汉语及图片语义加工机制的fMRI研究

目的利用功能磁共振成像(fMRI)技术探讨汉字及图片语义加工的脑机制。方法对13名正常青年受试者进行视觉方式呈现汉字及图片语义辨别任务的fMRI扫描,采用AFNI软件进行数据分析和脑功能区活动图像。结果fMRI显示两种任务均激活了左侧顶下小叶、额中回、额下回、右侧小脑及双侧梭状回、舌回、枕中回、枕下回、辅助运动区。其中左侧顶下小叶、额中回及双侧枕中回、梭状回在图片语义辨别任务激活明显强于汉字任务,有显著性差异(P<0.05)。结论汉字及图片语义的脑加工均存在偏侧化现象,图片语义的脑处理有更多的脑活动参与完成。     

Neuroanatomical correlates of penile erection evoked by photographic stimuli in human males

The objective of this study was to identify the cerebral correlates of the early phase, and of low to moderate levels, of penile tumescence using for the first time a volumetric measure of the penile response. We hypothesized that (i) regions whose response had been found correlated with circumferential penile responses in previous studies would be identified with volumetric plethysmography and (ii) that other brain regions, including the amygdalae, would be found using the more sensitive volumetric measurement. In ten healthy males, functional magnetic resonance imaging (fMRI) was used to study brain responses to sexually stimulating photographs and to various categories of control photographs. Both ratings of perceived erection and penile plethysmography demonstrated an erectile response to the presentation of sexually stimulating photographs. Regions where the BOLD signal was correlated with penile volumetric responses included the right medial prefrontal cortex, the right and left orbitofrontal cortices, the insulae, the paracentral lobules, the right ventral lateral thalamic nucleus, the right anterior cingulate cortex and regions involved in motor imagery and motor preparation (supplementary motor areas, left ventral premotor area). This study suggests that the development of low levels of penile tumescence in response to static sexual stimuli is controlled by a network of frontal, parietal, insular and cingulate cortical areas and that penile tumescence reciprocally induces activation in somatosensory regions of the brain.     

fMRI during natural sleep as a method to study brain function during early childhood

Many techniques to study early functional brain development lack the whole-brain spatial resolution that is available with fMRI. We utilized a relatively novel method in which fMRI data were collected from children during natural sleep. Stimulus-evoked responses to auditory and visual stimuli as well as stimulus-independent functional networks were examined in typically developing 2-4-year-old children. Reliable fMRI data were collected from 13 children during presentation of auditory stimuli (tones, vocal sounds, and nonvocal sounds) in a block design. Twelve children were presented with visual flashing lights at 2.5 Hz. When analyses combined all three types of auditory stimulus conditions as compared to rest, activation included bilateral superior temporal gyri/sulci (STG/S) and right cerebellum. Direct comparisons between conditions revealed significantly greater responses to nonvocal sounds and tones than to vocal sounds in a number of brain regions including superior temporal gyrus/sulcus, medial frontal cortex and right lateral cerebellum. The response to visual stimuli was localized to occipital cortex. Furthermore, stimulus-independent functional connectivity MRI analyses (fcMRI) revealed functional connectivity between STG and other temporal regions (including contralateral STG) and medial and lateral prefrontal regions. Functional connectivity with an occipital seed was localized to occipital and parietal cortex. In sum, 2-4 year olds showed a differential fMRI response both between stimulus modalities and between stimuli in the auditory modality. Furthermore, superior temporal regions showed functional connectivity with numerous higher-order regions during sleep. We conclude that the use of sleep fMRI may be a valuable tool for examining functional brain organization in young children.     

Cerebral activation during anal and rectal stimulation.

While the rectum is innervated by visceral afferents, the anal canal is innervated by the somatosensory pudendal nerve. The representation of these two central domains of intestinal sensations in the human brain is largely unknown. Nonpainful pneumatic stimulation of the anal canal and the distal rectum using event-related functional magnetic resonance imaging (fMRI) was performed in eight healthy subjects. Subjective scaling of sensations revealed no differences in unpleasantness and pain during both stimuli. Both types of stimuli revealed fMRI activation in secondary somatosensory, insula, cingular gyrus, left inferior parietal, and right orbitofrontal cortex. Anal stimulation resulted in additional activation of primary sensory and motor cortex, supplementary motor area, and left cerebellum. We concluded that viscerorectal and somatosensory anal stimulation predominantly differ in their primary sensory activation and additional activation in motor areas. This motor response following aversive somatosensory stimuli may be caused by a reflexive avoidance reaction which is not observed after the more diffuse experienced visceral stimulation.     

