CỘNG HƯỞNG TỪ CHỨC NĂNG: TỔNG QUAN VÀ ỨNG DỤNG TRONG ĐÁNH GIÁ PHỤC HỒI CHỨC NĂNG Ở BỆNH NHÂN SAU ĐỘT QUỴ
Nội dung chính của bài viết
Tóm tắt
Đột quỵ là nguyên nhân hàng đầu gây khuyết tật trên toàn cầu, đặt ra nhu cầu phục hồi chức năng lớn. Quản lý đột quỵ vẫn còn nhiều khó khăn trong việc hiểu rõ cơ chế của các di chứng cũng như tiên lượng và phục hồi chức năng. Cộng hưởng từ chức năng là một kỹ thuật chẩn đoán hình ảnh nhiều tiềm năng, được ứng dụng trong nghiên cứu và thực hành lâm sàng ở nhiều chuyên ngành khác nhau. Bài này nhằm đưa ra tổng quan về Cộng hưởng từ chức năng và tổng hợp các bằng chứng hiện tại về việc ứng dụng kỹ thuật này trong nghiên cứu sinh bệnh học của các di chứng, tiên lượng bệnh, và hỗ trợ phục hồi chức năng cho bệnh nhân sau đột quỵ.
Từ khóa
đột quỵ, phục hồi chức năng, cộng hưởng từ chức năng
Chi tiết bài viết
Tài liệu tham khảo
1. Hilkens NA, Casolla B, Leung TW, de Leeuw FE. Stroke. Lancet. 2024. 403(10446), 2820-36. DOI: 10.1016/s0140-6736(24)00642-1.
2. Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020. 21(20). DOI: 10.3390/ijms21207609.
3. Kernan WN, Viera AJ, Billinger SA, Bravata DM, Stark SL, Kasner SE, et al. Primary Care of Adult Patients After Stroke: A Scientific Statement From the American Heart Association/American Stroke Association. Stroke. 2021. 52(9), e558-e71. DOI:
10.1161/str.0000000000000382.
4. Defense DoVADo. VA/DoD clinical practice guideline for management of stroke rehabilitation. 2024.
5. Jones CA, Colletti CM, Ding MC. Post-stroke Dysphagia: Recent Insights and Unanswered Questions. Curr Neurol Neurosci Rep. 2020. 20(12), 61. DOI: 10.1007/s11910-020-01081-z.
6. Yuan X, Hu S, Fan X, Jiang C, Xu Y, Hao R, et al. Central post-stroke pain: advances in clinical and preclinical research. Stroke Vasc Neurol.2024. DOI: 10.1136/svn-2024-003418.
7. Glover GH. Overview of functional magnetic resonance imaging. Neurosurg Clin N Am.2011. 22(2), 133-9, vii. DOI: 10.1016/j.nec.2010.11.001.
8. Czap AL, Sheth SA. Overview of Imaging Modalities in Stroke. Neurology. 2021. 97(20 Suppl 2), S42-s51. DOI: 10.1212/wnl.0000000000012794.
9. Ogawa S, Lee TM. Magnetic resonance imaging of blood vessels at high fields: in vivo and in vitro measurements and image simulation. Magn Reson Med. 1990. 16(1), 9-18. DOI: 10.1002/mrm.1910160103.
10. Jean-Michel Lemée DHB, Florian Bernard, et al. Resting-state functional magnetic resonance imaging versus task-based activity for language mapping and correlation with perioperative cortical mapping. Brain and Behavior, 2019.
11. Yang D, Zhang X, Luo X, Zhang F, Sun S, Shaocheng L, et al. Abnormal Local Brain Activity and Cognitive Impairments in Young Non-Disabled Patients With Intracerebral Hemorrhage: A Resting-State Functional MRI Study. J Magn Reson Imaging. 2024. 60(3), 941-51. DOI: 10.1002/jmri.29166.
12. Yao G, Li J, Liu S, Wang J, Cao X, Li X, et al. Alterations of Functional Connectivity in Stroke Patients With Basal Ganglia Damage and Cognitive Impairment. Front Neurol. 2020. 11980. DOI: 10.3389/fneur.2020.00980.
13. Rehme AK, Fink GR, von Cramon DY, Grefkes C. The role of the contralesional motor cortex for motor recovery in the early days after stroke assessed with longitudinal FMRI. Cereb Cortex. 2011. 21(4), 756-68. DOI: 10.1093/cercor/bhq140.
