Alterations of the default mode network in functional dyspepsia patients: a resting‐state fmri study. Issue 6 (25th April 2013)

• Record Type: Journal Article
• Authors: Liu, P.; Zeng, F.; Zhou, G.; Wang, J.; Wen, H.; von, K. M.; Qin, W.; Liang, F.; Tian, J.
• Is Part Of: Neurogastroenterology & motility. Volume 25:Issue 6(2013:Jun.)
• Page Start: e382
• Page End: e388
• Publication Date: 2013-04-25
• Subjects: Gastrointestinal system -- Motility -- Periodicals; Gastrointestinal system -- Innervation -- Periodicals; 616.33
• DOI: 10.1111/nmo.12131
• Languages: English
• ISSNs: 1350-1925

Abstract

<abstract abstract-type="main" xml:lang="en" id="nmo12131-abs-0001"> <title>Abstract</title> <sec id="nmo12131-sec-0001" sec-type="section"> <title>Background</title> <p>Increasing brain imaging studies have emphasized the role of regional brain activity abnormalities in functional dyspepsia (FD) during the resting state. The goal of this study was to investigate the default mode network (DMN) in FD patients and healthy controls (HCs).</p> </sec> <sec id="nmo12131-sec-0002" sec-type="section"> <title>Methods</title> <p>Resting‐state functional magnetic resonance imaging (fMRI) scanning was carried out on 49 patients and 39 HCs. Independent component analysis (ICA) was used to isolate the DMN in each subject. Group topography of the DMN was compared to study significant alteration in FD. A correlation analysis was then performed in the FD group to investigate the effects of symptom severity and the psychological factors on the DMN.</p> </sec> <sec id="nmo12131-sec-0003" sec-type="section"> <title>Key Results</title> <p>Significant spatial differences with the DMN in FD patients, compared with HCs, were mainly found in the dorsomedial prefrontal cortex (dmPFC), ventromedial prefrontal cortex (vmPFC), orbitofrontal cortex (OFC), pregenual anterior cingulate cortex (pACC), thalamus, parahippocampal gyrus, precuneus, parietal cortex, and temporal pole. Meanwhile, Nepean Dyspepsia Index (NDI) scores were positively correlated with the pACC, and was negative correlated with the OFC. However, both the Self‐Rating Anxiety Scale (SAS) and Self‐Rating Depression Scale (SDS) scores were not correlated with any regions of interest showing differences between the FD patients and the HCs.</p> </sec> <sec id="nmo12131-sec-0004" sec-type="section"> <title>Conclusions & Inferences</title> <p>These findings suggested that the DMN might indeed undergo dysfunctional changes due to the abnormal persistent activity in FD patients. To a certain extent, the changes in the DMN were related to the FD‐related symptom severity.</p> </sec> </abstract>