低频振幅算法功能磁共振成像观察屈光参差性弱视患者脑活动

目的 应用基于低频振幅(ALFF)算法的功能磁共振成像(fMRI)观察屈光参差性弱视患者脑活动的变化。方法 对9例左眼单眼屈光参差性弱视患者(弱视组)和12名健康志愿者(对照组)在黑白棋盘格刺激下行fMRI,应用t检验对ALFF脑图进行组间和组内统计学分析。结果 1例弱视组患者数据在预处理后被剔除。左眼接受刺激时,弱视组较对照组左侧舌回、右侧枕中回、右侧中央前回、左侧后扣带回、左侧顶上小叶、左侧楔前叶和楔叶等区域ALFF减弱,左侧额中间回、左侧额上回、左侧颞上回、右侧杏仁体和右侧壳核等区域ALFF显著增强;右眼接受刺激时,弱视组较对照组胼胝体和左侧颞中回ALFF减弱,双侧枕叶、右侧额中回和右侧尾状核等区域ALFF显著增强。弱视组中,与右眼接受视觉刺激时比较,左眼接受视觉刺激时右侧额下回、左侧尾状核、丘脑及前扣带回等脑区ALFF显著增强,双侧枕叶ALFF显著减弱。结论 任务状态下基于ALFF算法的fMRI不仅可反映弱视患者视皮层的功能损害,还可反映多脑区神经活动的变化。     

Males and females differ in brain activation during cognitive tasks

To examine the effect of gender on regional brain activity, we utilized functional magnetic resonance imaging (fMRI) during a motor task and three cognitive tasks; a word generation task, a spatial attention task, and a working memory task in healthy male (n = 23) and female (n = 10) volunteers. Functional data were examined for group differences both in the number of pixels activated, and the blood-oxygen-level-dependent (BOLD) magnitude during each task. Males had a significantly greater mean activation than females in the working memory task with a greater number of pixels being activated in the right superior parietal gyrus and right inferior occipital gyrus, and a greater BOLD magnitude occurring in the left inferior parietal lobe. However, despite these fMRI changes, there were no significant differences between males and females on cognitive performance of the task. In contrast, in the spatial attention task, men performed better at this task than women, but there were no significant functional differences between the two groups. In the word generation task, there were no external measures of performance, but in the functional measurements, males had a significantly greater mean activation than females, where males had a significantly greater BOLD signal magnitude in the left and right dorsolateral prefrontal cortex, the right inferior parietal lobe, and the cingulate. In neither of the motor tasks (right or left hand) did males and females perform differently. Our fMRI findings during the motor tasks were a greater mean BOLD signal magnitude in males in the right hand motor task, compared to females where males had an increased BOLD signal magnitude in the right inferior parietal gyrus and in the left inferior frontal gyrus. In conclusion, these results demonstrate differential patterns of activation in males and females during a variety of cognitive tasks, even though performance in these tasks may not vary, and also that variability in performance may not be reflected in differences in brain activation. These results suggest that in functional imaging studies in clinical populations it may be sensible to examine each sex independently until this effect is more fully understood.     

Neural correlates of artificial grammar learning

Artificial grammar learning (AGL) is a form of nondeclarative memory that involves the nonconscious acquisition of abstract rules. While data from amnesic patients indicate that AGL does not depend on the medial temporal lobe, the neural basis of this type of memory is unknown and was therefore examined using event-related fMRI. Prior to scanning, participants studied letter strings constructed according to an artificial grammar. Participants then made grammaticality judgments about novel grammatical and nongrammatical strings while fMRI data were collected. The participants successfully acquired knowledge of the grammar, as evidenced by correct identification of the grammatical letter strings (57.4% correct; SE 1.9). During grammaticality judgments, widespread increases in activity were observed throughout the occipital, posterior temporal, parietal, and prefrontal cortical areas, reflecting the cognitive demands of the task. More specific analyses contrasting grammatical and nongrammatical strings identified greater activity in left superior occipital cortex and the right fusiform gyrus for grammatical stimuli. Increased activity was also observed in the left superior occipital and left angular gyrus for correct responses compared to incorrect. Comparing activity during grammaticality judgments versus a matched recognition control task again identified greater activation in the left angular gyrus. The network of areas exhibiting increased activity for grammatical stimuli appears to have more in common with studies examining word-form processing or mental calculation than the fluency effects previously reported for nondeclarative memory tasks such as priming and visual categorization. These results suggest that a novel nondeclarative memory mechanism supporting AGL exists in the left superior occipital and inferior parietal cortex.     

