The State of Resting State Networks.
The State of Resting State Networks.
复制标题
DOI：
10.1097/rmr.0000000000000214
复制
发表时间：
2019-08-01
期刊：
影响因子：
--
通讯作者：
Shimony, Joshua S
中科院分区：
文献类型：
--
作者：
Seitzman, Benjamin A;Snyder, Abraham Z;Shimony, Joshua S
功能性磁共振成像（fMRI）目前用于术前规划，但通常仅限于运动和语言系统的信息。静息态fMRI可以为神经外科医生和神经放射科医生提供更多关于其他网络的信息;然而，目前，这些网络在临床医生中并不为人所知。本文的目的是为临床医生提供这些网络的介绍，并讨论它们如何在未来用于精确和个性化的手术计划。我们提供了一个简短的介绍静息态功能磁共振成像和讨论目前公认的静息态网络与文献综述。我们回顾了多种躯体感觉、联想和其他网络的特点和功能。我们讨论了大脑中关键节点的概念，以及神经外科医生如何使用这些信息来个性化定制患者护理。虽然进一步的研究是必要的，未来的应用程序的术前规划将需要考虑的网络，而不仅仅是运动和语言，以尽量减少手术后的发病率和定制的病人护理。
Functional MRI (fMRI) is currently used for pre-surgical planning, but is often limited to information on the motor and language systems. Resting state fMRI can provide more information on multiple other networks to the neurosurgeon and neuroradiologist; however, currently, these networks are not well known among clinicians. The purpose of this manuscript is to provide an introduction to these networks for the clinician and to discuss how they could be used in the future for precise and individualized surgical planning. We provide a short introduction to resting state fMRI and discuss multiple currently accepted resting state networks with a review of the literature. We review the characteristics and function of multiple somatosensory, association, and other networks. We discuss the concept of critical nodes in the brain and how the neurosurgeon can use this information to individually customize patient care. Although further research is necessary, future application of pre-surgical planning will require consideration of networks other than just motor and language in order to minimize post-surgical morbidity and customize patient care.