This study aims to explore the correlative relationship between temporal variation and signal synchronization of spontaneous brain activity in self-hypnosis for respiratory motion control and relaxation. A resting-state fMRI was employed to an intra-subject of 15 hypnotist volunteers in rest state and self-hypnosis state to explore the inter-state difference of correlation within four conventional resting-state networks. The results demonstrated that coupled temporal variation and signal synchronization of brain activity in self-hypnosis. It provides neural implications of self-hypnosis, a psychological technology that can generate positively psychological and physiological effects, in controllable self-regulation, which is beneficial to cancer patients during radiotherapy.
INTRODUCTION
As reported in our previous study,1 hypnosis is proposed as an effectively psychological
technique in respiratory motion control, which contributes to the restriction
and stability of tumor motion (especially for chest and abdominal tumors)
during radiotherapy. However, the underlying neural mechanism remains
mysterious. This paper aims to explore the correlative relationship between
temporal variation and signal synchronization of spontaneous brain activity in
self-hypnosis for respiratory motion control and relaxation.
METHODS
An intra-subject design of 15 healthy hypnotist volunteers was employed to a self-hypnosis experiment in a 3.0T SIEMENS magnetic resonance imaging (MRI) machine. Volunteers were tested in two states, rest state (RS) and self-hypnosis state (SHS). The functional image and T1 image of each volunteer’s brain were obtained for both two states. A resting-state functional MRI was applied to explore the correlation of temporal variation and signal synchronization of blood oxygenation level dependent signal within four conventional resting-state networks. Temporal variation of brain signal was detected by amplitude of low frequency of fluctuation (ALFF) (0.01-0.08Hz)2 and fractional ALFF (fALFF) (0.01-0.08Hz)3. Signal synchronization was measured by regional homogeneity (ReHo)4 and degree of centrality (DC) (threshold of 0.25)5, reflecting local and global functional connectivity respectively. Four networks, default mode network, salience network, executive control network and sensorimotor network were identified by seed-wise functional connectivity. The seeds of these networks were selected according to priori study6 as following: precuneus/posterior cingulate cortex for DMN7, dorsal anterior cingulate cortex for SN8, left dorsolateral prefrontal cortex for ECN8, left central sulcus for SMN9. Moreover, a set of intrinsic networks template nodes10 were applied to examine the robustness of the results. Additionally, a range thresholds (from 0.25 to 0.75) of DC were further calculated to explore the stability of correlation results. Both averaged level and group level of the correlation were measured.RESULTS
The four large scale networks identified by seed-wise functional connectivity in this study (Figure 1) were mostly in keeping with previous study6. Within the identified networks, enhanced correlations were observed between temporal variation and signal synchronization (Figure 2C) in SHS. The enhanced results were robust in response to a range threshold of DC (Figure 2D). Most importantly, coupled temporal variation (ALFF/fALFF) and global functional connectivity (DC) were demonstrated (ALFF-DC: R=0.09/0.73, p=0.7752/0.0068 in RS/SHS; fALFF-DC: R=0.26/0.79, p=0.4056/0.0023 in RS/SHS) (Figure 2A,2B). Moreover, coupled ALFF and DC (R=0.34/0.70, p=0.0593/p<0.0001 in RS/SHS) was also demonstrated in another set of template (Figure 3A,3B). The results were overall consistent in the identified template and prior template (Figure 2, Figure 3).1. Li R, Deng J, Xie Y. Control of respiratory motion by hypnosis intervention during radiotherapy of lung cancer i. Biomed Res Int. 2013;2013:574934.
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