Effective connectivity during haptic perception: a study using Granger causality analysis of functional magnetic resonance imaging data

Although it is accepted that visual cortical areas are recruited during touch, it remains uncertain whether this depends on top-down inputs mediating visual imagery or engagement of modality-independent representations by bottom-up somatosensory inputs. Here we addressed this by examining effective connectivity in humans during haptic perception of shape and texture with the right hand. Multivariate Granger causality analysis of functional magnetic resonance imaging (fMRI) data was conducted on a network of regions that were shape- or texture-selective. A novel network reduction procedure was employed to eliminate connections that did not contribute significantly to overall connectivity. Effective connectivity during haptic perception was found to involve a variety of interactions between areas generally regarded as somatosensory, multisensory, visual and motor, emphasizing flexible cooperation between different brain regions rather than rigid functional separation. The left postcentral sulcus (PCS), left precentral gyrus and right posterior insula were important sources of connections in the network. Bottom-up somatosensory inputs from the left PCS and right posterior insula fed into visual cortical areas, both the shape-selective right lateral occipital complex (LOC) and the texture-selective right medial occipital cortex (probable V2). In addition, top-down inputs from left postero-supero-medial parietal cortex influenced the right LOC. Thus, there is strong evidence for the bottom-up somatosensory inputs predicted by models of visual cortical areas as multisensory processors and suggestive evidence for top-down parietal (but not prefrontal) inputs that could mediate visual imagery. This is consistent with modality-independent representations accessible through both bottom-up sensory inputs and top-down processes such as visual imagery.     

Right parietal dominance in spatial egocentric discrimination

Egocentric tactile perception is crucial for skilled hand motor control. In order to better understand the brain functional underpinnings related to this basic sensorial perception, we performed a tactile perception functional magnetic resonance imaging (fMRI) experiment with two aims. The first aim consisted of characterizing the neural substrate of two types of egocentric tactile discrimination: the spatial localization (SLD) and simultaneity succession discrimination (SSD) in both hands to define hemispheric dominance for these tasks. The second goal consisted of characterizing the brain activation related to the spatial attentional load, the functional changes and their connectivity patterns induced by the psychometric performance (PP) during SLD. We used fMRI in 25 right-handed volunteers, applying pairs of sinusoidal vibratory stimuli on eight different positions in the palmar surface of both hands. Subjects were required either to identify the stimulus location with respect to an imaginary midline (SLD), to discriminate the simultaneity or succession of a stimuli pair (SSD) or to simply respond to stimulus detection. We found a fronto-parietal network for SLD and frontal network for SSD. During SLD we identified right hemispheric dominance with increased BOLD activation and functional interaction of the right supramarginal gyrus with contralateral intra-parietal sulcus for right and left hand independently. Brain activity correlated to spatial attentional load was found in bilateral structures of intra-parietal sulcus, precuneus extended to superior parietal lobule, pre-supplementary motor area, frontal eye fields and anterior insulae for both hands. We suggest that the right supramarginal gyrus and its interaction with intra-parietal lobule may play a pivotal role in the phenomenon of tactile neglect in right fronto-parietal lesions.     

Distinct cortical networks for the detection and identification of human body

In the human brain information about bodies and faces is processed in specialized cortical regions named EBA and FBA (extrastriate and fusiform body area) and OFA and FFA (occipital and fusiform face area), respectively. Here we investigate with functional magnetic resonance imaging (fMRI) the cortical areas responsible for the identification of individual bodies and the distinction between ‘self’ and ‘others’. To this end we presented subjects with images of unfamiliar and familiar bodies and their own body. We identified separate coactivation networks for body-detection (processing body related information), body-identification (processing of information relating to individual bodies) and self-identification (distinction of self from others). Body detection involves the EBA in both hemispheres, and in the right hemisphere: the FBA and areas in the IPL (inferior parietal lobe). Body identification involves areas in the inferior frontal gyrus (IFG) of both hemispheres and in the right hemisphere areas in the medial frontal gyrus (MFG), in the cingulate gyrus (CG), in the central (CS) and the post-central sulcus (PCS), in the inferior parietal lobe (IPL) and the FBA. When the recognition of one's own body is contrasted to the identification of familiar bodies, differential activation is observed in areas of the inferior parietal lobe (IPL) and inferior parietal sulcus (IPS) of the right hemisphere, and in the posterior orbital gyrus (pOrbG) and in the lateral occipital gyrus (LOG) of the left hemisphere. Thus, identification of individual bodies and self-other distinction involve in addition to the classical occipito-parietal network a parieto-frontal network. Interestingly, the EBA shows no differential activation for distinctions between familiar or unfamiliar bodies or recognition of one's own body.     

