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Brain-based Correlations Between Psychological Factors and Functional Dyspepsia
( Jiao Fen Nan ),( Ji Xin Liu ),( Jun Ya Mu ),( Wang Huan Dun ),( Ming Zhang ),( Qiyong Gong ),( Wei Qin ),( Jie Tian ),( Fanrong Liang ),( Fang Zeng ) 대한소화기기능성질환·운동학회 2015 Journal of Neurogastroenterology and Motility (JNM Vol.21 No.1
Background/Aims Increasing evidence shows involvement of psychological disorders in functional dyspepsia (FD), but how psychological factors exert their influences upon FD remains largely unclear. The purpose of the present study was to explore the brain-based correlations of psychological factors and FD. Methods Based on Fluorine-18-deoxyglucose positron emission tomography-computed tomography, the altered cerebral glycometabolism was investigated in 40 FD patients compared with 20 healthy controls during resting state using statistical parametric mapping software. Results FD patients exhibited increased glucose metabolism in multiple regions relative to controls (P < 0.001, family-wise error corrected). After controlling for the dyspeptic symptoms, increased aberrations persisted within the insula, anterior cingulate cortex (ACC), middle cingulate cortex (MCC) and middle frontal cortex (midFC), which was related to anxiety and depression score. Interestingly, FD patients without anxiety/depression symptoms also showed increased glycometabolism within the insula, ACC, MCC and midFC. Moreover, FD patients with anxiety/depression symptoms exhibited more significant hypermetabolism within the above 4 sites compared with patients without anxiety/depression symptoms.Conclusions Our results suggested that the altered cerebral glycometabolism may be in a vicious cycle of psychological vulnerabilities and increased gastrointestinal symptoms.
Abnormal Brain Activity Changes in Patients with Migraine: A Short-Term Longitudinal Study
Ling Zha,Jixin Liu,Xuemei Yan,Wanghuan Dun,Jing Yang,Liyu Huang,Yuan Kai,Dahua Yu,Wei Qin,Tian Jie,Fanrong Liang 대한신경과학회 2014 Journal of Clinical Neurology Vol.10 No.3
Background and Purpose Whether or not migraine can cause cumulative brain alterationsdue to frequent migraine-related nociceptive input in patients is largely unclear. The aim of thisstudy was to characterize longitudinal changes in brain activity between repeated observationswithin a short time interval in a group of female migraine patients, using resting-state functional magnetic resonance imaging. Methods Nineteen patients and 20 healthy controls (HC) participated in the study. Regionalhomogeneity (ReHo) and functional interregional connectivity were assessed to determine thefocal and global features of brain dysfunction in migraine. The relationship between changes inheadache parameters and longitudinal brain alterations were also investigated. Results All patients reported that their headache activity increased over time. AbnormalReHo changes in the patient group relative to the HC were found in the putamen, orbitofrontalcortex, secondary somatosensory cortex, brainstem, and thalamus. Moreover, these brain regions exhibited longitudinal ReHo changes at the 6-week follow-up examination. These headache activity changes were accompanied by disproportionately dysfunctional connectivity inthe putamen in the migraine patients, as revealed by functional connectivity analysis, suggesting that the putamen plays an important role in integrating diverse information among othermigraine-related brain regions. Conclusions The results obtained in this study suggest that progressive brain aberrations in migraine progress as a result of increased headache attacks.