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中国生物医学工程学报  2021, Vol. 40 Issue (2): 137-144    DOI: 10.3969/j.issn.0258-8021.2021.02.02
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不同序列间隔高频重复经颅磁刺激对运动区功率谱密度的影响
靳静娜1, 廖文清1, 刘文博2, 王欣1, 刘志朋1, 殷涛1,3#*
1(中国医学科学院·北京协和医学院 生物医学工程研究所,天津 300192)
2(华科精准(北京)医疗科技有限公司,北京 102629)
3(中国医学科学院神经科学中心,北京 100730)
Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation with Inter-Train Intervals on Power Spectral Density in Bilateral Motor Regions
Jin Jingna1, Liao Wenqing1, Liu Wenbo2, Wang Xin1, Liu Zhipeng1, Yin Tao1,3#*
1(Institute of Biomedical Engineering, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300192, China)
2(Sinocation (Beijing) Medical Technology Co., Ltd, Beijing 102629, China)
3(Neuroscience Center, Chinese Academy of Medical Sciences, Beijing 100730, China)
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摘要 高频重复经颅磁刺激(rTMS)范式中序列间隔(ITI)参数对神经生理作用的影响尚未被充分研究。探讨不同ITI 高频rTMS刺激初级运动皮层对双侧运动区神经活动能量的影响。11名健康受试者参与ITI分别为25、50、100 s的真10 Hz rTMS及伪10 Hz rTMS,序列时长为5 s。在每次rTMS前后采集180 s闭目静息态脑电信号,分析rTMS前后双侧运动区总频段及delta、theta、alpha、beta、gamma1、gamma2各频段功率谱密度和其偏侧指数的变化。结果表明,25 s ITI rTMS对刺激侧运动区各频段功率谱密度均没有显著影响(P>0.05);50 s ITI rTMS使刺激侧theta和beta频段功率谱密度显著增加(P<0.05,theta频段刺激前后(11.42±1.01)dB vs(12.19±1.10)dB),beta频段刺激前后(10.71±0.99)dB vs(11.20±0.88)dB);同时使gamma2频段功率谱密度显著降低(P<0.05,刺激前后(4.94±0.97)dB vs(3.35±0.61)dB);100 s ITI rTMS使刺激侧theta、alpha和beta频段功率谱密度显著增加(P<0.05,theta频段刺激前后(11.29±1.00)dB vs(12.17±1.10)dB,alpha频段刺激前后(16.17±1.20)dB vs(17.74±1.20)dB,beta频段刺激前后(10.55±0.88)dB vs(11.26±0.90)dB)。rTMS诱发刺激对侧运动区各频段功率谱的变化与刺激侧运动区的变化基本相同。在实验中,rTMS均没有改变双侧运动区功率谱密度的偏侧指数(P>0.05)。研究结果表明,高频rTMS范式设置的ITI不同,对双侧运动区脑活动的影响不同,提示制定高频rTMS范式时,需慎重考虑ITI的设置。
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靳静娜
廖文清
刘文博
王欣
刘志朋
殷涛
关键词 高频重复经颅磁刺激(rTMS)序列间隔(ITI)静息态脑电运动区功率谱密度    
Abstract:The effect of inter-train intervals incorporated into high-frequency repetitive transcranial magnetic stimulation (rTMS) on the activity of motor cortex has not been studied adequately yet. The purpose of this study was to investigate the effects of different inter-train intervals (ITI) high-frequency rTMS over primary motor cortex on neural activity energy. Eleven healthy subjects participated in real 10 Hz rTMS with 25, 50 and 100 s ITI and sham 10 Hz rTMS, with trains of 5 s duration. Electroencephalography (EEG) signals with eyes closed in resting state before and after each rTMS session were collected to analyze the changes of power spectral density and its laterality index in total, delta, theta, alpha, beta, gamma 1 and gamma 2 frequency bands in bilateral motor regions. The power spectrum density of stimulated motor cortex in all frequency bands didn’t change significantly after 25 s ITI rTMS (P>0.05). However, the power spectral density of stimulated motor cortex in theta (before vs after (11.42±1.01) dB vs (12.19±1.10) dB) and beta (before vs after (10.71±0.99) dB vs (11.20±0.88) dB) frequency bands increased, and in gamma 2 (before vs after (4.94±0.97) dB vs (3.35±0.61) dB) frequency band decreased significantly after 50 s ITI rTMS (P<0.05). The power spectral density of stimulated motor cortex in theta (before vs after (11.29±1.00) dB vs (12.17±1.10) dB), alpha (before vs after (16.17±1.20) dB vs (17.74±1.20) dB) and beta (before vs after (10.55±0.88) dB vs (11.26±0.90) dB) bands increased significantly after 100 s ITI rTMS. (P<0.05). The changes of power spectrum in non-stimulated motor cortex were similar to that in stimulated motor region. Furthermore, the laterality index of power spectral density in all frequency bands between motor cortex didn’t change after all rTMS (P>0.05). The study demonstrated that the effects of high frequency rTMS with different ITI on the motor cortex activities were different and suggested the ITI should be carefully considered when formulating the high frequency rTMS paradigms.
Key wordshigh-frequency repetitive transcranial magnetic stimulation(rTMS)    inter-train intervals(ITI)    electroencephalography in resting state    motor cortex    power spectral density
收稿日期: 2020-09-28     
PACS:  R318  
基金资助:国家重点研发计划(2018YFC0115600);天津市自然科学基金(19JCYBJC28900);中国医学科学院医学与健康创新工程重大协同创新项目(CAMS-2016-I2M-1-004)
通讯作者: *E-mail: bme500@163.com   
作者简介: #中国生物医学工程学会会员
引用本文:   
靳静娜, 廖文清, 刘文博, 王欣, 刘志朋, 殷涛. 不同序列间隔高频重复经颅磁刺激对运动区功率谱密度的影响[J]. 中国生物医学工程学报, 2021, 40(2): 137-144.
Jin Jingna, Liao Wenqing, Liu Wenbo, Wang Xin, Liu Zhipeng, Yin Tao. Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation with Inter-Train Intervals on Power Spectral Density in Bilateral Motor Regions. Chinese Journal of Biomedical Engineering, 2021, 40(2): 137-144.
链接本文:  
http://cjbme.csbme.org/CN/10.3969/j.issn.0258-8021.2021.02.02     或     http://cjbme.csbme.org/CN/Y2021/V40/I2/137
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