汉字与英文字形辨认的脑功能磁共振成像初步研究

目的:探讨功能磁共振成像(fMRI)技术研究人脑汉字与英文字形辨认方面的价值。材料与方法:12例(男5例,女7例)母语为汉语且裸眼视力正常的大学生参加实验。设备为GE Signa 1.5T MR仪,采用EPI序列,BOLD法行脑功能磁共振扫描。实验任务分别将汉字与英文(真字、假字、非字)投射到屏幕上,受试者通过头线圈反光镜观看屏幕并辨认。数据分析使用SPM 99升级软件,经过数据采集、预处理和建立模型显示结果。结果:汉字真字刺激在左额叶、中央前回(BA6)及枕叶(BA18)显著激活;左顶叶、中央后回(BA3)、右额下回(BA9)及双侧颞叶少量激活。英文真字刺激时左额中回、中央前回、左额下回显著激活;左颞梭状回(BA37)、右枕语言回(BA18)及左顶叶(BA40)也有激活。汉字和英文假字与非字只引起少量激活(P>0.05)。汉字与英文刺激左大脑半球的激活体积明显大于右半球;除枕叶外,英文在额、颞及顶叶引起的激活体积均大于汉字。结论:fMRI是研究人脑汉字和英文语言加工理想的无创性影像学方法,其脑加工优势半球均为左半球;母语为汉语者,其英文脑处理过程需更多的脑活动来参与和完成。     

The effect of appraisal level on processing of emotional prosody in meaningless speech

In visual perception of emotional stimuli, low- and high-level appraisal processes have been found to engage different neural structures. Beyond emotional facial expression, emotional prosody is an important auditory cue for social interaction. Neuroimaging studies have proposed a network for emotional prosody processing that involves a right temporal input region and explicit evaluation in bilateral prefrontal areas. However, the comparison of different appraisal levels has so far relied upon using linguistic instructions during low-level processing, which might confound effects of processing level and linguistic task. In order to circumvent this problem, we examined processing of emotional prosody in meaningless speech during gender labelling (implicit, low-level appraisal) and emotion labelling (explicit, high-level appraisal). While bilateral amygdala, left superior temporal sulcus and right parietal areas showed stronger blood oxygen level-dependent (BOLD) responses during implicit processing, areas with stronger BOLD responses during explicit processing included the left inferior frontal gyrus, bilateral parietal, anterior cingulate and supplemental motor cortex. Emotional versus neutral prosody evoked BOLD responses in right superior temporal gyrus, bilateral anterior cingulate, left inferior frontal gyrus, insula and bilateral putamen. Basal ganglia and right anterior cingulate responses to emotional versus neutral prosody were particularly pronounced during explicit processing. These results are in line with an amygdala-prefrontal-cingulate network controlling different appraisal levels, and suggest a specific role of the left inferior frontal gyrus in explicit evaluation of emotional prosody. In addition to brain areas commonly related to prosody processing, our results suggest specific functions of anterior cingulate and basal ganglia in detecting emotional prosody, particularly when explicit identification is necessary.     

低频电刺激腓总神经时脑部fMRI表现

目的 探讨功能性磁共振显像作为一种无创伤性的方法在周围神经经低频电刺激对大脑影响中的应用。方法 用低频电刺激志愿者右腓总神经处，同时用功能性磁共振显像扫描头部。结果 所得资料均用SPM99软件处理。双侧大脑半球的中央后回、颞上回和顶下小叶交汇处有一兴奋区域；双侧岛盖部(operculum)也有兴奋；另外，左侧大脑半球的中央后回顶上小叶、旁中央小叶和楔前叶交汇处有兴奋区；右侧大脑半球则在枕上回和顶上小叶之间有小片兴奋区域。结论 在周围神经经低频电刺激对大脑影响的研究中，我们发现功能性磁共振显像是一种有效的实用方法。     

Modality effects in verbal working memory: differential prefrontal and parietal responses to auditory and visual stimuli

