Peng-fei Qiao1, Guang-ming Niu1, Yang Gao1, and Ai-shi Liu1
1Affiliated Hospital of Inner Mongolia Medical University, HOHHOT, China, People's Republic of
Synopsis
In order to detect the resting state fMRI (rfMRI) change of the complex partial seizures(CPS) epilepsy patients by employing the regional homogeneity(ReHo)、the amplitude of low frequency fluctuation (ALFF) and the functional connectivity(FC) techniques.And we found there were important values to study epilepsy using 3 above techniques at the resting state.PURPOSE
To investigate the
modifications of resting state fMRI(rfMRI) in
complex partial seizures (CPS) epilepsy patients employing regional
homogeneity(ReHo)、the amplitude of low
frequency fluctuation (ALFF) and
the functional connectivity(FC)
techniques.
METHOD AND MATERIALS
Thirty-seven right-handed CPS patients were recruited and investigated in the
comparison with 37 matched in age
、gender and education
background controls. All subjects underwent MR scanning
on a 3.0 Tesla scanner (GE-Discovery 750, Milwaukee,
US.). Functional MRI scanning was performed using GRE-EPI
sequences (FOV 24 cm×24cm, 64×64 matrix, flip angle 90°, TR 2000
ms,TE 30 ms , whole brain coverage,38 oblique axial ,4mm slices thickness and 0mm inter-slice space). Resting-state scanning lasted
for 512s, producing 256 brain volume data sets. The first 10 images were
excluded due to T1 equilibrium effects. T1-weighted 3DBRAVO-sequence images (FOV
24 cm×24 cm, 256×256 matrix, whole brain coverage,
flip angle 13°, TR 7.8 ms, TE 3.0 ms) were achieved to assess the anatomical
images for the co-registration of fMRI data with standard space coordinates.
ReHo, ALFF and FC were processed using
REST and SPM8 software to compare the resting state function in the whole brain
between two groups.
RESULTS
Medial temporal lobe and surrounded
brain regions were observed to participate the interictal
epileptiform discharges (IEDs), and the default mode network (DMN).The cerebellum of CPS patients was the most
commonly damaged region resulted from the abnormal neural electrical activities.
CONCLUSION
ReHo,ALFF and FC can detect interictal epileptiform abnormality, and can be possibly applied as
an additional non-invasive tool for the detection of epileptogenic foci. Furthermore,the
alterations in amplitude play a central role in epileptogenesis.
CLINICAL
RELEVANCE/APPLICATION
ReHo,ALFF and FC can detect abnormal BOLD signals, localize
the epileptic zones, and may be applied to evaluate the pathophysiological
mechanisms of epilepsy.
Acknowledgements
No acknowledgement found.References
Qiao
PF, Gao PY,Dai JP,Niu GM.Research progress on resting state
fMRI of epilepsy[J] Brain dev.2012;34:8-12