14. Grefkes C, Nowak DA, Eickhoff SB, Dafotakis M, Küst J, Karbe H, et al. Cortical connectivity after subcortical stroke assessed with functional magnetic resonance imaging. Ann Neurol. 2008. 63(2), 236-46. DOI: 10.1002/ana.21228.
15. Zhang Y. Applications of Functional Magnetic Resonance Imaging in Determining the Pathophysiological Mechanisms and Rehabilitation of Spatial Neglect. Frontiers in Neurology, 2020.
16. Ren W, Wang M, Wang Q, Huang Q, Feng S, Tao J, et al. Altered functional connectivity in patients with post-stroke fatigue: A resting-state fMRI study. J Affect Disord. 2024. 35046875. DOI: 10.1016/j.jad.2024.01.129.
17. O’Donnell MJ, Diener H-C, Sacco RL, Panju AA, Vinisko R, Yusuf S. Chronic Pain Syndromes After Ischemic Stroke. Stroke. 2013. 44(5), 1238-43. DOI: 10.1161/STROKEAHA.111.671008.
18. Elias GJB, De Vloo P, Germann J, Boutet A, Gramer RM, Joel SE, et al. Mapping the network underpinnings of central poststroke pain and analgesic neuromodulation. PAIN. 2020. 161(12), 2805-19. DOI: 10.1097/j.pain.0000000000001998.
19. Peng SJ, Chen YW, Hung A, Wang KW, Tsai JZ. Connectome-based predictive modeling for functional recovery of acute ischemic stroke. Neuroimage Clin. 2023. 38103369. DOI:
10.1016/j.nicl.2023.103369.
20. Lasek-Bal A, Kidoń J, Błaszczyszyn M, Stasiów B, Żak A. BOLD fMRI signal in stroke patients and its importance for prognosis in the subacute disease period - Preliminary report. Neurol Neurochir Pol. 2018. 52(3), 341-6. DOI: 10.1016/j.pjnns.2017.12.006.
21. Carter AR, Astafiev SV, Lang CE, Connor LT, Rengachary J, Strube MJ, et al. Resting interhemispheric functional magnetic resonance imaging connectivity predicts performance after stroke. Ann Neurol. 2010. 67(3), 365-75. DOI: 10.1002/ana.21905.
22. Chi NF, Ku HL, Chen DY, Tseng YC, Chen CJ, Lin YC, et al. Cerebral Motor Functional Connectivity at the Acute Stage: An Outcome Predictor of Ischemic Stroke. Sci Rep. 2018. 8(1), 16803. DOI: 10.1038/s41598-018-35192-y.
23. Park CH, Chang WH, Ohn SH, Kim ST, Bang OY, Pascual-Leone A, et al. Longitudinal changes of resting-state functional connectivity during motor recovery after stroke. Stroke. 2011.42(5), 1357-62. DOI: 10.1161/strokeaha.110.596155.
24. Xia Y, Huang G, Quan X, Qin Q, Li H, Xu C, et al. Dynamic Structural and Functional Reorganizations Following Motor Stroke. Med Sci Monit. 2021. 27e929092. DOI: 10.12659/msm.929092.
25. Dacosta-Aguayo R, Graña M, Savio A, Fernández-Andújar M, Millán M, López-Cancio E, et al. Prognostic value of changes in resting-state functional connectivity patterns in cognitive recovery after stroke: A 3T fMRI pilot study. Hum Brain Mapp. 2014. 35(8), 3819-31. DOI: 10.1002/hbm.22439.
26. Iorga M, Higgins J, Caplan D, Zinbarg R, Kiran S, Thompson CK, et al. Predicting language recovery in post-stroke aphasia using behavior and functional MRI. Sci Rep. 2021. 11(1), 8419. DOI: 10.1038/s41598-021-88022-z.
27. Cramer SC, Parrish TB, Levy RM, Stebbins GT, Ruland SD, Lowry DW, et al. Predicting functional gains in a stroke trial. Stroke. 2007. 38(7), 2108-14. DOI:
10.1161/strokeaha.107.485631.