The neural bases of verbal (nonspatial) working memory (VWM) have been primarily examined using visual stimuli. Few studies have investigated the neural bases of VWM using auditory stimuli, and fewer have explored modality differences in VWM. In this study, we used functional magnetic resonance imaging (fMRI) to examine similarities and differences between visual VWM (vis-VWM) and auditory VWM (aud-VWM) utilizing identical stimuli and a within-subjects design. Performance levels were similar in the two modalities and there was extensive overlap of activation bilaterally in the dorsolateral and ventrolateral prefrontal cortex (DLPFC and VLPFC), intraparietal sulcus, supramarginal gyrus and the basal ganglia. However, a direct statistical comparison revealed significant modality differences: the left posterior parietal cortex, primarily along the intraparietal sulcus, showed greater responses during vis-VWM whereas the left dorsolateral prefrontal cortex showed greater responses during aud-VWM. No such differences were observed in the right hemisphere. Other modality differences in VWM were also observed, but they were associated with relative decreases in activation. In particular, we detected bilateral suppression of the superior and middle temporal (auditory) cortex during vis-VWM, and of the occipital (visual) cortex during aud-VWM, thus suggesting that cross-modal inhibitory processes may help to provide preferential access to high-order heteromodal association areas. Taken together, our findings suggest that although similar prefrontal and parietal regions are involved in aud-VWM and vis-VWM, there are important modality differences in the way neural signals are generated, processed and routed during VWM.     

观察精神发育迟缓患者的脑局部一致性

目的 通过比较精神发育迟缓(MR)患者与正常人之间脑局部一致性(ReHo)的差异,观察MR患者静息状态下局部脑活动变化。方法 利用3.0T 磁共振扫描仪对10例MR患者(MR组)及25名健康志愿者(正常对照组)行静息态fMRI。采用SPM8和REST软件进行数据处理,获得两组之间ReHo值存在显著差异的脑区。结果 与正常对照组相比,MR组左额中回、额下回、颞上回和岛叶、右中扣带回、后扣带回、缘上回和顶下小叶ReHo值显著减低,左枕中回和楔叶、右枕中回、楔叶和舌回、右楔前叶、左中央前回和中央后回ReHo值显著增高。结论 静息状态下,MR患者高级脑功能区局部活动减弱可能是智力低下的神经基础;而初级脑功能区局部活动增强可能反映了补偿性效应。     

What difference does a year of schooling make? Maturation of brain response and connectivity between 2nd and 3rd grades during arithmetic problem solving

Early elementary schooling in 2nd and 3rd grades (ages 7-9) is an important period for the acquisition and mastery of basic mathematical skills. Yet, we know very little about neurodevelopmental changes that might occur over a year of schooling. Here we examine behavioral and neurodevelopmental changes underlying arithmetic problem solving in a well-matched group of 2nd (n = 45) and 3rd (n = 45) grade children. Although 2nd and 3rd graders did not differ on IQ or grade- and age-normed measures of math, reading and working memory, 3rd graders had higher raw math scores (effect sizes = 1.46-1.49) and were more accurate than 2nd graders in an fMRI task involving verification of simple and complex two-operand addition problems (effect size = 0.43). In both 2nd and 3rd graders, arithmetic complexity was associated with increased responses in right inferior frontal sulcus and anterior insula, regions implicated in domain-general cognitive control, and in left intraparietal sulcus (IPS) and superior parietal lobule (SPL) regions important for numerical and arithmetic processing. Compared to 2nd graders, 3rd graders showed greater activity in dorsal stream parietal areas right SPL, IPS and angular gyrus (AG) as well as ventral visual stream areas bilateral lingual gyrus (LG), right lateral occipital cortex (LOC) and right parahippocampal gyrus (PHG). Significant differences were also observed in the prefrontal cortex (PFC), with 3rd graders showing greater activation in left dorsal lateral PFC (dlPFC) and greater deactivation in the ventral medial PFC (vmPFC). Third graders also showed greater functional connectivity between the left dlPFC and multiple posterior brain areas, with larger differences in dorsal stream parietal areas SPL and AG, compared to ventral stream visual areas LG, LOC and PHG. No such between-grade differences were observed in functional connectivity between the vmPFC and posterior brain regions. These results suggest that even the narrow one-year interval spanning grades 2 and 3 is characterized by significant arithmetic task-related changes in brain response and connectivity, and argue that pooling data across wide age ranges and grades can miss important neurodevelopmental changes. Our findings have important implications for understanding brain mechanisms mediating early maturation of mathematical skills and, more generally, for educational neuroscience.     

