PFC),sensorimotor cortex(SMC),and temporal lobe cortex(TLC)of 15 patients with hypertension were measured by a 24-channel functional near-infrared spectroscopy(fNIRS)device before(State_R)and after(State_AT)the auricular acupuncture intervention.Coupling strength was used to quantitatively evaluate the strength of the couplings between ABP andΔ[O2Hb]in low-frequency oscillations(LF,0.07–0.2 Hz)and very-low-frequency oscillations(VLF,0.02–0.07 Hz).Results showed that the changes in wavelet amplitudes in the LF and VLF intervals did not exhibit significant differences after auricular acupuncture.The coupling strength from ABP toΔ[O2Hb]was significantly lower in the LF range after auricular acupuncture in the bilateral PFC,SMC,and TLC(p<0.0083).Additionally,the coupling strength from ABP toΔ[O2Hb]in the VLF range was significantly lower in the bilateral PFC in State_AT than in State_R(p<0.0083).These results indicated that fNIRS together with ABP can effectively evaluate cerebral hemodynamic responses to interventions and is therefore capable of guiding more individualized acupuncture strategies.The auricular acupuncture intervention improved hemodynamic responses in patients suffering from hypertension.展开更多
Objective: The pathogenesis of leukoaraiosis is still unclear. Many studies have determined that changes in the hemodynamics associated with leukoaraiosis, impaired cerebrovascular reserve, and intracranial hypoperfus...Objective: The pathogenesis of leukoaraiosis is still unclear. Many studies have determined that changes in the hemodynamics associated with leukoaraiosis, impaired cerebrovascular reserve, and intracranial hypoperfusion can lead to various clinical manifestations such as motor or cognitive impairment. The purpose of this study was to investigate the relationship between cognitive functional changes and imaging characteristics in patients with symptomatic leukoaraiosis, and to observe the corresponding changes in hemodynamics. Methods: A total of 203 Han patients (aged 43 - 93 years) with symptomatic leukoaraiosis were included in this study. Head magnetic resonance imaging was semi-quantified according to the Fazekas grading standard. Then, each patient was evaluated in terms of cognitive (Montreal scale) and executive function (trail-making test A [TMTA] and TMTB). Specifically, the TMTA asks patients to connect points on a piece of paper numbered from 1 to 25 in order and the TMTB asks patients to arrange numbers and letters in alternating order. In the current work, revised versions of these tests used are to include numbers in square and circular shapes where the shapes needed to be arranged in alternating order. The time required to complete the TMTA and TMTB was recorded. The changes in the blood flow velocity of the middle cerebral artery were also observed using routine Transcranial Doppler ultrasound and the breath-holding test. The dynamic curves of blood flow velocity during the breath-holding test were examined. Results: The cognitive and executive functions of patients with leukoaraiosis are related to the classification of image-based disease characteristics. In this sense, the more serious the leukoaraiosis is, the larger the impairment of cognitive and executive function is. According to the breath-holding test, the peak pattern of the blood flow velocity in the middle cerebral artery was significantly different between the various grades of leukoaraiosis. The peak type of Fazekas grade 0 and I was in the same direction, while the peak type of Fazekas grade II and III was significantly opposed (both p Conclusions: The impairment of cognitive and executive functions in patients with leukoaraiosis correlates with the severity of image-based disease manifestations, which are generally depicted as intracranial hypoperfusion.展开更多
Functional near-infrared spectroscopy(fNIRS)has gained great interest as a noninvasive modality to study the changes in cerebral hemodynamics related to brain activity.The unique and beneficial characteristics of fNIR...Functional near-infrared spectroscopy(fNIRS)has gained great interest as a noninvasive modality to study the changes in cerebral hemodynamics related to brain activity.The unique and beneficial characteristics of fNIRS allow ecologically effective investigations of all ages and conditions in more realistic and clinical environments.In this review,we provide a comprehensive description of fNIRS basics,analytical method developments and applications in stroke rehabilitation.We first review various new methods for the time-series processing and functional analysis of fNIRS data.Then,we review the fNIRS-based application in clinical research for stroke rehabilitation and highlight the exciting developments based on fNIRS.Finally,we discuss the possible technical limitations of the implementation of fNIRS and provide suggestions from different aspects for practical application.展开更多
基金This work was supported by the National Key Research and Development Project[grant number 2020YFC2004200]the National Natural Science Foundation of China[grant numbers 31771071,11732015,61675013]+1 种基金the Fundamental Research Funds for Central Public Welfare Research Institutes[grant number 118009001000160001]the Key Research and Development Project of Jiangxi Province[grant number 20202BBGL73057].