28. Könönen M, Tarkka IM, Niskanen E, Pihlajamäki M, Mervaala E, Pitkänen K, et al. Functional MRI and motor behavioral changes obtained with constraint-induced movement therapy in chronic stroke. Eur J Neurol. 2012. 19(4), 578-86. DOI: 10.1111/j.1468-1331.2011.03572.x.
29. Tang Z, Liu T, Han K, Liu Y, Su W, Wang R, et al. The effects of rTMS on motor recovery after stroke: a systematic review of fMRI studies. Neurological Sciences. 2024. 45(3), 897-909. DOI: 10.1007/s10072-023-07123-x.
30. Zhang Y, Lu H, Ren X, Zhang J, Wang Y, Zhang C, et al. Immediate and long-term brain activation of acupuncture on ischemic stroke patients: an ALE meta-analysis of fMRI studies. Front Neurosci. 2024. 181392002. DOI: 10.3389/fnins.2024.1392002.
2. Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020. 21(20). DOI: 10.3390/ijms21207609.
3. Kernan WN, Viera AJ, Billinger SA, Bravata DM, Stark SL, Kasner SE, et al. Primary Care of Adult Patients After Stroke: A Scientific Statement From the American Heart Association/American Stroke Association. Stroke. 2021. 52(9), e558-e71. DOI:
10.1161/str.0000000000000382.
4. Defense DoVADo. VA/DoD clinical practice guideline for management of stroke rehabilitation. 2024.
5. Jones CA, Colletti CM, Ding MC. Post-stroke Dysphagia: Recent Insights and Unanswered Questions. Curr Neurol Neurosci Rep. 2020. 20(12), 61. DOI: 10.1007/s11910-020-01081-z.
6. Yuan X, Hu S, Fan X, Jiang C, Xu Y, Hao R, et al. Central post-stroke pain: advances in clinical and preclinical research. Stroke Vasc Neurol.2024. DOI: 10.1136/svn-2024-003418.
7. Glover GH. Overview of functional magnetic resonance imaging. Neurosurg Clin N Am.2011. 22(2), 133-9, vii. DOI: 10.1016/j.nec.2010.11.001.
8. Czap AL, Sheth SA. Overview of Imaging Modalities in Stroke. Neurology. 2021. 97(20 Suppl 2), S42-s51. DOI: 10.1212/wnl.0000000000012794.
9. Ogawa S, Lee TM. Magnetic resonance imaging of blood vessels at high fields: in vivo and in vitro measurements and image simulation. Magn Reson Med. 1990. 16(1), 9-18. DOI: 10.1002/mrm.1910160103.
10. Jean-Michel Lemée DHB, Florian Bernard, et al. Resting-state functional magnetic resonance imaging versus task-based activity for language mapping and correlation with perioperative cortical mapping. Brain and Behavior, 2019.
11. Yang D, Zhang X, Luo X, Zhang F, Sun S, Shaocheng L, et al. Abnormal Local Brain Activity and Cognitive Impairments in Young Non-Disabled Patients With Intracerebral Hemorrhage: A Resting-State Functional MRI Study. J Magn Reson Imaging. 2024. 60(3), 941-51. DOI: 10.1002/jmri.29166.
12. Yao G, Li J, Liu S, Wang J, Cao X, Li X, et al. Alterations of Functional Connectivity in Stroke Patients With Basal Ganglia Damage and Cognitive Impairment. Front Neurol. 2020. 11980. DOI: 10.3389/fneur.2020.00980.
13. Rehme AK, Fink GR, von Cramon DY, Grefkes C. The role of the contralesional motor cortex for motor recovery in the early days after stroke assessed with longitudinal FMRI. Cereb Cortex. 2011. 21(4), 756-68. DOI: 10.1093/cercor/bhq140.
14. Grefkes C, Nowak DA, Eickhoff SB, Dafotakis M, Küst J, Karbe H, et al. Cortical connectivity after subcortical stroke assessed with functional magnetic resonance imaging. Ann Neurol. 2008. 63(2), 236-46. DOI: 10.1002/ana.21228.
15. Zhang Y. Applications of Functional Magnetic Resonance Imaging in Determining the Pathophysiological Mechanisms and Rehabilitation of Spatial Neglect. Frontiers in Neurology, 2020.
16. Ren W, Wang M, Wang Q, Huang Q, Feng S, Tao J, et al. Altered functional connectivity in patients with post-stroke fatigue: A resting-state fMRI study. J Affect Disord. 2024. 35046875. DOI: 10.1016/j.jad.2024.01.129.