基于局部一致性的脑静息功能模式偏侧化研究

目的 应用局部一致性方法揭示静息状态下大脑左右半球在局部区域内功能模式的偏侧化差异.方法 采集21名健康的在校大学生睁眼条件下6分钟的静息状态功能磁共振扫描数据.结果 在前额下回、中央前回区域右脑局部一致性均高于左脑区域,而在颞上回、楔叶区右脑局部一致性小于左脑区域.结论 静息状态下大脑功能模式不是单一的左侧或右偏侧化...     

FMRI-adaptation to highly-rendered color photographs of animals and manipulable artifacts during a classification task

We used fMRI to identify brain areas that adapted to either animals or manipulable artifacts while participants classified highly-rendered color photographs into subcategories. Several key brain areas adapted more strongly to one class of objects compared to the other. Namely, we observed stronger adaptation for animals in the lingual gyrus bilaterally, which are known to analyze the color of objects, and in the right frontal operculum and in the anterior insular cortex bilaterally, which are known to process emotional content. In contrast, the left anterior intraparietal sulcus, which is important for configuring the hand to match the three-dimensional structure of objects during grasping, adapted more strongly to manipulable artifacts. Contrary to what a previous study has found using gray-scale photographs, we did not replicate categorical-specific adaptation in the lateral fusiform gyrus for animals and categorical-specific adaptation in the medial fusiform gyrus for manipulable artifacts. Both categories of objects adapted strongly in the fusiform gyrus without any clear preference in location along its medial-lateral axis. We think that this is because the fusiform gyrus has an important role to play in color processing and hence its responsiveness to color stimuli could be very different than its responsiveness to gray-scale photographs. Nevertheless, on the basis of what we found, we propose that the recognition and subsequent classification of animals may depend primarily on perceptual properties, such as their color, and on their emotional content whereas other factors, such as their function, may play a greater role for classifying manipulable artifacts.     

Temporal pattern of source activities evoked by different types of motion onset stimuli

The aim of this study was to compare the time course of motion-related source activities evoked by the onset of different kinds of visual motion stimuli in human subjects. Event-related potentials (ERP) were recorded from 64 scalp electrodes in ten healthy subjects while they were viewing four different types of motion stimuli (translation, rotation, expansion and contraction). Following a new approach combining a current density reconstruction with clustering algorithms, source maxima in the time range from 50 to 400 ms after the onset of the visual stimulus were localized and the time courses of activation were elaborated. Six regions contributed significantly to source activity, half originating in the occipital lobe and half in the right parietal and right temporal cortex. The comparison of their time courses led to the following conclusions: (i) the different kinds of motion stimuli activated about the same areas of the brain but with different temporal patterns. (ii) Mainly parietal and extrastriate areas, but not V1/V2, were significantly involved in the differentiation of different kinds of motion. (iii) Contrasting the different kinds of motion onsets, responses from parietal areas were found mainly before those from lateral occipital areas. (iv) The classically defined N2 and P2 components were significantly different among the four motion conditions, but not P1. The N2 motion-related component was elicited not only by lateral occipital areas and middle temporal areas but also by right parietal areas. (v) The rotation condition evoked a novel component P180, concomitant with an increased activity in the left middle temporal gyrus.     

静息态功能磁共振成像评价原发性闭角型青光眼患者脑部局部一致性

目的 采用静息态功能磁共振成像(rs-fMRI)评价原发性闭角型青光眼(PACG)患者脑部局部一致性(ReHo)的改变。方法 对40例PACG患者(PACG组)及40名健康志愿者(对照组)进行rs-fMRI,计算全脑ReHo值,并进行统计学分析。结果 与对照组比较,PACG组右侧梭状回、左侧枕中回、左侧枕下回、左侧颞中回、双侧中央前回、左侧中央后回、左侧顶上小叶、左侧中央旁小叶的ReHo值均减低(P均<0.05);双侧小脑后叶、右侧额上回的ReHo值均增加(P均<0.05)。右侧梭状回、左侧枕中回ReHo值与视网膜纤维层厚度均呈正相关(r=0.452、0.472,P均<0.05)。右侧额上回ReHo值与视力呈负相关(r=-0.443,P=0.004)。结论 PACG患者存在视觉、感觉运动、情绪认知处理多个脑区自发性脑活动异常,且多个脑区ReHo值的改变与PACG疾病严重程度相关。