文摘The present study aimed to investigate the effect of an auricular acupuncture intervention on the relationship between changes in oxyhemoglobin concentration(Δ[O2Hb])and arterial blood pressure(ABP).The cerebral oxygenation signals in the bilateral prefrontal cortex(PFC),sensorimotor cortex(SMC),and temporal lobe cortex(TLC)of 15 patients with hypertension were measured by a 24-channel functional near-infrared spectroscopy(fNIRS)device before(State_R)and after(State_AT)the auricular acupuncture intervention.Coupling strength was used to quantitatively evaluate the strength of the couplings between ABP andΔ[O2Hb]in low-frequency oscillations(LF,0.07–0.2 Hz)and very-low-frequency oscillations(VLF,0.02–0.07 Hz).Results showed that the changes in wavelet amplitudes in the LF and VLF intervals did not exhibit significant differences after auricular acupuncture.The coupling strength from ABP toΔ[O2Hb]was significantly lower in the LF range after auricular acupuncture in the bilateral PFC,SMC,and TLC(p<0.0083).Additionally,the coupling strength from ABP toΔ[O2Hb]in the VLF range was significantly lower in the bilateral PFC in State_AT than in State_R(p<0.0083).These results indicated that fNIRS together with ABP can effectively evaluate cerebral hemodynamic responses to interventions and is therefore capable of guiding more individualized acupuncture strategies.The auricular acupuncture intervention improved hemodynamic responses in patients suffering from hypertension.
文摘Objective: The pathogenesis of leukoaraiosis is still unclear. Many studies have determined that changes in the hemodynamics associated with leukoaraiosis, impaired cerebrovascular reserve, and intracranial hypoperfusion can lead to various clinical manifestations such as motor or cognitive impairment. The purpose of this study was to investigate the relationship between cognitive functional changes and imaging characteristics in patients with symptomatic leukoaraiosis, and to observe the corresponding changes in hemodynamics. Methods: A total of 203 Han patients (aged 43 - 93 years) with symptomatic leukoaraiosis were included in this study. Head magnetic resonance imaging was semi-quantified according to the Fazekas grading standard. Then, each patient was evaluated in terms of cognitive (Montreal scale) and executive function (trail-making test A [TMTA] and TMTB). Specifically, the TMTA asks patients to connect points on a piece of paper numbered from 1 to 25 in order and the TMTB asks patients to arrange numbers and letters in alternating order. In the current work, revised versions of these tests used are to include numbers in square and circular shapes where the shapes needed to be arranged in alternating order. The time required to complete the TMTA and TMTB was recorded. The changes in the blood flow velocity of the middle cerebral artery were also observed using routine Transcranial Doppler ultrasound and the breath-holding test. The dynamic curves of blood flow velocity during the breath-holding test were examined. Results: The cognitive and executive functions of patients with leukoaraiosis are related to the classification of image-based disease characteristics. In this sense, the more serious the leukoaraiosis is, the larger the impairment of cognitive and executive function is. According to the breath-holding test, the peak pattern of the blood flow velocity in the middle cerebral artery was significantly different between the various grades of leukoaraiosis. The peak type of Fazekas grade 0 and I was in the same direction, while the peak type of Fazekas grade II and III was significantly opposed (both p Conclusions: The impairment of cognitive and executive functions in patients with leukoaraiosis correlates with the severity of image-based disease manifestations, which are generally depicted as intracranial hypoperfusion.
基金This work was supported by the National Key Research and Development Project Nos.(Grant No.2020YFC2004200)National Natural Science Foundation of China(Grant No.31771071,61761166007)the Fundamental Research Funds for Central Public Welfare Research Institutes(118009001000160001).
文摘Functional near-infrared spectroscopy(fNIRS)has gained great interest as a noninvasive modality to study the changes in cerebral hemodynamics related to brain activity.The unique and beneficial characteristics of fNIRS allow ecologically effective investigations of all ages and conditions in more realistic and clinical environments.In this review,we provide a comprehensive description of fNIRS basics,analytical method developments and applications in stroke rehabilitation.We first review various new methods for the time-series processing and functional analysis of fNIRS data.Then,we review the fNIRS-based application in clinical research for stroke rehabilitation and highlight the exciting developments based on fNIRS.Finally,we discuss the possible technical limitations of the implementation of fNIRS and provide suggestions from different aspects for practical application.