17. O’Donnell MJ, Diener H-C, Sacco RL, Panju AA, Vinisko R, Yusuf S. Chronic Pain Syndromes After Ischemic Stroke. Stroke. 2013. 44(5), 1238-43. DOI: 10.1161/STROKEAHA.111.671008.
18. Elias GJB, De Vloo P, Germann J, Boutet A, Gramer RM, Joel SE, et al. Mapping the network underpinnings of central poststroke pain and analgesic neuromodulation. PAIN. 2020. 161(12), 2805-19. DOI: 10.1097/j.pain.0000000000001998.
19. Peng SJ, Chen YW, Hung A, Wang KW, Tsai JZ. Connectome-based predictive modeling for functional recovery of acute ischemic stroke. Neuroimage Clin. 2023. 38103369. DOI:
10.1016/j.nicl.2023.103369.
20. Lasek-Bal A, Kidoń J, Błaszczyszyn M, Stasiów B, Żak A. BOLD fMRI signal in stroke patients and its importance for prognosis in the subacute disease period - Preliminary report. Neurol Neurochir Pol. 2018. 52(3), 341-6. DOI: 10.1016/j.pjnns.2017.12.006.
21. Carter AR, Astafiev SV, Lang CE, Connor LT, Rengachary J, Strube MJ, et al. Resting interhemispheric functional magnetic resonance imaging connectivity predicts performance after stroke. Ann Neurol. 2010. 67(3), 365-75. DOI: 10.1002/ana.21905.
22. Chi NF, Ku HL, Chen DY, Tseng YC, Chen CJ, Lin YC, et al. Cerebral Motor Functional Connectivity at the Acute Stage: An Outcome Predictor of Ischemic Stroke. Sci Rep. 2018. 8(1), 16803. DOI: 10.1038/s41598-018-35192-y.
23. Park CH, Chang WH, Ohn SH, Kim ST, Bang OY, Pascual-Leone A, et al. Longitudinal changes of resting-state functional connectivity during motor recovery after stroke. Stroke. 2011.42(5), 1357-62. DOI: 10.1161/strokeaha.110.596155.
24. Xia Y, Huang G, Quan X, Qin Q, Li H, Xu C, et al. Dynamic Structural and Functional Reorganizations Following Motor Stroke. Med Sci Monit. 2021. 27e929092. DOI: 10.12659/msm.929092.
25. Dacosta-Aguayo R, Graña M, Savio A, Fernández-Andújar M, Millán M, López-Cancio E, et al. Prognostic value of changes in resting-state functional connectivity patterns in cognitive recovery after stroke: A 3T fMRI pilot study. Hum Brain Mapp. 2014. 35(8), 3819-31. DOI: 10.1002/hbm.22439.
26. Iorga M, Higgins J, Caplan D, Zinbarg R, Kiran S, Thompson CK, et al. Predicting language recovery in post-stroke aphasia using behavior and functional MRI. Sci Rep. 2021. 11(1), 8419. DOI: 10.1038/s41598-021-88022-z.
27. Cramer SC, Parrish TB, Levy RM, Stebbins GT, Ruland SD, Lowry DW, et al. Predicting functional gains in a stroke trial. Stroke. 2007. 38(7), 2108-14. DOI:
10.1161/strokeaha.107.485631.
28. Könönen M, Tarkka IM, Niskanen E, Pihlajamäki M, Mervaala E, Pitkänen K, et al. Functional MRI and motor behavioral changes obtained with constraint-induced movement therapy in chronic stroke. Eur J Neurol. 2012. 19(4), 578-86. DOI: 10.1111/j.1468-1331.2011.03572.x.
29. Tang Z, Liu T, Han K, Liu Y, Su W, Wang R, et al. The effects of rTMS on motor recovery after stroke: a systematic review of fMRI studies. Neurological Sciences. 2024. 45(3), 897-909. DOI: 10.1007/s10072-023-07123-x.
30. Zhang Y, Lu H, Ren X, Zhang J, Wang Y, Zhang C, et al. Immediate and long-term brain activation of acupuncture on ischemic stroke patients: an ALE meta-analysis of fMRI studies. Front Neurosci. 2024. 181392002. DOI: 10.3389/fnins.2024.1392002.