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Yıl:2019; Cilt: 56; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2019;56(4):277-282
Genelleştirilmiş Doğrusal Model İşlevsel DMN Çalışmalarını Destekler Nitelikte midir?
OM Koçak , HÖ Rezaki , Y Türkel , M İnal , ŞV Buturak
Kırıkkale Üniversitesi, Kırıkkale
Amaç: Son zamanlarda varsayılan mod ağını (Default mode network, DMN) ve beynin dinlenim halini araştıran çalışmalara büyük ilgi gösterilmektedir. Yapılan işlevsel bağlantı çalışmaları, kortikal orta hat yapılarının ve pariyetal-temporal bölgelerinin DMN içerisinde sıkı bir şekilde bağlantısallık gösterdiğini ortaya koymuştur. Bu alandaki sayısız çalışmaya rağmen, tüm beyin analizinde, genelleştirilmiş doğrusal model (GDM) kullanılarak yapılan işlevsel MRG çalışmalarında dinlenim halindeki aktivasyon bölgeleri hakkında çok az şey bilinmektedir. Bu çalışmanın amacı, görevden dinlenime geçiş ve dinlenim süresinin uzaması sırasında GDM ile belirlenen beyin bölgeleri arasındaki aktivite değişikliklerini araştırmaktır. Yöntem: 16 sağlıklı yetişkinin (8 erkek ve 8 kadın) bir resim imgeleme görevi sırasında ve dinlenimde işlevsel MRG kayıtları alınmıştır. Bulgular: Bu çalışmada, dorsal anterior singulat korteks (dACC), posterior singulat korteks (PCC), talamus, primer motor alan (PMA), insula, beyin sapı ve bilateral putamenlerin görevden dinlenimin erken evresine geçiş ve dinlenimin uzaması sırasında dalgalanan bir aktivasyon paterni gösterdiği izlenmiştir. Tüm bölgelerde, görevden ayrılma sırasında artmış bir aktivasyon gösterirken, dinlenimin uzaması ile azalmış bir aktivasyon düzeyi kaydedilmiştir. Bu bölgeler arasında dACC, insula ve putamen her koşulda korelasyon göstermiştir. Sonuç: Bu bulgular, kortikal orta hat yapıları ve insulada görülen aktivasyon artışının görevden dinlenim durumuna geçişindeki öneminin altını çizmektedir. Bu bölgelerde izlenen artmış aktivasyon düzeyinin görevden kopmaya aracılık ettiği düşünülebilir
Does Generalized Linear Model Support Functional Default Mode Network Studies
Introduction: A growing body of research has emerged on the resting state and the default mode of the brain. Functional connectivity studies, which lately dominate this research area, have confirmed that regions such as the cortical mid-line structures, as well as parietal-temporal regions are tightly interconnected within the default mode network (DMN). However, little is known about the activity patterns of resting state related brain regions detected in fMRI studies using the generalized linear model (GLM) in a whole brain analysis. The aim of the current study was to investigate the activity changes among brain regions identified through GLM during the transition from task to rest and the prolongation of rest. Methods: A picture imagination task, as a controlled thought content task, was used in order to minimize confounding factors such as a visual stimulus or a motor response. Results: The present study revealed a consistent fluctuating activation pattern of the dorsal anterior cingulate cortex (dACC), the posterior cingulate cortex (PCC), thalamus, primer motor area (PMA), insula, brain stem and bilateral putamen during the transition from task to the early phase of the resting state and the prolongation of the resting state. All regions showed increased activation during the detachment from task. However, this increased activation was not sustained during the extension of rest, replaced with a decreased activation at the late phase of rest. The increased activation of resting state regions might help with the detachment from the current task. Among these regions dACC, insula and putamen were correlated in all conditions. Conclusion: These findings underline the importance of the activation increase of the cortical mid-line regions and insula in the transition from task to the resting state.

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