Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task
Abstract To investigate the hemodynamic differences in various brain regions between alcohol dependence (AlcD) patients and healthy controls during a verbal fluency task (VFT) using functional near-infrared spectroscopy (fNIRS), and to further explore the clinical predictive value of fNIRS before th...
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Nature Portfolio
2025-02-01
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| Online Access: | https://doi.org/10.1038/s41598-025-89775-7 |
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| author | Anqi Huang Ran Wang Aiping Wen Lin Xu Na Li Yuanyuan Gao Wenting Lu Shijie Guo Jincheng Wang Lan Wang |
| author_facet | Anqi Huang Ran Wang Aiping Wen Lin Xu Na Li Yuanyuan Gao Wenting Lu Shijie Guo Jincheng Wang Lan Wang |
| author_sort | Anqi Huang |
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| description | Abstract To investigate the hemodynamic differences in various brain regions between alcohol dependence (AlcD) patients and healthy controls during a verbal fluency task (VFT) using functional near-infrared spectroscopy (fNIRS), and to further explore the clinical predictive value of fNIRS before therapy for the outcome of relapse in AlcD patients after 3 months. A retrospective survey was conducted on 123 AlcD patients and 149 healthy controls during the same period. Baseline assessment of fNIRS was performed to analyze the hemodynamic differences between the two groups in different brain regions. During hospitalization, AlcD patients underwent a 3-week benzodiazepine substitution therapy, gradually tapering off the medication to achieve alcohol withdrawal treatment goals. Three months after discharge, we conducted follow-up phone calls to assess the relapse status of the patients. Compared to the control group, the AlcD group had significantly lower integral values in the frontal and bilateral temporal lobes, as well as lower β-values in all channels of the frontal lobe except for Ch13, and in all channels of the bilateral temporal lobes (p < 0.005), with no significant difference in the parietal lobe channel(p > 0.05). ROC (Receiver Operating Characteristic Curve) analysis for predicting relapse within 3 months showed that the area under the curve for all channels was highest (0.951, sensitivity 0.924, specificity 0.886). Patients with AlcD exhibit functional impairments in the frontal and temporal lobes. fNIRS channels in the frontal and parietal lobes based on VFT have good clinical predictive value for relapse within 3 months after pharmacotherapy in AlcD and can be applied in clinical practice. |
| format | Article |
| id | doaj-art-1d2c47a7b2bc483ca99856a2f8035585 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
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| spelling | doaj-art-1d2c47a7b2bc483ca99856a2f80355852025-08-20T03:00:58ZengNature PortfolioScientific Reports2045-23222025-02-0115111310.1038/s41598-025-89775-7Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency taskAnqi Huang0Ran Wang1Aiping Wen2Lin Xu3Na Li4Yuanyuan Gao5Wenting Lu6Shijie Guo7Jincheng Wang8Lan Wang9Mental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionNeurology Department, Leting County HospitalMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionMental Health Center, The First Hospital of Hebei Medical University, Hebei Technical Innovation Center for Mental Health Assessment and InterventionAbstract To investigate the hemodynamic differences in various brain regions between alcohol dependence (AlcD) patients and healthy controls during a verbal fluency task (VFT) using functional near-infrared spectroscopy (fNIRS), and to further explore the clinical predictive value of fNIRS before therapy for the outcome of relapse in AlcD patients after 3 months. A retrospective survey was conducted on 123 AlcD patients and 149 healthy controls during the same period. Baseline assessment of fNIRS was performed to analyze the hemodynamic differences between the two groups in different brain regions. During hospitalization, AlcD patients underwent a 3-week benzodiazepine substitution therapy, gradually tapering off the medication to achieve alcohol withdrawal treatment goals. Three months after discharge, we conducted follow-up phone calls to assess the relapse status of the patients. Compared to the control group, the AlcD group had significantly lower integral values in the frontal and bilateral temporal lobes, as well as lower β-values in all channels of the frontal lobe except for Ch13, and in all channels of the bilateral temporal lobes (p < 0.005), with no significant difference in the parietal lobe channel(p > 0.05). ROC (Receiver Operating Characteristic Curve) analysis for predicting relapse within 3 months showed that the area under the curve for all channels was highest (0.951, sensitivity 0.924, specificity 0.886). Patients with AlcD exhibit functional impairments in the frontal and temporal lobes. fNIRS channels in the frontal and parietal lobes based on VFT have good clinical predictive value for relapse within 3 months after pharmacotherapy in AlcD and can be applied in clinical practice.https://doi.org/10.1038/s41598-025-89775-7Alcohol dependenceFunctional near-infrared spectroscopyVerbal fluency taskRelapse |
| spellingShingle | Anqi Huang Ran Wang Aiping Wen Lin Xu Na Li Yuanyuan Gao Wenting Lu Shijie Guo Jincheng Wang Lan Wang Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task Scientific Reports Alcohol dependence Functional near-infrared spectroscopy Verbal fluency task Relapse |
| title | Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task |
| title_full | Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task |
| title_fullStr | Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task |
| title_full_unstemmed | Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task |
| title_short | Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task |
| title_sort | clinical value of predicting relapse within 3 months in alcohol dependent patients using fnirs in verbal fluency task |
| topic | Alcohol dependence Functional near-infrared spectroscopy Verbal fluency task Relapse |
| url | https://doi.org/10.1038/s41598-025-89775-7 |
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