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The use of current source density as electrophysiological correlates in neuropsychiatric disorders: a review of human studies

机译:在神经精神疾病中使用电流源密度作为电生理学相关因素:一项人类研究综述

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摘要

The use of current source density (CSD), the Laplacian of the scalp surface voltage, to map the electrical activity of the brain is a powerful method in studies of cognitive and affective phenomena. During the last few decades, mapping of CSD has been successfully applied to characterize several neuropsychiatric conditions such as alcoholism, schizophrenia, depression, anxiety disorders, childhood/developmental disorders, and neurological conditions (i.e., epilepsy and brain lesions) using electrophysiological data from resting state and during cognitive performance. Use of CSD and Laplacian measures has proven effective in elucidating topographic and activation differences between groups: i) patients with a specific diagnosis vs. healthy controls, ii) subjects at high risk for a specific diagnosis vs. low risk or normal controls, and iii) patients with specific symptom(s) vs. patients without these symptom(s). The present review outlines and summarizes the studies that have employed CSD measures in investigating several neuropsychiatric conditions. The advantages and potential of CSD-based methods in clinical and research applications along with some of the limitations inherent in the CSD-based methods are discussed in the review, as well as future directions to expand the implementation of CSD to other potential clinical applications. As CSD methods have proved to be more advantageous than using scalp potential data to understand topographic and source activations, its clinical applications offer promising potential, not only for a better understanding of a range of psychiatric conditions, but also for a variety of focal neurological disorders, including epilepsy and other conditions involving brain lesions and surgical interventions.
机译:使用电流源密度(CSD)(头皮表面电压的拉普拉斯算子)绘制大脑的电活动图是研究认知和情感现象的有力方法。在过去的几十年中,已使用静息电生理数据成功地将CSD绘图用于表征多种神经精神疾病,例如酒精中毒,精神分裂症,抑郁症,焦虑症,儿童/发育性疾病和神经系统疾病(即癫痫和脑损伤)状态和认知表现。已证明使用CSD和Laplacian措施可以有效地阐明两组之间的地形和激活差异:i)有特定诊断的患者与健康对照组,ii)有特定诊断的高风险患者与低风险或正常对照组,以及iii )有特定症状的患者与没有这些症状的患者。本综述概述并总结了采用CSD措施研究几种神经精神疾病的研究。本综述讨论了基于CSD的方法在临床和研究应用中的优势和潜力,以及基于CSD的方法固有的局限性,以及将CSD的实施扩展到其他潜在临床应用的未来方向。由于CSD方法已被证明比使用头皮电位数据来了解地形和来源激活更为有利,因此其临床应用前景广阔,不仅可以更好地了解各种精神病学状况,而且还可以治疗多种局灶性神经系统疾病包括癫痫和其他涉及脑部病变的疾病以及外科手术。

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