Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus

Tinnitus is associated with abnormal functional connectivity of multiple regions of the brain. However, previous analytic methods have disregarded information on the direction of functional connectivity, leading to only a moderate efficacy of pretreatment planning. We hypothesized that the pattern o...

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Main Authors: Han Lv, Jinduo Liu, Qian Chen, Zuozhen Zhang, Zhaodi Wang, Shusheng Gong, Junzhong Ji, Zhenchang Wang
Format: Article
Language:English
Published: IEEE 2023-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/10036017/
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author Han Lv
Jinduo Liu
Qian Chen
Zuozhen Zhang
Zhaodi Wang
Shusheng Gong
Junzhong Ji
Zhenchang Wang
author_facet Han Lv
Jinduo Liu
Qian Chen
Zuozhen Zhang
Zhaodi Wang
Shusheng Gong
Junzhong Ji
Zhenchang Wang
author_sort Han Lv
collection DOAJ
description Tinnitus is associated with abnormal functional connectivity of multiple regions of the brain. However, previous analytic methods have disregarded information on the direction of functional connectivity, leading to only a moderate efficacy of pretreatment planning. We hypothesized that the pattern of directional functional connectivity can provide key information on treatment outcomes. Sixty-four participants were enrolled in this study: eighteen patients with tinnitus were categorized into the effective group, twenty-two patients into the ineffective group, and twenty-four healthy participants into the healthy control group. We acquired resting-state functional magnetic resonance images prior to sound therapy and constructed an effective connectivity network of the three groups using an artificial bee colony algorithm and transfer entropy. The key feature of patients with tinnitus was the significantly increased signal output of the sensory network, including the auditory, visual, and somatosensory networks, and parts of the motor network. This provided critical insights into the gain theory of tinnitus development. The altered pattern of functional information orchestration, represented by a higher degree of hypervigilance-driven attention and enhanced multisensory integration, may explain poor clinical outcomes. The activated gating function of the thalamus is one of the key factors for a good prognosis in tinnitus treatment. We developed a novel method for analyzing effective connectivity, facilitating an understanding of the tinnitus mechanism and treatment outcome expectation based on the direction of information flow.
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issn 1534-4320
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publishDate 2023-01-01
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series IEEE Transactions on Neural Systems and Rehabilitation Engineering
spelling doaj-art-92c4c571dc494cdcaa144599447b57562025-08-20T03:05:29ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102023-01-01311158116610.1109/TNSRE.2023.324194110036017Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With TinnitusHan Lv0https://orcid.org/0000-0001-9559-4777Jinduo Liu1https://orcid.org/0000-0002-6264-0471Qian Chen2https://orcid.org/0000-0001-5210-9647Zuozhen Zhang3Zhaodi Wang4Shusheng Gong5Junzhong Ji6https://orcid.org/0000-0001-6951-741XZhenchang Wang7https://orcid.org/0000-0001-8190-6469Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Municipal Key Laboratory of Multimedia and Intelligent Software Technology, College of Computer, Science and Technology, Faculty of Information Technology, Beijing University of Technology, Beijing, ChinaDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Municipal Key Laboratory of Multimedia and Intelligent Software Technology, College of Computer, Science and Technology, Faculty of Information Technology, Beijing University of Technology, Beijing, ChinaDepartment of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaDepartment of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaBeijing Municipal Key Laboratory of Multimedia and Intelligent Software Technology, College of Computer, Science and Technology, Faculty of Information Technology, Beijing University of Technology, Beijing, ChinaDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaTinnitus is associated with abnormal functional connectivity of multiple regions of the brain. However, previous analytic methods have disregarded information on the direction of functional connectivity, leading to only a moderate efficacy of pretreatment planning. We hypothesized that the pattern of directional functional connectivity can provide key information on treatment outcomes. Sixty-four participants were enrolled in this study: eighteen patients with tinnitus were categorized into the effective group, twenty-two patients into the ineffective group, and twenty-four healthy participants into the healthy control group. We acquired resting-state functional magnetic resonance images prior to sound therapy and constructed an effective connectivity network of the three groups using an artificial bee colony algorithm and transfer entropy. The key feature of patients with tinnitus was the significantly increased signal output of the sensory network, including the auditory, visual, and somatosensory networks, and parts of the motor network. This provided critical insights into the gain theory of tinnitus development. The altered pattern of functional information orchestration, represented by a higher degree of hypervigilance-driven attention and enhanced multisensory integration, may explain poor clinical outcomes. The activated gating function of the thalamus is one of the key factors for a good prognosis in tinnitus treatment. We developed a novel method for analyzing effective connectivity, facilitating an understanding of the tinnitus mechanism and treatment outcome expectation based on the direction of information flow.https://ieeexplore.ieee.org/document/10036017/Tinnitussound therapyfMRIbrain networkeffective connectivity
spellingShingle Han Lv
Jinduo Liu
Qian Chen
Zuozhen Zhang
Zhaodi Wang
Shusheng Gong
Junzhong Ji
Zhenchang Wang
Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Tinnitus
sound therapy
fMRI
brain network
effective connectivity
title Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus
title_full Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus
title_fullStr Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus
title_full_unstemmed Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus
title_short Brain Effective Connectivity Analysis Facilitates the Treatment Outcome Expectation of Sound Therapy in Patients With Tinnitus
title_sort brain effective connectivity analysis facilitates the treatment outcome expectation of sound therapy in patients with tinnitus
topic Tinnitus
sound therapy
fMRI
brain network
effective connectivity
url https://ieeexplore.ieee.org/document/10036017/
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