Evidence map›Paper›PMID 37534626›Full record

ArticleBrain and behavior2023

Functional changes in the salience network of patients with amnesic mild cognitive impairment before and after repetitive transcranial magnetic stimulation.

Qianqian Yuan, Chen Xue, Xuhong Liang, Wenzhang Qi, Shanshan Chen, Yu Song, Huimin Wu, Xulian Zhang, Chaoyong Xiao, Jiu Chen

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Qianqian YuanDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Chen XueDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Xuhong LiangDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Wenzhang QiDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Shanshan ChenDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yu SongDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Huimin WuDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Xulian ZhangDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Chaoyong XiaoDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Jiu ChenDepartment of Radiology, The Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.ORCID 0000-0001-8185-8575
Nanjing Brain Hospital · CNNanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmnestic mild cognitive impairment (aMCI) is considered to be the prodromal stage of Alzheimer's disease (AD). The precuneus (PCUN) may be an imaging marker for monitoring the progression of AD. Meanwhile, cognitive impairment in AD patients is closely related to functional connectivity (FC) changes in the salience network (SN). We hypothesize that there are specific neuroimaging biomarkers in the SN and that FC changes in aMCI patients after repetitive transcranial magnetic stimulation (rTMS) intervention are associated with cognitive function. The purpose of this study was to first investigate the pattern of functional changes in aMCI patients and healthy controls (HCs) and then compare the functional changes in aMCI patients before and after rTMS targeting to PCUN and its correlation with cognitive function.

methodsThirty-six HCs and 61 aMCIs were recruited for our study. Eleven people in the aMCI group received rTMS intervention 5 days a week for 4 weeks. Using the right anterior insula as the seed-of-interest, we first compared FC changes in HC and aMCI patients and then compared cognitive function in aMCI patients before and after rTMS. The above is the functional connection analysis of seed-to-voxel. Moreover, we investigated the FC changes in aMCI patients after rTMS intervention and its correlation with cognitive function.

resultsCompared with HC, the aMCI group showed altered FC in bilateral parahippocampal gyrus, bilateral inferior parietal lobule, left middle frontal gyrus, and left middle temporal gyrus. Moreover, rTMS at PCUN improved the cognitive function of aMCI patients, which was related to the altered FC in posterior cerebellar lobes (CPL).

conclusionsOur findings suggest that rTMS targeting PCUN is a promising, noninvasive approach to ameliorating cognitive dysfunction in aMCI patients, and that this cognitive improvement is accompanied by brain connectivity modulation.

Indexed as

Alzheimer DiseaseCognitive DysfunctionBrainCognitionHumansMagnetic Resonance ImagingTranscranial Magnetic StimulationAlzheimer's disease (AD)amnesic mild cognitive impairment (aMCI)functional connectivity (FC)precuneus (PCUN), repetitive transcranial magnetic stimulation (rTMS)

Identifiers

PMID37534626
PMCPMC10498083
OpenAlexW4385514461

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.